Skip to main content

Table 4 Themes and sub-themes from the interview

From: Cost-effectiveness and feasibility of conditional economic incentives and motivational interviewing to improve HIV health outcomes of adolescents living with HIV in Anambra State, Nigeria

S/N Theme Sub-Theme No of Persons Who Reported this
1. Improved adherence • The incentives encouraged them to adhere to treatment
• The consequent reduction in viral load encouraged them the more
• The adolescents became more open during motivational interviewing
• Peer pressure from those who received the incentives encouraged others
• The economic incentives spurred them to keep monthly appointments
• Some of them used their incentives to supplement their transportation fares as this was a challenge
2. Attitude towards the disease • The adolescents and their parents/caregivers gained a better understanding of the disease condition
• A few of them showed a negative attitude by being rebellious, especially those who still blamed their parents for infecting them
. 15
3. Sustainability concerns • Intervention implementation is very possible but would require a deep sense of commitment from the government, healthcare providers and other actors
• Intervention may not be feasible in the long run
• Too much workload on healthcare staff thus may require an increase in remuneration
• Lack of political will from the government as other costs of HIV care are already being covered by the
   • Economic incentives may not be available in a real-life setting, therefore other types of incentives may have to be considered for example skill acquisition programs for the adolescents.
• Modification of the traditional adherence counselling to an intensified adherence counselling such as motivational interviewing.
• May require capacity building for the motivational interviewers
4. Healthcare provider- adolescent relationship • The motivational interviewing and regular visits brought about an improved relationship between the healthcare providers and the adolescents 10
5. Caregivers’ influence • Some adolescents depend on their caregivers who may not be disposed to bring them to the hospital for care and for laboratory investigations when needed.
• Poor disclosure habit which inhibited the adolescents’ proper understanding of the disease condition.
6. Cost implication • Phone calls and short message service (SMS) to remind the adolescents of their monthly appointments/laboratory investigations
• Use of phone consultations for those
living far away.