| dc.contributor.author | Kushemererwa, Jovaile | |
| dc.contributor.author | Muwanguzi, Moses | |
| dc.contributor.author | . Atukunda, Esther Cathyln | |
| dc.contributor.author | Kikomeko, Halimah Nantambi | |
| dc.contributor.author | Ambrose, Odwee | |
| dc.contributor.author | Androdri, Denis | |
| dc.contributor.author | Kembabazi, Brillian | |
| dc.contributor.author | Nambi Najjuma, Josephine | |
| dc.date.accessioned | 2022-04-21T14:58:56Z | |
| dc.date.available | 2022-04-21T14:58:56Z | |
| dc.date.issued | 2022-01-29 | |
| dc.identifier.citation | Kushemererwa, J., Muwanguzi, M., Atukunda, E. C., Kikomeko, H. N., Ambrose, O., Androdri, D., ... & Najjuma, J. N. (2022). 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. BMC Health Services Research, 22(1), 1-9. | en_US |
| dc.identifier.uri | http://ir.must.ac.ug/xmlui/handle/123456789/1793 | |
| dc.description | Research Article | en_US |
| dc.description.abstract | 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: 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: 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: 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. | en_US |
| dc.description.sponsorship | Research reported in this publication was supported by the Fogarty International
Center (U.S. Department of State’s Office of the U.S. Global AIDS Coordinator
and Health Diplomacy [S/GAC] and the President’s Emergency Plan for
AIDS Relief [PEPFAR]) of the National Institutes of Health under Award Number
R25TW011210. The content is solely the responsibility of the authors and does
not necessarily represent the official views of the National Institutes of Health. | en_US |
| dc.language.iso | en | en_US |
| dc.publisher | BMC Health Services Research | en_US |
| dc.subject | CCLADs, | en_US |
| dc.subject | Male engagement, | en_US |
| dc.subject | ART access, | en_US |
| dc.subject | Uganda | en_US |
| dc.title | Barriers and facilitators of male engagement in Community Client-Led Antiretroviral therapy Delivery groups (CCLADS) for HIV care and treatment in Southwestern Uganda: | en_US |
| dc.title.alternative | a qualitative study | en_US |
| dc.type | Article | en_US |
