Barriers and Facilitators to the Successful Transition of Adolescents Living with HIV from Pediatric to Adult Care in Low and Middle-Income Countries: A Systematic Review and Policy Analysis

AIDS and Behavior
Cameron JonesTamara Taggart

Abstract

The purpose of this systematic review was twofold. First, we sought to summarize the literature on barriers and facilitators to successful healthcare transition for adolescents living with HIV from low- and middle-income countries (LMICs). Next, we assessed healthcare transition-related policies in countries from which we identified barriers and facilitators to determine the extent to which practice and policy meet to address the country-specific needs of adolescents living with HIV during healthcare transition. Ten studies met inclusion criteria. We identified four sub-themes of barriers to healthcare transition: emotional and psychological burden, effects of HIV disease, logistical and systemic impediments, and HIV stigma. We also identified five sub-themes of facilitators of healthcare transition: social support, skills development for adolescents and the adult treatment team, transition readiness, multidisciplinary teams, and transition coordination. Of the 12 countries from which we identified barriers and facilitators to healthcare transition among adolescents living with HIV, only five (Uganda, Kenya, Thailand, Brazil, and Cambodia) had healthcare transition-specific guidelines. Moreover, there was substantial variation ...Continue Reading

References

Nov 1, 1993·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·R W BlumG B Slap
Oct 26, 2006·International Journal of STD & AIDS·Eva Deuchert, Stuart Brody
Jul 23, 2009·Annals of Internal Medicine·David MoherUNKNOWN PRISMA Group
Mar 9, 2010·Child and Adolescent Psychiatry and Mental Health·Sheila HarmsRuth Kizza
Jun 26, 2013·Pediatrics·UNKNOWN Committee On Pediatric Aids
Jun 26, 2013·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Michael J MugaveroMelanie A Thompson
Jun 27, 2014·Adolescent Health, Medicine and Therapeutics·Agnes NyabigamboChristopher Ndoleriire
Dec 8, 2015·Journal of the International AIDS Society·Rawiwan HansudewechakulAnnette H Sohn
Mar 6, 2016·The Brazilian Journal of Infectious Diseases : an Official Publication of the Brazilian Society of Infectious Diseases·Daisy Maria MachadoEgberto Ribeiro Turato
Aug 9, 2016·South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde·Tiffany H KungLinda-Gail Bekker
May 23, 2017·Journal of the International AIDS Society·Vicki TepperPatrick Ryscavage
Dec 1, 2015·Turkish Journal of Obstetrics and Gynecology·Çağrı Gülümser, Tuğrul Erbaydar

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Citations

Oct 20, 2020·Journal of Acquired Immune Deficiency Syndromes : JAIDS·David Aguilera-AlonsoUNKNOWN CoRISpe Cohort Working Group and CoRISpe-FARO Cohort Working Group
May 8, 2021·BMJ Paediatrics Open·Nirmala Priya NarlaChristiana M Russ

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