PATA Resources

 

   

HIV Treatment and Care Services for Adolescents: A situational analysis of 218 facilities in the 23 sub-Saharan countries

Luann Hatane, PATA Executive Director, delivered this presentation at the 8th National Paediatric and Adolescent Conference in Uganda on 6 October 2016. This presentation reviews the identification of policy and programmatic gaps for contribution to the development of global guidance on adolescent treatment, as commissioned by WHO.

 
 
   

Peer-led models: Adolescent HIV care and treatment

Luann Hatane, PATA Executive Director, delivered this presentation at the 8th National Paediatric and Adolescent Conference in Uganda on 6 October 2016. This presentation discusses learnings from PATA´s REACH and Peers2Zero programmes.

 
   

Call to Action: The Dar es Salaam Peer Supporter Declaration

The 2016 Youth Summit was held from 27 - 30 June in Dar es Salaam, Tanzania. The summit was a collaborative meeting for peer supporters, peer supporter supervisors & representatives from national networks of young people living with HIV.

 

 
 
   

2016 Youth Summit Report 

The 2016 Youth Summit was held from 27 - 30 June in Dar es Salaam, Tanzania. The summit was a collaborative meeting for peer supporters, peer supporter supervisors & representatives from national networks of young people living with HIV.

 

 
 
 

Clinic-CBO Collaboration (C3) Programme

This presentation was discussed by Dr Daniella Mark, PATA Senior Technical Advisor and Lebo Montewa, C3 Programme Manager, on PATA’s first C3 Facebook Live event on 29 September 2016. 

 

 
 

 

Clinic-CBO Collaboration (C3) Programme

The C3 Programme is a partnership between PATA and the Positive Action for Children Fund to build 36 clinic-community partnerships across 9 focus countries*. The 3-year programme uses a localised model to learn global lessons.

  

Project REACH_Poster presented at AIDS 2016

Project REACH: A facility-based peer support model across 20 facilities in five sub-Saharan African countries.

PATA and One to One Children’s Fund

 


 

Project REACH_Re-engaging adolescents and children in HIV treatment and care

Project REACH aims to improve health outcomes and services for adolescents and children by introducing a peer support model at health facilities. Project REACH is implemented by PATA in partnership with One to One Children’s Fund.


Expert Patient Programme_Improving antiretroviral treatment access and quality of care for infants, children and adolescents 

The Expert Patient Programme (June 2014 - March 2017) aims to improve access and quality of treatment and care services for HIV+ infants, children and adolescents in Zambia and Zimbabwe, by implementing a facility-based peer support model. It provides people living with HIV the opportunity to learn new skills while helping their peers to access information and services, adhere to treatment and develop resilience in the face of adversity. Peer Supporters also help build facility capacities and strengthen systems to deliver treatment and care at health facilities.

 


 

GoKidz

A play-informed, caregiver-focused approach supporting children living with HIV

Guiding Opportunities for Kids (GOKidz) is a play-informed and caregiver-focused early childhood development (ECD) intervention. Over the course of one year, caregivers and their children attend monthly sessions at the clinic where they learn about ECD and related activities that they can perform at home to encourage development. One of the key components of the programme is that each caregiver-child dyad is given a therapeutic take-home toolkit called a GOBox, which contains tools and toys designed to support the achievement of age-appropriate milestones. GOKidz was modeled and tested at Groote Schuur Hospital in Cape Town, South Africa, and is being implemented across several clinics in the Western Cape Province where paediatric antiretroviral therapy (ART) is provided.

The GOKidz Programme was developed after Kidzpositive occupational therapists (OTs) noticed a need for therapy to address developmental, learning and play difficulties in children living with HIV. There was also a desire for a more comprehensive approach to service delivery, in order to address these needs in affected families. The GOKidz programme provides overburdened and resource-constrained paediatric ART clinics with support and increased capacity to respond to the clinical and psycho-social needs of these patients. GOBoxes were developed as a key tool of the broader GOKidz programme. The central aims of the programme are to strengthen the paediatric patient and caregiver relationship, encourage stimulation and play to support achievement of developmental milestones, and promote regular clinic attendance. Click on the heading or thumbnail to read more.

 


 

Grab the Gap

Creating opportunities for HIV-positive school leavers

The Grab the Gap Programme creates opportunities for HIV-positive adoles­cents who have recently left school to undertake individualized year-long internship-style placements attached to a community health clinic. A peer support programme with a twist, Grab the Gap uses a two-pronged approach to promote the well-being of HIV-positive children and adolescents by:

Offering opportunities for skills development, mentorship and career-relevant experience to HIV-positive adolescents who have recently left school;

Leveraging the engagement of these school leavers to improve provision of comprehensive paediatric and adolescent HIV services in a resource-con­strained setting.

