A total of 1716 participants were followed for 1612.3 person-years to observe a total of 1351 incident retention. A quarter (26.0%) of the participants owned health insurance with females owning 65.9%. Middle-aged adults (45-64 years) contributed 58.8% of ownership, while youth (&amp;lt;25 years) had no Health insurance. High retention rates were observed (incidence rate: 83.80/100 person-years; 95% CI (79.40-88.40). There was no observed difference in retention among those insured and those uninsured (adjusted rate ratio: 1.00; 95% CI, 0.94-1.06). Age, medical diagnosis, morbidity status, health facility integration, level of health facility, and marital status were significant determinants of retention in care.
