Suubi+Adherence intervention arm provides:

• Matched savings accounts/child development accounts (CDAs) for the adolescents held in a local bank.
• Financial education and workshops on asset-building, future planning, and protection from risks
• Mentorship from a young adult/near-peer
• Family-based microenterprise development training

Bolstered Standard of Care: Adherence Counseling Practices

-Four to six counseling sessions to review HIV, ART, resistance, and adherence.

Medical Standard of Care:

-Pediatric ART initiation and monitoring followed by all public clinics, and outlined in National Department of Health Guidelines for pediatric HIV care in Uganda

Psychosocial Standard of Care:

-Psychosocial support provided by lay counselors trained in standardized ART adherence counseling

Bolstered Standard of Care: Adherence Counseling Practices

-Four to six counseling sessions to review HIV, ART, resistance, and adherence.

Medical Standard of Care:

-Pediatric ART initiation and monitoring followed by all public clinics, and outlined in National Department of Health Guidelines for pediatric HIV care in Uganda

Psychosocial Standard of Care:

-Psychosocial support provided by lay counselors trained in standardized ART adherence counseling

• Matched savings accounts/child development accounts (CDAs) for the adolescents held in a local bank.
• Financial education and workshops on asset-building, future planning, and protection from risks
• Mentorship from a young adult/near-peer
• Family-based microenterprise development training
• Medical Event Monitoring System

Bolstered Standard of Care: Adherence Counseling Practices

-Four to six counseling sessions to review HIV, ART, resistance, and adherence.

Medical Standard of Care:

-Pediatric ART initiation and monitoring followed by all public clinics, and outlined in National Department of Health Guidelines for pediatric HIV care in Uganda

Psychosocial Standard of Care:

-Psychosocial support provided by lay counselors trained in standardized ART adherence counseling

Adherence to HIV treatment regimen outcomes for HIV-positive adolescents, including participants' ability to access and refill prescribed HIV antiretroviral therapy and adhere to prescribed daily HIV medication routines.

Using a series of standardized and pre-tested instruments, potential mechanisms of protective health behaviors, knowledge, and beliefs, including: 1) financial/economic stability, 2) sexual risk-taking behavior, 3) personal beliefs about HIV medication, 4) hopelessness, 5) future plans and aspirations, and 6) adherence self-efficacy, will be measured during a structured interview at baseline and at every subsequent follow-up assessment.