Infants

Paediatric Service Delivery Framework

cmannikarottu — Tue, 26 Nov 2019 16:54:16 +0000

Paediatric Service Delivery Framework cmannikarottu Tue, 11/26/2019 - 18:54

The paediatric service delivery framework presents strategies to address bottlenecks across the continuum of care for each population: infants, children and adolescents. This includes keeping mothers who receive interventions for the prevention of mother-to-child HIV transmission (PMTCT) and their infants in care; locating missing infants, children and adolescents through family and index testing; linking those diagnosed with HIV to services; treating them with efficacious regimens and retaining them on treatment to achieve viral suppression. It describes comprehensive and targeted service delivery models, which emphasize strong linkages between testing, treatment and care, and between communities and facilities.

The framework was developed by a group of global experts who were convened by UNICEF in June 2019 to advance the collective thinking on paediatric HIV service delivery. The partnership's analysis of current evidence and specific programme interventions that need to be scaled up to improve the quality of HIV treatment services and reach more infants, children and adolescents with these lifesaving medicines is presented here.

The full framework, policy briefs and supporting worksheets are available for download (updated July 2020).

Paediatric and Adolescent Treatment

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Topic Tags

Family centred care/services

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Brief

Strategy

Year Tags

2019

Download file(s)

Framework: Improving HIV Service Delivery for Infants, Children and Adolescents (WEB)

Framework: Improving HIV Service Delivery for Infants, Children and Adolescents (PRINT)

Worksheet: Assessing the situation

World AIDS Day: Global Snapshot on HIV and AIDS 2024

IsabellaP — Fri, 29 Nov 2024 18:47:34 +0000

World AIDS Day: Global Snapshot on HIV and AIDS 2024 IsabellaP Fri, 11/29/2024 - 20:47

UNICEF’s 2024 Global Snapshot, released for World AIDS Day, offers a concise yet critical overview of the global HIV and AIDS landscape, focusing on children, adolescents, and pregnant women. This year’s report highlights key data and insights, emphasizing the urgent need to eliminate vertical transmission of HIV and ensure universal access to testing and treatment for children and adolescents. Ending AIDS by 2030 is not just an achievable goal—it is a moral imperative to uphold the rights and dignity of every child and adolescent.

PMTCT

Paediatric and Adolescent Treatment

Organization Tag

Region Tags

Population Tags

Topic Tags

Adolescent and young key populations

Adolescent health

AGYW

Maternal, newborn and children health

PMTCT

Document Type Tags

Brief

Global and regional report

Year Tags

2024

Download file(s)

Global Snapshot on HIV and AIDS 2024

World AIDS Day: Eastern and Southern Africa Regional 2024 Snapshot

IsabellaP — Tue, 26 Nov 2024 16:22:21 +0000

World AIDS Day: Eastern and Southern Africa Regional 2024 Snapshot IsabellaP Tue, 11/26/2024 - 18:22

This year's World AIDS Day theme is "Take the rights path". For this occasion, UNICEF published the Eastern and Southern Africa Regional 2024 Snapshot, featuring a regional overview of HIV trends, including vertical transmission, testing, and treatment for children and adolescents, as well as gender disparities affecting adolescent girls and young women.

Paediatric and Adolescent Treatment

Adolescent Prevention

Organization Tag

UNICEF

Region Tags

Eastern and Southern Africa

Population Tags

Adolescents

Children

Infants

Topic Tags

Adolescent and young key populations

Adolescent health

Adolescents living with HIV

AGYW

Gender

Maternal, newborn and children health

Document Type Tags

Brief

Global and regional report

Year Tags

2024

Download file(s)

Eastern and Southern Africa Regional 2024 Snapshot

Toolkit for the Implementation of Baby Showers in Congregational Settings for the Prevention of Mother-to-Child Transmission of HIV

IsabellaP — Tue, 01 Oct 2024 20:20:20 +0000

Toolkit for the Implementation of Baby Showers in Congregational Settings for the Prevention of Mother-to-Child Transmission of HIV IsabellaP Tue, 10/01/2024 - 23:20

