"Almost all HIV-infected patients cannot be trusted. For instance, when they know they have opportunity to have care and support, they often find ways to get as much as possible. Or if they want to leave the hospital, they often lie to the nurse that the doctor already agreed. Or when they have to pay the hospital fee, they often tell the lie that they will pay tomorrow but after that they disappear." Nurse, paediatric ARV national hospital "When you have to work with them [HIV-infected patients], you will see the difficulties. It's already hard to gain trust from normal patients. Now we have to serve the very scoundrel social class and at the same time, we receive very low salary. We have to provide service because it's our responsibility but we are not happy because they [HIV-infected patients] are drug users, they are very rude. My experience shows that health workers should not be too good to HIV patients." Doctor, ARV district level Some of these attitudes are based on real experiences, but many are also based on prejudicial expectations, and women wishing to access PMTCT services will be victims of that stigma, too.