Barriers and facilitators of male engagement in Community Client-Led Antiretroviral therapy Delivery groups (CCLADS) for HIV care and treatment in Southwestern Uganda: a qualitative study.
ART access
CCLADs
Male engagement
Uganda
Journal
BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677
Informations de publication
Date de publication:
29 Jan 2022
29 Jan 2022
Historique:
received:
20
07
2021
accepted:
17
01
2022
entrez:
30
1
2022
pubmed:
31
1
2022
medline:
2
2
2022
Statut:
epublish
Résumé
Male engagement in HIV programs is a persistent challenge that results in poor utilization of HIV care services. Differentiated service delivery models, such as Community Client-Led Antiretroviral Delivery Groups (CCLADs), provide an opportunity for male engagement in HIV care. In southwestern Uganda. In southwestern Uganda few men living with HIV (MLWHIV) are involved in CCLADS. We aimed to identify facilitators, barriers and perceptions to CCLADs enrollment by MLWHIV at ART Clinics in southwestern Uganda. A qualitative study was conducted among MLWHIV who were registered and receiving ART at two ART Clinics/health facilities in southwestern Uganda, irrespective of their enrollment status into CCLADs. In-depth interviews (IDI) were conducted among recruited HIV positive men, and Key informant interviews (KIIs) among clinic in-charges and counselors, women enrolled in CCLADS using a semi-structured interview guide. We used thematic analysis to analyze the data from the interviews. We conducted 16 interviews, 7 KII and 8 IDI were conducted. MLWHIV and key informants shared the facilitators and barriers. Men who were not involved in CCLADs shared the barriers to joining the CCLADs. The themes identified included 1. Motivations to join CCLADS 2. Challenges related to CCLADS initiation 3. Perceived facilitators for male participation in CCLADS, 4. Perceived barriers for male participation in CCLADS and 5. Proposed strategies for best implementation of CCLADs for better male engagement. Overall men liked the idea of CCLADs but they had preferences on how they should be implemented. Men's enrollment into CCLADs is still low despite the benefits. Addressing the barriers to men's engagement and adopting proposed strategies may improve men's enrollment in CCLADS and thus improve their access to ART, Adherence and quality of life.
Sections du résumé
BACKGROUND
BACKGROUND
Male engagement in HIV programs is a persistent challenge that results in poor utilization of HIV care services. Differentiated service delivery models, such as Community Client-Led Antiretroviral Delivery Groups (CCLADs), provide an opportunity for male engagement in HIV care. In southwestern Uganda. In southwestern Uganda few men living with HIV (MLWHIV) are involved in CCLADS. We aimed to identify facilitators, barriers and perceptions to CCLADs enrollment by MLWHIV at ART Clinics in southwestern Uganda.
METHODS
METHODS
A qualitative study was conducted among MLWHIV who were registered and receiving ART at two ART Clinics/health facilities in southwestern Uganda, irrespective of their enrollment status into CCLADs. In-depth interviews (IDI) were conducted among recruited HIV positive men, and Key informant interviews (KIIs) among clinic in-charges and counselors, women enrolled in CCLADS using a semi-structured interview guide. We used thematic analysis to analyze the data from the interviews.
RESULTS
RESULTS
We conducted 16 interviews, 7 KII and 8 IDI were conducted. MLWHIV and key informants shared the facilitators and barriers. Men who were not involved in CCLADs shared the barriers to joining the CCLADs. The themes identified included 1. Motivations to join CCLADS 2. Challenges related to CCLADS initiation 3. Perceived facilitators for male participation in CCLADS, 4. Perceived barriers for male participation in CCLADS and 5. Proposed strategies for best implementation of CCLADs for better male engagement. Overall men liked the idea of CCLADs but they had preferences on how they should be implemented.
CONCLUSION
CONCLUSIONS
Men's enrollment into CCLADs is still low despite the benefits. Addressing the barriers to men's engagement and adopting proposed strategies may improve men's enrollment in CCLADS and thus improve their access to ART, Adherence and quality of life.
Identifiants
pubmed: 35093057
doi: 10.1186/s12913-022-07544-y
pii: 10.1186/s12913-022-07544-y
pmc: PMC8800336
doi:
Substances chimiques
Anti-Retroviral Agents
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
125Subventions
Organisme : FIC NIH HHS
ID : K43 TW011004
Pays : United States
Organisme : FIC NIH HHS
ID : R25 TW011210
Pays : United States
Informations de copyright
© 2022. The Author(s).
Références
J Int AIDS Soc. 2017 Mar 28;20(1):21374
pubmed: 28406273
PLoS One. 2015 Jun 03;10(6):e0126810
pubmed: 26039733
J Acquir Immune Defic Syndr. 2015 Jul 1;69(3):355-64
pubmed: 26181708
JAMA. 2013 Nov 27;310(20):2191-4
pubmed: 24141714
PLoS One. 2019 Jan 23;14(1):e0210126
pubmed: 30673744
J Int AIDS Soc. 2016 Dec 01;19(1):21484
pubmed: 27914186
PLoS Med. 2012 Feb;9(2):e1001167
pubmed: 22346735
BMC Health Serv Res. 2020 Mar 17;20(1):222
pubmed: 32183796
BMC Public Health. 2014 Oct 11;14:1061
pubmed: 25304035
Trop Med Int Health. 2014 Aug;19(8):968-77
pubmed: 24889337
J Int AIDS Soc. 2019 Oct;22(10):e25403
pubmed: 31686432
PLoS One. 2019 Jun 20;14(6):e0218340
pubmed: 31220116
PLoS Med. 2017 Apr 11;14(4):e1002262
pubmed: 28399122
N Engl J Med. 2011 Aug 11;365(6):493-505
pubmed: 21767103
Cult Health Sex. 2019 Jul;21(7):774-788
pubmed: 30422078
SAHARA J. 2011;8(2):82-8
pubmed: 23237685
Lancet HIV. 2019 Mar;6(3):e191-e200
pubmed: 30777726