Research / Weiss Fund Supported ResearchApr 24, 2020

Feasibility and acceptability of financial incentives and peer-led life skills training for improving adherence to antiretroviral therapy among adolescents living with HIV in Rwanda: A pilot study

Majdi Osman, Simon Pierre Niyonsenga, Manasi Sharma, Rebecca Hope, Shannon Milroy, Jordan Levine, Caroline Kusi, Tiffany Chan, Patient Ngamije, Bernard Kabayiza, Olivier Manzi, Muhayimpundu Ribakare, Laurence Isaaya Ntawunga, Jean-Luc Nkurikyamfuma, Lameck Habumugisha, Eric Remera, Sabin Nsanzimana

The Human Immunodeficiency Virus (HIV) is the leading cause of death among adolescents in sub-Saharan Africa. Despite the long-term benefits of antiretroviral therapy (ART), adherence remains low among adolescents due to challenges related to cost, acquisition, and treatment regimen. Sub-optimal adherence to ART is associated with the development of viral resistance, treatment failure, and increased morbidity and mortality. Financial incentives and life skills training interventions have shown early promise in motivating protective behaviors, however, gaps still remain around effective and innovative ways to motivate adolescents to stay in HIV care. In partnership with youth, we developed an intervention to address their social and financial pressures in order to promote adherence.