Abstract:
To be effective, HIV programmes should be responsive to the unique needs of diverse
groups of infected adolescents. We highlight a range of adolescent perspectives on HIV
services, including those who acquired HIV perinatally or sexually and those who were
either in care, had dropped out of care, or had never enrolled in care. We conducted
semi-structured interviews with 29 adolescents (aged 15-19) and 14 caregivers in
western Kenya. Data were analysed using a descriptive analytical approach. Adolescents
who were successfully linked had a supportive adult present during diagnosis; tested
during hospitalisation or treatment for a recurrent or severe illness; and initiated
treatment soon after diagnosis. Barriers to retention included side effects from HIV
drugs, pill burden, and limited access to clean water and nutritious food. Support in
family, school, and health facility environments was key for diagnosis, linkage, and
retention. We make recommendations that may improve adolescent engagement in HIV
services.