aids conference 2016, hiv and aids, hiv interventions, hope program, kenya, nope kenya, people living with hiv, uptake of hiv testing and adherence to hiv treatment
Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Better Care
Germain Bukassa Kazadi
Philadelphia Department of Public Health HIV Prevention ActivitiesOffice of HIV Planning
Coleman Terrell of the Philadelphia Department of Public Health presented on the PDPH's HIV Prevention Activities at the Philadelphia HIV Prevention Planning Group's December 2014 meeting.
Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Better Care
Germain Bukassa Kazadi
Philadelphia Department of Public Health HIV Prevention ActivitiesOffice of HIV Planning
Coleman Terrell of the Philadelphia Department of Public Health presented on the PDPH's HIV Prevention Activities at the Philadelphia HIV Prevention Planning Group's December 2014 meeting.
Expert panelists:
Dr. Tafadzwa Chakare, Technical Director, Jhpiego, Lesotho
Dr. More Mungati, STAR-L Director, EGPAF Lesotho
Facilitator:
Dr. Seema Ntjabane, Care & Treatment Specialist, USAID-Lesotho
Hi52Hlth: Using Mobile Technology to Access Healthcare for TeensYTH
Hi52Hlth is a mobile application (app) created to engage adolescents and young adults in the search for resources in the Houston area. The app allows the user to search for locations of clinics and community organizations with directions, articles and videos on HIV/AIDS, ability to ask questions directly to health avatars ("Tiff" and "Ty"), PEP (Post-Exposure Prophylaxis) and PrEP (Pre-Exposure Prophylaxis) information, and a frequently asked questions section.
Representatives from the Philadelphia Department of Public Health (PDPH) presented an update on their strategic plan for sexual health at the February 2015 meeting of the Philadelphia Ryan White Part A Planning Council.
As health care and financing systems become more sophisticated, health care systems are increasingly using a process known as "risk tiering" to group patients with similar degrees of need for health care and care coordination services. Families and care providers of children with chronic and complex conditions should understand the risk tiering process, as it may affect access to services these children need.
Shaun Staunton (Tascahrd) reports on a Qld study of HIV nurses and recommends that HIV nurses could play a greater role in HIV health promotion and prevention. This presentation was given at the AFAO/NAPWA Gay Men's HIV Health Promotion Conference in May 2012.
aids conference 2014, hiv and aids, hiv interventions, hope program, kenya, nope kenya, people living with hiv, uptake of hiv testing and adherence to hiv treatment
APCRSHR10 Virtual plenary presentation of Eamonn Murphy, Regional Director of...CNS www.citizen-news.org
This is the plenary presentation of Mr Eamonn Murphy, Regional Director, UNAIDS, Asia and the Pacific, on "Solidarity and Accountability: HIV, SRHR and the COVID response”, which was made as part of the 12th session of 10th Asia Pacific Conference on Reproductive and Sexual Health and Rights (#APCRSHR10) Virtual. This session was held in lead up to #WorldAIDSDay and #16DaysofActivism against sexual and other forms of gender-based violence, on the theme of "HIV/AIDS and sexual and reproductive health and rights (SRHR) in Asia and the Pacific".
Chair: Jennifer Butler, Director, UNFPA Pacific Sub Regional office based in Fiji
Plenary Speaker: Eamonn Murphy, Regional Director, UNAIDS, Asia and the Pacific | “Solidarity and Accountability: HIV, SRHR and the COVID response”
Abstract Presenters:
-------------------------
* Jude Tayaben | Successes, Pitfalls, and Moving Forward: Adivayan Youth Health Center- A school-based program addressing Adolescent Sexuality, and Reproductive Health Issues in Benguet, Philippines
* Samreen, Manisha Dhakal | Integrating transgender health into HIV and SRHR programming in Indonesia, Nepal, Thailand and Vietnam
* Harjyot Khosa | Stigma, sex work and non-disclosure to health care providers: Exploring dynamics of anal sex through community led monitoring to bridge gaps in HIV care continuum services
* Angela Kelly Hanku, Agnes K. Mek | I can, I want, I will and Young & Positive: Two visual method projects with young women living with HIV in Papua New Guinea
For more information on the session, please visit
www.bit.ly/apcrshr10virtual12
Official conference website: www.apcrshr10cambodia.org
Thanks
Review the Effectiveness of Community-based Primary Health Care in Improving ...CORE Group
Review the Effectiveness of Community-based Primary Health Care in Improving Child and Maternal Health: Leveraging Results for Advocacy HENRY PERRY and PAUL FREEMAN
Nkatha Njeru, Coordinator of the Africa Christian Health Associations Platform and Program Manager for IMA World Health in Kenya discusses how IMA works with partners and USAID to empower faith groups to increase demand for HIV services in Kenya.
