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The objectives of this retrospective cross-sectional study were to investigate the prevalence and predictive factors in retention of care during the first year after delivery among Thai mothers with HIV. The sample consisted of 185 mothers with HIV infection who gave birth at a public hospital from January 2010 to December 2012. Recruitment and enrollment took place from March - July 2014. Data were collected through self-administered questionnaires and telephone interviews by using 5 questionnaires: the Personal Information, Access to Health Care, Receiving HIV Care, Attitudes toward Health Care Providers, and Short Form-HIV Stigma Scale. Data were analyzed using descriptive statistics and logistic regression analyses.
Results showed that 77.3% of the participants were retained in care at the HIV clinics with 46.5% at obstetric and gynecology clinics. The results of logistic regression analysis revealed that the predictive factors of retention in care at HIV clinics explained 80% of the variance. The factors predictive of retention in care at obsetetric and gynecology clinics were official referral and disclosure of HIV status. These factors explained 14% of the variance of retention in care at these clinics.
The results suggest that health care providers should have an effective system to refer patients to their registered hospital and improve benefits of health coverage to be relevant to patients’ need. In addition, the management of HIV care should address the individual patient's self-disclosure.
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