Table 3.

Recommendations for transition

Recommendation	Details	Representative quotes
Recommended age for transition	25 to 26 years with allowance of extension if youth feel ill‐prepared.	“Per my thoughts they should transition at 25 years. It is the age when youth are now grows‐ups and understand themselves.” (22 year old, female, pre‐transition)
Transition Activities	1. At least one year of transition preparation. 2. Transition youth as a group. 3. Youth mentorship in the adult clinic. 4. Permission for transitioned youth to visit friends in Teen Club.	“They need to try to schedule our dates such that three or four people can come on the same day. You can go and find that you are alone with people you are not used to.” (27‐year‐old female, successful transition)
Adoption of certain aspects of Teen Club to the adult clinic	1. Educational seminars on topics such as HIV, ART, sexual and reproductive health. 2. Psychosocial support groups. 3. Group activities such as soccer matches, hikes, etc. 4. Increase the number of adult clinic physicians. 5. Division of the adult clinic into age categories.	“They should include sports. When we go there we should have our sports and we should get taught. We should cooperate when we are together as groups.” (20‐year‐old, female, transitioned to PMTCT)
Transition to PMTCT clinic	1. Counselling and provision of family planning. 2. Creation of support groups in the PMTCT clinic. 3. Improvement in continuity of care with explanation of reasons for ART changes.	“You get the tablets you need, you get the tablets you use every day. They don’t get changed [at the PMTCT clinic]. And if changing is necessary, they get changed and you are told. They don’t do it as a secret, they tell you.” (20‐year‐old, female, transitioned to PMTCT)