Re-packaging pills

A high-volume adolescent clinic for HIV treatment was struggling to improve adherence to anti-retroviral medications. Only about half of adolescents under their care were taking drugs consistently. When interviewed , many adolescents reported that they were struggling with taking their pills because of the stigma arising from carrying around bottles that were easily identifiable as HIV medication containers. Many of those taking their drugs well had dealt with the stigma by concealing their pills in multiple ways including hiding them in false compartments cut out from their bibles and dictionaries. Clinicians complained that while this was effective in reducing stigma, there was a risk of drug spoilage because of poor conditions in the compartments. During a co-creation workshop different storage ideas were developed that effectively concealed pills in everyday items such as pencil pouches and drinking bottles, while ensuring that the pills remained under the required dry, dark, and cool conditions.

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