Pediatric HIV Care and Treatment

Pediatric HIV/AIDS care and treatment has historically been a weak area in HIV/AIDS services. SUSTAIN is working in close coordination with the Uganda Ministry of Health (MOH) to improve systems for pediatric HIV care and treatment, following the widely-used 10-point management plan for pediatric HIV.  The plan includes:

  • Early diagnosis of HIV infection
  • Growth and development monitoring
  • Immunizations
  • Nutritional supplements and education
  • Psychosocial support
  • Aggressive treatment of acute infections
  • Prevention and treatment of opportunistic infections
  • Adolescent care, treatment and support
  • Family-focused care and treatment
  • Antiretroviral therapy (ART) for all eligible children, including all infants under 2 years of age

SUSTAIN works with MOH and health facility staff to develop targeted interventions that increase enrollment into care and improve the quality of pediatric HIV services. 

Achievements

  • Ten percent of ART clients at SUSTAIN-supported hospitals are pediatric clients, achieving the MOH target of 10-15%.
  • The percent of HIV-infected children below 2 years of age (identified at hospital HIV-exposed infant clinics) who were started on ART has significantly improved during the first two years of the project, from 25% in year one to 89% in year two. 
  • Thirty health service providers from all SUSTAIN-supported hospitals participated in trainings on skills for counseling and providing psychological support to children and adolescents affected by HIV/AIDS.