Hi! My name is Rita Masese.
I'm a second-year graduate student studying
global health at the Duke Global Health Institute.
Over the summer, I was in Moshi, Tanzania,
working on a project assessing the challenges and facilitators
of effective transition of care from the adolescent clinic
to the adult clinic among HIV-infected youth.
Being born with HIV is no longer a death sentence.
With antiretroviral therapy, youth are beating the odds of survival
and going on to become adolescents, and eventually adults.
Once the adolescents end up transitioning to adulthood,
they have to move from the adolescent clinic to the adult clinic.
However, this transition period is met with a lot of fear and anxiety,
with frequent loss to follow-up.
My project was assessing the challenges
and facilitators of this transition process,
and hopefully the eventual goal is to
form a transition protocol that will make this transition process easier.
I was doing in-depth interviews with HIV-infected youth
where I was asking them what they found to be hard with transition
and what they found to be easy.
My findings were youth who successfully transitioned
successfully transitioned because they had a lot of family and social support.
They also had a heightened sense of maturity
and they have had a positive outlook on living with HIV.
Youth who didn't successfully transition
cited challenges as payment of services in the adult clinic,
whereas the adolescent clinic was free.
They also cited loss of their peer support and network.
And they also cited stigma, particularly from HIV-infected adults
who got HIV behaviorally, as opposed to them
who got it from their parents.
With these findings, we hope to form a transition protocol
that would address all these barriers
and make the transition process easier
and reduce the prevalence of loss to follow-up.
Thank you.
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