Factors Promoting Retention of HIV/AIDS Clients with Suspected Treatment Failure at Kakamega County

Background: HIV-related retention is a significant issue that impedes the best treatment outcomes for clients with suspected treatment failure (STF). This study examined how the retention of HIV/AIDS clients in STF is promoted in Kakamega County, Kenya. Methods: This study employed a quasi-experimental design that combined qualitative and quantitative research. Four sub-counties were used to recruit 513 participants (270 in the treatment and 243 in the control groups) on treatment failure rate. Results: The main indices of treatment success were viral load suppression, increased CD4 lymphocyte counts, clinic attendance, and decreased missed pills and opportunistic infections. Monetary and social rewards were also very effective in increasing retention in care and clinical outcomes in the short run. Conclusion: Evidence indicates that medical care with context-specific incentives and digital technologies can help to boost HIV patients at risk of treatment failure to a large extent.