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Table 2 Transportation to the clinic, cost of seeking treatment and perceptions of care at the HIV*

From: Barriers to initiation of antiretroviral treatment in rural and urban areas of Zambia: a cross-sectional study of cost, stigma, and perceptions about ART

 

Urban

Rural

Total

Exposure

Home-based care

On ART

Relative risk

(95% CI)

Home-based care

On ART

Relative risk

(95% CI)

Relative risk

(95% CI)

Transport used (would be used) to get to the HIV clinic

   Walked

193/200 (96.5%)

180/200 (90.0%)

1.07 (1.02 - 1.13)

188/200 (94.0%)

143/200 (71.5%)

1.31 (1.20 - 1.44)

1.18 (1.12 - 1.24)

   Taxi

13/200 (6.5%)

27/200 (13.5%)

0.48 (0.26 - 0.91)

7/200 (3.5%)

6/200 (3.0%)

1.17 (0.40 - 3.41)

0.61 (0.35 - 1.04)

   Private car

2/200 (1.0%)

7/200 (3.5%)

0.29 (0.06 - 1.36)

14/200 (7.0%)

11/200 (5.5%)

1.27 (0.59 - 2.74)

0.89 (0.46 - 1.72)

   Bicycle

2/200 (1.0%)

2/200 (1.0%)

1.00 (0.14 - 7.03)

21/200 (10.5%)

49/200 (24.5%)

0.43 (0.27 - 0.69)

0.45 (0.28 - 0.72)

   Bus

18/200 (9.0%)

22/200 (11.0%)

0.82 (0.45 - 1.48)

1/200 (0.5%)

18/200 (9.0%)

0.06 (0.01 - 0.41)

0.48 (0.28 - 0.81)

Barriers to seeking care

   It is very difficult to get to the clinic

34/200 (17.0%)

21/200 (10.5%)

1.62 (0.97 - 2.69)

43/199 (21.6%)

31/200 (15.5%)

1.39 (0.92 - 2.12)

1.48 (1.07 - 2.05)

   I can't leave my work to go to the ARV clinic

25/181 (13.8%)

17/195 (8.7%)

1.58 (0.89 - 2.84)

12/174 (6.9%)

5/191 (2.6%)

2.63 (0.95 - 7.33)

1.83 (1.10 - 3.04)

   I do not have time to go to the ARV clinic

2/197 (1.0%)

0/198 (0%)

 

9/196 (4.6%)

4/200 (2.0%)

2.30 (0.72 - 7.33)

2.78 (1.55 - 4.99)

   The ARV clinic is too far for me to travel to

52/190 (27.4%)

16/197 (8.1%)

3.37 (2.00 - 5.69)

81/196 (41.3%)

55/198 (27.8%)

1.49 (1.12 - 1.97)

1.92 (1.64 - 2.24)

To visit the clinic, I have to/would have to:

   Pay a fee at the clinic

19/200 (9.5%)

2/200 (1.0%)

9.50 (2.24 - 40.3)

9/199 (4.5%)

11/200 (5.5%)

0.82 (0.35 - 1.94)

2.16 (1.14 - 4.11)

   Pay to travel

96/199 (48.2%)

34/200 (17.0%)

2.84 (2.02 - 3.98)

29/197 (14.7%)

37/200 (18.5%)

0.80 (0.51 - 1.24)

1.78 (1.38 - 2.30)

   Spend night away from home

1/149 (0.7%)

2/127 (1.6%)

0.43 (0.04 - 4.65)

4/198 (2.0%)

2/199 (1.0%)

2.01 (0.37 - 10.9)

1.17 (0.32 - 4.34)

   Pay someone to take over my tasks

27/200 (13.5%)

11/200 (5.5%)

2.45 (1.25 - 4.81)

5/198 (2.5%)

3/200 (1.5%)

1.68 (0.41 - 6.95)

2.30 (1.25 - 4.24)

   Other costs

24/200 (12.0%)

22/199 (11.1%)

1.09 (0.63 - 1.87)

27/199 (13.6%)

6/200 (3.0%)

4.52 (1.91 - 10.7)

1.82 (1.17 - 2.83)

   Visit the clinic > once/month

34/109 (31.2%)

10/199 (5.0%)

6.21 (3.19 - 12.1)

40/152 (26.3%)

21/199 (10.6%)

2.49 (1.54 - 4.05)

3.64 (2.47 - 5.37)

Do you perceive the ___ at the clinic to be good/excellent?

   Service

81/200 (40.5%)

131/200 (65.5%)

0.62 (0.51 - 0.75)

117/199 (58.8%)

170/200 (85.0%)

0.69 (0.61 - 0.79)

0.66 (0.59 - 0.74)

   Provider time

91/200 (45.5%)

139/198 (70.2%)

0.65 (0.54 - 0.77)

87/199 (43.7%)

150/200 (75.0%)

0.58 (0.49 - 0.70)

0.61 (0.54 - 0.70)

   Waiting time

35/199 (17.6%)

43/199 (21.6%)

0.81 (0.55 - 1.22)

42/198 (21.2%)

45/200 (22.5%)

0.94 (0.65 - 1.37)

0.88 (0.67 - 1.15)

   Counselling

112/200 (56.0%)

147/199 (73.9%)

0.76 (0.65 - 0.88)

108/199 (54.3%)

147/200 (73.5%)

0.74 (0.63 - 0.86)

0.75 (0.67 - 0.83)

   Staff concern

74/200 (37.0%)

123/199 (61.8%)

0.60 (0.48 - 0.74)

81/198 (40.9%)

148/200 (74.0%)

0.55 (0.46 - 0.67)

0.57 (0.50 - 0.66)

   Convenience of clinic hours

154/200 (77.0%)

136/199 (68.3%)

1.13 (1.00 - 1.27)

119/199 (59.8%)

132/199 (66.3%)

0.90 (0.78 - 1.05)

1.02 (0.92 - 1.12)