TABLE OF CONTENTS
DECLARATION ............................................................................................................................. I
DEDICATION........................................................................................................................... II
APPROVAL ............................................................................................................................. III
ACKNOWLEDGEMENT......................................................................................................... IV
LIST OF ABBREVIATIONS..................................................................................................... V
DEFINITION OF TERMS ........................................................................................................ VI
TABLE OF CONTENTS.......................................................................................................... VII
LIST OF TABLES................................................................................................................... IX
ABSTRACT ..............................................................................................................................X
CHAPTER ONE:INTRODUCTION...........................................................................................1
1.1 BACK GROUND .......................................................................................................................1
1.2 PROBLEM STATEMENT............................................................................................................2
1.3 STUDY OBJECTIVES ................................................................................................................3
1.3.1 General Objective...............................................................................................................3
1.3.2 Specific Objectives.............................................................................................................3
1.4 RESEARCH QUESTIONS ...........................................................................................................3
1.5 JUSTIFICATION .......................................................................................................................3
1.6 CONCEPTUAL FRAME WORK...................................................................................................4
CHAPTER TWO:LITERATURE REVIEW................................................................................6
2.0 INTRODUCTION.......................................................................................................................6
2.1 FACTORS CONTRIBUTING TO ENROLLMENT OF PATIENTS TO ART CLINIC..................................6
2.2 PSYCHOSOCIAL FACTORS........................................................................................................6
2.3 ECONOMIC FACTORS...............................................................................................................7
2.4 HEALTH SYSTEM FACTORS......................................................................................................8
3.1 INTRODUCTION....................................................................................................................9
3.2 STUDY DESIGN......................................................................................................................9
3.3 STUDY AREA........................................................................................................................9
3.4 STUDY POPULATION...........................................................................................................9
3.4.1 SAMPLE SIZE DETERMINATION..................................................................................9
3.4.2 SAMPLING PROCEDURE ...............................................................................................9
3.5.1 Inclusion criteria...............................................................................................................10
3.5.2 Exclusion criteria..............................................................................................................10
3.6 RESEARCH INSTRUMENTS .....................................................................................................10
3.7 DATA COLLECTION PROCEDURE..........................................................................................10
3.7.1 Data management ...........................................................................................................10
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3.7.2 Data analysis and presentation. .......................................................................................10
3.8 ETHICAL CONSIDERATION ...................................................................................................10
3.9 STUDY VARIABLES................................................................................................................11
3.9.1 INDEPENDENT VARIABLES........................................................................................11
3.9.2. DEPENDENT VARIABLE.............................................................................................11
3.10 DISSEMINATION OF RESULTS ...............................................................................................11
CHAPTER FOUR:FINDINGS OF THE STUDY......................................................................12
4.1 DEMOGRAPHIC CHARACTERISTICS OF THE PARTICIPANTS.......................................................12
4.2: ASSOCIATION BETWEEN PSYCHOSOCIAL FACTORS AND ENROLLMENT OF HIV PATIENTS TO
ART CARE CLINIC......................................................................................................................13
4.3: ASSOCIATION BETWEEN EECONOMIC FACTORS AND ENROLLMENT OF HIVPATIENTS IN ART
CARE CLINIC. .............................................................................................................................14
4.4: ASSOCIATION BETWEEN HEALTH SYSTEM FACTORS AND ENROLLMENT OF HIV PATIENTS IN
ART CLINIC...............................................................................................................................14
CHAPTER FIVE:DISCUSION, CONCLUSIONS AND RECOMMENDATIONS...................16
5.1 DISCUSSION .........................................................................................................................16
5.11ASSOCIATION BETWEEN PSYCHOSOCIAL FACTORS AND ENROLLMENT OF HIV PATIENTS TO
ART CARE CLINIC......................................................................................................................16
5.12ASSOCIATION BETWEEN ECONOMIC FACTORS AND ENROLLMENT OF HIV
PATIENTS TO ART CARE CLINIC........................................................................................16
5.13 ASSOCIATION BETWEEN HEALTH SYSTEM FACTORS AND ENROLLMENT IN ART CARE CLINIC.17
SHORT CCOMINGS................................................................................................................18
5.2 CONCLUSION...................................................................................................................18
5.3 RECOMMENDATIONS ............................................................................................................18
REFERENCES .........................................................................................................................20
APPENDICES ..........................................................................................................................21
APPENDIX 1: KREJCIE AND MORGAN TABLE ..................................................................21
APPENDIX 2: CONSENT FORM.............................................................................................22
APPENDIX 3: QUESTIONNAIRE...........................................................................................23
APPENDIX 4: MAP OF UGANDA......................................................................................25
APENDIX:5. AMAP OF KANUNGU DISTRICT.....................................................................26
APPENDIX 6 THE INTRODUCTORY LETTER .....................................................................27
ABSTRACT Topic: Factors contributing to enrollment of HIV patients in ART care clinic in Kambuga hospital Kanungu district. Specific objectives: To determine association between psychosocial factors and enrollment of HIV patients in ART care clinic ,to determine association between economic factors and enrollment of HIV patients in ART care clinic, to determine association between health system factors and enrollment of HIV patients in ART care clinic. Methods. The study used a cross-sectional design with quantitative approaches. The study used a sample size of 80 respondents. Questionnaire was used as an instrument to collect data. Descriptive statistics were used to present quantitative data and this involved the use of frequency tables. Results: stigma, fear of disclosure, fear of side effects of drugs and fear of drug toxicities were some of the associated psychosocial factors. Patients inability to take time of work for clinic appointments, transport costs patients , food insecurity and inadequate patient resources were the associated economic factors while the associated health system factors included inadequate counselors ,staff shortages ,less frequent dispensing and long waiting hours by patients. Conclusion: The association between psychosocial factors and enrollment of patients included stigma followed by fear of disclosure then fear of drug toxicities and finally fear of drug side effect. The association between economic factors and enrollment included patient’s inability to take time of work for clinic appointments followed by transport costs then food insecurity and finally inadequate resources. The association between health system factors and enrollment included inadequate counselors followed by staff shortages then less frequent dispensing and finally long waiting hours. Recommendations: It was recommended that continuous health education and empowerment of parents, religious leaders, teachers and those affected with HIV/AIDS should get involved in dissemination of information concerning HIV/AIDS. Also there is need to train and recruit more personnel for efficiency in management of the patient.