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Mice were housed in the Transgenic Mouse Facility (barrier level 3) under the care of the Center for Comparative Medicine, which is accredited by the Association for Assessment and Accreditation of Laboratory Animal Care International.
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Topics discussed involved various health facility barriers to HTC.
Addressing health facility barriers may ultimately be more efficient and effective than addressing patient related barriers.
We believe that addressing health facility barriers may ultimately be easier than addressing patient related (intrapersonal and interpersonal) barriers.
Similar to other studies [ 9, 10, 12], we noted a number of health facility barriers that influenced HIV care.
Addressing health facility barriers may be one of the critical and primary steps in promoting linkage and retention.
The objective of this study was to explore perceived health facility barriers to linkage and retention in an HIV care program in western Kenya.
These alternative programs overcome facility barriers related to space, logistical and transportation barriers to patients attending facility-based programs, and in the case of TeleMOVE, allows clinicians to monitor a large patient panel with an automated intervention.
However, health workers listed barriers on the community side (such as education and cultural beliefs) whereas the community members focused on facility barriers such as lack of adequate space and staff and male nurses.
The factors could further be divided into two categories i) health facility barriers which includes a) availability of supplies, b) facility set up, and c) nature of services; and ii) Health provider barriers which includes a) lack of professionalism and b) inadequate number of health care providers.
Given the limited evidence-based health system level approaches recommended to promote linkage and retention in the region [ 12], our study provides insight on health facility barriers to HIV linkage and retention in Kenya that may be used to develop appropriate interventions.
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