HIV-Related Knowledge, Attitudes, Behaviors and Experiences of Kenyan Adolescents Living with HIV Revealed in WhatsApp Group Chats

Author:

Chory Ashley1,Nyandiko Winstone234,Martin Roxanne1,Aluoch Josephine2,Scanlon Michael25,Ashimosi Celestine2,Njoroge Tabitha2,McAteer Carole5,Apondi Edith234,Vreeman Rachel125ORCID

Affiliation:

1. Department of Global Health and Health System Design, Arnhold Institute for Global Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA

2. Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya

3. Moi Teaching and Referral Hospital, Eldoret, Kenya

4. Department of Child Health and Paediatrics, School of Medicine, College of Health Sciences, Moi University, Eldoret, Kenya

5. Indiana University School of Medicine, Indiana, USA

Abstract

Introduction: Mobile technologies represent a scalable platform for delivering knowledge and interventions targeting adolescents living with HIV (ALWH) in low and middle income countries. Data from mobile interventions can be used to assess the contextual understanding and experiences of ALWH. Methods: We examined HIV-related knowledge, attitudes, beliefs, behaviors, and experiences of Kenyan ALWH revealed in the contextual data from enrollment in a WhatsApp® group chat intervention. Results: Thirty ALWH (17 female, mean age 15.4) on ART, engaged in HIV care and aware of their status, were enrolled. Qualitative analysis of WhatsApp® chat discussions identified a gap in HIV knowledge, high medication-taking literacy, need for mental health support and significant barriers to adherence. Participants discussed challenges with HIV stigma and medication-taking in the school setting. Conclusion: These discussions demonstrate a need for education on HIV topics, mental health support for ALWH, and interventions for stigma mitigation in the school setting.

Funder

Indiana University Center for AIDS Research.

Publisher

SAGE Publications

Subject

Infectious Diseases,Dermatology,Immunology

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