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A healthcare worker in white attire administers a medical test to a young girl seated outdoors, while an adult stands nearby. Medical supplies and documents are on the table, reflecting efforts to address paediatric HIV in Nigeria.

APIPHCARE+ Project

Nigeria has one of the largest paediatric HIV epidemics in the world. More than 200,000 children and adolescents are living with HIV, yet many remain undiagnosed or start treatment too late. Children are less likely than adults to be tested, linked to care and receive lifesaving treatment. Many children are missed because they fall outside routine prevention and testing services. Children born to mothers who were not tested during pregnancy, who acquired HIV during breastfeeding, or who were delivered outside health facilities often remain invisible to the healthcare system. Without early diagnosis and treatment, HIV can quickly become life-threatening for children. APIPHCare+ helps close these gaps by finding children living with HIV, linking them quickly to treatment and supporting them to stay in care. Working across communities and health facilities in Rivers State, Nigeria, the project brings together healthcare workers, community counsellors, traditional birth attendants and local authorities to identify children who have been missed by existing services.

Communities Children, Young people

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project
Smiling child covers their eyes with both hands, wearing a grey shirt and an orange bracelet, in front of a plain background.

Afya-Watoto

In the Ilala, Igunga and Geita districts in Tanzania, many children living with HIV, particularly those under the age of 10, remain invisible to the health system. Stigma, shortages of testing supplies and paediatric medicines, limited specialist healthcare staff, and weak community support systems prevent children from being diagnosed and accessing life-saving treatment. Afya-Watoto changes this. Meaning 'Health for Children', the project actively finds children living with HIV who have not yet been reached by health services. Afya-Watoto creates a network of support around every child by connecting families, schools, communities and health facilities. Combined with data-driven targeting, this approach helps identify children at risk earlier, link them to treatment faster, and provide the ongoing support they need to remain in care and thrive.

Communities Children

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project
A child wearing a striped shirt stands outdoors, partly hidden behind a tree, with one eye and part of a smile visible.

Bringing Paediatric HIV Services to the Last Mile

Many children living with HIV in Malawi remain undiagnosed or are not receiving the care they need, particularly in remote and underserved communities. This project brings HIV testing, treatment and support directly to children and families in Phalombe, Mulanje and Chikwawa districts, ensuring that children who are often missed by traditional health services can be identified, linked to care and supported to stay healthy.

Communities Children, Young and adolescent women

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project
An adult holds a smiling toddler outdoors on a mat. The adult looks down at the toddler, who is looking up and grinning. Another person is partially visible in the foreground.

Closing the Paediatric HIV Testing and Treatment Gap

Too many children living with HIV in South Africa's Gauteng, KwaZulu-Natal and Eastern Cape provinces are never diagnosed or enter treatment too late. This project helps change that by using community-led approaches to find children who are missed by existing services.

Communities Children

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