0
WHO Guidelines: 
     2010 and Beyond
     2010 d B      d

    C s a
    Christian Pitter, MD MPH
                  e,
  ...
Eliminate Pediatric HIV Now.
EGPAF International Programs:
            2000   8 sites in 6 countries
         2010    >4865 sites in 16 countries
     ...
70 000
60 000                                               Estimate of the annual number
50 000                          ...
Four Linked Guidelines
                                                    nse 
                     etc.)


             ...
What the New Guidelines 
           Represent
• Progress of knowledge in provision of 
     g               g     p
  HIV ...
Overall Major Changes
       • ↑ logis cal and supply‐chain needs
       • ↑ need for long‐term follow‐up and 
         in...
Guidelines as a Leverage Point
      Guidelines as a Leverage Point
                                                      ...
What We Need to Do: 
          Be of Service…
          Be of Service
1. To our host countries’ HIV response 
   To our ho...
Supporting Guideline Adaptation 
      & Implementation
      & Implementation
• Toolkits phases I, II, and III
          ...
Phase 1 
Toolkit
Phase 2: District Implementation 
         Planning Tools
         Planning Tools
• Site profiling/ mapping tools
• Progra...
Phase 2: Facility Implementation 
         Planning Tools
         Planning Tools
• Site Patient Flow Analysis
• Linkage a...
Phase 3 Overview
• Ongoing planning
    g gp         g

• Monitoring and evaluation
           g

• Quality improvement
  ...
Continuing the Cycle
• Revisions planned for 2012
            p

• What direction for the next revisions?

• What do we ne...
Continuing the Cycle
• Revisions planned for 2012
            p

• What direction for the next revisions?

• What do we ne...
Final Thoughts
• Challenges
  o Accelerate scale‐up and improve quality
  o Fundamental changes to health system functioni...
Thank You
           Thank You
• US Centers for Disease Control and 
  Prevention
• USAID
• Johnson & Johnson
• ViiV Healt...
Eliminate Pediatric HIV Now.
2 egpaf approach and activites who_vienna 2010
Upcoming SlideShare
Loading in...5
×

2 egpaf approach and activites who_vienna 2010

636

Published on

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
636
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
5
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Transcript of "2 egpaf approach and activites who_vienna 2010"

  1. 1. WHO Guidelines:  2010 and Beyond 2010 d B d C s a Christian Pitter, MD MPH e, Director, Global Technical Policy Elizabeth Glaser Pediatric AIDS Foundation Elizabeth Glaser Pediatric AIDS Foundation
  2. 2. Eliminate Pediatric HIV Now.
  3. 3. EGPAF International Programs: 2000 8 sites in 6 countries 2010 >4865 sites in 16 countries 4865 United China States India Rwanda Uganda Cote d’Ivoire Kenya Cameroon Tanzania D.R. Congo Malawi Mozambique South Africa Zimbabwe Swaziland Zambia Lesotho *Program initiated with EGPAF support and transitioned to other implementers
  4. 4. 70 000 60 000 Estimate of the annual number 50 000 of infant infections averted 40 000 through the provision of ARV 30 000 prophylaxis to HIV-positive 20 000 pregnant women, globally, 10 000 1996–2008 0 1996 1998 2000 2002 2004 2006 2008 70,000 Estimated number of infections averted in new pediatric infections 2008 with and without PMTCT prophylaxis globally, 1996-2008
  5. 5. Four Linked Guidelines nse  etc.) ARVs for  ARVs for Respon H,TB, e Vertical  Pediatric ART Transmission e HIV R ealth Sy m (MCH mprehensive ystem Adult &  IYCF Com Adolescent ART Ad l t ART He
  6. 6. What the New Guidelines  Represent • Progress of knowledge in provision of  g g p HIV services • Th fi t t i The first step in codifying knowledge  dif i k l d into standards of care • Opportunity to improve approaches,  y, service delivery, and outcomes • A relatively rare “leverage point” to  focus attention and effort f i d ff
  7. 7. Overall Major Changes • ↑ logis cal and supply‐chain needs • ↑ need for long‐term follow‐up and  integration between PMTCT and HIV care  g and treatment • ↑ need for treatment ↑ need for treatment • Advancement of monitoring and  evaluation If implemented at scale, the virtual If implemented at scale, the virtual  elimination of pediatric HIV
  8. 8. Guidelines as a Leverage Point Guidelines as a Leverage Point Elimination of  Pediatric HIV Concerted Efforts Implementation Advocacy Research  Concerted Efforts Current  National Systems, Partners and Communities National Systems Partners and Communities Implementation I l i Success Advocacy Research  WHO  Guidelines 8
  9. 9. What We Need to Do:  Be of Service… Be of Service 1. To our host countries’ HIV response  To our host countries HIV response o Assist/Advise in adaptation o Assist/Advise in implementation 2. To districts and facilities we serve o Implementation planning and support Implementation planning and support 3. To our Mission o S 1&2 b See 1 & 2 above o Evaluate   o Document & Share Document & Share
  10. 10. Supporting Guideline Adaptation  & Implementation & Implementation • Toolkits phases I, II, and III p , , • Technical advocacy/support at national  level l l • Technical support at implementation level Technical support at implementation level • Inter‐country support  • Global sharing and leadership • DOCUMENT, EVALUATE, DOCUMENT
  11. 11. Phase 1  Toolkit
  12. 12. Phase 2: District Implementation  Planning Tools Planning Tools • Site profiling/ mapping tools • Programming cost estimate tools • District patient flow analysis i i i fl l i • District work planning • Assessment staffing training needs • Planning standard tool revision • Partnership landscape analysis p p y • Package of BCC/IEC planning tools
  13. 13. Phase 2: Facility Implementation  Planning Tools Planning Tools • Site Patient Flow Analysis • Linkage and Integration Site Assessment Tool p g p • Standard Operating Procedures Templates • Site Transitioning Mentoring Tool • T lt A Tool to Assess Inventory of National Guidelines  I t f N ti l G id li Currently Available at Sites • Facilitator’s Guide for Briefing Healthcare  Workers on Content of Revised WHO Guidelines • M&E Implementation Planning Tools 
  14. 14. Phase 3 Overview • Ongoing planning g gp g • Monitoring and evaluation g • Quality improvement Q y p
  15. 15. Continuing the Cycle • Revisions planned for 2012 p • What direction for the next revisions? • What do we need to know to inform  the decisions? • Who will do the research?
  16. 16. Continuing the Cycle • Revisions planned for 2012 p • What direction for the next revisions? • What do we need to know to inform  the decisions? • Who will do the research?
  17. 17. Final Thoughts • Challenges o Accelerate scale‐up and improve quality o Fundamental changes to health system functioning  (Integration! Supply chain! Funding! Human resources!) o Monitoring & evaluation • Opportunities o Collaborate in a new way Collaborate in a new way o Move closer to elimination: believe, plan,  communicate & execute communicate & execute o Bring non‐clinical elements to the fore
  18. 18. Thank You Thank You • US Centers for Disease Control and  Prevention • USAID • Johnson & Johnson • ViiV Healthcare • Host Governments y • EGPAF Country Teams • International and local partners
  19. 19. Eliminate Pediatric HIV Now.
  1. A particular slide catching your eye?

    Clipping is a handy way to collect important slides you want to go back to later.

×