Assessing Factors Influencing Delivery of Hiv Pre Exposure Prophylaxis Project in Public Health Facilities, the Case of Thika Sub County, Kiambu County- Kenya.

Abstract

HIV Pre Exposure Prophylaxis is a new intervention tool for those who are at risk of acquiring HIV.HIV pre exposure prophylaxis is an antiretroviral tablet given to HIV negative person to reduce the risk of HIV acquisition. The topic of this study was assessing factors influencing delivery of HIV PrEP a project in public health facilities, the case of Thika sub county, Kiambu county- Kenya. Objectives were, To establish the influence of human behavior on delivery of HIV Pre Exposure Prophylaxis in public health facilities in Thika sub county. To determine the influence of clients waiting time on delivery of HIV Pre Exposure Prophylaxis in public health facilities in Thika sub county. To assess the influence of health providers competence on delivery of HIV Pre Exposure prophylaxis in public health facilities in Thika sub county. To assess the influence of clients privacy on delivery of HIV Pre Exposure Prophylaxis in public health facilities in Thika sub county. The study population was clients on HIV PrEP with sample size of 81 respondents sampled with 48 key informants who were health providers. The study adopted cross-sectional descriptive survey design. Qualitative data was analyzed using descriptive data technique backed up by statistical package for social sciences(SPSS) .From the analysis of the results human behaviour has influence on PrEP delivery at (.881b), client waiting time(.030b), providers competence (.421b )and clients privacy(.108b). The study findings indicated that human behavior was found to be statistically significant in influencing the delivery of HIV PrEP to public health facilities in Thika Sub County. The study recommended trainings for providers who are to give the new service that is being introduce. This study most health providers reported to have moderate training from their colleagues who got an opportunity to receive the ideal training of HIV PrEP delivery. Counselors may be the best flag bearers of PrEP delivery. The government should consider merging HIV PrEP delivery fund with other private funds and form one large Public Private Partnership that will even allow both private practioners and govern entities to do joint partnership. This may assist providers to seek refresher training on new services incorporated inline of the duty. There is need for ongoing capacity building since in HIV management field there is a lot which keeps on changing in according to WHO.