TABLE 2.

Comparison of Providers' and Clients' Perceived Challenges and Benefits of 6-Month ART Dispensing Interval, 10 Health Facilities in Malawi

Socioecological Model Theme	Client	Provider
Individual
Sharing ART	Only 1 client reported sharing; all others did not share	Considered a common problem, particularly sharing among partners
Storage of ART	No reported challenges	Perception that clients have challenges storing increased ART supply
Communal
Unwanted HIV status disclosure to community	Reported minimal challenges with easy adaptation strategies to avoid unwanted disclosure	Did not report challenges with pill carrying but perceived adaptive behaviors (i.e., using different bags)
Selling ART	No reports of personal experience with selling	No concern about selling
Organizational
Visits for ART refills	Reduced number of visits Reduced cost Increased time and ability to attend to family and work demands	Reduced clients' costs and time Reduced providers' workload and clinic congestion Improved ability to see newly initiated/unwell clients
Visits for acute health needs	Reported returning for acute illnesses frequently	Perceived delays in clients' health-seeking behaviors