Catalysing Paediatric HIV Early Diagnosis and Treatment within West and Central Africa Country Catch-up Plans: Report of the meeting at ICASA 2017 and Agenda for Action

The West and Central Africa Catch-up Plan provides a framework for political advocacy and accelerated action for countries to adapt and scale up effective approaches and innovations that will reduce inequity in access to HIV treatment. Twelve countries have adapted this regional initiative to their national contexts and developed country catch-up plans, with the support of the World Health Organization (WHO), UNAIDS and UNICEF.

At the 19th International Conference on AIDS and STIs in Africa (ICASA), country representatives and partners took part in a meeting convened by UNICEF and UNAIDS to reflect on the shortfalls within West and Central Africa country catch-up plans and to agree on ways to sharpen acceleration strategies and interventions that will increase access to paediatric ART.

The meeting at ICASA had three high-level strategic objectives:

  1. Call greater attention to the gap in paediatric HIV testing, including EID, and paediatric treatment within the West and Central African country catch-up plans
  2. Define the priority actions for children in country catch-up plans in 2018, with a focus on: (a) expanding access to paediatric HIV testing through improved EID and rapid testing at other entry points; (b) improving immediate linkages to care and treatment; and (c) task-shifting to enable nurses within maternal, neonatal and child health facilities to treat children
  3. Galvanize partnerships in support of country catch-up plans

More information can be found in this meeting report. 

HEI Toolkit: DBS Job Aids for Clinic

CDC-Atlanta Maternal Child HIV Branch and International Lab Branch, in collaboration with partners, have developed tools to support health care workers and laboratorians to provide services to HIV-exposed infants, including infant virologic testing.

DBS Job Aids for the Clinic: DBS collection, drying, and packaging

Intended audience:
Health care workers who collect specimens for EID on dried blood spots, dry and package specimens for transport.

Summary:
These are visual job aids that are a simplified version of the content provided in the EID video. They cover DBS collection, drying and packaging in the health clinic. They may be displayed on the wall in a health centre for easy reference.

HEI Toolkit: Care of the HIV-Exposed Infant Flipchart

CDC-Atlanta Maternal Child HIV Branch and International Lab Branch, in collaboration with partners, have developed tools to support health care workers and laboratorians to provide services to HIV-exposed infants, including infant virologic testing.

Care of the HIV-Exposed Infant Flipchart

Intended audience:
Health care workers or lay health workers who counsel the caregivers of HEIs.

Summary:
The purpose of this flipchart is to facilitate comprehensive, high quality counseling about the care needs of mothers and HIV-exposed infants to prevent vertical HIV transmission and improve infant health.  The flipchart addresses the importance of maternal health and ART adherence, as well as care and testing for the HIV-exposed infant until the infant’s final HIV diagnosis after the end of breastfeeding.

This flipchart should be printed in large format (A3 or similar), spiral bound and laminated for durable use in health clinics. There are 12 counseling cards total – each card has one side with images for the mother/caregiver and the other side with notes for the counsellor.

Topics include: basics of vertical HIV transmission, maternal health during pregnancy and breastfeeding, safe delivery, infant testing, infant medications – cotrimoxazole and ARV prophylaxis, routine infant care -- growth monitoring and immunizations, infant feeding, family planning, signs of acute child illness, and planning for mother and infant follow up.

Walking In Our Shoes

‘Walking in our shoes; Perspectives of pregnant and breastfeeding women living with HIV on access to and retention in care in Malawi, Uganda and Zambia’ highlights the key factors that facilitate retention in care for women living with HIV and calls for increased focus on rights and dignity in care.

The report, presents the findings of community-led research related to the viewpoints and experiences of women who were initiated on antiretroviral treatment during pregnancy or breastfeeding and explores their perspectives on factors that have enabled them to successfully adhere to their treatment and retain in care.

Republic of Liberia National HIV and AIDS Strategic Plan 2015 - 2020

The strategic plan focuses on preventing new HIV infections in order to maintain a low HIV prevalence in the next six years. The NSP aims to reduce new HIV infections by 50% by 2020; intensify the provision of quality and accessible HIV prevention information and services for key populations; and also accelerate actions to eliminate mother-to-child transmission of HIV by 2020, including placing positive mothers on lifelong antiretroviral therapy (Option B+) as the preferred regime of treatment for HIV positive pregnant women.