Evaluation of the ELIMIKA Pilot Project: Improving ART Adherence among HIV Positive Youth Using an eHealth Intervention in Mombasa, Kenya

Afr J Reprod Health. 2019 Mar;23(1):100-110. doi: 10.29063/ajrh2019/v23i1.10.

Abstract

Adolescents and young people are arguably the most dynamic and challenging group among populations living with HIV. The adherence to anti-retroviral treatment (ART) is often low among HIV-positive youth, thus creative and context specific interventions are necessary. We aimed at evaluating the usability and effectiveness of the pilot digital peer support platform - ELIMIKA, implemented in Mombasa, Kenya. We applied a pre-post-test design. Data collection consisted of two parts: pre- and post-online knowledge and behavior questionnaires, and a mid-term usability survey. From 90 recruited participants, 81 completed the pre- and post-questionnaires. Overall, the participants were satisfied with the main features of the web platform and stated that they would use it again (95%). However, there was not a significant change in knowledge and behavior, but adherence intentions after 3 months intervention period have improved. This study provides valuable information on feasibility, evaluation and challenges of eHealth intervention in Kenya that supports further research in this area.

Keywords: ART; Africa; HIV; adherence; adolescents; eHealth; evaluation; sexual and reproductive health; youth.

MeSH terms

  • Adolescent
  • Adult
  • Anti-Retroviral Agents / therapeutic use*
  • Female
  • HIV Infections / drug therapy*
  • HIV Infections / psychology
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Kenya
  • Male
  • Medication Adherence*
  • Peer Group
  • Pilot Projects
  • Program Evaluation / methods*
  • Reminder Systems
  • Self Efficacy
  • Surveys and Questionnaires
  • Telemedicine*
  • Young Adult

Substances

  • Anti-Retroviral Agents