Table 3.
Themes, domains & codes identified in in-depth interviews (IDIs) with patients (n = 30) and 5 key ART stakeholders
| S. No | Theme | Domains | Codes |
|---|---|---|---|
| 1 | Services received by the PLHIV | Testing Services |
Confusion about the venue Blood test, CD4 Count Urine test Saliva & sputum test Blood sugar CBC |
| Diagnostic services |
HIV/AIDS TB Liver diseases |
||
| Counseling services |
Preparedness counseling Available counsellors |
||
| 2 | Challenges faced for services | Health system related |
Long queues Medicine stockouts Fear of side effects Hesitate frequent visits. Poor infrastructure Long waiting hours Timings of ART Center |
| Community related |
Dependent on others Social discrimination Language barrier Orphan & widow Transport from other states Hard to reach areas. Link ART Centre Homeless Job security |
||
| Socioeconomic challenges |
Wages loss Expense of travel Money crisis Long distance travel |
||
| 3 | Registration for ART | Knowledge of registration |
Awareness Dependent on others Help of health workers Help from ICTC Information by counsellor |
| TB/HIV Coinfection |
Opportunistic infections TB Diabetes Hypertension Weight loss Recurrent fever Education Not aware |
||
| 2nd Line ART/ART Plus services |
Other drugs 2nd Line ART Not aware Failure of ART Counseling for 2nd line ART Less adherence |
||
| 4 | Schemes related to PLHIV | Food Security |
Antyodaya Anna Yojna (AAY) BPL Ration Card Awareness by ART Ayushman card Awareness during counseling Not aware |
| Economic help |
Pension by govt. PLHIV Pension by state govt. Pension by NGO Awareness of ART Help from family members. Help from friends. Help from villagers |
||
| Any other scheme |
Not aware HIV at 2017 Khusi clinic Free education |
||
| 5 | Discrimination in society | Social discrimination |
Social outcast Nonacceptance Good society Supportive society NGO Support Acceptance in tribal groups Acceptance in MSM No water supply. |
| Community outcast |
Myths & beliefs Old sins Patient acceptance |
||
| Family outcast |
Lack of family support Down fall of family prestige Nonparticipation in family functions Psychiatric illness Supportive family Supportive husband Migrant Family quarrel Improvement by counseling |