1. Capacity building in scaling up Pediatric HIV care: A case of Uganda
Uganda STD/ACP, MOH
4/16/2017
Capacity building in scaling up Pediatric HIV care: A case of Uganda
Geoffrey Taasi,
STD/ACP, Ministry of Health,
Uganda
Uganda STD/ACP, MOH
April 16, 2017
Partners' HIV Capacity building Summit, March 2010

2. Geoffrey Taasi Dr. Elyanu Peter Cotty Nabatanzi Authors
Uganda STD/ACP, MOH
4/16/2017
Authors
Geoffrey Taasi
Dr. Elyanu Peter
Cotty Nabatanzi
April 16, 2017
Uganda STD/ACP, MOH
Partners' HIV Capacity building Summit, March 2010

3. Uganda STD/ACP, MOH
4/16/2017
Background
Of the 146,000 children living with HIV, 76,750 urgently need ART
Only 24% had access to ART by Without ART, 75% die by age five.
In 2009 the Uganda National coverage was at 33%.
Early diagnosis & treatment can prevent these deaths
Coverage remain low at 68% and 58% at hospital and HC IV
100% and 82% adult ART respectively
Most health workers lack the skills to manage paediatric HIV.
April 16, 2017
Uganda STD/ACP, MOH
Partners' HIV Capacity building Summit, March 2010

4. Uganda STD/ACP, MOH
4/16/2017
Description
Between 2009 and 2011, the MOH implemented the Pediatric HIV training and communication project
To strengthen capacity of care providers to identify and test children at risk of HIV,
To provide quality pediatric and adolescent HIV and AIDS care
April 16, 2017
Uganda STD/ACP, MOH
Partners' HIV Capacity building Summit, March 2010

5. Key Interventions & resources
Uganda STD/ACP, MOH
4/16/2017
Key Interventions & resources
A harmonized National curriculum
A five day training and a two day mentorship
Job aids, mentorship guides and an M&E system were developed.
Retrospective data collection and analysis of service statistics -early 2012.
Client exit interviews -10 sites in 2011, 40 care givers of children (35F, 5M) and 10 adolescents were interviewed and data analyzed
April 16, 2017
Uganda STD/ACP, MOH
Partners' HIV Capacity building Summit, March 2010

6. Evidence of successes and achievements 1
Uganda STD/ACP, MOH
4/16/2017
Evidence of successes and achievements 1
Coverage increased to 68% in 2012 up from 33% in 2009
36.6% on ART by March 2012 from 24% in 2009
462 health trained on pediatric psychosocial support and
1,082 trained on clinical care
202 mentors (regional and National)
April 16, 2017
Uganda STD/ACP, MOH
Partners' HIV Capacity building Summit, March 2010

7. Evidence of successes and achievements 2
Uganda STD/ACP, MOH
4/16/2017
Evidence of successes and achievements 2
Mean period between eligibility and initiation on ART reduced from six to one month.
Care providers can provide quality pediatric ART services.
100% of the care givers interviewed knew correct dosing and frequency of medication
95% knew their appointment dates and 80% kept them
April 16, 2017
Uganda STD/ACP, MOH
Partners' HIV Capacity building Summit, March 2010

8. Have we made any progress?
In 2011 – only 49% of Infants were initiated on ART
In 2012 – 56% of Infants were initiated on ART

9. Paediatric HIV coverage was 33% by March 2012

10. Challenges and counter strategies
Uganda STD/ACP, MOH
4/16/2017
Challenges and counter strategies
Delay in consensus building
Late identification of children,
late initiation, losses to follow up,
Poor adherence, Paed formulations
Strengthened central coordination by MOH,
Role distribution among partners, improved supply chain, mentorship, use of job aids
Uganda STD/ACP, MOH
April 16, 2017
Partners' HIV Capacity building Summit, March 2010

11. Lessons learnt Proper needs assessment ensures demand driven CB,
Uganda STD/ACP, MOH
4/16/2017
Lessons learnt
Proper needs assessment ensures demand driven CB,
ownership, sustainability and SS
Ownership of interventions by stakeholders requires interventions by them, for them and to them and not at them.
Scaling up of pediatric HIV is best done simultaneously with the Adult ART.
Uganda STD/ACP, MOH
April 16, 2017
Partners' HIV Capacity building Summit, March 2010

12. Conclusions and recommendations
Uganda STD/ACP, MOH
4/16/2017
Conclusions and recommendations
The model can be replicated to effectively save costs and develop capacity without much disruption of other services
Pediatric HIV care does not require separate clinics and long training but harmonized, standardized curricula & mentorship
Country ownership is possible when efforts are coordinated by government and implementation provided for by a public framework
Uganda STD/ACP, MOH
April 16, 2017
Partners' HIV Capacity building Summit, March 2010

13. Acknowledgements STD/ACP, Uganda Ministry of Health USAID
Uganda STD/ACP, MOH
4/16/2017
Acknowledgements
STD/ACP, Uganda Ministry of Health
USAID
Health Communications Partnership (HCP)
Regional Centre for Quality of health care, Miserere University
All HIV USAID partners in Uganda (STARs, Baylor, SUSTAIN, RTI,,,,)
April 16, 2017
Uganda STD/ACP, MOH
Partners' HIV Capacity building Summit, March 2010

14. Thank You Very Much! April 16, 2017 Uganda STD/ACP, MOH
4/16/2017
Thank You Very Much!
April 16, 2017
Uganda STD/ACP, MOH
Partners' HIV Capacity building Summit, March 2010