Barriers and facilitators for transitioning of young people from adolescent clinics to adult ART clinics in Uganda: unintended consequences of successful adolescent ART clinics.
Scovia Nalugo MbalindaSabrina Bakeera-KitakaDerrick Amooti LusotaEleanor Namusoke MagongoPhilippa MusokeDan Kabonge KayePublished in: BMC health services research (2020)
YPLHIV expressed fear to transition to adult clinics mainly because of the perceived better care provided in the adolescent clinic, thus constituting a barrier to smooth transition A range of individual, social and health system and services-related factors hindered transitioning. The expectation of transitioning as a group, assurance of similar care as in the adolescent clinic, and guarantees of confidentiality, privacy, and autonomy in decision-making for care was perceived as facilitators. Understanding barriers and facilitators can enable the Ministry of Health to improve the quality of life of YPLHIV through linkage to care, adherence, retention, and viral suppression. There is a need to better planning and preparation for clinical providers and YPLHIV with a focus on age-appropriate and individualized case management transition as well as focus on improving both clinical and psychosocial support throughout the process.
Keyphrases
- mental health
- healthcare
- primary care
- young adults
- palliative care
- quality improvement
- childhood cancer
- decision making
- affordable care act
- depressive symptoms
- pain management
- physical activity
- social support
- sars cov
- public health
- health information
- machine learning
- genome wide
- big data
- metabolic syndrome
- climate change
- human immunodeficiency virus
- risk assessment
- artificial intelligence
- human health
- insulin resistance
- health promotion