Factors Contributing to Lost to Follow up on People Living with HIV, Bor State Hospital

Long-Term Regular Follows Up Of ART Clients Is An Important Component Of HIV Care, Treatment, And Prevention. Clients Who Are Lost To Follow-Up While On Treatment Compromise Their Own Health Leading To Poor Treatment Outcomes, Which Has A Negative Impact On HIV Control Programs. This Study Aimed To Determine The Factors Contributing To The Lost To Follow-Up (LTFU) Of HIV Clients On ARVs At The ART Clinic, Bor State Hospital. A Retrospective Cohort Study Of 60 People Living With HIV From 576 Clients Who Are Lost To Follow-Up And Attending An ART Clinic Service Between Jan. 2015 - Dec. 2019 Was Undertaken. LTFU Was Deﬁned As Not Taking An ARVs Drug Reﬁll For A Period Of Three Months Or Longer From The Last Attendance For Reﬁll And Not Yet Classiﬁed As ‘Died’ Or ‘Transferred Out. A Total Of 1993 Clients Enrolled At The HIV ART Clinic, A Total Of 576 Clients (29.0%) Were Deﬁned As LTFU From Enrolled Clients, And 1417 Clients (71.0%) Were Actively Being Followed Up And On ART In The HIV ART Clinic. Overall, These Data Suggested That LTFU In This Study Was High In Patients Who Were Married, Low Level Of Education, Stigma-Related Factors, Unemployment Among Clients, And Clinical Stages I &II Were Associated With LTFU In This Study. Keywords: Anti-Retroviral Therapy, ART, Factors Contributed To Lost To Follow Up, HIV, Lost To Follow Up, PLHIV, South Sudan.