This document summarizes collaboration between ICAP Ethiopia and the Psychosocial Unit at Adama Hospital. The Psychosocial Unit provides psychological support for abused children, cares for abandoned children, and facilitates services for children in conflict with the law. ICAP and the Psychosocial Unit collaborate to meet the special needs of HIV-infected children enrolled in care at Adama Hospital, who face issues like orphanhood, mental health problems, child abuse, and homelessness. The multi-disciplinary team from both organizations provides psychological support, counseling, and medical support to referred children. This collaboration aims to establish a model pediatric psychosocial unit and expand services to other facilities.

1. Collaboration BetweenCU-ICAP Ethiopia and The Psychosocial Unit at Adama HospitalYoseph GutemaPediatric/PMTCT Advisor ICAP Ethiopia Kigali, RwandaOctober 21,2009Supporting Sustainable Adherence to HIV Prevention, Care & TreatmentICAP Technical WorkshopOctober 19-22, 2009Kigali, Rwanda

2. Adama HospitalLocated in Adama townAdama hospital is a 250-bed regional referral hospitalThe catchment population of the hospital is estimated to be 5 millionIn Adama Town(until September 2009)no of street children= 867

3. no of OVC = 1020

4. no of sexually abused children= 526Adama HospitalIn Adama hospital,

5. no of children ever enrolled in care = 1411/ 7192(19 %)no of children ever started on ART = 639/3477(18.3 % )Adama Hospital ART Center

6. Adama Hospital ART Center

7. Adama Hospital Pediatric Friendly Clinic

8. Adama Hospital Pediatric Friendly Clinic

9. Cumulative no of Infants & Children Ever Started and Ever Enrolled in Care at Adama Hospital

10. UTCSA at Adama HospitalPsychologist is hired to attend to needs of children in communityProvides psychological support for abused childrenProvides care and support for abandoned childrenFacilitate age determination service for children in conflict with the law

11. Unit for Treatment of Children who need Special Attention

12. ICAP-E and UTCSA Collaboration Problems identified in our HIV-infected childrenOrphanhood

13. Mental health problems

14. Child abuse

15. HomelessCollaborate with the psychologist as part of the MDT to meet the special need of the children enrolled in care at Adama Hospital

16. Psychosocial problems referred from ART Clinic

17. Services Provided by the MDT Psychological supportChild Centered CounselingPlay TherapySand box/trayAnatomically correct dolls Different games. PuppetsMedical support8Yrs old child (sexually abused)