Strategies to improve adherence to interventions {11c}
Participants will receive a non-identifying text message within 1 week of viral load testing to communicate that “all is going well” (i.e., if their viral load is suppressed), contacting them to have additional adherence counseling—“contact us for more information” (i.e., if first viral load not suppressed), or asking them to come into the clinic for assessment for treatment failure (i.e., if two viral loads are not suppressed following intervening adherence counseling). Adherence counseling for participants with VL>1500 copies/mL will identify barriers and strategies to increase ART adherence.