Children Affected by AIDS: Update Save the Children Highlights Presented to IATT Steering Committee Washington, DC September 2009

HIV/AIDS Program Priorities Orphans and Vulnerable Children –Scaling up protection and care response Prevention for Youth at Risk –Ensuring responses are epidemiologically based on focused on what drives youth vulnerability; strengthening approaches to gender, sexuality and reaching younger children. PMTCT/Pediatric AIDS –Integration of PMTCT into maternal and newborn care; modeling community approaches to enhance effective prevention, treatment and care Supporting Approaches –Community Mobilization and Capacity Strengthening –Community and Home Based Care

Achieving Our Intended Impact 5

Highlights Quality Standards: piloted in Ethiopia, replicating now in other countries, adapting for age and developmental stage with particular focus on early childhood this coming year. Community Based MIS – completed study (JLICA) looking at community collection and use of data for identifying, targeting and tracking meeting of needs. More on this TBD this year. Learning from Positive Change (PC3) – lessons learned about mechanisms for delivering OVC work at scale ARSH and OVC - developing manual for incorporation of ARSH into OVC programming. Guidance identifies critical minimum package of services for quality programming.

Highlights OVC and protection – increasing CP focus in our Africa work, and better understanding basis for programming in lower prevalence settings. Documenting needs of children among high risk populations Children as Carers Study – child led study underway (Nigeria, Uganda (done), Angola and Zimbabwe). Pilots will follow research results on how to better support. Food and nutrition – use of community nutrition strategies to address severe and moderately acute malnutrition. Case finding for Pediatric HIV through

Highlights Livelihoods and HIV – FIELD guidance / brief: Economic Strengthening for Vulnerable Children: Principles of Program Design & Technical Recommendations for Effective Field Interventions. Social Protection Study: 6 country cash transfer study (SC UK leading, DFID and RIATT collaborating) Collaboration with MenEngage on positive gender socialization Other Alliance activities – RIATT, CCABA, OVC TF, and other OVC, Pediatric HIV, and child protection collaborations discussed by other presenters