Facilitators and barriers to ART adherence and retention mentioned in focus group discussions (FGDs).

<p>Facilitators and barriers to ART adherence and retention mentioned in focus group discussions (FGDs).</p

"I found that I was well and strong": Women’s motivations for remaining on ART under Option B+ in Malawi

<div><p>Most Malawian women who start ART under Option B+ are still in care three years later, a higher than average adherence rate for life-threatening chronic disease treatments, worldwide (50%). We asked 75 Malawian on ART their motivations for remaining in treatment, and what barriers they overcame. Focus groups and interviews included 75 women on ART for 6+ months, at 12 health facilities. Four main motivations for continuing ART emerged: 1) evidence that ART improved their own and their children’s health; 2) strong desire to be healthy and keep their children healthy; 3) treatment was socially supported; 4) HIV/ART counselling effectively showed benefits of ART and told women what to expect. Women surmounted the following barriers: 1) stigma; 2) health care system; 3) economic; 4) side effects. Women stayed on ART because they believed it works. Future interventions should focus on emphasizing ART’s effectiveness, along with other services they provide.</p></div

Characteristics of women on Option B+ who participated in focus group discussions and semi-structure interviews.

<p>Characteristics of women on Option B+ who participated in focus group discussions and semi-structure interviews.</p

Characteristics of study facilities; number of semi-structured interviews (SSIs) and focus group discussions (FGDs) conducted at each facility.

<p>Characteristics of study facilities; number of semi-structured interviews (SSIs) and focus group discussions (FGDs) conducted at each facility.</p

Facilitators and barriers to ART adherence and retention mentioned in semi-structured interviews (SSIs) and focus group discussions.

<p>Facilitators and barriers to ART adherence and retention mentioned in semi-structured interviews (SSIs) and focus group discussions.</p