Low-transition rates in human immunodeficiency virus-infected adolescents: A cross-sectional mixed study of pediatric to adult care transition in Uganda

Table 6 Themes and subthemes of factors in the transition to adult care

	Themes	Subthemes
Personal factors	Time of initiation of ART	ART adherence
		Understanding purpose of life medication
	Preparation for transition	Lack of positive attitude towards adult HIV care services
		Awareness of the HIV disease
Psychosocial factors	Knowledge of HIV disease management	Lack of adolescent care management expertise
		Weak behavioral change communication interventions
	HIV stigmatization and discrimination	Vulnerability to psychological distress
		Lack of friendly adolescent care
		Lack of community engagement and social support structures
Health system factors	Availability of transition teams	Inadequate staff in HIV adolescent care
		Encourage a multidisciplinary team
		Identify challenges that affect process of transition
	Availability of transition plan	Limited funding to foster the transition process
		Develop personalized plans

ART: Antiretroviral therapy; HIV: Human immunodeficiency virus.