In Uganda, the USAID/SUSTAIN project works closely with the Ministry of Heath to improve systems for pediatric HIV care and treatment, following the widely-used 10-point management plan for pediatric HIV. The package includes:
- Early diagnosis of HIV infection
- Growth and development monitoring
- 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 age two
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. As a result, enrolment of children in care onto ART has improved as a result of the implementation of the new treatment guidelines, which require all children under 15 years of age to be initiated on ART. The use of simple improvement interventions—like putting reminder stickers on client files to aid identification of children due for ART initiation—has maintained the proportion of children on care that are on ART above 99.6%.
- A total of 4,397 children 0-14 years were enrolled on ART by June 2016. Of this number, 3,513 (83.6%) are on first line ARV regimens.
- Up to 5,335 viral load tests were conducted for children on ART under 15 years of age between October 2012 and March 2016.