1. Access and Rights Now
Reengaging Adolescents in Treatment and Care

2. Objectives:
 Advocate for integration of peer-led Peer Support models at health facilities
Demonstrate the power of peer-led approaches in the provision of child and adolescent-friendly service
Provide promising practices on integration of peer-led services in health facilities to promote adolescent-friendly attitudes amongst health workers

3. Ice breaker Find a partner Spend 2 minutes telling your partner
About your organisation
Why you are here
What you hope to get out of this session
Swop
Switch partners

4. Power of Peer Support models
IDENTIFIED NEED
Health worker shortage
Expert Patient Programme
REACH
Peers2Zero
2007
2015
2016
LESSONS
Critical importance of peer support
LESSONS
Importance of context & need for strengthened voice of YPLHIV within health settings

5. Peers2Zero (P2Z) Consortium between PATA and AY+
Paediatric AIDS Treatment for Africa, (PATA) is an action network of frontline healthcare providers caring for HIV-infected children and adolescents in sub-Saharan Africa with an aim to improve paediatric & adolescent HIV treatment, care & support.
African Young Positives Network (AY+) is a regional network for and by YPLHIV across the African Continent to empower YPLHIV to mitigate negative impacts through friendship-building, sharing & social connections.
P2Z brings together frontline healthcare workers and HIV+ youth to inform and design adolescent-friendly HIV service (AFHS) with a focus on YPLHIV being actively involved in assessing, delivering and influencing services that most affect them. (Uganda, Malawi, Zimbabwe, Zambia, Ethiopia, Tanzania and 1 more TBC)

6. Methodology Application process and selection
MoUs and quarterly grant dis­bursements (stipends, their supervision, advocacy activities and programme administration)
Peer Supporter recruitment and integration:
Each facility recruits 2-4 Peer Supporters against set criteria
Contract with conditions of service
Capacity building:
Training
Toolkits and guidance
On site mentoring
Whatsapp Community of Practice
Monthly telephonic check-ins
Occasional site visits and
Link to national network structure

7. Impact Improved linkage and retention Psychosocial support
Children and Adolescents on Treatment
36,048
100 Peer Supporters in
38 facilities
Children, Adolescents and Adults on Treatment
190,224
P2Z brings together frontline healthcare workers and HIV+ youth to inform and design adolescent-friendly HIV service (AFHS) with a focus on YPLHIV being actively involved in assessing, delivering and influencing services that most affect them. (Uganda, Malawi, Zimbabwe, Zambia, Ethiopia, Tanzania and 1 more TBC)
Improved linkage and retention
Psychosocial support

8. Stigma-free communities
Viral suppression
retention
Peer relationships
Family
Access to care
Social support
Education employment
Provider support
Stigma-free communities
Hope for the future
Impact

9. Lessons - Integration Principles of integration
Mechanism: processes for adolescents led by adolescents (planning, delivering and monitoring)
Adolescent-friendly orientation
Opportunities for growth beyond the clinic

10. Adolescent-friendly services beyond the checklist
Δ in ALHIV and YPLHIV confidence in accessing services
Δ in healthcare worker sensitivity
Δ in operations

11. Peer-led activities Health talks, texting, one on one sessions
Hot seat
Suggestion/ question box
Library
Skills building table
Hospital visits
Home visits
Pill counting/ pharmacy support
School visits
Referrals
Represent youth in different structures in the community
Talent shows and sports

12. Discussion
How to begin and then maintain quality peer-led services with adolescents in a clinic setting (how to integrate, stipends vs salary)
How to support health care workers to maintain adolescent friendly attitudes
How to build participatory mechanisms and share examples on ways that YPLHIV can contribute and influence decisions that affect them in a clinic setting
How to collect and document evidence that can demonstrate the positive impacts of peer led approaches

13. THANK YOU