Adolescents living with human immunodeficiency virus (HIV) (ALHIV) globally, report worse treatment outcomes compared to adults and children on antiretroviral therapy (ART). We conducted a photovoice study with eighteen ALHIV to explore experiences and challenges of being on ART, and individual interviews with 5 health workers to describe the challenges in treating ALHIV. The facility implemented the intervention to facilitate caregivers (parent/guardians) supporting ALHIV on treatment. The health workers revealed that "" to children was the biggest challenge for caregivers and health workers. Participating ALHIV reported that and having a were instrumental for continued treatment adherence. However, of HIV status to friends remained a challenge due to pervasive community stigma. and - were also barriers to adherence. Family support was instrumental in facilitating adherence support for ALHIV. However, this (intervention) should include peer support to improve positive mental well-being in ALHIV.