Understanding Viral Load Suppression Trends (2017-2020) for Children Living with HIV in Eastern and Southern Africa

In 2022 an estimated 930,000 children (aged 0-14 years) were living with HIV in Eastern and Southern Africa. Nearly one-third of these children were not receiving lifesaving treatment. Children with HIV need both antiretroviral treatment and viral load suppression if they are to lead long and healthy lives.

UNICEF, in collaboration with governments and partners, supported an updated analysis of laboratory information management systems (LIMS) data in Malawi, Uganda and Zimbabwe from 2017-2020 to better understand viral suppression among children, especially in the context of WHO recommendations for newer, more efficacious drug regimens and the COVID-19 pandemic.

A previous analysis of 2016-2018 LIMS data found that one in every three children was not virally suppressed. The updated study found a steady increase since then in viral load testing, the use of more efficacious and palatable antiretroviral regimen options, and improved viral load suppression. However, children are still falling short of global targets to end AIDS by 2030. The full report describes the methodology, key findings, limitations, and proposes further prioritization and accelerated action to improve treatment outcomes for children with HIV.

Spotlight Report: LGBTQI+ Youth in Brazil Speak Up

On this International Day Against Homophobia, Biphobia and Transphobia (IDAHOBIT) 2023, we unveil the UNICEF Spotlight Report on the Youth Aware initiative in Brazil. Youth Aware is a partnership with the Brazilian Ministry of Health, to transform the approach to HIV and STI prevention and treatment for LGBTQI+ youth through peer education and community mobilization. Young people in Brazil are disproportionately impacted by the HIV epidemic, and key populations face heightened vulnerability.

Supported by M·A·C VIVA GLAM, this flagship UNICEF programme redefines health services for adolescents, addressing their needs and the shifting landscape of gender and sexuality. The report showcases the stories of courageous individuals countering prejudice and sheds light on their aspirations and challenges. Together, we can challenge stigma, discrimination, and marginalization, advocating for a future where every young person can thrive. Join us as we celebrate IDAHOBIT and champion a healthier, more inclusive future.

2023 AU Summit Brochure

The AU Summit Brochure was created after the inaugural countries leading the Global Alliance to end AIDS in Children met together with community representatives, UN agencies, stakeholders and partners gathered in Dar es Salaam, Tanzania on February 1st, 2023. This was done to discuss our progress and our plans to end AIDS in Children by 2030 and this brochure highlights each AU country's Global Alliance action plan.

The Republic of Uganda Ministry of Health: The National Pediatric and Adolescent HIV Advocacy Strategy And Road Map 2022-2026

The Republic of Uganda Ministry of Health has released its National Pediatric and Adolescent HIV Advocacy Strategy And Road Map 2022-2026, disseminated in Kampala during October 2022. 

The overall objective of this strategy is to complement and catalyze the ongoing national programs targeted at improving pediatric and adolescents HIV outcomes by addressing the policy and resource allocation gaps. This will be through putting in place a uniform and harmonized technical approach to advocacy across the national response stakeholders. The strategy provides standardized practical approaches to guide stakeholders in planning, designing, implementing and evaluating advocacy initiatives in support of pediatric and adolescents HIV. The strategy will institute systems to keep truck of ongoing and new advocacy initiatives to ensure they are aligned to the advocacy issues highlighted in the strategy for continuous process quality improvement and mitigate risks associated with uncoordinated advocacy initiatives. 

Evaluation of Expansion and Scale-Up of HIV Sensitive Social Protection in Eastern and Southern Africa 2014-2018

This document evaluates the Expansion and Scale-Up of HIV-Sensitive Social Protection in Eastern and Southern Africa initiative, implemented by UNICEF in Malawi, Mozambique, Zambia and Zimbabwe from 2014-2018 with support from the Dutch government. It assesses the extent to which the initiative met its objectives and achieved the expected results and documents the successes, challenges and lessons learned in the implementation.

Under the initiative, UNICEF Eastern and Southern Africa Regional Office (ESARO) and UNICEF Country Offices provided technical assistance to the four priority countries, and documented cross-country learnings. Activities under this initiative differed in their design and execution, allowing for adaptation to country contexts. In Malawi, activities focused on monitoring and evaluation of the National Social Support Policy; designing and implementing a system to refer cash transfer beneficiaries to HIV-related social services; and creating demand for HIV services among adolescents. In Mozambique, activities focused on providing policy-level support to the operationalization of the new social protection strategy, strengthening community-based and statutory case management, and conducting social protection fairs. In Zambia, the Government and UNICEF evaluated and scaled up a package of services that aims to increase the utilization of HIV services by adolescents. In Zimbabwe, the initiative focused on strengthening the child protection case management system and ensuring linkages between the country’s flagship cash transfer programme and HIV-related services, by using payment days to deliver services. In addition, the initiative’s regional component, led by UNICEF ESARO, focused on documentation and dissemination of best practices and overall technical assistance to the country offices involved.

HIV and Social Protection Guidance Note

This UNAIDS guidance note summarises information on HIV-sensitive social protection, sets out key principles to provide a strong foundation for programming, and describes the potential of social protection to advance HIV prevention, treatment, care and support outcomes. This brief also presents case studies illustrating how HIV-sensitive social protection is working on the ground.

The audience is HIV policy-makers and programmers at global, regional, and country levels. It builds on the UNAIDS Business Case on Enhancing Social Protection, a UNAIDS/ UNICEF/IDS report of the evidence on HIV-sensitive social protection, and regional consultations with HIV and social protection specialists.

Social Protection Programmes Contribute to HIV Prevention

This policy brief outlines the key pathways through which social protection can address risk factors and contribute to preventing new HIV infections. It highlights country-level initiatives and provides policy implications and recommendations.

This brief is coauthored by UNICEF and Economic Policy Research Institute. University of Oxford, UNDP and the Transfer Project have contributed to content reflected in this brief, and USAID has endorsed the brief.

HIV-Sensitive Social Protection: State of the evidence 2012 in sub-Saharan Africa

This review provides a conceptual framework for HIV-sensitive social protection policies and programmes and review the impact of social protection on HIV prevention and treatment outcomes in addition to social and economic care and support. It further provides recommendations for achieving core HIV impacts, comprehensive approaches, and expanding and sustaining HIV-sensitive social protection.