Abstract:
The emergence of mHealth as an alternative access point for care and treatment is lauded by development agencies as ingenious innovation for bridging health care access for teenagers living with HIV/AIDS among detached communities like the islands of Lake Victoria. It is also presumed that mHealth transcends beyond teenagers’ concerns with location and unfriendly hours of operation of health facilities. The mHealth is alleged to increase privacy and confidentiality, reduce cost of service delivery, and loops over retrogressive cultural beliefs and attitudes exhibited by health care providers and caregivers, consequently increasing access to health information, care and treatment. Specifically, the study sought to establish the community-based health support systems that facilitate suitable utilization of mHealth by teenagers living with HIV from the island communities of Lake Victoria and its effect on treatment access. To support this study, the study was anchored to Theory of Reasoned Action. This was anchored to the cross-sectional study design, stratified sampling identified the psychosocial support groups of teenagers living with HIV. Probit Model was applied to the study. With a study population of approximately 409 in Ringiti, Remba, Rusinga, Mfangano and Mageta islands, questionnaires were administered to the 173 sampled teenagers living with HIV as unit of analysis, and a control group made up of 30 percent of the sample ascertained effect of mHealth on treatment access. Five focus group discussions and key informant interviews of 10 and 3 were held in each Island. The study adopted multiple linear regression analysis to determine the relationship between the community health support systems and utilization of mHealth information by teenagers living with HIV/AIDS in Island Communities of Lake Victoria, Kenya. The study results revealed that community-based health support systems had a significant effect on access to treatment by teenagers living with HIV/AIDS in Island communities of Lake Victoria. Consequently, this study provides organizations promoting access to treatment by teenagers living with HIV/AIDS through mHealth. The study recommended that government and organizations involved in HIV/AIDS related activities should adopt a culture of enhancing community-based health support systems. This could go a long way in ensuring there is improved access to treatment by teenagers living with HIV/AIDS in Island communities of Lake Victoria.