Ambassador-at-Large Deborah L. Birx, MD is the Coordinator of the US Government Activities to Combat HIV/AIDS. She discusses the importance of the faith community in addressing HIV/AIDS.
An estimated104,000 children aged 0-14 years are infected with HIV in Kenya.
The HIV prevalence rate of youth aged 15-24 years is 2.1%.
Among adolescents aged 12-14 years, 7% have had sex.
Among young people aged 15-24 years, 66% females and 59% males have had sex.
(KAIS 2012)
Stigma and discrimination associated with HIV & AIDS remains a key barrier to preventing new infections and accessing adequate care, support and treatment among youth.
Misperceptions about HIV transmission modes among the youth still exist despite HIV prevention efforts to provide accurate information on HIV and AIDS to the youth.
Cate Lane, Youth Advisor for USAID shares strategies to reach youth with positive messages on health and evaluates what works and what does not based on program experience.
Expert panelists:
Dr. Tafadzwa Chakare, Technical Director, Jhpiego, Lesotho
Dr. More Mungati, STAR-L Director, EGPAF Lesotho
Facilitator:
Dr. Seema Ntjabane, Care & Treatment Specialist, USAID-Lesotho
Hi52Hlth: Using Mobile Technology to Access Healthcare for TeensYTH
Hi52Hlth is a mobile application (app) created to engage adolescents and young adults in the search for resources in the Houston area. The app allows the user to search for locations of clinics and community organizations with directions, articles and videos on HIV/AIDS, ability to ask questions directly to health avatars ("Tiff" and "Ty"), PEP (Post-Exposure Prophylaxis) and PrEP (Pre-Exposure Prophylaxis) information, and a frequently asked questions section.
Representatives from the Philadelphia Department of Public Health (PDPH) presented an update on their strategic plan for sexual health at the February 2015 meeting of the Philadelphia Ryan White Part A Planning Council.
As health care and financing systems become more sophisticated, health care systems are increasingly using a process known as "risk tiering" to group patients with similar degrees of need for health care and care coordination services. Families and care providers of children with chronic and complex conditions should understand the risk tiering process, as it may affect access to services these children need.
Shaun Staunton (Tascahrd) reports on a Qld study of HIV nurses and recommends that HIV nurses could play a greater role in HIV health promotion and prevention. This presentation was given at the AFAO/NAPWA Gay Men's HIV Health Promotion Conference in May 2012.
aids conference 2014, hiv and aids, hiv interventions, hope program, kenya, nope kenya, people living with hiv, uptake of hiv testing and adherence to hiv treatment
APCRSHR10 Virtual plenary presentation of Eamonn Murphy, Regional Director of...CNS www.citizen-news.org
This is the plenary presentation of Mr Eamonn Murphy, Regional Director, UNAIDS, Asia and the Pacific, on "Solidarity and Accountability: HIV, SRHR and the COVID response”, which was made as part of the 12th session of 10th Asia Pacific Conference on Reproductive and Sexual Health and Rights (#APCRSHR10) Virtual. This session was held in lead up to #WorldAIDSDay and #16DaysofActivism against sexual and other forms of gender-based violence, on the theme of "HIV/AIDS and sexual and reproductive health and rights (SRHR) in Asia and the Pacific".
