Generate a good research proposal on factors affecting adherence of ARVs among PMTCT women in kwale county - tlooto, The Most Powerful AcademicGPT

Background and Rationale Despite widespread implementation of the Prevention of Mother-to-Child Transmission (PMTCT) programs, adherence to antiretroviral therapy (ART) among HIV-positive women remains suboptimal in many sub-Saharan African contexts, undermining efforts to eliminate vertical HIV transmission. In counties such as Kwale, where PMTCT uptake is prioritized, program success ultimately depends on high and sustained ART adherence during pregnancy and the postpartum period. Previous studies across similar settings highlight multifactorial barriers—including individual, psychosocial, healthcare system, and structural constraints—that negatively impact adherence, yet context-specific insights remain limited for Kwale County[1][2][3][4][5]. Understanding these nuanced drivers is critical to refine interventions and policies tailored to local realities. Objectives Main Objective: To identify and analyze the factors affecting adherence to antiretroviral therapy among women enrolled