Table III:

HIV treatment information, motivation, and behavioral skills clients discussed with Health Scouts

	Information discussed with Health Scouts		Associated client Motivation		Behavioral Skills supporting behavior	Client Examples
	Mis-information	Accurate Information	Personal Motivation	Social Motivation
ART Adherence (34 clients coded)	Possible to test HIV negative if taking ART Taking ART will lead to a quicker death If you are living with HIV and feel healthy, you should not take ART	Proper adherence to ART reduces viral load, increases physical strength, elongates one’s life and reduces risk of transferring HIV to sexual partner Improper ART adherence leads to health problems and possibly death How to minimize side effects of ART	Selfpreservation, feeling energetic and healthy, prolonged work productivity Enabling a healthy appearance and functionality observed in others taking ART Fear of side effects Daily pill burden	Emotional support and inspiration from Health Scout Reminders from friends or spouse Obligation to take care of children Fear of HIV status disclosure to partner Anticipated stigma and judgement from others when going to the health clinic for appointments and refills	Access: Health Scout bringing refills of ART Systems Navigation: Knowing where to acquire regular supply of ART, understanding process of clinic transfer Planning: Establishing routine to take ART, anticipating refills, bringing adequate pills when traveling or fishing Resilience: Feeling confident and firm in lifelong ability to adhere to ART	“I hope if I take the [ART] medicine very well I will live longer and I can have more children… I cannot fail to stick on it …[the Health Scout] comforts you more than the person who has only given you medicine.” (Bar owner, 32 years old) “There was a time I had stopped taking medication and [my Health Scout] told me it’s a very wrong thing to do. So, I started taking my medicine again…The fact that she encourages and comforts me does a lot for my life because I never fall out of line since I have someone following up on me. She will check my file and say that ‘on the 13th you are going for a refill. Are you aware of that?’ I like that…I have to take medicine to survive. [My Health Scout] simply helps me remain on track.” (Cow herder, 45 years old)

Key: = Influence towards HIV treatment behavior change (activating)

= Influence away from HIV treatment behavior change