Chair: Jennifer Butler, Director, UNFPA Pacific Sub Regional office based in Fiji
Plenary Speaker: Eamonn Murphy, Regional Director, UNAIDS, Asia and the Pacific | “Solidarity and Accountability: HIV, SRHR and the COVID response”
Abstract Presenters:
-------------------------
* Jude Tayaben | Successes, Pitfalls, and Moving Forward: Adivayan Youth Health Center- A school-based program addressing Adolescent Sexuality, and Reproductive Health Issues in Benguet, Philippines
* Samreen, Manisha Dhakal | Integrating transgender health into HIV and SRHR programming in Indonesia, Nepal, Thailand and Vietnam
* Harjyot Khosa | Stigma, sex work and non-disclosure to health care providers: Exploring dynamics of anal sex through community led monitoring to bridge gaps in HIV care continuum services
* Angela Kelly Hanku, Agnes K. Mek | I can, I want, I will and Young & Positive: Two visual method projects with young women living with HIV in Papua New Guinea
For more information on the session, please visit
www.bit.ly/apcrshr10virtual12
Official conference website: www.apcrshr10cambodia.org
Thanks
Review the Effectiveness of Community-based Primary Health Care in Improving ...CORE Group
Review the Effectiveness of Community-based Primary Health Care in Improving Child and Maternal Health: Leveraging Results for Advocacy HENRY PERRY and PAUL FREEMAN
Nkatha Njeru, Coordinator of the Africa Christian Health Associations Platform and Program Manager for IMA World Health in Kenya discusses how IMA works with partners and USAID to empower faith groups to increase demand for HIV services in Kenya.
Ambassador-at-Large Deborah L. Birx, MD is the Coordinator of the US Government Activities to Combat HIV/AIDS. She discusses the importance of the faith community in addressing HIV/AIDS.
An estimated104,000 children aged 0-14 years are infected with HIV in Kenya.
The HIV prevalence rate of youth aged 15-24 years is 2.1%.
Among adolescents aged 12-14 years, 7% have had sex.
Among young people aged 15-24 years, 66% females and 59% males have had sex.
(KAIS 2012)
Stigma and discrimination associated with HIV & AIDS remains a key barrier to preventing new infections and accessing adequate care, support and treatment among youth.
Misperceptions about HIV transmission modes among the youth still exist despite HIV prevention efforts to provide accurate information on HIV and AIDS to the youth.
Cate Lane, Youth Advisor for USAID shares strategies to reach youth with positive messages on health and evaluates what works and what does not based on program experience.
iknowUshould2: Expanding a youth-driven STI/HIV testing social media campaign...YTH
Philadelphia youth are more likely than youth nationwide to be diagnosed with certain STIs, yet many are not routinely screened for STIs/HIV. The Children’s Hospital of Philadelphia’s IknowUshould2 campaign started in 2012 targeted to reach youth aged 13-24 to improve knowledge and increase STI/HIV testing just relaunched to also improve youth knowledge and access to PrEP for HIV prevention using an integrated, youth-driven approach combining traditional media, social media, and outreach with community partners in Philadelphia. Come learn about our journey in developing, sustaining, and rebranding our health campaign IKNOWUSHOULD2!
Pius Tih Muffih, PhD, MPH, Director of the Cameroon Baptist Convention Health Services (CBCHS) presents how CBCHS partners with other local groups to bring services to prevent mother-to-child prevention of HIV in Cameroon at the CCIH 2018 Annual Conference.
Jennifer Mason, Senior Advisor for FP/HIV Integration for USAID's Office of Population and Reproductive Health describes the agency's approach to integrating family planning services with HIV health services and provides country examples of integration practices.
