Problems with adherence
As well as the unavailability of appropriate drugs, stigma surrounding HIV can also lead to adherence problems if parents and caregivers are unwilling to make it publicly known that the child in their care is HIV-positive. For instance, carers may be reluctant to fill out prescriptions in their local community, or may not make a child’s school aware of their condition, which can lead to them missing out on drug doses during the school day.55 They may also hesitate to administer ARVs if other people are present when a child is due to receive them. For children who are old enough to administer their own ARVs, it can be hard to fit their treatment routine in with their increasingly active social lives:
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