Abstract
Introduction: viral load (VL) testing improves monitoring of patients response to HIV therapy. According to the World Health Organization (WHO), more than 70% of non-suppressed clients should re-suppress after 6 months intensified adherence support (IAS). However, only 50% re-suppressed on the 2nd time testing at 6 months of follow up. We established whether virologically non-suppressed patients underwent IAS for 6 months, identified structural and process issues affecting service delivery for non-suppressed clients, estimated outcomes at the end of 6 months period of IAS, and assessed patient and provider perspectives on what else is needed for effective provision of IAS.
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