The ages of 15-19 represent a window of opportunity to explore, support, and cater for adolescents' multiple vulnerabilities and complex needs. Adolescents living with HIV (ALHIV) experience more daily living and social functioning adversities compared to their peers without a chronic condition. This often leads to low aspirations, poor goal-setting, uninformed choices, and frequent failures. Building on a strength-based perspective, I place adolescents at the center, particularly in service provision. I draw on recent insights to frame 'resilience' as a multidimensional construct critical to ALHIV health outcomes and well-being. Socio-ecological resource supports and processes, such as adolescent-centeredness or differentiated service delivery and parental support, help ALHIV gain a sense of self-worth and negotiate for 'healthy' or positive outcomes, even as they struggle in some respects. There is little work on increasing knowledge and enhancing ASRH service use, pro-social behaviours, 'sexual readiness,' and 'reproductive preparedness.' ALHIV's sexual and reproductive lives continue to evolve, allowing them to embrace and voice their peer, romantic, and sexual relationships and the responsibilities that flow from these and their struggle to maintain them. Young people have varied knowledge of service provision vis-à-vis access and utilization. Where knowledge and awareness are strong, there is potential for ALHIV to navigate multiple settings for resource and service support. This results in improved access, particularly SRH service use and care, revealing the complexity and fulfilment that ALHIV seek. This is critical for their sexuality and well-being. Such recognition accounts for ALHIV as sexual beings, ultimately leading to more open discussions to meet their sex-positive and reproductive needs. I focus on promoting positive discourses within anthropology and related research that allow adolescents’ voices to be heard, empower them to make informed decisions, and enable them to narrate their own stories to achieve important everyday goals.