The WHO among many interventions to prevent MTCT of HIV also recommend HIV retesting of previous HIV negative pregnant women in the 3rd trimester, during labour and delivery and the breast-feeding period
aids conference 2016, hiv and aids, hiv interventions, hope program, kenya, nope kenya, people living with hiv, uptake of hiv testing and adherence to hiv treatment
aids conference 2014, hiv and aids, hiv interventions, hope program, kenya, nope kenya, people living with hiv, uptake of hiv testing and adherence to hiv treatmement
aids conference 2016, hiv and aids, hiv interventions, hope program, kenya, nope kenya, people living with hiv, uptake of hiv testing and adherence to hiv treatme
34-63% of counties have maternal health tracer drugs but 18-39% of child health tracer drugs available
Large disparities in the availability of first line HIV drugs (0-50%)
Kisumu, Kisii, Vihiga, and Siaya consistently top third in drug availability
Transzoia, E-Marakwet, Nandi, Nyeri & T.River bottom
11 maternal health tracer drugs
11 child health tracer drugs
First-line drugs for HIV
ACT, first line treatment for malaria
4FDC, intensive treatment for tuberculosis
Metformin, preferred OGLA treatment for diabetes
The company has the following services under care and treatment:
HTC services
ART services
Counselling services
PMCT
VMMC
Home-based care services
Support group.
These services are offered for free to both employees and community members. The company also offers outpatient services which charges consultation fee, lab charges and medication for non-employees.
KNBTS estimates Kenya’s annual need for blood to be 200,000-250,000 units annually.
Collection is about 160,000 units.
There is a deficit of about 40,000-90,000 units annually.
However WHO recommends 10-20 units of blood per 1000 population.
Kenya population (2009) was 38,610 097* which would put Kenya’s need to a minimum of 380,000 units annually.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
How many patients does case series should have In comparison to case reports.pdf
Access and retention to treatment for adolescents living with hiv
1. Access and Retention to Treatment for
Adolescents Living with HIV
By: Elizabeth Okoth – Program Manager
2. Outline
• Background
• Guiding Principles
• Intensive Case Finding Towards enhancing Access
• Strategic Interventions for Enhancing Adolescents
Retention
• Case of EGPAF PAMOJA Homa Bay Project
2
3. Back Ground – The Kenya Situation
• 29% of all new HIV infections in Kenya are among adolescents &
youth
• About 16% of PLHIV in Kenya are adolescents & youth
• Young women (15 –24yrs) contribute 21% of all new infections
• HIV-positive adolescent girls face a much higher risk of poor
maternal & infant outcomes& increased risks for MTCT
• AIDS-related deaths is the leading cause of death among
adolescents in Kenya (9,720 died in 2014)
• Only 23.5% of adolescents aged 15-19 years know their HIV status
• Low disclosure, poor adherence & stigma among adolescents
• Benefit of early treatment with an overall 75% decline in mortality
&ART with viral suppression reduces risk of sexual transmission of
HIV
3
4. Guiding Principles to Increasing Access & Retention
• Recognition of heterogeneity of adolescents and their needs
• Building and using of evidence base & best practices to inform
interventions
• Combination approach to addressing adolescents needs &
Strengthening referrals to other social/protective services
• Adolescent engagement in advocacy, design and implementation
of services and policy directions
• “National Adolescent Package of Care as SOP”
• Commitment through strategy and policy
5. Intensified HIV case-finding for adolescents LHIV
• Screen all adolescents that present at facility & provide PITC
• Test all adolescents in inpatient, TB, nutrition and STI clinics,
pregnant adolescents, married & adolescents with children
• Scale up family- centred model to test and treat adolescents with
HIV-infected parents & OVC
• Universal testing in epidemic hotspots to increase coverage
• Piloting and evaluating new approaches such as self-testing
• SRH approaches that combined STI and HIV screening and partner
testing services in adolescent friendly manner
• Engaging HTS Counsellors to focus on adolescents
6. Use of EBIs in Enhancing Identification
• Evidence-informed Behavioral Interventions (EBIs) are
interventions that have been rigorously evaluated and have been
shown to have significant efficacy
• EBIs that target adolescents such as SHUGA, Sister to Sister and
RESPECT-K have strong HTS component
• SHUGA: A mass multimedia behavior change communication
