• Kizito Omona and Alex Bwogi Kanyerezi.
• Faculty of Health Sciences, Uganda Martyrs University, Kampala.
• Afr Health Sci. 2024 Mar 1; 24 (1): 425842-58.

BackgroundCommunity Client Led Anti-retroviral therapy Delivery (CCLAD) Model has been associated with increased community participation and ownership, which leads to better treatment outcomes with reduced workload and increased client satisfaction of health services.AimTo explore the barriers to enrolment of eligible clients into CCLAD in selected health facilities in Kasese District, Uganda.Materials & MethodsAnalytical cross-sectional study utilizing mixed method approach was conducted among 384 PLWHIV attending public health facilities of Kasese District. Sampling was done by simple random sampling method. Data was collected using researcher-administered questionnaire method and interview guide.ResultsMost of the respondents 253(65.9%) had not yet enrolled into CCLAD. This was due to some client-related factors such as non-disclosure of HIV sero-status (p=0.040), person to whom HIV sero-status was disclosed to (p=0.009), not having ever heard about CCLAD (p=0.000), incorrect description of CCLAD (p=0.000), limited knowledge of advantages of CCLAD (p=0.000) or disadvantages of CCLAD (p=0.003). Other barriers were; failure to have access to organizations or groups that support PLWHIV to get treatment (p=0.025) and duration of ART refills [AOR=1.637, 95% CI (0.820 - 3.270)].ConclusionAdoption of CCLAD model among PLWHIV in Kasese District is still low.© 2024 Omona K et al.

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