Adherence Works. Prevention Works. Love Thrives
At just 24 and 19 years old, Shaban and Mariam from Tanga are living proof that antiretroviral therapy (ART) and pre-exposure prophylaxis (PrEP) truly work —and that adherence to the drugs is the difference between fear, uncertainty and freedom and hope.
Shaban’s journey with HIV began early. Diagnosed at only five years old, he was immediately initiated on ART. Although he started treatment at that age, it was only when he turned seven that he learned the truth—that the medicines he took daily were keeping HIV under control. From then on, adherence became a way of life, shaping a future defined not by HIV, but by resilience.
“I grew up knowing that taking my medication every day was protecting my life and my future,” says Shaban. “ART gave me hope that I could live normally, love, work, and build a family like anyone else.”
Years later, while studying at the same secondary school, Shaban met Mariam. Friendship grew into love—and love required honesty. When Shaban disclosed his HIV status, Mariam admits she initially doubted him.
“At first, I thought he was joking,” Mariam recalls. “But the day he showed me his ARV medicines, I understood it was real. But what mattered to me was that he was honest—and that treatment was working.”
Their relationship did not end there. Instead, they chose knowledge and support. Together, they accessed counselling services at Korogwe Town Council Hospital (Magunga Hospital), where Shaban continues to receive his ARVs. Guided by committed health workers, the couple learned how consistent treatment and prevention could protect both partners. Shaban remained fully adherent to ART, while Mariam started using PrEP as an added layer of protection until Shaban achieved viral suppression.
“Using PrEP gave me confidence and peace of mind,” Mariam explains. “It allowed us to plan our life together without fear.”
Today, Shaban and Mariam have been married for two years. Mariam has consistently tested HIV-negative and is now eight months pregnant, looking forward to welcoming their first child. Shaban works as a tricycle driver, proudly supporting his family and planning for a future once clouded by stigma and misinformation.
Their story is also a tribute to our healthcare providers—the quiet champions who counsel, test, treat, encourage, and follow up day after day. At Magunga Hospital, supported by THPS through the Afya Hatua Project, funded by PEPFAR through the Centers for Disease Control and Prevention (CDC), healthcare providers are ensuring that people living with HIV lead healthy, happy, and fulfilling lives.
Shaban and Mariam’s journey carries a powerful message for couples and communities everywhere:
- HIV does not define love or limit dreams
- Adherence saves lives and protects families
- With the right information and support, couples can thrive—together