initiative targeting youth ages 15 to 24 with HIV prevention
messages and linking them to vital services
• Sister to Sister: Individual level risk reduction intervention for
sexually active women with focus on self efficacy, safer sex
negotiation skills, & encourages HTS
7. Linkage
Improve linkage and ensure enrolment of at least 90% of HIV-
infected adolescents on HIV care
• “Everything stops” until the adolescent is linked (enrolled)
• Recruit and deploy linkage staff / Peer Educators (including
adolescent peer educators)
• Strengthen facility linkage teams and client flow
• Support use of referral tools
8. Enhancing Adolescents Retention to Treatment
• Engagement of adolescents through facility, County & Country
forums to support the design and implementation of adolescent-
focused clinical and support services
• Graduated disclosure support for HIV-infected adolescents
• Enhanced adherence support including treatment literacy and
engagement of caregivers
• Strategies for transitioning to adolescents care & treatment and
from adolescents to adult care and treatment
• Enhancing mHealth and social media platforms to send
appointment reminders and strengthen the client-facility
feedback loop
9. Enhancing Adolescents Retention to Treatment
• Adolescents psychosocial support groups with age and
developmentally-appropriate guidelines
• Flexi hours attending to Adolescents e.g. holidays and on
Weekends – e.g. Ndhiwa DH and Magina H/C
• Strengthening human resource competencies for adolescent
services e.g. APOC
• Support for task-shifting
• Scaling up viral load point of care (POC) testing for adolescents
and actions towards attaining viral suppression
• VIP treatment for Adolescents (Red Carpet); Integrating HIV care
in youth friendly SRH services including FP &GBV
10. Intensified support for pregnant HIV Positive Adolescents
• Enhanced adolescent friendly ANC including mobilization &
ensuring attendance up to 4th ANC
• Intensified follow-up and adherence counseling for HIV-infected
pregnant adolescents
• Adolescent-focused support groups, classes, and mentor mother
programs for pregnant HIV+VE adolescents
• Strengthening HCW capacity on the specialized needs of
pregnant adolescents with talking points for discussing HIV and
SRH issues in an adolescent-friendly manner
• Sensitization and engagement of the men, family & CHVs to
support pregnant ALHIV
11. Structural Interventions
• Decentralize services of the HIV Tribunal
• Dissemination of policies
• Link adolescents to income-generating activities, micro credit
and conditional cash transfer programs
• Empower adolescents to know their rights and access
comprehensive medical, legal, and social support services
• Support for sites to set up adolescent-friendly corners
• Review and update of privacy and confidentiality guidelines for
cross-sector use
12. Stigma reduction Initiatives
• ALHIV trained as champions against adolescents stigma
• Social media campaigns, TV& radio programmes hosted by
young champions on HIV & stigma and discrimination
• Opinion leaders & celebrities to provide platforms to address
stigma
• Utilize social events including music& drama festivals to promote
dialogue on adolescent HIV & stigma reduction
• Strengthen Health clubs & support networks of teachers living
with HIV to assist with health clubs to reduce stigma
• Integration of HIV messages in school books & materials
13. The EGPAF Pamoja Homabay Project Response
Adolescents (County & Sub-county HFs)
• # of sites supported by program=89
• # of sites implementing MoH adolescent check list = 89
(100%)
• # of sites implementing adolescent package of services =
89(100%)
• # of sites with adolescent support groups = 58(65%)
• # of HFs with adolescent specific clinic days = 48(54%)
• # of HFs with referral and linkages to other non-clinical
services = 89 (100%)
14. For 10 – 19 years
Annual
Target
Semi Annual
Achievement
% Achieved
Identification
Total Tested 39,901 43,586 109%
HIV Positive 962 535 56%
Enrolment
New Care 505 94% of the HIV+
Current Care 2,783 3,038 109%
Access to ART
New on ART 245 49%
Current on ART 2,459 2,674 109%
15. Puzzle: What is the right mix?
EBIs
Social/Mass media
Structural
Interventions
Bio-medical
Interventions
Editor's Notes
Strategy 3 Priority Activities:
Adolescent mapping exercises to describe ALHIV and general adolescent gathering venues to improve access to HTC services
Adolescent-specific activities during community events. Examples could include conducting adolescent dialogues during Child or Family Health Days or specifically focusing on adolescent issues during global or national campaigns (World AIDS Day, Youth Day, etc.).
