Determinants of turn-up for HIV care among lactating mothers with infants at Panyadoli Health IV, Kiryandongo district. A cross-sectional study.

Rebecca  Tusiime; Hasifa  Nansereko; Immaculate Prosperia  Naggulu; Jane Frank  Nalubega

doi:10.51168/sjhrafrica.v6i9.2010

Authors

Rebecca Tusiime Mildmay Uganda School of Nursing and Midwifery
Hasifa Nansereko Mildmay Uganda School of Nursing and Midwifery
Immaculate Prosperia Naggulu Mildmay Uganda School of Nursing and Midwifery
Jane Frank Nalubega Mildmay Uganda School of Nursing and Midwifery

DOI:

https://doi.org/10.51168/sjhrafrica.v6i9.2010

Keywords:

Lactating Mothers, Turn-Up, Panyadoli Health IV, Kiryandongo District

Abstract

Background

In Uganda, the impact of low turn-up on Lactating mothers with Infants is significant, as delays in ART adherence increase maternal viral load by 20%. The purpose of the study was to assess the Determinants of Turn-Up for HIV Care among Lactating Mothers with Infants at Panyadoli Health IV, Kiryandongo District.

Methods

A descriptive cross-sectional study design employing quantitative methods of data collection was conducted at Panyadoli Health IV, Kiryandongo District. In a duration of 5 days, 45 lactating mothers were selected using a simple random sampling method. A structured questionnaire was used to collect data, consisting of closed-ended questions. The data collected was analyzed manually, and findings were entered into a Microsoft Excel 2013, which was then presented in the form of tables, pie-charts, and graphs.

Results

The Majority of the respondents, 24(53%), were 18-30 years old. Less than half of the respondents, 16(36%), had secondary education. More than half of the respondents, 26(58%), were married, on individual determinants; 73% of mothers lacked partner support, 84% experienced stigma, 45% cited caregiving duties as a barrier to clinic attendance, and the majority 62% faced challenges due to pre-existing infant health conditions. Health facility-related determinants included lack of appointment reminders (73%), medication stock-outs (80%), and judgmental attitudes from health workers (58%). Socio-economic determinants included long distances to clinics (47%), high medication costs (67%), transport challenges (56%), and lack of support systems (51%).

Conclusion

Lack of partner support, stigma, caregiving responsibilities, medication stock-outs, long distances to clinics, and negative health worker attitudes were key factors affecting ART clinic attendance among lactating mothers with infants.

Recommendation

There is a need to strengthen partner and community support systems, improve drug availability, implement effective reminder systems, address stigma and staff attitudes, education, and advocacy to enhance ART adherence among lactating mothers.

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