Effect of Active Follow-up on Viral Load Suppression Among People Living with Hiv on Intensive Adherence Counseling in Uganda: an Instrumental Variable Analysis

Abstract

In a quasi?experimental study using instrumental variable analysis, the effect of active follow-ups on viral load suppression among people living with HIV (PLWH) receiving intensive adherence counseling in Uganda was assessed. Among 165 participants, 24.8% received a client locator map (instrument) linked to follow-up, but no significant improvement in viral suppression was observed. However, results suggest a modest trend towards better outcomes, indicating a need for larger randomized trials.