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Table 3 Reasons why antiretroviral therapy was not initiated in 158 subjects alive at follow-up and who were eligible for ART when screening was done

From: Mortality and loss-to-follow-up during the pre-treatment period in an antiretroviral therapy programme under normal health service conditions in Uganda

Subject could not afford transport costs (he/she had been screened in outreach centres near the home).

70 (44%)

Subject referred to another centre near home (e.g. because he/she requested or ART initiation was slow at TASO Jinja) but failed to turn up for treatment

6 (4%)

Subject said he/she was not ready to start life-long treatment

11 (7%)

Subject feared toxicity and side-effects of ART

2 (1%)

Subject failed to identify a medicine companion and did not return to the clinic

2 (1%)

Subject had difficulty in disclosing his/her HIV status and so did not complete the screening process.

7 (4%)

Subject was on TB treatment which he/she wanted to complete before starting ART

4 (3%)

Subject was not started on ART for a number of reasons (e.g. counsellor did not consider patient to be psychologically ready)

15 (9%)

Subject did not give a reason but continued visiting the centre for clinical follow-up

7 (4%)

Could not be traced at home (but was reported to be alive by family members).

34 (22%)

  1. Note:status was assessed during home visits done a median of 351 days after initial screening. Subjects were asked for a single primary reason why they did not initiate ART.