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dc.contributor.authorKiirya, Yerusa
dc.contributor.authorMusoke, Philippa
dc.contributor.authorAdobea Odei Obeng-Amoako, Gloria
dc.contributor.authorKalyango, Joan
dc.date.accessioned2022-02-02T20:06:40Z
dc.date.available2022-02-02T20:06:40Z
dc.date.issued2021
dc.identifier.citationKiirya, Y., Musoke, P., Obeng-Amoako, G. A. O., & Kalyango, J. (2021). Loss to follow up after pregnancy among mothers enrolled on the option B+ program in Uganda. Public Health in Practice, 2, 100085. https://doi.org/10.1016/j.puhip.2021.100085en_US
dc.identifier.urihttps://doi.org/10.1016/j.puhip.2021.100085
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/1796
dc.description.abstractOption-Bþ programs in Uganda have reported high levels of loss to follow up (LTFU) after cessation of breastfeeding, and this remains unknown beyond this period. In this study, we assessed the incidence and factors associated with LTFU two to four years after delivery among Option-Bþ mothers. Study design: Retrospective cohort. Methods: We reviewed files of 452 mothers who enrolled on Option-Bþ between January 1st, 2013 and December 31st, 2014 at Kisenyi Health Centre IV in Kampala district. We assessed factors associated with LTFU using Cox proportional hazards regression. We also explored the reasons for LTFU using three focus group discussions, five in-depth and three key informant interviews. Results: Of the 452 mothers, 131(29%) were LTFU after delivery. The incidence of LTFU after delivery was 17/ 1000 person months (95% CI, 14–30/1000) with a median follow up of 32 months. The risk of LTFU was higher among mothers who started ART on the day they tested HIV positive (aHR ¼ 1.66, 95% CI; 1.25–2.20, p-value< 0.001). Reasons for LFTU included transport costs, stigma, poor human resource policies and non-disclosure. Conclusion: LTFU after delivery among Option-Bþ mothers is higher than the global target of 15%. ART initiation on the day a mother tests positive increases the risk of LTFU. The major reasons for LTFU were stigma and nondisclosure. To reduce the risk of LTFU, we recommend approaches that encourage disclosure to sexual partners and ongoing specific support to mothers who are initiated on ART-the day of positive test.en_US
dc.language.isoenen_US
dc.publisherPublic Health in Practiceen_US
dc.subjectLoss to follow upen_US
dc.subjectOption-Bþ mothersen_US
dc.subjectAfter deliveryen_US
dc.titleLoss to follow up after pregnancy among mothers enrolled on the option Bþ program in Ugandaen_US
dc.typeArticleen_US


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