Mapping the transition of adolescents to adult HIV care: a mixed-methods perspective from the Cape Town Metropole, South Africa

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dc.contributor.authorPetinger, Charné
dc.contributor.authorvan Wyk, Brian
dc.contributor.authorCrowley, Talitha
dc.date.accessioned2025-06-25T10:41:31Z
dc.date.available2025-06-25T10:41:31Z
dc.date.issued2025
dc.description.abstract(1) Background: Globally, an estimated 1.7 million adolescents (aged 10–19 years) were living with HIV in 2023, with 82% residing in sub-Saharan Africa. For ALHIV, transitioning to adult care involves assuming responsibility for their own health and disease management, posing significant challenges to persistent engagement in care. There is a paucity in health policies guiding this transition in many sub-Saharan African countries. Overburdened and poorly functioning health systems struggle to provide optimal care for ALHIV amidst the rising HIV pandemic in this priority population. (2) Methods: This study employed a mixed-methods design, comprising a descriptive qualitative study with healthcare workers and managers and a cross-sectional survey to examine the practices and pathways in which the transition to adult HIV care occurs in the Cape Town Metropole, South Africa. (3) Results: We delineate three distinct ways in which transition occurs (transfer-only, adolescent-friendly, and supportive transition). A successful transition involves a sufficient level of self-management of their chronic condition and healthcare journey, which is preceded by adequate preparation pre-transition, and the monitoring of engagement post-transition. This ideally requires developing relevant health policies and implementing guidelines signaling political will and providing the impetus and agency of implementation at the service level in South Africa.
dc.identifier.citationPetinger, C., van Wyk, B. and Crowley, T., 2024. Mapping the transition of adolescents to adult HIV care: A mixed-methods perspective from the Cape Town Metropole, South Africa. Tropical Medicine and Infectious Disease, 10(1), p.5.
dc.identifier.urihttps://doi.org/10.3390/tropicalmed10010005
dc.identifier.urihttps://hdl.handle.net/10566/20552
dc.language.isoen
dc.publisherMultidisciplinary Digital Publishing Institute (MDPI)
dc.subjectALHIV
dc.subjectHIV
dc.subjectmixed methods
dc.subjecttransfer pathways
dc.subjecttransitions of care
dc.titleMapping the transition of adolescents to adult HIV care: a mixed-methods perspective from the Cape Town Metropole, South Africa
dc.typeArticle

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