HIV-Related Alternative Policy Interventions for Addressing Masculinity Norms and Viral Load Suppression among Adolescent Boys on ART in Kenya

Purpose: Whereas alternative policy interventions have been implemented to broaden access to healthcare, little documentation exists regarding how they have influenced viral load suppression among adolescent boys on ART. Adolescent boys aged 14-19 constituted 60% of HIV-related deaths in areas such as Siaya County of Kenya in 2020. This paper sought to investigate how alternative policy interventions for addressing masculinity norms influence VL suppression among adolescent boys on ART in Siaya County, Kenya. Methodology: This cross-sectional study used questionnaire to collect quantitative data from 263 adolescent boys on ART, as well as Focus group Discussion guide and In-Depth Interviews, alongside seven comprehensive care-in charge (CCC), the County AIDS/HIV and STI Coordinator (CASCO), Sub County AIDS Coordinators (SCACOs), and Public Benefit Organizations (PBO) officials. Findings: Alternative policy interventions have significant influence (B=0.246, P=0.000). Unique Contribution to Theory, Practice and Policy: Alternative policy interventions can contribute significant unit changes in VL suppression among adolescent boys. Comprehensive care (CC) clinics, youth-only clinics, and counseling from HIV positive friends (treatment buddies) should be expanded to reach as many patients as possible.