Cargando…

Motivators and barriers to uptake of post-operative voluntary medical male circumcision follow-up in Yala division, Siaya County, Kenya

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 Up...

Descripción completa

Detalles Bibliográficos
Autores principales: Abunah, Bonface, Onkoba, Rueben, Nyagero, Josephat, Muhula, Samuel, Omondi, Edward, Guyah, Bernard, Omondi, Gregory Barnabas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5390069/
https://www.ncbi.nlm.nih.gov/pubmed/28439331
http://dx.doi.org/10.11604/pamj.supp.2016.25.2.9369
_version_ 1782521382085591040
author Abunah, Bonface
Onkoba, Rueben
Nyagero, Josephat
Muhula, Samuel
Omondi, Edward
Guyah, Bernard
Omondi, Gregory Barnabas
author_facet Abunah, Bonface
Onkoba, Rueben
Nyagero, Josephat
Muhula, Samuel
Omondi, Edward
Guyah, Bernard
Omondi, Gregory Barnabas
author_sort Abunah, Bonface
collection PubMed
description 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<0.001) were statistically significant to the respondents’ return for follow-up. 85(62.0%) of the participants returned on the 7th day, 9(6.6%) returned after 7 days, and 43(31.4%) returned before 7 days. CONCLUSION: VMMC health education should include and emphasize the benefits of follow-up care to the clients and the providers should address the barriers to accessing follow-up services. Our results will inform the programme on areas identified to improve care for VMMC clients and reduce subsequent lost-to-follow-up cases.
format Online
Article
Text
id pubmed-5390069
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher The African Field Epidemiology Network
record_format MEDLINE/PubMed
spelling pubmed-53900692017-04-24 Motivators and barriers to uptake of post-operative voluntary medical male circumcision follow-up in Yala division, Siaya County, Kenya Abunah, Bonface Onkoba, Rueben Nyagero, Josephat Muhula, Samuel Omondi, Edward Guyah, Bernard Omondi, Gregory Barnabas Pan Afr Med J Research 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<0.001) were statistically significant to the respondents’ return for follow-up. 85(62.0%) of the participants returned on the 7th day, 9(6.6%) returned after 7 days, and 43(31.4%) returned before 7 days. CONCLUSION: VMMC health education should include and emphasize the benefits of follow-up care to the clients and the providers should address the barriers to accessing follow-up services. Our results will inform the programme on areas identified to improve care for VMMC clients and reduce subsequent lost-to-follow-up cases. The African Field Epidemiology Network 2016-11-26 /pmc/articles/PMC5390069/ /pubmed/28439331 http://dx.doi.org/10.11604/pamj.supp.2016.25.2.9369 Text en © Bonface Abunah et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Abunah, Bonface
Onkoba, Rueben
Nyagero, Josephat
Muhula, Samuel
Omondi, Edward
Guyah, Bernard
Omondi, Gregory Barnabas
Motivators and barriers to uptake of post-operative voluntary medical male circumcision follow-up in Yala division, Siaya County, Kenya
title Motivators and barriers to uptake of post-operative voluntary medical male circumcision follow-up in Yala division, Siaya County, Kenya
title_full Motivators and barriers to uptake of post-operative voluntary medical male circumcision follow-up in Yala division, Siaya County, Kenya
title_fullStr Motivators and barriers to uptake of post-operative voluntary medical male circumcision follow-up in Yala division, Siaya County, Kenya
title_full_unstemmed Motivators and barriers to uptake of post-operative voluntary medical male circumcision follow-up in Yala division, Siaya County, Kenya
title_short Motivators and barriers to uptake of post-operative voluntary medical male circumcision follow-up in Yala division, Siaya County, Kenya
title_sort motivators and barriers to uptake of post-operative voluntary medical male circumcision follow-up in yala division, siaya county, kenya
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5390069/
https://www.ncbi.nlm.nih.gov/pubmed/28439331
http://dx.doi.org/10.11604/pamj.supp.2016.25.2.9369
work_keys_str_mv AT abunahbonface motivatorsandbarrierstouptakeofpostoperativevoluntarymedicalmalecircumcisionfollowupinyaladivisionsiayacountykenya
AT onkobarueben motivatorsandbarrierstouptakeofpostoperativevoluntarymedicalmalecircumcisionfollowupinyaladivisionsiayacountykenya
AT nyagerojosephat motivatorsandbarrierstouptakeofpostoperativevoluntarymedicalmalecircumcisionfollowupinyaladivisionsiayacountykenya
AT muhulasamuel motivatorsandbarrierstouptakeofpostoperativevoluntarymedicalmalecircumcisionfollowupinyaladivisionsiayacountykenya
AT omondiedward motivatorsandbarrierstouptakeofpostoperativevoluntarymedicalmalecircumcisionfollowupinyaladivisionsiayacountykenya
AT guyahbernard motivatorsandbarrierstouptakeofpostoperativevoluntarymedicalmalecircumcisionfollowupinyaladivisionsiayacountykenya
AT omondigregorybarnabas motivatorsandbarrierstouptakeofpostoperativevoluntarymedicalmalecircumcisionfollowupinyaladivisionsiayacountykenya