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Table 4 Barriers to treatment adherence from the qualitative component of the study–as derived from focus group discussions and in-depth interviews

From: Determinants of antiretroviral adherence among HIV positive children and teenagers in rural Tanzania: a mixed methods study

Category

Treatment adherence barriers

Stigma related factors

▪ Fear of disclosure of child’s status to the teachers and family members by parents

â–ª Segregation by teachers and other children

Lack of supportive environment at home

â–ª Inadequate support from parents

➢ Parents move to farming areas without one to follow up on child’s treatment schedule

➢ Men do not provide enough treatment adherence support

➢ Extended family members do not provide support

Lack of supportive environment from school

â–ª Teachers do not provide adequate support to children on ART

Health service delivery factors

â–ª Lack of child friendly counseling services

â–ª Inconvenient treatment schedule

â–ª Longevity of treatment

Patient factor

â–ª Forgetfulness

â–ª Feeling better