Tests a transition support package for youth living with HIV in Kenya
Tests a transition support package for youth with HIV moving to adult care.
Plain-language title generated from the registry record
Registry title: Scale-up of an Evidence-based Adolescent Transition Package to Support Transitional Care Among Youth Living With HIV
Key facts
- Where
- Awendo, Gatundu, Kiambu, Kikuyu, Limuru, Migori, Nairobi, Rongo, Ruiru, and Thika, KenyaSee the 25 sites
Where in Kenya
- Awendo Sub County HospitalAwendo, KenyaTaking people
- Uriri Sub County HospitalAwendo, KenyaTaking people
- Gatundu Level 5 HospitalGatundu, KenyaTaking people
- Kiambu County Referral HospitalKiambu, KenyaTaking people
- Wangige Sub-County HospitalKiambu, KenyaTaking people
- Kikuyu (PCEA) HospitalKikuyu, KenyaTaking people
- Nazareth HospitalLimuru, KenyaTaking people
- Arombe DispensaryMigori, KenyaTaking people
- Dede Health CentreMigori, KenyaTaking people
- Migori County Referral HospitalMigori, KenyaTaking people
- St Joseph Mission Hospital (Ombo)Migori, KenyaTaking people
- Baraka Dispensary (Nairobi)Nairobi, KenyaTaking people
- Embakasi Health CentreNairobi, KenyaTaking people
- Kenyatta National Hospital/University of NairobiNairobi, KenyaNot yet recruiting
- Mama Lucy Kibaki HospitalNairobi, KenyaTaking people
- Mbagathi District HospitalNairobi, KenyaTaking people
- Mukuru Health CentreNairobi, KenyaTaking people
- Pumwani Maternity HospitalNairobi, KenyaTaking people
- Tabitha Medical ClinicNairobi, KenyaTaking people
- Umoja Health CenterNairobi, KenyaTaking people
- Rongo Sub County HospitalRongo, KenyaTaking people
- Verna Health CentreRongo, KenyaTaking people
- Ruiru Sub-County HospitalRuiru, KenyaTaking people
- Kiandutu Health CentreThika, KenyaTaking people
- Thika Level 5 HospitalThika, KenyaTaking people
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- University of Washington
- Trial code
- NCT06924073
- Record updated
- 14 November 2025
- Original description
Ending the HIV epidemic for youth living with HIV will require implementation and optimization of evidence-based interventions that address barriers to treatment. The proposed implementation study will test a youth-led data-driven implementation strategy to scale-up an evidence-based Adolescent Transition Package (ATP) aimed at improving transition processes and post-transition clinical outcomes for youth living with HIV in Kenya. Clinics will be randomized to receive standard of care implementation through trainer of trainers or the youth-led data-driven implementation strategy alongside trainer of trainers. We will study whether the enhanced implementation strategy improves the number of youth who receive the ATP, the number of providers that initially chose to use the ATP, and the consistency with which the ATP is used over time. We will also evaluate the cost of the ATP and whether the ATP improves health outcomes among youth living with HIV, including viral suppression and retention in care. Healthcare workers at study sites will complete surveys, focus group discussions, interviews, and participate in continuous quality improvement processes. Youth will participate in surveys and focus groups, and have their routine medical records abstracted.Read full original descriptionShow less
Scale-up of an Evidence-based Adolescent Transition Package to Support Transitional Care Among Youth Living With HIV
Ending the HIV epidemic for youth living with HIV will require implementation and optimization of evidence-based interventions that address barriers to treatment. The proposed implementation study will test a youth-led data-driven implementation strategy to scale-up an evidence-based Adolescent Transition Package (ATP) aimed at improving transition processes and post-transition clinical outcomes for youth living with HIV in Kenya. Clinics will be randomized to receive standard of care implementation through trainer of trainers or the youth-led data-driven implementation strategy alongside trainer of trainers. We will study whether the enhanced implementation strategy improves the number of youth who receive the ATP, the number of providers that initially chose to use the ATP, and the consistency with which the ATP is used over time. We will also evaluate the cost of the ATP and whether the ATP improves health outcomes among youth living with HIV, including viral suppression and retention in care. Healthcare workers at study sites will complete surveys, focus group discussions, interviews, and participate in continuous quality improvement processes. Youth will participate in surveys and focus groups, and have their routine medical records abstracted.
Inclusion: Healthcare providers; ≥18 years of age; Employed at one of the 32 facilities in the RCT; Provides HIV services to adolescents affiliated within their clinic Adolescents and youth living with HIV; Between 15-24 years of age (focus group discussions, surveys) or between 10-24 years of age (offered the intervention); Receives HIV clinical care at one of the clinics included in the study; Attended clinic ≥1 time following intervention implementation.
Exclusion: Conditions that would place the individual at increased risk or preclude the individual's full compliance with or completion of the study; Any individual who meets the following criteria will be excluded from participation in this study:.