 Adolescents living with HIV, ALHEV, face unique treatment and care challenges which may differ by how they acquired HIV, whether vertically, in utero, perinatal or postnatal exposure during breastfeeding, or sexually, sexual exposure, distinguishing and documenting the mode of HIV acquisition, MOHA, is crucial to further research on the different needs and outcomes for ALHEV. This article was authored by Edehi, Yankee Tolmay, Saini Zhou and others.