“…Other stressors include fear of transmitting HIV to their unborn babies, the burden of being a caretaker for their children, concerns about their future and the future of their children, and a lack of resources needed to support their children and family [ 5 , 13 , 14 , 15 , 16 , 17 , 18 ]. Similarly, the lack of social support, the experience of social rejection and social isolation, avoidance by family members, internalised or perceived stigma [ 5 , 9 , 13 , 15 , 19 , 20 ], and poor economic conditions [ 7 , 10 , 16 ] are also reported determinants for depression, anxiety, fear, and worry among WLHIV. Additional factors such as low level of education attainment, cessation of a relationship with a partner or divorce, a partner’s death, family misfortune, family food insecurity, and treatment failure [ 7 , 10 , 12 , 19 , 20 ], are all predictors of negative impacts to mental health challenges.…”