Baylor-Uganda through its Community Home Based Care program ensures that clients who are enrolled in care are retained through consistently strengthening linkages and community structures to mobilise communities for pediatric and adolescent HIV/AIDS care and maternal and child health services to clients and their families. This is done through a well-established PHA network, expert clients and VHTs who track and follow up clients so as to address the problem of poor retention of clients in care. Loss-to-Follow up has been maintained at < 5% . Amid challenges of changes in home locations, wrong and unclear directions, routine and triggered home visits are done for adherence and psychosocial support to only consented clients and caretakers. During the period, 96% of clients had consented for home visit from COE and 4,306 (63%) unique patients were reached. 2,705 household members of index clients received Home Based HCT services 31 of who tested positive and were linked to care and treatment.
Baylor-Uganda supported districts to develop and sustain Family Support Groups in health facilities that helps create demand for Community Based HIV/AIDS and MCH services, improve patient tracking and linkages, hence improving retention. Over the reporting period, death of clients was the major cause of low retention which is as a result of late HIV diagnosis of clients and thus late enrollment in care. Stigma and disclosure issues cannot be left out as it reduces the chances of visiting and supporting clients on treatment and yet such clients have adherence issues.