Abstract:
Introduction: TB is the second leading cause of death among an infectious disease globally. Affects 10 millions of people all over the world annually, among them 8.2% were PLHIV. The incidence is 20-fold higher in HIV-positive compared to HIV negative populations. Ethiopia remains to be among the 30 countries reported with high burden of TB, TB/HIV with the estimated TB case of 132 per 100,000 populations. There is no study conducted in Ethiopia regarding to mobile based TB screening among PLHIV. Therefore; this study aimed to assess the intention to use mobile based TB screening and associated factors among PLHIV in Debre Tabor Town Public health facilities northwest Ethiopia 2022.
Objective: The objective of this study was to assess the intention to use mobile phone-based TB screening service and associated factors among PLHIV in Debre Tabor Town Public health facilities 2022
Method: A facility based cross-sectional study was applied among 423 PLHIV. All clients who were on six month appointment and visited the health facilities during the data collection period was included in the study. Data was collected from May 23 to July 11, 2022 by using interviewer administered questionnaire. Data entry was done using Epi-data 4.6 and cleaning and analysis was done by using Stata 14. Percentage and frequency was computed. Binary logistic regression analysis was also used to assess factors associated with the outcome variable with 95% CI and P.Value <0.05 was considered as statistically significant.
Result: In this study, a total of 423 PLHIV who had ART follow-up were included. About 66.1% were female. About 299(70.7%) of respondents were intended to use mobile phone based TB screening. Employed (AOR=2.93; 95% CI: 1.35 to 6.34), can read text message (AOR=2.81; 95% CI: 1.05 to 7.49), perceived usefulness (AOR=7.29; 95% CI: 4.00 to 13.31), perceived ease of use (AOR=2.15; 95% CI: 1.17 to 3.95) and clients have clinical visit at hospital (AOR=3.03; 95% CI: 1.63 to 5.62) were predictors of the intention to use mobile phone based TB screening.
Conclusion and Recommendation: In conclusion, majority of respondents were intended to use mobile phone based TB screening service. Employed, can read text message, perceived usefulness, and perceived ease of use and being hospital were predictors of the outcome variable. Testing mobile phone based TB screening service by considering these factors might improve early case identification and treatment of TB among PLHIV in Ethiopia