Challenges identified for Adolescents Living with HIV Zimbabwe (from WHO November 2016 consultation)

Challenges/Rationale Health System Challenges High attrition rates along the HIV care cascade High rates of virological failure Services may not be ‘adolescent-friendly’ Lack of integrated services Inadequate staff trained in managing adolescents’ needs Age of consent to HIV test (16 years) Patient-related challenges Stigma and discrimination Present with psychosocial, sexual and reproductive health issues High prevalence of teenage pregnancies School-going adolescents have challenges in accessing health services

Adolescents HIV diagnosis, referral, enrolment into chronic care and ART initiation (Jan-Jun 2016)

ART Retention by Age Groups, 2013-2015 Data from appx. 500 high volume sites with ePMS NB: Age groups exclude pregnant women at ART initiation