Kabwata daily ART activity
register shows that approximately 30 patients miss appointments weekly and out of
which about 20 are lost to follow at month-end. With the support of the Ministry
of Health and partners, the clinic has been striving to improve retention levels
through the implementation of call-to-care services. However, it is important to
assess the state and factors that could be affecting the effective implementation
of call-to-care at the facility. This study assessed the acceptance of call-to-care
strategy by clients on ART at Kabwata Clinic and has provided evidence-based information
on acceptance of call-to-care services, which will help Kabwata Clinic and stakeholders
improve the provision of antiretroviral services, which will eventually translate
into retention and viral load suppression. A descriptive cross-sectional design
was used. The population of the study was 5738, from which a sample of 374 participants
was drawn using systematic random sampling and subjected to a questionnaire. Data
analysis and presentation were performed with the aid of google forms. The study
ensured ethical considerations were observed. The study revealed that the majority
of respondents (60.7%) agreed to receive appointment reminders, (78.3%) agreed to
discuss ART issues on phone, (78.8%) agreed that they were happy to receive calls
from medical personnel about their health and lastly (69.3%) agreed that they are
religious and free to be contacted about their health. Therefore, the study concluded
that most adult ART patients at Kabwata Clinic have accepted call-to-care services
and are willing to receive call-to-care services.
Statistical Office (CSO) [Zambia], Ministry of Health (MOH) [Zambia], and ICF International.
2014. Zambia Demographic and Health Survey 2013-14. Rockville, Maryland, USA: Central
Statistical Office, Ministry of Health, and ICF International.
of Health, Zambia. Zambia Population-based HIV Impact Assessment (ZAMPHIA) 2016:
Final Report. Lusaka, Ministry of Health. February 2019.
 Pai, Yun-Hui
& Chen, Yen-Chin & Hung, Cheng-Kai & Liu, Hsiao-Ying & Lai, Yi-Yin
& Ko, Nai-Ying. (2016). Willingness to Receive Text Message Appointment Reminders
Among Patients with HIV Infection. The Journal of Nursing. 63. 59-67. 10.6224/JN.63.1.59.
 PEPFAR Monitoring,
Evaluation and reporting Database 2022, Zambia Retention report, amfAR
 Assefa, Y., Lynen, L., Wouters, E. et al. 2014,
How to improve patient retention in an antiretroviral treatment program in Ethiopia:
a mixed-methods study. BMC Health Serv Res 14, 45 (2014). https://doi.org/10.1186/1472-6963-14-45.
 V. Hayes,
S. Fidler, A. Cori, C. Fraser, S. Floyd, H. Ayles, N. Beyers, W. El-Sadr, HPTN 071
(PopART) Study Team (2009) HIV Treatment-as-prevention
research: Taking the right road at the crossroads.
 S.E. Gerdts,
B.H. Wagenaar, M.A. Micek, C. Farquhar, M. Kariaganis, J. Amos, S. Gimbel, J. Pfeiffer,
S. Gloyd, K. Sherr(2014)Linkage to HIV care
and antiretroviral therapy by HIV testing service type in Central Mozambique: a
retrospective cohort study.
 World Health Organization 2007 WHO case
definitions of HIV for surveillance and revised clinical staging and immunological
classification of HIV-related disease in adults and children. Switzerland.
Saki, Sima Mohammad Khan Kermanshahi and Minoo Mohraz 2015, Perception of Patients
With HIV/ADS from Stigma and Discrimination.
et at. (2006) human immunodeficiency viruses: siv infection in wild gorillas, Nature
 Ong LM,
Visser MR, Lammes FB, et al. (2010): Doctor-patient communication and cancer patients’
quality of life and satisfaction. Patient Educ Couns 41 (2).
 Webber G
C (1990): Patient education. A review of the issues. Med Care 28 (11): 1089-103,
2020 Technology Acceptance Model retrieved from https://en.wikipedia.org/wiki/Technology_acceptance_model#:~:text=The%20technology%20acceptance%20model%20(TAM,people%20to%20use%20the%20technology.
of Health [Zambia] 2021, HIA report.
 St Clair-Sullivan
N, Mwamba C, Whetham J, Bolton Moore C, Darking M, Vera J. 2019 Barriers to HIV
care and adherence for young people living with HIV in Zambia and mHealth.
M., Zeleke, A., Asemahagn, M. et al. 2015 Willingness to receive text message
medication reminders among patients on antiretroviral treatment in Northwest Ethiopia:
A cross-sectional study. https://doi.org/10.1186/s12911-015-0193.