HYBRID EVENT: You can participate in person at Paris, France or Virtually from your home or work.

6th Edition of World Congress on Infectious Diseases

June 24-26, 2024 | Paris, France

June 24 -26, 2024 | Paris, France
Infection 2024

Claude Mumba

Speaker at World Congress on Infectious Diseases 2024 - Claude Mumba
Eastern Provincial Health Office, Zambia
Title : Contextual factors influencing retention to care at Sinda Zonal rural health centre in Sinda District in Zambia


Background: HIV prevalence amongst adults aged 15 and above in Zambia was 11.0% (ZAMPHIA 2022). Prevalence of viral load suppression amongst adults aged 15 and above living with HIV in Zambia was 86.2% at Sinda Zonal Health Centre by 2022. However, because of this burden, combined antiretroviral treatment (cART) has proved to be helpful to the people living with HIV (PLHIV), this has come with a lot of Challenges for Recipients of care (Rocs) to adhere to treatment hence the gaps to meet the set targets. Notably, not much research has been performed to identify factors relating to poor adherence Despite effective free life-prolonging combined antiretroviral therapy (cART) in Government clinics and hospitals in Zambia since 2005 and the recognized effectiveness of cART.

Method: A sample of 68 participants were enrolled, by using facility ART registers, an electronic smart care system, a pharmacy daily activity register, and patient locator forms, 68 participants who were on ART at the time and missed a Clinical Appointment were randomly selected, all were from Sinda Zonal Health Centre but coming from different communities. Participants who were not able to come to the clinic and had an active number were contacted by phone, and those who did not have phones were followed up by an assigned CHW and interviewed one on one.

1. Individual Factors: Among the 68 clients 12 (17.6%) complained of side effects and alcohol abuse.

2. Community Factors: 13 (19.1%) complained about distance to facility, food shortage, and 10 (14.7%) were sharing Medication with spouses.

3. Institutional Related Factors: Gaps found were essential medication stock-out, and 33 (48.5%) complained of long waiting times, travel distance.

Conclusion: Retention in ART care is an important indicator that contributes to the attainment of 95/95/95; therefore, it is essential to have a strong community follow-up and Client support systems for all RoCs in Sinda district.


  1. Rapid follow-up of RoCs who miss appointments by use of phone calls, texts home visit and adequate documentation in respected ART register by a client care officer and CHWs immediately they miss an appointment.
  2. 6 months’ dispensation, CAAPs and use of DSD model such as scholar model and family centered approach every time you have a visit for stable clients.


Mr. Claude Mumba studied a Bachelor in Clinical Medical Science at the Eden University, Zambia and graduated as Medical Licentiate in 2020. He then joined an International Educators Organization in a research committee group of Prof. Fahringa. In the same year 2020 he joined Circle of hope an organization that focused on community based HIV management which served the community and reduced incidence of new HIV infection by various mean from early detection and management of cases to preventive therapy. In 2023 June he started perusing his MSc in Epidemiology and Biostatistics at the university of Lusaka and is scheduled to finish in 2025 at the same institution. He is currently working to publish a journal title predictors of antimicrobial resistance among out patients presenting with urinary tract infection.