Retention of clients in HIV oral pre-exposure prophylaxis care in Engela, Namibia
African Journal of Primary Health Care & Family Medicine
| Field | Value | |
| Title | Retention of clients in HIV oral pre-exposure prophylaxis care in Engela, Namibia | |
| Creator | Kosmas, Kristiana Moyo, Enos Hlongwa, Mbuzeleni Moyo, Perseverance Dzinamarira, Tafadzwa Shilunga, Anna | |
| Description | Background: Namibia has made tremendous progress in controlling the HIV epidemic. The progress has resulted in significant incidence and AIDS-related mortality reductions. However, new infections continue to persist.Aim: The study aimed to measure the clients’ retention rate in pre-exposure prophylaxis (PrEP) care and associated factors.Setting: Engela District, in Namibia’s Ohangwena region.Methods: We chose an analytical cross-sectional study design for this study. We selected 275 participants using a proportional stratified random sampling method. We used a self-administered questionnaire to collect data. We employed Chi-square tests and logistic regression for data analysis.Results: Participants’ retention rate in PrEP care at 3 months was 35.6%, 95% CI (35.2% – 36.0%). Binomial logistic regression showed that men and the unemployed were less likely to be retained in PrEP, crude odds ratio (OR) = 0.52, 95% CI (0.30–0.91), and OR = 0.27, 95% CI (0.15–0.49), respectively. Participants who were divorced or in a relationship were also less likely to be retained in PrEP care, OR = 0.41, 95% CI (0.18–0.96), and OR = 0.43 95% CI (0.23 – 0.80), respectively. Furthermore, participants at Engela District Hospital were less likely to be retained in PrEP care, OR = 0.52, 95% CI (0.29 -0.93).Conclusion: Addressing the specific challenges unemployed individuals face in continuing on PrEP is crucial. Strategies should include decentralising PrEP services in the district and employing community-based models.Contribution: In addition, comprehensive PrEP education targeting men should be provided in diverse settings to improve their PrEP knowledge. | |
| Publisher | AOSIS | |
| Date | 2025-06-04 | |
| Identifier | 10.4102/phcfm.v17i1.4806 | |
| Source | African Journal of Primary Health Care & Family Medicine; Vol 17, No 1 (2025); 8 pages 2071-2936 2071-2928 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://phcfm.org/index.php/phcfm/article/view/4806/8316
https://phcfm.org/index.php/phcfm/article/view/4806/8317
https://phcfm.org/index.php/phcfm/article/view/4806/8318
https://phcfm.org/index.php/phcfm/article/view/4806/8319
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