|S/N||Theme||Sub-Theme||No of Persons Who Reported this|
• 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
• 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|
• 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.
• 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.