Innocent Kabagenyi2026-06-242026-06-242026-05-25https://hdl.handle.net/20.500.11951/2166PostgraduateThe purpose of this study was to evaluate interventions for improving ART Adherence at Mukono General Hospital. This study was premised on the Social Action Model Theory (SAT) by Talcott Parsons in 1937 that assets that individual’s actions and beliefs are influenced by the interacting with others through cultural, social and environmental norms while the Health Behavioral Model (HBM) by Hochbaum, Rosenstock and Kegels in 1950’s says that an individual’s actions and behavior are influenced by their actions, beliefs perception as well as external factors. The study had three objectives: to explore the factors for access and use of ART services among HIV positive adolescents, to examine the mechanisms aimed at improving ART adherence at Mukono General Hospital, to assess the outcomes of the mechanisms aimed at improving ART Adherence among HIV Positive adolescents at Mukono General Hospital. The study was based on Realist Evaluations that are used to understand what interventions work, for whom, how, and why they work. The study adopted a case study design by employing qualitative data from 26 respondents. Interview guides were used as measures of data collection through semi-structured guides, focus group discussions as well and key informant guides. The study involved primary and secondary data as the sources of information. The general outcome of the study indicated that the general conclusion was that socioeconomic, mobile health services, technological, psychosocial support from health workers, counsellors, peer support groups, and family support groups are the interventions that are used to improve ART Adherence at Mukono General Hospital. This was established through the outcomes established in the study by adopting the positive outcomes. Based on the findings and conclusions of the study, the study recommended that management at Mukono General Hospital should improve support for mobile health services through hospital managers, local authorities as well as offering more support to peer support groups through empowerment and engagement. Management at Mukono General Hospital should develop policies that can be further used to improve ART adherence through working closely with the Ministry of Health and Partner Groups to improve ART adherence among HIV positive Adolescents.enThesis