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Data on adherence to ART was obtained from CTC records whereby pill count method was employed. Patients were required to provide all ART pills that were dispensed during the last clinic visit and the remaining pills from the prior visit. The formulas below were used in calculating adherence.

adherence = 100 - % of pills missed.

Adherence <95% to ART was considered as poor adherence while adherence >95% to ART was considered as optimal adherence according to the Tanzania National guidelines for the management of HIV and AIDS.

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