Factors influencing HIV/AIDs care and treatment among patients in Migori; A case of Migori District Hospital, Kenya
Omollo, Anne A
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Global databases consistently demonstrate higher incidence, prevalence, mortality and burden of HIV I AIDS especially in developing countries. The Kenya Aids Indicator Survey (KAIS) results of 2008, showed that 7.4 percent of Kenyan adults aged 15-64 years are infected with the HIV, the virus that causes AIDS. Prevalence remains the highest in Nyanza Province at 15.3 percent more than double the national prevalence estimate. The study sought to address some of the factors which influence HIV care and treatment in Migori district hospital based on the following objectives: demographic factors, socio economic factors and structural factors influencing HIV Care and Treatment. This study adopted a descriptive survey design involving both qualitative and quantitative data and targeted over 8000 patients on care at the Migori district hospital. The research instruments which were used for this study were questionnaires and key informant interview schedules. The questionnaires were administered to a purposive sample of 100 HIV I AIDS patients seeking care at Migori district hospital on those data collection days, whereas the key informant interview schedule was administered to the health care providers working at the HIV clinic in Migori district hospital. The data collected was analyzed using SPSS (Statistical Package for Social Scientists) version 12.0.1. The analysed data was then presented in form of tables with frequencies and percentages. The study found that a majority of the respondents (68%) who receive care and treatment are married which could mean that prevalence among the married people is higher than among the single people. The study also revealed that a majority of the respondents seeking HIV Care and Treatment are within the highly reproductive age group of 18-35years. Lastly, most respondents (95%) eamed less than KSh 10,000 per month. Based on these findings it was therefore concluded that income level is a key economic factor influencing HIV I AIDs Care and Treatment. It was also concluded that FACES in collaboration with the Ministry of Health had put in a lot of infrastructure that greatly improved the quality of HIV Care and treatment at the health facility. The study recommends that more HIV/AIDS care and treatment facilities should be put up to reduce distance and congestion in existing ones, with proper monitoring and evaluation. There should also be more interventions targeting men to encourage them to go for HIV testing as well as HIV care and treatment and also to encourage more participation in support groups. In view of the study findings the following are suggested areas for further research: evaluating the effect of HIV I AIDs related stigma on HIV care and treatment; examining cultural factors influencing HIV I AIDS care and treatment; and the relationship between gender and HIV I AIDs care and treatment.