Box 1.

Examples of different transition models

Jamaica

Children are routinely transitioned into adult care within the public sector at the age of 12 years, although at two paediatric sites transitioning happens as late as 24 years. Within the Jamaica Paediatric Perinatal and Adolescent HIV/AIDS Programme (JaPPAAIDS) transition is supported through involvement of a psychologist and intensive follow-up; there are plans to rollout this model to other sites in Jamaica [54].

Ukraine

HIV care for children and adults is provided at regional HIV centres; transfer to adult care involves a change of doctor within the same centre and usually occurs at 18 years, with some flexibility depending on the policy of the centre. Transfer is normally preceded by a period of shared care between the paediatrician and adult doctor [31].

Thailand

At Chiangrai Prachanukroh Hospital in Chiang Rai province, a group transition programme started in 2008. Young people who are ready to transfer are selected by paediatric providers and case conferences held with adult providers, the hospital’s home care team and clinical psychology consultants. The young people attend a camp for 1–2 days to prepare them for transition and then attend adult clinic as a group, accompanied by a paediatric provider for the first few appointments [55].