“…As noted by other researchers, approaches by providers and school administrators that may help to improve engagement in care and warrant further study include having open conversations and acknowledging challenges faced by adolescents in adhering to their drug regimen, and working together to identify solutions (Bernays, Paparini, Gibb, & Seeley, 2016; Denison et al, 2015). Additionally, development of new drug formulations that are long-acting, more tolerable and less burdensome (e.g., smaller tablets, chewable or liquid alternatives, once-a-day pills) may make a significant contribution toward improving engagement in care for adolescents living with HIV in resource-poor settings with limited clean water availability (Adejumo, Malee, Ryscavage, Hunter, & Taiwo, 2015; Bygrave et al, 2012).…”