Long-term regular follows up of ART clients is an important
component of HIV care, treatment, and prevention. Clients who are lost to follow-up
while on treatment compromise their own health leading to poor treatment outcomes,
which has a negative impact on HIV control programs. This study aimed to
determine the factors contributing to the lost to follow-up (LTFU) of HIV clients
on ARVs at the ART clinic, Bor state hospital. A retrospective cohort study of 60
people living with HIV from 576 clients who are lost to follow-up and attending
an ART clinic service between Jan. 2015 - Dec. 2019 was undertaken. LTFU was deﬁned
as not taking an ARVs drug reﬁll for a period of three months or longer from the
last attendance for reﬁll and not yet classiﬁed as ‘died’ or ‘transferred out. A total of
1993 clients enrolled at the HIV ART clinic, a total of 576 clients (29.0%) were
deﬁned as LTFU from enrolled clients, and 1417 clients (71.0%) were actively being
followed up and on ART in the HIV ART clinic. Overall, these data suggested that LTFU
in this study was high in patients who were married, low level of education, stigma-related
factors, unemployment among clients, and clinical stages I &II were associated
with LTFU in this study.
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