Four nurses explained that. They think patients feel discouraged to follow the treatment because of different reasons. Two of there nurses said that poverty is a reason for their lack of motivation. When patients are poor, having no food security and having to come to the centre every day , they are easily discouraged. One nurses described that if patients are seeking help from a hospital,which also treats other diseases,the patients might have to wait for a long time to get help and then they feel discouraged. Two nurses also explained that the patients feel alone and one said that patients might feel that nobody cares about them. Once frustrated,the patients put all their anger on the nurses and no matter how much nurses try to help them they feel that something is missing