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Semi-structured interviews were the main data collection tools used in the studies that were reviewed. Data from the selected articles were extracted and synthesised. Results The dominant themes that emerged from the review were (1) fear of stigmatisation; (2) gaps in policy implementation; (3) experiences vary across departments; and (4) self-determination and family support as success factors. Conclusion An important aspect in the transformation of higher education institution is to ensure the closing of the disjuncture between policy