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Antiretroviral therapy (ART) improves the quality of life of people living with HIV/AIDS. However, adherence remains a challenge. A total of eight focus group discussions (FGD) were conducted with participants from a randomised controlled trial that monitored strategies for managing ART in African adults: Development of Antiretroviral Therapy. All FGD participants had received ART for at least one year. Perceived benefits of ART were key motivators for adherence. These benefits included improved physical health, restored self-esteem, acceptance in the community and hope for a longer and healthier life and reduced fear of HIV/AIDS-related death. Barriers to adherence included a high pill burden, ART side effects and socio-economic constraints, including lack of food and safe water for taking the pills. Visible ART side effects and involvement in an exclusively HIV/AIDS clinic could expose their HIV status, thus exacerbating stigma. Gender and socio-economic differences were found in the variety of strategies employed to ensure adherence. ART was perceived as improving the overall quality of life of recipients; however, it is crucial for ART programmes to be gender and socio-economic cognizant in order to enhance adherence to a lifelong therapy. [ABSTRACT FROM AUTHOR]

Understanding contemporary sociocultural constructions of masculinity and sexuality is crucial in the struggle against HIV/AIDS. This article discusses lay conceptualizations and enactments of manhood, in interaction with emic interpretations and practices of promiscuity. Data were collected from motorbike taxi-riders in southwest Uganda using ethnographic participant observation, a semi-structured questionnaire (n = 221), focus group discussions, in-depth interviews, case studies, and interactive workshops. Meanings and interpretations of masculinity are deeply imbued with sociocultural symbols drawn from the traditional, ritualistic, political, economic, and contemporary contexts. Social scripts and expectations are for males to engage in sexual activity as evidence of maturation. Higher social status, economic well-being, power, and "more manhood" are associated with multiple sexual partners. This male ideology perpetuates patriarchy and the commoditization of women, disparages messages of anti-HIV/AIDS campaigns, and supports risky sexual behavior. Sexual and reproductive health interventions should widen contemporary local perceptions and understandings of manhood to include safe sexual behavior. [ABSTRACT FROM AUTHOR]