Implementation of adolescent-focused facility and community based events/activities. Examples include hosting Adolescent Health Days, mobile HIV testing at youth venues, and school-based activities such as health dialogues or HIV/SRH education sessions.
Support for sites to set up and hold adolescent-friendly corners and/or adolescent-friendly clinic days with enhanced HIV and SRH counseling and services, flexible hours, and greater assurances of confidentiality and 5 Cs.
Development and scale-up of HCW SOPs, training curricula, and talking points on adolescent-friendly services with ongoing support through supportive supervision, mentorship, and coaching activities and HCW cross-site learning approaches, including visits to model adolescent-friendly sites, cross-site mentorship, and other educational opportunities.
Development of district, national, and potentially global ALHIV advisory groups. These advisory groups could provide guidance to facilities, district health authorities, or even EGPAF staff about current ALHIV challenges as well as suggestions for improving health services and/or activities.
Exploration of opportunities to test new approaches for reaching adolescents, such as self-testing and enhanced point of care testing.
Strategy 3 Priority Activities:
Adolescent mapping exercises to describe ALHIV and general adolescent gathering venues to improve access to HTC services
Adolescent-specific activities during community events. Examples could include conducting adolescent dialogues during Child or Family Health Days or specifically focusing on adolescent issues during global or national campaigns (World AIDS Day, Youth Day, etc.).
Implementation of adolescent-focused facility and community based events/activities. Examples include hosting Adolescent Health Days, mobile HIV testing at youth venues, and school-based activities such as health dialogues or HIV/SRH education sessions.
Support for sites to set up and hold adolescent-friendly corners and/or adolescent-friendly clinic days with enhanced HIV and SRH counseling and services, flexible hours, and greater assurances of confidentiality and 5 Cs.
Development and scale-up of HCW SOPs, training curricula, and talking points on adolescent-friendly services with ongoing support through supportive supervision, mentorship, and coaching activities and HCW cross-site learning approaches, including visits to model adolescent-friendly sites, cross-site mentorship, and other educational opportunities.
Development of district, national, and potentially global ALHIV advisory groups. These advisory groups could provide guidance to facilities, district health authorities, or even EGPAF staff about current ALHIV challenges as well as suggestions for improving health services and/or activities.
Exploration of opportunities to test new approaches for reaching adolescents, such as self-testing and enhanced point of care testing.
Strategy 1 Priority Activities:
Enhanced PSS support groups (Ariel clubs/camps) with age- and developmentally-appropriate curricula including disclosure support, life skills, SRH education and services, and positive prevention. Transition to adult care support through standard operating procedures (SOPs), targeted counseling, escorts to adult ART clinics, intensified follow-up, and greater bi-directional linkages between pediatric and adult care and treatment providers/programs. Where possible, programs should track patient outcomes to determine the success of transition process.
Dedicated retention and adherence support including strengthened adherence counseling, intensified follow-up, enhanced PSS support and caregiver education, development of patient materials and HCW job aids, and exploration of incentive strategies and social media/mHealth platforms.
Engagement of ALHIV through country and potentially global-level forums or advisory groups to support the design and implementation of adolescent-focused clinical and support services.
Support for transition to adult care through standard operating procedures (SOPs), targeted counseling, escorts to adult ART clinics, intensified follow-up, and greater bi-directional linkages between pediatric and adult care and treatment providers/programs. Where possible, programs should track patient outcomes to determine the success of transition process.
Provision of disclosure support for caregivers and adolescents including age- and developmentally-appropriate curricula and materials, and to provide enhanced training for HCWs and peer educators (PEs) on disclosure of HIV status: support for disclosure of HIV status to perinatally infected ALHIV and for disclosure of HIV status by ALHIV to their family, friends, and sexual partners.
