Early testing and optimized treatment

Find and link all infants, children and adolescents living with HIV by context.
Specific modalities to consider by context
 

• Demand creation for HIV testing services
• Early Infant Diagnosis
• Index-testing
• Population-specific case finding
• Routine opt-out testing of children with unknown status  admitted for inpatient care or attending malnutrition clinics  
• Community outreach in geographic areas with high unmet need, Community- facility- or family-based testing
• HIV self-testing

Resources

• Technical brief on paediatric HIV case-finding: Beyond infant testing
• WHO consolidated guidelines on HIV testing services
• AIDS free toolkit
• WHO HIV testing policy briefs
• HIV Point-of-Care diagnostics toolkit
• Family-based index case testing to identify children with HIV
• HIV diagnosis and ARV use in HIV-exposed infant
• Cost-effectiveness of infant HIV testing strategies

EXPANDING DSD including MMD and family-centred care; supporting disclosure

• DSD across the cascade, testing, treatment and care
• Specific population considerations, CHILDREN, ADOLESCENTS, PREGNANT AND BREASTFEEDING WOMEN AND KEY POPULATIONS

Resources

• DSD decision framework for HIV testing
• Paediatric service delivery framework
• UNAIDS DSD in Africa
• Decision frameworks and thematic supplements
• Providing differentiated delivery to children and adolescents

Monitoring the uptake of and ADDRESSING BARRIERS to optimal antiretroviral therapy for children and adolescents per WHO recommendations

• Transitioning to optimal formulations based on WHO guidelines
• Adherence, retention in care, follow up

Resources

• Paediatric Abacavir/Lamivudine/Dolutegravir (pALD) fixed-dose combination: Introduction and rollout planning considerations for national programmes
• 2021 WHO HIV guidelines
• Improving HIV Service Delivery for Infants, Children and Adolescents: A framework for country programming
• Paediatric DTG implementation considerations for national programmes
• Going the 'Last Mile' to EMTCT: A road map for ending the HIV epidemic in children
• Transitioning to the 2021 optimal formulary for children
• Paediatric ARV dosing dashboard
• Comprehensive package of care for infants and young children exposed to HIV
• Package of care for children and adolescents with AHD
• Nurturing care for children affected by HIV

Promoting VLM, providing better systems for referral of complex cases

• Strengthening age-appropriate mental health and psychosocial support to improve continuity of treatment, particularly for adolescents and mothers
• Promoting cross-sectoral collaboration e.g., ECD, nutrition, education, mental health, child protection and social protection.

Resources

• Consolidated guidelines on HIV prevention, testing, treatment, service delivery and monitoring - WHO
• Updated recommendations on service delivery for the treatment and care of people living with HIV
• Adolescent-friendly health services for adolescents living with HIV: from theory to practice
• Safeguarding the future: giving priority to the needs of adolescent and young mothers living with HIV
• UNAIDS & WHO Integration of mental health and HIV interventions

• Fight for What Counts - HIV
• Fight for What Counts - Overview
• Checklist and reference list for developing and reviewing a national strategic plan for HIV