This toolkit — prepared by members of the U.S. Centers for Disease Control and Prevention in Nigeria and Atlanta, the University of Nigeria, the Healthy Sunrise Foundation, and the National AIDS and STI Control Program of Nigeria — provides implementers with the background, procedures, and resources/tools to support the implementation of Baby Showers in Congregational Settings. In PEPFAR programmes, countries are moving toward elimination of mother-to-child transmission of HIV (EMTCT). One gap in achieving EMTCT is reaching women and their infants who do not come to the facility for care. The Baby Showers approach in Nigeria is one way of reaching women and their families in the community through faith-based congregations, with a strong evidence base to support its positive impact.

Baby Showers are celebratory gatherings for pregnant women and their partners with routine celebrations marked by prayers for the safe delivery of babies and to support parents-to-be as they prepare for their new arrival. Health screening, including HIV testing for pregnant women and their partners, is offered during the celebration that brings women, their partners, and their newborns together in a congregation. Other countries have expressed interest in learning from Nigeria’s experience. This resource has been adapted for implementation in additional settings and contexts and includes six accompanying tools in the appendix to aid in data collection and documentation.

PMTCT

Region Tags

West and Central Africa

Country Tags

Population Tags

Key affected populations

Topic Tags

Family centred care/services

Maternal, newborn and children health

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Year Tags

Download file(s)

Toolkit for the Implementation of Baby Showers in Congregational Settings for the PMTCT of HIV

Strengthening PMTCT of HIV Services in the Kyrgyz Republic and Defining a Path Towards Elimination of MTCT of HIV and Syphilis

rlekirkegaard — Sat, 20 Jul 2024 10:45:46 +0000

Strengthening PMTCT of HIV Services in the Kyrgyz Republic and Defining a Path Towards Elimination of MTCT of HIV and Syphilis rlekirkegaard Sat, 07/20/2024 - 13:45

This review of prevention of maternal-to-child transmission (PMTCT) services in the Kyrgyz Republic was undertaken to: (1) provide an overview of milestones in the delivery and expansion of PMTCT for the period 2017-2020; identify the main barriers to PMTCT for women and infants; (3) describe the status of the country’s preparations for validation of elimination of mother-to-child transmission (MTCT) for HIV and syphilis; and (4) provide recommendations to accelerate the country’s progress in strengthening PMTCT services and defining a pathway to application for global validation of elimination of MTCT of HIV and syphilis.

PMTCT

Organization Tag

UNICEF

Region Tags

Central and Eastern Europe

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Download file(s)

Strengthening PMTCT of HIV Services in the Kyrgyz Republic and Defining a Path Towards Elimination of MTCT of HIV and Syphilis

Transforming Vision Into Reality: The 2024 Global Alliance Progress Report on Ending AIDS in Children by 2030

IsabellaP — Fri, 19 Jul 2024 17:34:55 +0000

Transforming Vision Into Reality: The 2024 Global Alliance Progress Report on Ending AIDS in Children by 2030 IsabellaP Fri, 07/19/2024 - 20:34

This status report shows how far we have come—and how much further we must go—if we hope to meet the global commitments to end AIDS in children. It offers a snapshot of global progress and permits an early assessment of the impact of the Global Alliance’s work. This report highlights the transformative work that is being undertaken in Global Alliance countries to accelerate gains towards ending AIDS in children, underscoring the urgent need to apply good practices, emerging innovations and critical lessons learned to overcome the barriers that slow progress.

For additional information, consult the joint press release and the video created for the report launch at AIDS 2024.

Organization Tag

Region Tags

Population Tags

Topic Tags

Adolescent and young key populations

Adolescent health

Adolescents living with HIV

AGYW

Maternal, newborn and children health

PMTCT

Document Type Tags

Evidence and data

Global and regional report

Year Tags

2024

Download file(s)

Transforming vision into reality - EN

Transforming vision into reality ex summary - EN

Transforming vision into reality ex summary - FR

Transforming vision into reality ex summary - PT

Assessing the impact of COVID-19 on people living with HIV, including pregnant women and children

IsabellaP — Fri, 19 Jul 2024 10:19:09 +0000

Assessing the impact of COVID-19 on people living with HIV, including pregnant women and children IsabellaP Fri, 07/19/2024 - 13:19

The purpose of this study is to provide an assessment and analysis of the situation of people living with HIV/AIDS (PLWH) in the Republic of Moldova in the context of the COVID-19 pandemic, including COVID-19 awareness and concern, socioeconomic status, quality of life, mental health and social support, access to medical care/treatment (including digital methods), and stigma and develop recommendations for key government stakeholders to address the identified challenges and mitigate the negative impacts of COVID-19.