Grab the Gap is facilitated in part­nership by the paediatric unit of TC Newman Community Health Clinic and ANOVA Health Institute in the Cape Winelands region of South Africa.

Grab the Gap was developed in response to the frustrations of adolescents, families and health workers at TC Newman Community Health Clinic, who were feeling ill equipped to deal with some of the adherence, disclosure, employment and school performance challenges they were facing. In an effort to address these complex and interrelated socioeconomic issues, Grab the Gap was designed to harness the lived experience of adolescents living with HIV to improve access to paediatric and adolescent HIV care, while providing them with skills and opportunities to secure training and improve their own health and wellbeing. Assisting clinics to offer a wider range of psychosocial services and support options would ensure a more holistic model of child- and youth-sensi­tive treatment and care, and Grab the Gap Youth would have improved job prospects after their participation, training and work experience, improving their eligibility for other positions. Click on the heading or thumbnail to read more.


 

One-stop adolescent shop

Delivering adolescent-friendly sexual and reproductive health, HIV and TB services

The Kafue Adolescent Reproductive Health Project (KARHP) is a clinic-based one-stop adolescent shop to provide adolescent-friendly sexual and reproductive health (SRH) services integrated into HIV treatment and care. The project aims to improve adolescent access to SRH services, retention in care and ART adherence. KARHP is a joint initiative between PRIDE Community Health Organization (PRICHO) and Estates Clinic in Kafue, Zambia.

KARHP was developed in response to the needs of adolescents living with HIV (ALHIV) attending states Clinic, for a designated, confidential and safe space that provides fast-track integrated services for adolescents, including SRH, antiretroviral therapy (ART), TB screening and treatment, psychosocial services, referrals and HIV counselling and testing (HCT). In this rural community, long waiting periods sitting amongst adults (who are often known to adolescents), coupled with school commitments and stigma created reluctance amongst adolescents to access SRH and HIV services. Kafue adolescents reported to PRICHO a resistance to engage in health services due to high levels of stigma in the community, at school, as well as within health centres themselves. Kafue District sees high rates of teenage pregnancy, adolescent HIV prevalence, early forced marriage and child and adolescent sexual abuse. ALHIV were displaying disproportionally poor treatment outcomes, including low retention in care and adherence levels due to inadequate psychosocial support. PRICHO and Estates Clinic maintain that early adolescence represents a window of opportunity to promote positive and sustained health behaviours. KARHP uses a clinic-community-based organisation (CBO) collaboration model that can feasibly be integrated into clinic services. Click on the heading or thumbnail to read more.

 


Children, Adolescents & HIV

A simple toolkit for community health workers and peer supporters

Project Re-Engage Adolescents and Children with HIV (REACH) engages adolescents living with HIV (ALHIV) and young people living with HIV (YPLHIV) age 18 – 24 years as peer supporters to improve the quality of services for their paediatric and adolescent peers in five priority countries: Cameron, Ethiopia, Malawi, DRC and Uganda. The Zimbabwe/ Zambia Community Health Worker (CHW) Programme improves access to, and quality of, HIV care services delivered by 16 clinics in Zambia and Zimbabwe, to 7,000 HIV-positive children, adolescents and their families. 

PATA and its partner on both programmes, One to One Children’s Fund, identified how valuable a simple toolkit would be for community health workers and peer supporters. Despite the many job aids, resources and materials available to support specific aspects of HIV treatment and care, most are not comprehensive, do not focus on childhood and adolescents in enough detail, and are inaccessible to community health workers and peer supporters who may not have the requisite literacy levels or educational grounding. It was with this in mind that the two organisations, with support from UK Aid, developed this resource. The toolkit provides the latest HIV guidance and information needed for community health workers and peer supporters to support children and adolescents living with HIV. Click on the heading or thumbnail to read more.


11th PATA Continental Summit Report 

The PATA 2015 Continental Summit, titled Promising practices in paediatric and adolescent HIV services: Adapting global targets to local realities was held 6-9 December 2015 in Nairobi, Kenya. The meeting brought together 125 participants, including 85 frontline health providers from 29 health facilities across 12 sub-Saharan Africa countries. Also in attendance were representatives from ministry of health, youth networks and organisations who are leading the response to paediatric and adolescent HIV in sub-Saharan Africa. Click on the heading to read more.