Climate change adaptation strategies as a pathway to gender empowerment in East Shewa Zone, Ethiopia.

Transition from pediatric to adult healthcare services is a critical juncture for individuals with lifelong, complex health conditions []. This transition usually occurs during adolescence, a phase now acknowledged within global health frameworks as a neglected but pivotal window for optimizing health outcomes []. Anorectal malformations (ARM) encompass a spectrum of congenital anorectal anomalies that typically require multidisciplinary, longitudinal care spanning childhood into adulthood []. Successful transition is associated with improved continuity of care, sustained engagement with services, and outcomes; conversely, poorly managed transition is linked to deterioration in continence and bowel management, missed follow‐up, and an increased risk of adverse health events []. In high‐resource settings, structured transition programmes have demonstrated the potential to mitigate care discontinuities []. However, transition remains challenging in low‐ and middle‐income countries (LMICs) where health systems often operate in a fragmented manner, with limited integration between pediatric and adult services, workforce shortages, and access barriers [, ]. There is a recognized gap in LMICs detailing the experiences of adolescents and young adults with ARM, their caregivers, and healthcare providers during transition []. This information is essential to design feasible, patient‐centered transition models suitable for resource‐constrained settings. The study aimed to explore the perceptions and experiences of young adults, adolescents, their caregivers, and healthcare providers regarding the transition from pediatric to adult care (transition of care), as well as their perceptions of the ideal transition of care.