Dropout rates and factors associated with adherence to opioid agonist treatment among adults with opioid use disorder at Sekou Toure Regional Referral Hospital, Mwanza, Tanzania

The high dropout rate highlights the need for targeted interventions focused on men, individuals with lower education levels, and patients lacking social support. Strengthening the treatment environment, enhancing psychological support, and improving communication about OAT effectiveness may improve retention. Further research is needed to understand barriers to confidence in OAT and perceptions of treatment ineffectiveness.