Exploration of adherence to treatment challenges experienced by HIV positive adolescents in Insiza District, Zimbabwe

Abstract

Zimbabwe has a high burden of HIV with a prevalence of 13.8% among the 15 to 49-year old population in 2016. As at 2017, the national antiretroviral treatment (ART) programme initiated over 1.1 million people living with HIV in Zimbabwe on treatment. Success of ART depends on optimal adherence to treatment and long-term engagement in care. Adherence to ART is challenging in general; and even more complex for the adolescent population living with HIV. The combination of physiological, mental and psychosocial development changes which occur during adolescence creates a complex interface with adherence to treatment. Understanding the perspectives of HIV positive adolescents with regards to challenges that they experience with adherence to HIV treatment is important for improving treatment outcomes. The current study explored the challenges faced by adolescents living with HIV who are registered to receive ART in Insiza District of Matabeleland South Province, Zimbabwe