They just can't devote the time that it takes to take care of themselves. Women tend to want to find alternative therapies and not deal with combination therapies at this point. They view the AIDS medications as very toxic, and most of them interfere with the GI tract. That is counter to a deep cultural belief that to be healthy you need to be able to eat. So anything that interferes with the intake of food is suspect.
Access is still an issue.
I think that fewer women than men are actually receiving optimal treatment. Health care providers in general are not yet knowledgeable about the early manifestations of HIV in women and may neglect to suggest HIV testing. They lose the chance to diagnose earlier and begin to treat earlier. Late diagnoses impact on the survival of women in a negative way. Women do not always feel comfortable.