Inclusion Criteria:  Age 6 months - 19 years Documented evidence of HIV infection Receiving ART for treatment of HIV infection for at least 6 months. Has had a detectable VL of >1000 copies/ml in the last 6 months. Guardian, parent or legal representative able and willing to give voluntary consent and sign/mark an informed consent document. Willing and able to comply with protocol requirements/study procedures.  Exclusion Criteria:  Any medical conditions that require pausing of ART for more than three months. Potential participant already enrolled in another study which may interfere with the study outcome or participation as per investigator's judgement. Child or adolescent already enrolled and completed follow up in the current study. Any medical or other condition in the potential participant or their parent/ guardian that precludes provision of informed consent/ assent or that may hinder achieving study objectives as per investigator's judgement.