This study considers available statistics and latest trends, including an analysis of the data before and during the pandemic, as well as quantitative and qualitative data collected in the field. The study also highlights the situation of pregnant women and children of caretakers with HIV or with HIV themselves.

Key findings: The COVID-19 pandemic has had widespread implications on the health and well-being of PLWH in the Republic of Moldova. One-fifth of PLWH in the national survey reported being severely affected by the pandemic and one-third reported being moderately affected. The multifaceted dimensions of PLWH’s vulnerabilities, compounded with restrictions during COVID-19 lockdowns, resulted in job loss, limited access to treatment, and continued stigma.

COVID-19 awareness and concern:

PLWH received the bulk of COVID-19-related information from online news sources and TV. Less than half of all respondents felt family doctors were a good source of information.
Over one-third of PLWH said they were “definitely willing” to get the COVID-19 vaccine. A slightly smaller portion, reported no intention of receiving the vaccine at all.Socioeconomic indicators

Socioeconomic indicators:

1 in 10 PLWH experienced job loss.
Decrease in income was reported by half of all PLWH. Pandemic-induced income reduction was more frequent among urban dwellers.
More than half of PLWH expressed concerns regarding financial sustainability and ability to pay daily expenses (utilities, food, drugs).
Half of households spent savings, borrowed money, and bought cheaper food to cope with economic hardships during the COVID-19 pandemic. 2 in 5 limited their personal food consumption.
More than half of PLWH reported anxieties tied to not being able to pay utilities and buy medication.
Out-of-pocket expenses related to HIV care were reported by 56% of PLWH.

Quality of life:

Self-reported quality of life during the COVID-19 pandemic was very poor to poor among over a quarter of PLWH.
Self-reported deterioration in health during the COVID-19 pandemic was reported by 17% of PLWH. Deterioration was expressed at a higher rate among the male population.

Access to medical care/treatment:

Nearly 1 in 10 respondents had a lack of knowledge regarding existing HIV/AIDS programs offered by healthcare facilities during the COVID-19 pandemic and therefore had not accessed them.
1 in 10 PLWH reported cancelled medical visits between July 2020 – July 2021.
A quarter of PLWH indicated that the frequency of their visits to healthcare facilities had decreased during the COVID-19 pandemic period when compared to pre-pandemic periods.
Fear of contracting COVID-19 was the most cited barrier in accessing healthcare facilities, reported by 41% of PLWH.

Find the recommendations in the report.

PMTCT

HIV-Sensitive Social Protection

Organization Tag

UNICEF

Region Tags

Central and Eastern Europe

Country Tags

Population Tags

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Year Tags

Download file(s)

Assessing the impact of COVID-19 on people living with HIV, including pregnant women and children

Ending HIV for Every Child, Every Adolescent: An investment opportunity for the public and private sectors

IsabellaP — Wed, 17 Jul 2024 21:06:31 +0000

Ending HIV for Every Child, Every Adolescent: An investment opportunity for the public and private sectors IsabellaP Thu, 07/18/2024 - 00:06

This document highlights opportunities for both public and private sectors to engage in the global HIV response for infants, children, and adolescents in partnership with UNICEF. Below is also a spotlight on the Global HIV and AIDS Thematic Fund, with financial results from 2023 programming.

UNICEF is a key partner and leader in the AIDS response for children, adolescents, and women. It collaborates with governments and partners worldwide, offering innovation, technical expertise, data and evidence, programme excellence, coordination, and convening power.

