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Sixth Annual Emergency Plan for AIDS Relief
Track 1.0 ART Program Meeting“Integrating HIV Services at ART Sites”
Pediatric HIV Care and Treatment Session
August 11, 2008
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Pediatric HIV Care and Treatment Session
1:40 – 1:50 pm – Provider initiated testing and counseling and decentralization of Pediatric HIV care and treatment in Africa – Gordon E. Schutze (Baylor)1:50 – 2:00 pm – HIV testing of infants and children – Elaine Abrams (ICAP)2:00 – 2:10 pm – Infant survival: challenges in implementation of early services – Doug Watson -Robb Schenenberger – (AIDSRelief)- 2:10 – 2:25 pm – Pediatric barriers study results – Tanzania – Denis Tindyebma (EGPAF) 2:25 – 2:35 pm – FHI: Lessons learned and challenges on scaling up Pediatric HIV clinical care and treatment – Philippe Chiliade (FHI)2:35 – 2:45 pm – Scaling up pediatric HIV programs: Data from three countries – Guerino Chalamilla (HSPH)2:45 – 2:55 pm – Follow-up of HIV exposed infants: best practices and models of service delivery – Prepared by Anthony Endozien – Anthony Amoroso (AIDSRelief)2:55 – 3:15 pm – Discussion: Implementation of new treatment recommendations, program indicators and basic care of HIV infected, affected and exposed children
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Track 1.0 ART Program Data: Pediatrics
Pediatric Service
2005 2006 2007 2008
Care 17,480 44,520 71,160 90,438
ART 5,425 16,383 25,320 33,130
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Age distribution of children on ART
0 - 1 11.5%
2 - 4 28.5%
5 -14 60.0%
Track 1.0 ART Program Data: Pediatrics
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Track 1.0 ART Program Data: Pediatrics
Number of facilities providing pediatric ART by year in
Track 1.0 ART Funded Programs
Facilities 2005 2006 2007 2008
Total # 204 368 565 652
Pediatrics 37 (18%) 66 (17%) 101(17%) 113 (17%)
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Important changes/advances in Pediatric HIV
• WHO PITC guidelines
• WHO recommendations for pediatric HIV treatment:– Early treatment initiation in infancy regardless of clinical/immunological
parameters– First line regimen based on exposure history to NVP for young infants– Change in CD4 cut-off for children 36-59 mos/age
• PEPFAR II – New targets– New indicators with age group disaggregation– Emphasis on PMTCT and integration with MCH– Sustainability
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Areas of Focus for Pediatric HIV Care and Treatment
• PMTCT program expansion and co-located with ART programs or prescribing privileges
• Enhance follow-up services for women identified in PMTCT and their children
• Implement systematic testing of family members of HIV positive children and adults
• Expand Pediatric Care and ART to sites with ART services for adults
• Implement pediatric HIV care/prevention packages
• Quality of Pediatric HIV care and treatment programs
• Targeted evaluations, PHE, other