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Title

"I found that I was well and strong": Women's motivations for remaining on ART under Option B+ in Malawi

Authors
Phiri, Nozgechi
Haas, Andreas D
Msukwa, Malango T
Tenthani, Lyson
Published in PLOS ONE. 2018, vol. 13, no. 6, p. e0197854
Abstract Most Malawian women who start ART under Option B+ are still in care three years later, a higher than average adherence rate for life-threatening chronic disease treatments, worldwide (50%). We asked 75 Malawian on ART their motivations for remaining in treatment, and what barriers they overcame. Focus groups and interviews included 75 women on ART for 6+ months, at 12 health facilities. Four main motivations for continuing ART emerged: 1) evidence that ART improved their own and their children's health; 2) strong desire to be healthy and keep their children healthy; 3) treatment was socially supported; 4) HIV/ART counselling effectively showed benefits of ART and told women what to expect. Women surmounted the following barriers: 1) stigma; 2) health care system; 3) economic; 4) side effects. Women stayed on ART because they believed it works. Future interventions should focus on emphasizing ART's effectiveness, along with other services they provide.
Identifiers
PMID: 29874247
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Article (Published version) (1.3 MB) - public document Free access
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Research group Maladies infectieuses et modèles mathématiques (988)
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PHIRI, Nozgechi et al. "I found that I was well and strong": Women's motivations for remaining on ART under Option B+ in Malawi. In: PLOS ONE, 2018, vol. 13, n° 6, p. e0197854. https://archive-ouverte.unige.ch/unige:105993

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Deposited on : 2018-06-28

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