Strengthening human resource competencies for adolescent needs including training HCWs and where possible, implementing task-shifting, to develop a trained cadre of lay counselors and adolescent or youth peer educators who can provide adolescent-friendly counseling, lead support groups, and assist with transition to adult care.
Strategy 1 Priority Activities:
Enhanced PSS support groups (Ariel clubs/camps) with age- and developmentally-appropriate curricula including disclosure support, life skills, SRH education and services, and positive prevention. Transition to adult care support through standard operating procedures (SOPs), targeted counseling, escorts to adult ART clinics, intensified follow-up, and greater bi-directional linkages between pediatric and adult care and treatment providers/programs. Where possible, programs should track patient outcomes to determine the success of transition process.
Dedicated retention and adherence support including strengthened adherence counseling, intensified follow-up, enhanced PSS support and caregiver education, development of patient materials and HCW job aids, and exploration of incentive strategies and social media/mHealth platforms.
Engagement of ALHIV through country and potentially global-level forums or advisory groups to support the design and implementation of adolescent-focused clinical and support services.
Support for transition to adult care through standard operating procedures (SOPs), targeted counseling, escorts to adult ART clinics, intensified follow-up, and greater bi-directional linkages between pediatric and adult care and treatment providers/programs. Where possible, programs should track patient outcomes to determine the success of transition process.
Provision of disclosure support for caregivers and adolescents including age- and developmentally-appropriate curricula and materials, and to provide enhanced training for HCWs and peer educators (PEs) on disclosure of HIV status: support for disclosure of HIV status to perinatally infected ALHIV and for disclosure of HIV status by ALHIV to their family, friends, and sexual partners.
Strengthening human resource competencies for adolescent needs including training HCWs and where possible, implementing task-shifting, to develop a trained cadre of lay counselors and adolescent or youth peer educators who can provide adolescent-friendly counseling, lead support groups, and assist with transition to adult care.
Strategy 2 Priority Activities:
Intensified follow-up and adherence counseling for pregnant ALHIV on ART, particularly within first week after HIV diagnosis and ART initiation, postpartum, and during the first 6-week EID testing period. When possible, this support should include home visits for partner/family HIV testing and community engagement activities.
Provision of the adolescent-focused support groups, classes, and mentor mother programs for HIV-infected pregnant girls. HIV-infected PSS groups and/or classes should include disclosure support, retention and adherence counseling, partner and family outreach, safe delivery and infant feeding, positive prevention, SRH/FP services and education, parenting skills, gender equity/female empowerment messaging, GBV prevention, and nutrition education and services.
Strengthening HCW capacity on the specialized needs of pregnant adolescents with talking points for discussing HIV and SRH issues in an adolescent-friendly manner with consideration for the 5Cs for HTC.
Enhanced HIV prevention and SRH/FP counseling and education for uninfected pregnant adolescents. Where possible, this should include safe delivery and infant feeding, parenting skills, gender equity/female empowerment messaging, GBV prevention, and nutrition education and services.
Strategy 2 Priority Activities:
Intensified follow-up and adherence counseling for pregnant ALHIV on ART, particularly within first week after HIV diagnosis and ART initiation, postpartum, and during the first 6-week EID testing period. When possible, this support should include home visits for partner/family HIV testing and community engagement activities.
Provision of the adolescent-focused support groups, classes, and mentor mother programs for HIV-infected pregnant girls. HIV-infected PSS groups and/or classes should include disclosure support, retention and adherence counseling, partner and family outreach, safe delivery and infant feeding, positive prevention, SRH/FP services and education, parenting skills, gender equity/female empowerment messaging, GBV prevention, and nutrition education and services.
Strengthening HCW capacity on the specialized needs of pregnant adolescents with talking points for discussing HIV and SRH issues in an adolescent-friendly manner with consideration for the 5Cs for HTC.
Enhanced HIV prevention and SRH/FP counseling and education for uninfected pregnant adolescents. Where possible, this should include safe delivery and infant feeding, parenting skills, gender equity/female empowerment messaging, GBV prevention, and nutrition education and services.