Scale up and Enhance HIV Paediatric Care with an Integrated Family Care Approach

The project will train 20 community health workers to strengthen their capacity to find, test, treat, retain in care of mothers and their children (0-14 years) and follow up to improve health outcomes. They play a critical role in conducting household visits with families to provide education on HIV, dispelling myths and reducing stigma and discrimination.

In addition, the project will identify eight male mentors who are partners of women living with HIV (14-24 years). They will influence fellow male partners to take part in prevention of vertical transmission and paediatric HIV care programmes. It will also integrate community-based sports activities into the Kids to Care model to raise awareness for paediatric and adolescent HIV care services.

The project will adapt the Clinic-CBO Collaboration (C3) model. The strengthened linkages between communities and health facilities help increase uptake of HIV services, combat stigma and discrimination, monitor quality and contribute to building stronger local health systems. It will be implemented in four sub-counties in Zambia: Chisakila, Chiawa, Kambale and Chitende.

Time frame

2024-2025

Budget

€ 380,000


Background

In Zambia, children and adolescents (<15 years) account for 51.2% of the total population. An estimated 80,000 children 0-14 years are living with HIV. 60% of these children are on life-saving HIV treatment (MOH 2021) and 83% of pregnant women receive treatment to avert vertical transmission (UNAIDS 2022).

The key challenge lies in the low number of children who are accessing life-saving HIV treatment in hardly-reached rural sub-counties. The negative patriarchal cultural beliefs that women must seek permission from men to access health services, impedes the identification of children for HIV care. Other barriers include poverty, long distance to health facilities, impassable roads especially in the rainy season and consent issues for testing of children below 14 years. There is also a challenge of parents who shun health services such as growth monitoring promotion and family planning. This makes it difficult to track their children for testing.

Furthermore, in Zambia activities associated with sex work are criminalised. Living on the earnings of sex work, soliciting clients, and indecent behaviour are deemed as illegal activities. This affects the children of sex workers accessing paediatric HIV services including retention in care.

Objectives
  • Strengthen and sustain community systems to enhance early identification, testing and treatment of 1,200 children who are not yet aware of their HIV status aged 0-14 years; pregnant and lactating women before, during and post-delivery and link them into care to close the gaps in the prevention of vertical transmission and paediatric HIV response.
  • Strengthen and sustain clinic-community collaborations between multidisciplinary paediatric and children HIV Treatment Teams, community-based organisations and communities to enhance the finding, diagnosis, linking into care and retention of children 0-14 years into paediatric HIV treatment, care and support within the target communities.
  • Document best practices and lessons from findings shared on working community-based approaches for sustainable case finding, testing and treatment of infants and children.
Expected results

Year 1: 50 children 0-2 years old, 30 children 3-5 years old, 120 children 6-9 years old, 150 children 10-14 years old, 250 pregnant and lactating mothers
Year 2: 100 children 0-2 years old, 50 children 3-5 years old, 130 children 6-9 years old, 140 children 10-14 years old, 180 pregnant and lactating mothers

About the Kids to Care model

The Aidsfonds Kids to Care model empowers communities to strengthen the links between communities and health facilities to find, test, treat and retain children, and pregnant and lactating mothers, living with HIV in care. The Kids to Care model is built on the following foundation principles:

Community-owned and community-led
Builds on existing community structures
Child and family centred
Builds on government frameworks and policies
Key stakeholders are meaningfully involved from the beginning
Interventions are informed by data
Committed to sustainability and long-term support

More about the Kids to Care model can be found here

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Aidsfonds Launches ‘Bringing Kids to Care’ project in Malawi, Tanzania, Zambia, and Indonesia/West Papua

Aidsfonds Launches ‘Bringing Kids to Care’ project in Malawi, Tanzania, Zambia, and Indonesia/West Papua

We proudly announce four new partners who will address the critical paediatric HIV gaps identified in Malawi, Tanzania, Zambia and Indonesia/West Papua. Coalition of Women Living with HIV and AIDS, Action for Community Care, Pride Community Health Organization, and the Indonesia AIDS Coalition bring unique strengths, expertise, and a shared dedication to improving paediatric HIV care and support in these new ‘Kids to Care’ projects.

Read more about Aidsfonds Launches ‘Bringing Kids to Care’ project in Malawi, Tanzania, Zambia, and Indonesia/West Papua
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The Kids to Care Toolkit

The Kids to Care Toolkit

Are you working in paediatric HIV programming? The Kids to Care Toolkit might be of great support to you. This toolkit has been developed to provide support for those who want to implement a community-based model to strengthen paediatric HIV care that is based on evidence and best practice.

Read more about The Kids to Care Toolkit

Partner with us!

Aidsfonds is interested in working together to further strengthen community leadership, increase HIV prevention choices, and improve treatment outcomes and quality of life of people living with or exposed to HIV. We want to talk to anyone who shares our dream and wants to join us on a journey toward a world free of AIDS.

Get in touch!

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