UNICEF is 100 per cent voluntarily funded, and is seeking support to deliver ambitious HIV results for children and to ensure the world can reach Sustainable Development Goal Target 3.3, to end the epidemic of HIV by 2030.

Diagnostics

PMTCT

Paediatric and Adolescent Treatment

Adolescent Prevention

HIV-Sensitive Social Protection

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Region Tags

Country Tags

Population Tags

Key affected populations

Topic Tags

Adolescents living with HIV

AGYW

ART and Treatment

Maternal, newborn and children health

Document Type Tags

Evidence and data

Year Tags

2024

Download file(s)

Ending HIV for Every Child, Every Adolescent: An investment opportunity for the public and private sectors

[Short Version] Ending HIV for Every Child, Every Adolescent: An investment opportunity for private and public donors

Spotlight on the Global HIV and AIDS Thematic Fund

Within Reach: join the final push to end HIV among adolescent girls in Eastern and Southern Africa

Investing in the Thematic Fund

Progress Report and Road Map for the Triple Elimination of Mother-to-Child Transmission of HIV, Syphilis, and Hepatitis B in the MENA and EM Region

IsabellaP — Fri, 17 May 2024 22:32:28 +0000

Progress Report and Road Map for the Triple Elimination of Mother-to-Child Transmission of HIV, Syphilis, and Hepatitis B in the MENA and EM Region IsabellaP Sat, 05/18/2024 - 01:32

This is the first report on progress towards the triple elimination of mother-to-child transmission (EMTCT) of HIV, syphilis and hepatitis B virus (HBV) across 23 countries in the Middle East and North Africa/ Eastern Mediterranean (MENA/EM) region.

Countries included in this report: Algeria, Afghanistan, Bahrain, Djibouti, Egypt, the Islamic Republic of Iran, Iraq, Jordan, Kuwait, Lebanon, Libya, Morocco, Oman, Pakistan, Qatar, State of Palestine, Saudi Arabia, Somalia, Sudan, the Syrian Arab Republic, Tunisia, United Arab Emirates, Yemen.

To support countries in the region to achieve triple elimination goals, this report collects and assesses national policies and key indicators on EMTCT efforts against WHO criteria for validation of the EMTCT of HIV, syphilis and HBV. Based on analysis and consultations with national policymakers, the report provides a Road Map for countries at different stages of readiness to follow towards triple elimination goals. The report also provides a set of recommendations for all countries to prioritize EMTCT policy and programming actions over the short, medium, and long term.

PMTCT

Organization Tag

UNICEF

Region Tags

Middle East and North Africa

Country Tags

Population Tags

Topic Tags

Family centred care/services

Maternal, newborn and children health

PMTCT

Testing

Document Type Tags

Evidence and data

Global and regional report

Guidance

Year Tags

2024

Download file(s)

Progress Report and Road Map for the Triple Elimination of Mother-to-Child Transmission of HIV, Syphilis, and Hepatitis B

Technical Brief on Paediatric HIV Case-Finding: Beyond Infant Testing

IsabellaP — Thu, 11 Apr 2024 15:01:07 +0000

Technical Brief on Paediatric HIV Case-Finding: Beyond Infant Testing IsabellaP Thu, 04/11/2024 - 18:01

Despite global progress in HIV treatment for children, the gap between adult and paediatric treatment coverage continues to widen. This gap is driven primarily by barriers to HIV diagnosis in children, but in the past decade those barriers have shifted.

Scaling-up HIV case-finding efforts for children presents several challenges, including limited access to testing services, lack of provider preparedness to offer testing to children, stigma and discrimination, policy barriers related to age of consent, and inadequate health systems. The aim of this technical brief is to offer countries a guide to address these challenges and enhance HIV case-finding for children to improve testing coverage for children at risk for HIV. This technical brief focuses primarily on how programmes can identify those children who may have missed out on EID testing, who were never tested after breastfeeding or whose mothers were not enrolled in care.

Diagnostics

PMTCT

Paediatric and Adolescent Treatment

Organization Tag

UNICEF

Region Tags

Global

Eastern and Southern Africa

West and Central Africa

Country Tags

United Republic of Tanzania

Kenya