Abstract
Background: Treatment understanding and experiences are vital to determine HIV patients adherence and retention to care. Methods: la depth patient interviews were audio-recorded, with a prior verbal and written consent and subjected to a thematic content analysis framework for data analysis. Results: Though majority of participants believed in Antiretroviral Therapy (ART) as the most effective way of treatment. they were,greatly worried about its toxicities. Disease understanding and peer influence were regarded as the train reasons for treatment initiation; whereas, perceived side effects and lack or support system were among he main reasons associated with treatment delay. Almost all the patients experienced toxicities due to ARTs and viewed it negatively impacting their quality of lire. conclusion: It is vital for People Living witlh HIV/AIDS (PLWHA) to be retained in care., hence, the provision of optimal care with greater support to overcome treatment challenges must be focused in any HIV program.