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Background

Adolescents living with HIV (ALHIVs) in high ALHIV-burden, resource-limited settings like Nigeria have significantly inferior outcomes from antiretroviral therapy. This paper expands on these inferior outcomes including inferior access to and coverage of ART, higher rates of loss to follow-up, poor adherence, increased needs for psychosocial support and sexual reproductive health services. This study reports on initiatives to identify and bridge gaps in achieving HIV suppression among Nigerian ALHIVs, and ensuring they are not left behind in the UNAIDS 90-90-90 targets.

Methods

A retrospective chart review was conducted for ALHIVs aged 10 to 19 years who attended IHVN facilities in Abuja from June 2017–July 2018 with viral loads≥ 1000 copies/ml. Quality improvement projects known as ‘small tests of change’to improve poor performing areas were initiated. This performance review initiative …