Stock outs of first-line ARVs have been reported in Ghana, The Gambia and Cote d’Ivoire. In particular, paediatric ARVs are reported to be frequently out of stock, as are medicines for opportunistic infections. Where ARVs were available, people living with HIV report suffering from side-effects of medications, which directly impacts their adherence. Pregnant women in Guinea-Conakry and Cote d’Ivoire indicated that they did not adhere to their treatment as prescribed because of side effects.

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