Title:
Exploring Factors Contributing to Access and Retention of Antiretroviral Therapy among adolescents living with HIV in Kenya
Authors:
Mwangi, Christine Wamuyu
Place:
Amsterdam
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2017
PAGE:
ix, 30
Language:
En
Subject:
Health and Poverty
Keywords:
Adolescents, ART, Access, Retention, Kenya.
Abstract:
Objective: Adolescents access and retention to Antiretroviral Therapy (ART) is low in comparison to other subpopulations, yet optimal ART use is key in improving their quality of life as well as their health and social outcomes. This thesis explores factors influencing their access and retention to ART in Kenya and to identify best practices to give recommendations. Method: This thesis is premised on a literature review of the published and unpublished data sources. Roura’s socio-ecological framework was adapted and used to analyze the literature. Results: Factors that hinder access and retention can be are classified into structural, social- cultural, individual and health facility factors. Key intervention strategies that have been evidenced to improve access and retention include social protection, peer educators, differentiated model of care and technology. Conclusion: To improve adolescent ART access and retention collaboration with different stakeholders is key, data at the facility level should be age aggregated for adolescents for proper planning of interventions and use of technology is effective. Recommendations: Adolescent ART programs need to collaborate with the relevant stakeholders to implement social protection and put a framework in place to evaluate the effectiveness of technology based interventions. Adolescent data tools at the health facility level should be age aggregated to ensure better planning of adolescent interventions, schools peer led interventions should include adolescents living with HIV so that to reduce stigma and community peer educators’ interventions should be scaled up so that any adolescent in need of peer educator service is able to reach them.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Country:
Kenya
Region:
East Africa
Training:
Master of Public Health
Category:
Research
Right:
© 2017 Mwangi
Document type:
Thesis/dissertation
File:
4PJSquEoFc_20180404103914967.pdf