Country & district/site: Mozambique

Organisation: MATRAM

Main AHD area: ART Adherence, Adolescent HIV

What Was the Problem?

Raquel, a 12-year-old girl living with HIV, had acquired HIV at birth and was struggling to adhere to treatment. Her mother worked long hours and was rarely at home, leaving much of Raquel’s care to a neighbour who was also living with HIV.

Despite the neighbour’s efforts to support her, Raquel resisted treatment. She frequently hid her medication, avoided taking her pills, and became increasingly disengaged from care. Over time, her health began to deteriorate and her viral load increased. Weight loss and declining health raised concerns that she was at risk of more serious HIV-related complications.

The situation highlighted a common challenge faced by many adolescents living with HIV. As they grow older, treatment fatigue, limited family support, stigma, and emotional challenges can make adherence increasingly difficult. Without intervention, Raquel faced a significant risk of poor treatment outcomes and future health complications.

What Did the Community Team Do?

• Conducted regular home visits.
• Provided psychosocial support to both Raquel and her caregiver.
• Built trust through ongoing counselling and conversations.
• Helped Raquel better understand HIV and the importance of treatment adherence.
• Created a safe and supportive environment where she could discuss her concerns and fears openly.

What Changed?

• Raquel began taking her medication consistently.
• She started attending clinic appointments independently.
• Her attitude towards treatment improved significantly.
• She became more open about discussing her health and future.
• The relationship between Raquel, her caregiver, and community supporters strengthened.

Why This Matters?

Adolescents often face unique barriers to HIV treatment adherence that require more than clinical interventions alone. Consistent psychosocial support and trusted community relationships can play a critical role in helping young people remain engaged in care.

Key Lesson

Building trust takes time. Community-led support can help adolescents develop the confidence and understanding needed to take ownership of their treatment and health.