Table 4 Themes and sub-themes from the interview
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 | 15 |
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 government | 15 |
• 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. | 15 |
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. | 13 |