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Early initiation of antiretroviral therapy (ART) - that is, at higher CD4 cell counts (&gt;350 cells/μl) - is a potent HIV prevention strategy. The WHO recommends ART initiation by all HIV-infected individuals in HIV serodiscordant relationships to prevent HIV transmission, yet the acceptability of early ART among couples has not been well studied.

‘If I am given antiretrovirals I will think I am nearing the grave’