Exploring Factors Associated with ART Adherence and Retention in Care under Option B+ Strategy in Malawi: A Qualitative Study

Publish Year : 2017
Publisher : PLoS ONE
Author Name : Gugsa S., Potter K., Hannock T., Phiri S., Sande O., Sikwese P., Chikonda J. and Malley G.
Link : Click here

Description :

This qualitative study examines women's experiences with antiretroviral therapy (ART) adherence and retention in Option B+ care among 39 pregnant and lactating women in Bwaila Hospital, Lilongwe, Malawi. Study participants included 14 in care and 25 out of care women, according to facility records. One of the most important factors influencing adherence and retention was the strength of women’s support systems. In contrast to women in-care, most out-of-care women lacked emotional and financial support from male partners, received minimal counseling from providers at initiation, lacked designated guardians to assist with medication refills or clinic appointments, and were highly mobile. Mobility led to difficulties in accessing treatment in new settings. The most common reasons women re-started treatment following interruptions were due to providers’ counseling and encouragement and the mother’s desire to be healthy. Improved counseling at initiation, active follow-up counseling, women’s economic empowerment interventions, promotion of peer counseling schemes and meaningful engagement of male partners can help in addressing the identified barriers and promoting sustained retention of Option B+ women.

Recent Resource

The Global Fund Results Report 2017

This report highlights the need to address new HIV infections in adolescent girls and young women.

HIV/AIDS National Strategic Plans of Sub-Saharan African Countries: An Analysis for Gender Equality and Sex-Disaggregated HIV Targets

This analysis reveals a need to set disagreggated target to align an effective HIV response with...

Cash Transfers for HIV Prevention: What do Young Women Spend It On?

This study aimed to document spending patterns of young African women receiving cash transfers as...

View More