Children

Improving HIV Service Delivery for Infants, Children and Adolescents: Towards a framework for collective action

admin — Tue, 28 Jan 2020 19:15:11 +0000

Improving HIV Service Delivery for Infants, Children and Adolescents: Towards a framework for collective action admin Tue, 01/28/2020 - 21:15

In June 2019, UNICEF convened a group of about 40 global experts from 24 organizations and institutions to advance the collective thinking on paediatric HIV service delivery. The aim of this “think tank” consultation was to build consensus on the 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.

Participating organizations included:

Aidsfonds
Africaid-Zvandiri
African Network for the Care of Children Affected by HIV/AIDS
(ANECCA)
Baylor College of Medicine
Centers for Disease Control and Prevention (CDC)
Clinton Health Access Initiative (CHAI)
Elizabeth Glaser Pediatric AIDS Foundation (EGPAF)
ELMA Philanthropies
Health Innovations Kenya
FHI 360
ICAP at Columbia University
Joint United Nations Programme on HIV/AIDS (UNAIDS)

Kenya Ministry of Health
Office of the Global AIDS Coordinator (OGAC)
Pact
Pediatric-Adolescent Treatment Africa (PATA)
Positive Action for Children Fund (PACF) / ViiV Healthcare
Réseau Enfants et VIH en Afrique (EVA)
United Nations Children’s Fund (UNICEF)
University of Nairobi
United States Agency for International Development (USAID)
World Health Organization (WHO)
World Council of Churches – Ecumenical Advocacy Alliance (WCC–EAA)
Yale University

Experts addressed the gaps in the continuum of care which are causing children to be missed before they are tested, before they are given their test results and before they are provided with lifelong treatment and care. Read more about the evidence base and the call for action in the brief above.

Paediatric and Adolescent Treatment

Organization Tag

Region Tags

Population Tags

Topic Tags

Health systems strengthening

Maternal, newborn and children health

Policy/Enabling Environment

Document Type Tags

Brief

Strategy

Year Tags

2019

Download file(s)

Brief: Improving HIV Service Delivery for Infants Children and Adolescents

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

Organization Tag

Region Tags

Population Tags

Topic Tags

Family centred care/services

Document Type Tags

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

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

Population Tags

Topic Tags

Family centred care/services

Maternal, newborn and children health

Document Type Tags

Year Tags

Download file(s)

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

Paediatric Abacavir/Lamivudine/Dolutegravir (pALD) fixed-dose combination: Introduction and rollout planning considerations for national programmes

rlekirkegaard — Thu, 21 Dec 2023 17:30:23 +0000

Paediatric Abacavir/Lamivudine/Dolutegravir (pALD) fixed-dose combination: Introduction and rollout planning considerations for national programmes rlekirkegaard Thu, 12/21/2023 - 19:30

Dolutegravir (DTG)-based HIV treatment regimens are recommended by the World Health Organization for children living with HIV (CLHIV) who weigh at least 3 kg. In 2020, the United States Food and Drug Administration (US FDA) granted tentative approval of paediatric DTG 10 mg scored, dispersible tablets (pDTG) for CLHIV weighing a minimum of 3 kg and at least four weeks of age. In early 2021, national HIV programmes in low- and middle-income countries (LMICs) began to transition CLHIV from treatment regimens containing non-nucleoside reverse transcriptase inhibitor (NNRTI) and lopinavir/ritonavir to pDTG. As of the last quarter of 2022, at least 73 countries have already placed or received orders for pDTG1 and an estimated 130,000 children have transitioned to pDTG. pDTG currently is administered along with optimised backbone antiretrovirals (ARVs) such as abacavir/lamivudine 120/60 mg scored dispersible tablets (pABC/3TC) per the WHO’s 2021 Consolidated HIV Guidelines.

This brief aims to inform the transition from pDTG + pABC/3TC to the new fixed-dose combination (FDC) dispersible tablet of paediatric ABC/3TC/DTG 60/30/5 mg (pALD).

Paediatric and Adolescent Treatment

Organization Tag

Region Tags

Population Tags

Topic Tags

Paediatric ARVs and formulations

Document Type Tags

Brief

Year Tags

2023

Download file(s)

pALD introduction and rollout planning

Investment Cases

bbenghomari — Fri, 15 Dec 2023 04:38:51 +0000

Investment Cases bbenghomari Fri, 12/15/2023 - 06:38

Adolescent Prevention

Organization Tag

Region Tags

Population Tags

Topic Tags

Adolescent and young key populations

Document Type Tags

Guidance

Strategy

Download file(s)

Investment Opportunity for Private Sector - Close the HIV treatment gap for children

Investment Opportunity for Private Sector - Prevent HIV in adolescents

UNICEF HIV/AIDS Thematic Fund Investment Case

A whole school approach to prevent school-related gender-based violence: Minimum standards and monitoring framework

bbenghomari — Fri, 15 Dec 2023 03:54:25 +0000

A whole school approach to prevent school-related gender-based violence: Minimum standards and monitoring framework bbenghomari Fri, 12/15/2023 - 05:54

Organization Tag

UN Girls' Education Initiative

Region Tags

Population Tags

Document Type Tags

Year Tags

A whole school approach to prevent school-related gender-based violence: Minimu…

Standards for improving the quality of care for children and young adolescents in health facilities

bbenghomari — Thu, 14 Dec 2023 02:59:01 +0000

Standards for improving the quality of care for children and young adolescents in health facilities bbenghomari Thu, 12/14/2023 - 04:59

Organization Tag

Population Tags

Topic Tags

Document Type Tags

Year Tags

Standards for improving the quality of care for children and young adolescents …

Getting back on track to ending AIDS in Children

rlekirkegaard — Thu, 16 Nov 2023 12:45:57 +0000

Getting back on track to ending AIDS in Children rlekirkegaard Thu, 11/16/2023 - 14:45

In this viewpoint Getting back on track to ending AIDS in Children: It could just be easier than you think, published in the Journal of the International AIDS Society on World Children's Day, 20 November 2023, UNICEF reviews the global inequities faced by children and adolescents living with HIV and highlights three strategies to end AIDS in children by 2030.

Paediatric and Adolescent Treatment

Organization Tag

Region Tags

Population Tags

Topic Tags

Document Type Tags