Characterizing the double‐sided cascade of care for adolescents living with HIV transitioning to adulthood across Southern Africa

Introduction As adolescents and young people living with HIV (AYLH) age, they face a “transition cascade,” a series of steps associated with transitions in their care as they become responsible for their own healthcare. In high‐income countries, this usually includes transfer from predominantly paed...

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Bibliographic Details
Published in:Journal of the International AIDS Society 2020-01, Vol.23 (1), p.e25447-n/a
Main Authors: Tsondai, Priscilla R, Sohn, Annette H, Phiri, Sam, Sikombe, Kombatende, Sawry, Shobna, Chimbetete, Cleophas, Fatti, Geoffrey, Hobbins, Michael A, Technau, Karl‐Günter, Rabie, Helena, Bernheimer, Jonathan, Fox, Matthew P, Judd, Ali, Collins, Intira J, Davies, Mary‐Ann, Hoffmann, Christopher, Vinikoor, Michael, Wood, Robin, Boulle, Andrew, Giddy, Janet, Eley, Brian, Faturiyele, Olatunbosun, Hobbins, Michael, Fox, Matthew, Prozesky, Hans, Technau, Karl
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adolescent
adolescents
Adult
Africa, Southern - epidemiology
Age
AIDS
AIDS (Disease)
AIDS research
Ambulatory Care Facilities
Anti-HIV Agents - administration & dosage
Antiretroviral drugs
Birthdays
Care and treatment
cascade of care
Child
Clinics
Computer centers
Development and progression
Epidemiology
Ethics
Evaluation
Female
healthcare transition
Highly active antiretroviral therapy
HIV
HIV infection
HIV Infections - drug therapy
HIV Infections - epidemiology
HIV patients
Human immunodeficiency virus
Humans
Male
Medical care
Patients
Quality management
retention
Teenagers
Transitional care
viral suppression
Young Adult
Young adults
Youth
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Summary:Introduction As adolescents and young people living with HIV (AYLH) age, they face a “transition cascade,” a series of steps associated with transitions in their care as they become responsible for their own healthcare. In high‐income countries, this usually includes transfer from predominantly paediatric/adolescent to adult clinics. In sub‐Saharan Africa, paediatric HIV care is mostly provided in decentralized, non‐specialist primary care clinics, where “transition” may not necessarily include transfer of care but entails becoming more autonomous for one's HIV care. Using different age thresholds as proxies for when “transition” to autonomy might occur, we evaluated pre‐ and post‐transition outcomes among AYLH. Methods We included AYLH aged
ISSN:1758-2652
1758-2652
DOI:10.1002/jia2.25447