Insights into Adherence among a Cohort of Adolescents Aged 12–20 Years in South Africa: Reported Barriers to Antiretroviral Treatment

Table 2

Frequency of reported factors, overall and by site.

	All	Adult-based facility	Pediatric-based facility
Median number of factors (IQR)	4 (3–6)	4 (3–8)	4 (3–6)
Long distance to clinic; (%)	77 (61.1)	10 (52.6)	67 (62.6)
Visits noticed by friends/school; (%)	41 (32.5)	7 (36.8)	34 (31.8)
Caregiver is elderly; (%)	40 (31.7)	10 (52.6)	30 (28.0)
Transport fee is expensive; (%)	40 (31.7)	7 (36.8)	33 (30.8)
Long waiting queues at clinic; (%)	39 (31.0)	6 (31.6)	33 (30.8)
Visits noticed by family/community; (%)	28 (22.2)	6 (31.6)	22 (20.6)
Treatment fatigue; (%)	27 (21.4)	2 (10.5)	25 (23.4)
Having problems taking ART; (%)	24 (19.0)	3 (15.8)	21 (19.6)
Inconvenient clinic operating hours; (%)	21 (16.7)	0 (0.0)	21 (19.6)
Caregiver financial difficulty; (%)	19 (15.1)	3 (15.8)	16 (15.0)
Not enough time for visits; (%)	18 (14.3)	2 (10.5)	16 (15.0)
No sexual health services; (%)	14 (11.1)	1 (5.3)	13 (12.1)
Caregiver is unsupportive; (%)	13 (10.3)	3 (15.8)	10 (9.3)
Lack of peer support/counselling; (%)	13 (10.3)	5 (26.3)	8 (7.5)
Caregiver changes frequently; (%)	8 (6.3)	1 (5.3)	7 (6.5)
Caregiver is ill and requires care; (%)	8 (6.3)	2 (10.5)	6 (5.6)
Distrust health care workers; (%)	7 (5.6)	1 (5.3)	6 (5.6)
Unfriendly health care workers; (%)	4 (3.2)	3 (15.8)	1 (0.9)
Disinterested in care; (%)	1 (0.8)	0 (0.0)	1 (0.9)