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RTI uses cookies to offer you the best experience online. If you would like to know more about how RTI uses cookies and how to manage them please view our Privacy Policy here. Saleem, HT. International Journal of Drug Policy , 30 , This paper explores barriers and facilitators to ART initiation among clients attending a methadone clinic in Dar es Salaam, Tanzania. We purposively sampled clients based on sex and ART status and providers based on job function. To analyze interview transcripts, we adopted a content analysis approach. These included delays in CD4 testing and receiving CD4 test results; off-site HIV clinics; stigma operating at the individual, social and institutional levels; insufficient knowledge of the benefits of early ART initiation among clients; treatment breakdown at the clinic level possibly due to limited staff; and initiating ART only once one feels physically ill. Participants perceived social support as a buffer against stigma and facilitator of HIV treatment. Some clients also reported that persistent monitoring and follow-up on their HIV care and treatment by methadone clinic providers led them to initiate ART. Our findings suggest that on-site point-of-care CD4 testing, a peer support system, and trained HIV treatment specialists who are able to counsel HIV-positive clients and initiate them on ART at the methadone clinic could help reduce barriers to timely ART initiation for methadone clients. To contact an RTI author, request a report, or for additional information about publications by our experts, send us your request. Home Impact Publications 'Can't you initiate me here? Publications Info To contact an RTI author, request a report, or for additional information about publications by our experts, send us your request. Meet the Experts View All Experts. Recent Publications.
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