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Between August and November 2007, we conducted three focus group discussions (FGDs) and two key informant interviews among FSWs recruited through nongovernmental organizations (NGOs) that provide services to FSWs in Chennai.FGD participants were recruited using purposive sampling to reflect diversity in terms of area of residence, living situation (with family members or alone) and duration of contact with the NGO.In this article, ART access refers to access to free first-line ART regimens available in government ART centers supported by NACO.The three government ART centers that provide ART to adults in Chennai are located within the major government hospitals.The study received approval from the ethics review committee constituted by the Indian Network for People Living with HIV (INP ).FGDs and key informant interviews were conducted using a semistructured in-depth interview guide in Tamil with scripted probes.Questions were modified or added over the course of the study in an iterative process to explore and reflect on emerging findings, a technique called progressive focusing.FGD facilitators and interviewers were native Tamil language speakers who received extensive training in interviewing and research ethics.

The duration of FGDs ranged from 60 to 90 minutes; key informant interviews lasted approximately 60 minutes.India's National AIDS Control Organization (NACO) provides free first-line antiretroviral treatment (ART) at government centers for people living with HIV.(ART) has significantly improved the prognosis of people living with HIV (PLHIV) by controlling viral replication, restoring immune system function, extending life, and thus enhancing the quality of life of PLHIV.One key informant was an FSW community leader of a community-based organization (CBO) and the other key informant was a former FSW with several years of experience in providing peer counseling to FSWs.Key informant interviews focused on exploring perspectives and experiences in relation to free ART access for FSWs as well as eliciting insights on how to remove barriers to ART access.

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