Transition from paediatric to adult care of adolescents living with HIV in sub-Saharan Africa: challenges, youth-friendly models, and outcomes

Journal of the International AIDS Society
Désiré Lucien DahourouValériane Leroy

Abstract

The number of adolescents with perinatally or behaviourally acquired HIV is increasing in low-income countries, and especially in sub-Saharan Africa where HIV prevalence and incidence are the highest. As they survive into adulthood in the era of antiretroviral therapy, there is a pressing need to transfer them from paediatric to adult care, known as the transition of care. We conducted a narrative review of recent evidence on their transition outcomes in Africa, highlighting the specific needs and challenges in these populations and settings, and the different models of care for transition. We searched PubMed bibliographic database, HIV conference content, and grey literature from January 2000 to August 2016 with the following keywords: HIV infections AND (adolescents or youth) AND transition AND Africa. All qualitative and quantitative, experimental and observational studies including HIV-infected patients aged 10-24 years with information on transition were eligible. Few data on transition outcomes for HIV-infected adolescents are available from Africa settings. Studies mainly from Southern and East Africa reported on the barriers to successful transition, highlighting several gaps. These included lack of adequate infrastruct...Continue Reading

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Citations

Mar 24, 2018·Current Opinion in HIV and AIDS·Leslie A EnaneCaroline Foster
Mar 13, 2018·Current Opinion in HIV and AIDS·Ali Judd, Mary-Ann Davies
Dec 7, 2017·Current Opinion in Infectious Diseases·Caroline Foster, Sarah Fidler
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Mar 12, 2021·Journal of the International Association of Providers of AIDS Care·Camerin A RenckenJacqueline Hoare

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Methods Mentioned

BETA
contraception

Software Mentioned

MXit

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