Effect of Individualized Care Coordination on Adherence for Viremic Children Living with HIV in Kiambu County, Kenya

Authors

Mureithi, Amos

School of Health Science, Karatina University, Nyeri County, Kenya (Kenya)

Anne Murugi

School of Health Science, Karatina University, Nyeri County, Kenya (Kenya)

Khisa Allan Wanjala

School of Health Science, Karatina University, Nyeri County, Kenya (Kenya)

Aswani Clevin Wakhisi

School of Health Science, Karatina University, Nyeri County, Kenya (Kenya)

Alice Ngima Wanjohi

School of Health Science, Karatina University, Nyeri County, Kenya (Kenya)

Jane Wanjiru Kuria

School of Health Science, Karatina University, Nyeri County, Kenya (Kenya)

Norbert Kaimenyi Mukaria

School of Health Science, Karatina University, Nyeri County, Kenya (Kenya)

Article Information

DOI: 10.51244/IJRSI.2026.13010239

Subject Category: Public Health

Volume/Issue: 13/1 | Page No: 2794-2802

Publication Timeline

Submitted: 2026-02-04

Accepted: 2026-02-09

Published: 2026-02-20

Abstract

HIV continues to disproportionately affect children and adolescents, with only about 1 million of the 1.7 million infected children aged 0–14 receiving treatment. Without ART, most infants die before age five. Individualized case planning has improved adherence in viremic children, increasing doses taken from 62% to 86% and enhancing viral suppression. Tailored counseling and support have shown higher adherence (89.7% vs 80.6%) and better viral outcomes, emphasizing the need for personalized interventions in resource-limited settings.

Keywords

Viremic children, Antiretroviral therapy adherence, Individualized case planning, Pediatric HIV care

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References

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