FACTORS ASSOCIATED WITH THE UPTAKE OF HOME-BASED CARE SERVICES AMONG RURAL PEOPLE LIVING WITH HIV AND AIDS IN NAROK DISTRICT, KENYA

Abstract

HBC services as compared to the married or divorced. There was a significant association between level of education attained and HBC uptake among PLWHAs (P=0.035). HBC uptake among PLWHAs that had attained primary education or none was 20.7% and 8.1% for those with at least secondary education. There was no significant association between religion and HBC uptake among PLWHAs (P=0.437). There was no significant association between employment status and HBC uptake (P=0.087), suggesting that unemployed PLWHAs were not more likely to embrace HBC services as than employed PLWHAs. Transport to the nearest health facility did not significantly affect HBC uptake. There was no significant association between time taken to reach the nearest health facility and HBC services uptake (P=0.815). The study recommends that there is need for scaling up the programs to comprehensively cover the Districts that have established the services and to reach those who have not accessed HBC, strengthening referral systems between HBC and other services including strengthening of linkage between health facilities and community so as to ensure the continuum of care, and strengthening Districts to support monitor and supervise HBC programs.