Skip to main content

ORIGINAL RESEARCH article

Front. Public Health
Sec. Infectious Diseases: Epidemiology and Prevention
Volume 12 - 2024 | doi: 10.3389/fpubh.2024.1390538
This article is part of the Research Topic Breaking Barriers, Bridging Gaps: UN World AIDS Day 2023 View all 6 articles

Uptake of community-based differentiated antiretroviral therapy service delivery and associated factors among people living with HIV in Ethiopia: A multicenter cross-sectional study

Provisionally accepted
Fasika Merid Fasika Merid *Temesgen Mohammed Toma Temesgen Mohammed Toma Abraham Anbesie Abraham Anbesie Tamirat Gezahegn Guyo Tamirat Gezahegn Guyo
  • Arba Minch college of health sciences, Arba Minch, Ethiopia

The final, formatted version of the article will be published soon.

    Background: The 95-95-95 targets require an efficient and innovative person-centered approach, community-based differentiated service delivery (DSD), to improve access to human immunodeficiency virus (HIV) services and reduce burdens on the health system. Hence, this study aimed to assess the uptake of the community-based DSD models and associated factors among people living with HIV (PLHIV). Methods: A multicenter cross-sectional study was conducted among PLHIV in public health facilities of South Ethiopia. The collected data was entered into EpiData version 3.1 and exported to Stata version 14 for further analysis. In bivariable logistic regression analysis variables with p-value ≤0.25 are included in multivariable logistic regression analysis. P-value < 0.05 was used to identify statistically significant factors. Results: Among 381 stable PLHIV, 55.91% were females. The median age (interquartile range) was 40 years . The uptake of community-based DSD models was 19.16%. Residence and disclosure were the independent factors significantly associated with the uptake of community-based DSD models. Conclusion: One out of five PLHIV uptakes the community-based DSD models. Improvement in uptake is needed in the resource-limited country of Ethiopia's health care system.

    Keywords: Community-based DSD models, uptake, Factors associated, PLHIV, Cag, PCAD

    Received: 23 Feb 2024; Accepted: 22 Jul 2024.

    Copyright: © 2024 Merid, Toma, Anbesie and Guyo. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Fasika Merid, Arba Minch college of health sciences, Arba Minch, Ethiopia

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.