Adherence to antiretroviral therapy among the youth aged 18-24 years attending the HIV clinic in Kisenyi health centre (IV). A cross-sectional study.Adherence to antiretroviral therapy among the youth aged 18-24 years attending the HIV clinic in Kise

Background: Antiretroviral Therapy (ART) adherence refers to the percentage to which a person living with HIV consistently takes their ART exactly as prescribed by the physician, dosage, and instructions. This study aimed to determine the factors affecting antiretroviral therapy adherence among youths aged 18–24 years attending the ART clinic at Kisenyi Health Centre IV. Methodology: A descriptive cross-sectional quantitative research design was employed, utilizing semi-structured questionnaires administered to 80 respondents selected through a simple random sampling technique. The study identified socio-demographic, individual-related, and health facility-related factors affecting ART adherence. Data was analysed with Microsoft Excel, and results were presented in the form of tables and figures. Results: The study found that the majority (50%) of respondents were aged between 21 and 22 years, with 46.9% married and 36.5% having attained secondary education as their highest level. Regarding individual-related factors, 80% of the respondents lived with guardians or friends, while 46% of those lacking support cited non-disclosure of HIV status as the main reason. Most respondents (99%) reported that their cultural values acknowledged ART, and 80% did not use illicit drugs. Concerning health facility factors, all (100%) respondents were tested for viral load suppression when due, 98% always received guidance and counselling, but 58% were never followed up by health care providers after receiving their ARVs. Conclusion: ART adherence among youths aged 18–24 years attending the ART clinic at Kisenyi Health Centre IV was significantly influenced by social demographic, individual, and health facility-related factors. Recommendation: Health workers should intensify health education and continuous counselling for all youths on the importance of adherence to ART. This would help instill hope, confidence, and responsibility among the youths, encouraging them to take their medication regularly, on time, and as prescribed by physicians.