Inclusion Criteria:  Male and female clients age 18 and older. Started ART at Mildmay or another clinic within the preceding three months but have since been receiving care at Mildmay. Able to speak and understand either English or Luganda. Have their own cell phone or have consistent access to someone else's phone. Willing to receive daily text messages for the 3 months of intervention duration. Willing and able to use the MEMS caps distributed for adherence verification for the duration of the study.  Exclusion Criteria:  Not mentally fit to consent. Language other than Luganda or English. Not willing to consistently use the MEMS caps device for adherence measurement.