Table 3 Perceived facilitators and barriers to acceptance and completion of 3HP expressed in terms of their Behavioral determinants within the COM-B model
Behavioral Determinants | Emergent themes | |
|---|---|---|
PLHIV | Health workers | |
Facilitators | ||
Capability (psychological) | • Aware of being potentially at risk of TB • Awareness of easy transmission of TB | • Knowledge that TB causes the highest mortality among PLHIV at the clinic |
Opportunity (physical) | • Streamlined clinic visits | |
Motivation (reflective) | • Willingness to take TPT • Trust in health workers • Perceived benefits of DOT/SAT | • PLHIV trust health workers • PLHIV are receptive to TPT • Convenience of once-weekly 3HP dosing schedule • Perceived benefits of DOT/SAT |
Motivation (automatic) | • Fear of contracting TB | • PLHIV fear TB |
Barriers | ||
Capability (physical) | • Potential pill burden (difficulty to swallow many pills) | • Technology challenges • Potential pill burden (difficulty to swallow many pills) |
Capability (psychological) | • Inadequate understanding of TPT | • Inadequate understanding of TB and TPT |
Opportunity (social) | • Stigma associated with TB | |
Motivation (reflective) | • Perceived challenges of DOT/SAT • Concerns about the effectiveness of 3HP | • Perceived challenges of DOT/SAT |
Motivation (automatic) | • Fear of potential side effects | • PLHIV’s fear of potential side effects |