FeedbackStigma and hierarchical models of care such as facility-based treatment may undermine adolescent agency.27 Threats to social networks related to TB and its treatment and the increase in mental health challenges may impact adolescent resilience.28 Some adolescents with TB, however, demonstrate resilience by forming strong relationships with peers who are on treatment or by finding a sense of purpose or meaning from their illness experience (see web annex 4).
27 Agency: the ability to make sense of the environment, initiate change, make choices and resist demands.
28 Resilience: the potential for adolescents to develop positively when exposed to adversity and stress.