PUBLICATION: BioMed Research International
Nakigozi, G., Chang, L.W., Kiggundu, V., Atuyambe, L., Nakyanjo, N., Serwadda, D., Kamya, M., Kigozi, G., Wawer, M., Makumbi, F.E., Nalugoda, F., & Gray, R.
There is a need for all HIV-positive persons to access care and preventive interventions in a timely manner [1–4] and
to prevent HIV transmission to partners and morbidity and mortality [5–7]. However, uptake of free HIV care services after diagnosis remains suboptimal. A study in Uganda showed that 31.5% of HIV-positive persons who knew their HIV status had not enrolled into care six months after testing HIV positive . Similar findings have been observed in the
United States [9–12]. Studies in Sub-Saharan Africa (SSA) to identify barriers to entry into HIV care have focused on those already enrolled into care [13–16]. However, it is critical to directly ascertain information on such barriers from HIV-positive people who are not under care, because their views could be more relevant to the design of targeted interventions to improve HIV care utilization. In order to understand barriers to entry into HIV care by the HIV-positive persons not in care, we conducted a qualitative evaluation among HIV-positive people and health care providers in Rakai, Uganda.