Challenge accepting ART when feeling “healthy” |
• Women struggled with to accept ART when they felt healthy because ART is associated with being very ill or having a low CD4 count. |
Preference for short-course prophylaxis |
• Women preferred the short-course prophylaxis so that they could avoid disclosure and tell their partner or family that the drugs were related to the pregnancy |
Overwhelmed by lifetime commitment |
• Most women were familiar with the concept of developing resistance, which caused some to delay initiation until they felt “ready” to commit for life |
More information needed on ART |
Fear of side effects |
• The fear of side effects was often related to deformities and changing physical appearance. Nurses believed this was associated with a drug no longer in use (Stavudine) |
Number of clinic appointments |
• Nurses reported considerable variation in the number of adherence counseling appointments a woman needed and advocated for the nurse's discretion to determine the number of adherence counseling sessions on an individual basis |
More information needed at the community level |
• Nurses reported being too busy at the facility to provide education sessions in the community (which had previously been provided) |
Educating men about HIV and ART |
• Women reported their partners lacking information about HIV and ART and becoming abusive at the mention of either topic |