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Masters Thesis | Public Health | Kenya | Volume 12 Issue 4, April 2023

Factors Associated with Uptake of Enhanced Adherence Counseling among Viremic Adolescents in Nairobi County, Kenya

Makokha Violet | Osero Justus | Mary Muiruri ^[3]

Abstract: Enhanced adherence counseling (EAC) is a structured method of assessing current adherence levels, exploring barriers, and developing individualized adherence intervention plans to improve viral suppression. EAC has been associated with high re-suppression, yet limited information exists on the uptake of EACs among the adolescent population. The study focused on assessing the uptake of enhanced adherence counseling among ALHIV on HAART with a documented high viremia in selected health facilities in Nairobi City County. A sample of 379 adolescents aged between 10 and 19 years who had a high viremia as of December 2018 from 45 facilities in Nairobi county was selected. Data was collected using a standard questionnaire analysed using, measures of central tendency and chi-square. 379 adolescents interviewed, 41% received EAC and completed the 3 sessions, 55% were females and the median age was 14 years. Treatment supporter was associated with EAC uptake, p= 0.039, similarly, level of knowledge and compliance (x2 = 8.1907, d.f = 1, p=0.004) and (x2 = 14.563, d.f = 1, p=0.000) respectively. The study concluded there was low uptake of EAC sessions and tailoring strategies for adolescents with high viremia may increase uptake of EAC and improve treatment outcomes among viremic adolescents.

Keywords: Adolescents, Viremia, Enhanced adherence counseling, EAC

Edition: Volume 12 Issue 4, April 2023,

Pages: 405 - 412