Motivators and barriers to uptake of post-operative voluntary medical male circumcision follow-up in Yala division, Siaya County, Kenya
Motivators and barriers to uptake of post-operative voluntary medical male circumcision follow-up in Yala division, Siaya County, Kenya
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DOI：
10.11604/pamj.supp.2016.25.2.9369
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发表时间：
2016-01-01
影响因子：
1.2
通讯作者：
Omondi, Gregory Barnabas
中科院分区：
文献类型：
--
作者：
Abunah, Bonface;Onkoba, Rueben;Omondi, Gregory Barnabas
简介：建议随访所有自愿医疗男性包皮环切客户（VMMC），然而，坚持是可变的。高失访病例限制了对患者临床状况和不良事件的了解。本研究旨在确定肯尼亚Siaya县VMMC术后随访服务的激励因素和障碍。方法：选取雅拉市5个VMMC手术点277例患者，于术后第21 ~ 31天进行电话访谈，采用半结构化问卷。描述性和推断性统计用于使用SPSS分析定量信息，而开放式问题的回答被分组为主题，筛选，编码和分析。结果：277名参与者中有137人（49.5%）利用了随访服务。健康教育（31.4%）和紧急审查/不良事件（24.1%）是返回随访的主要动机，而职业和其他参与（29.7%）和推定愈合（24.6%）是主要障碍。就诊设施类型（p=0.0173）、出院过程满意度（p=0.0150）和在雅拉的住院时间（p=0.0150）
Introduction: follow-up visits are recommended to all voluntary medical male circumcision clients (VMMC), however, adherence is variable. High lost-to-follow-up cases limit knowledge about clinical status of clients and adverse events. This study sought to establish Motivators and Barriers to the Uptake of VMMC post-operative follow-up services in Siaya County, Kenya.Methods: 277 clients from five VMMC sites in Yala were recruited immediately post-operation to participate in a telephone interview between the 21st and 31st day post-surgery during which a semi-structured questionnaire was administered. Descriptive and inferential statistics was used to analyse quantitative information using SPSS while responses from open ended questions were grouped into themes, sieved out, coded and analyzed.Results: 137(49.5%) of the 277 participants utilized the follow-up services. Health education (31.4%) and emergency reviews/adverse events (24.1%) were the main motivation for returning for follow-up while occupational and other engagements (29.7%) and presumption of healing (24.6%) were the main barriers. Type of facility attended (p=0.0173), satisfaction with the discharge process (p=0.0150) and residency in Yala (p