‘They care rudely!’: Resourcing and relational health system factors that influence retention in care for people living with HIV in Zambia

Despite access to free antiretroviral therapy (ART), many HIV-positive Zambians disengage from HIV care. These researchers sought to understand how Zambian health system ‘hardware’ (tangible components) and ‘software’ (work practices and behaviour) influenced decisions to disengage from care among ‘lost-to-follow-up’ patients traced by a larger study on their current health status.