Based upon the transition readiness surveys, preparation for transition started much earlier: during the 2011 round, efforts to prepare TIs for transition started on average 6 months before transition, and for the 2012 round this increased to 9 months.
Preparation for transition to the outpatient setting should begin at the time of hospital admission.
UNICEF will also provide access to education for 3,000 children through accelerated learning programmes, in preparation for transition to primary schools or livelihoods.
The first column of the figure draws on discussion of the Avahan transition strategy above to identify five main clusters of activities in preparation for transition.
Preparation for transition to the outpatient setting is an important goal of inpatient diabetes management and begins with the hospital admission.
In preparation for transition, Avahan TIs aligned with the National AIDS Control Program NACPP) guidelines, which resulted in changes to certain aspects of program implementation.
However some young people welcomed change and described positive experiences of gradual preparation for transition backed up by joint CAMHS/AMHS working and continuity of therapeutic relationships [ 38].
The process evaluation will detail the specific service delivery that occurs with respect to LIFEspan preparation for transition and transfer of care, and will describe the pediatric clinical interventions and processes of the two year preparation period.
Qualitative themes emerged related to the anticipated timing of transfer, early preparation for transition, the desire for developmentally appropriate interactions with providers, the maintenance of family and social support, and strategies for coordinating care between pediatric and adult care providers.
The process evaluation will detail the specific service delivery that occurs with respect to preparation for transition and transfer of care through chart audits of pediatric medical records and qualitative interviews with LIFEspan staff.
