“…The most notable changes include earlier treatment initiation, the use of safer and less toxic ARV drugs and the inclusion of a single, fixed-dose combination tablet taken only once-daily (OD), which may improve treatment adherence (WHO, 2013(WHO, , 2015. A variety of studies have suggested that ARVs may be ototoxic (Kakuda, 2000;Khoza-Shangase, 2011;Marra et al, 1997;Mata, Yebra, Tutor de Ureta, Villarreal, & García, 2000). However, establishing the ototoxic relationship between ARVs and auditory function is intricate due to a range of confounding variables affecting auditory function (Khoza-Shangase, 2011).…”