Barriers experienced by patients in adhering to antiretroviral treatment in a mobile clinic in KwaZulu-Natal, South Africa

Antiretroviral treatment (ART) plays a significant role in the wellbeing of individuals living with human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS). Adherence to ART is vital for patients since it helps to prevent the virus from multiplying and spreading through the body. This study explored challenges that hinder patients' adherence to ART at a mobile clinic of KwaZulu-Natal municipality, South Africa. A qualitative research approach was utilised, using an exploratory and descriptive design. Purposive sampling was used to select five participants aged 18 years and older, receiving treatment at a mobile clinic. Data were collected through semi-structured interviews from patients who defaulted ART treatment and analysed thematically. The findings revealed barriers to adherence as socioeconomic factors, stigma, and discrimination. Addressing ART non-adherence requires a multifaceted approach involving healthcare providers, policymakers, and community support structures. Recommendations include improving patient education on treatment adherence, ensuring consistent availability of medication at mobile clinics, and implementing patient-centered care strategies to enhance healthcare provider-patient relationships. Strengthening support systems within families and communities can also play a critical role in reducing stigma and encouraging adherence. Future research should explore adherence challenges in diverse settings, including urban areas, to develop broader interventions.