This study was conducted to determine retention rate and factors associated with loss
to follow-up (LTFU) of adult pre-ART patients in St. Luke hospital, Ethiopia.
Cross-sectional study with quantitative and qualitative data collection techniques was
used. Review of patient records, focus group discussions and review of program
guidelines was conducted to determine level of adherence among pre-ART patients. In
addition, pre-ART service quality and perceived reasons for discontinuation was
explored.
The study revealed that only 38.2% of the 335 patients enrolled in the pre-ART care
were retained after 12 months of follow-up in the program. More than half (55.6%), of
the LTFU occurred during the first 6 months of follow-up. Fear of discrimination, high
transportation cost and mistrust in the pre-ART service were perceived reasons for
LTFU. Absences of clear pre-ART service package and implementation guideline were
also identified as important factors that may be related to LTFU.
The findings call for improved quality of care and a better pre-ART service packaging
that will address the gaps identified in order to increase patient retention.