Improving HIV Service Delivery for Infants, Children and Adolescents: Towards a framework for collective action

In June 2019, UNICEF convened a group of about 40 global experts from 24 organizations and institutions to advance the collective thinking on paediatric HIV service delivery. The aim of this “think tank” consultation was to build consensus on the specific programme interventions that need to be scaled up to improve the quality of HIV treatment services and reach more infants, children and adolescents with these lifesaving medicines.

Participating organizations included:

African Network for the Care of Children Affected by HIV/AIDS
Baylor College of Medicine
Centers for Disease Control and Prevention (CDC)
Clinton Health Access Initiative (CHAI)
Elizabeth Glaser Pediatric AIDS Foundation (EGPAF)
ELMA Philanthropies
Health Innovations Kenya
FHI 360
ICAP at Columbia University
Joint United Nations Programme on HIV/AIDS (UNAIDS)
Kenya Ministry of Health
Office of the Global AIDS Coordinator (OGAC)
Pediatric-Adolescent Treatment Africa (PATA)
Positive Action for Children Fund (PACF) / ViiV Healthcare
Réseau Enfants et VIH en Afrique (EVA)
United Nations Children’s Fund (UNICEF)
University of Nairobi
United States Agency for International Development (USAID)
World Health Organization (WHO)
World Council of Churches – Ecumenical Advocacy Alliance (WCC–EAA)
Yale University

Experts addressed the gaps in the continuum of care which are causing children to be missed before they are tested, before they are given their test results and before they are provided with lifelong treatment and care. Read more about the evidence base and the call for action in the brief above.

Paediatric Service Delivery Framework

The paediatric service delivery framework presents strategies to address bottlenecks across the continuum of care for each population: infants, children and adolescents. This includes keeping mothers who receive interventions for the prevention of mother-to-child HIV transmission (PMTCT) and their infants in care; locating missing infants, children and adolescents through family and index testing; linking those diagnosed with HIV to services; treating them with efficacious regimens and retaining them on treatment to achieve viral suppression. It describes comprehensive and targeted service delivery models, which emphasize strong linkages between testing, treatment and care, and between communities and facilities.

The framework was developed by a group of global experts who were convened by UNICEF in June 2019 to advance the collective thinking on paediatric HIV service delivery. The partnership's analysis of current evidence and specific programme interventions that need to be scaled up to improve the quality of HIV treatment services and reach more infants, children and adolescents with these lifesaving medicines is presented here.

The full framework, policy briefs and supporting worksheets are available for download (updated July 2020).

Niko Nao: Activating a Social Movement Around HIV Self Testing for Men


​“Niko Nao” means ​“I’m with them” in Swahili. To be part of the Niko Nao movement is to offer support regardless of the results. It’s about coming together as a community to fight against the disease. Niko Nao offers a radically different narrative around HIV: one that celebrates health and leverages the support of close social networks.

She Conquers Campaign, South Africa

She Conquers is a national campaign aimed at empowering adolescent girls and young women and is a coordinated initiative to intensify efforts to enable adolescent girls and young women to reach their potential and maximize their contribution to a democratic South Africa. It is a campaign led by girls and young women, intended to educate and engage other young women, focusing on school retention, gender-based violence reduction, and income generation opportunities for AGYW, through a rights-based and multisectoral approach.

Moremi Initiative’s Leadership Development

The Moremi Initiative’s Leadership Development program identifies young African women with potential and passion for transformational leadership roles and prepares them through rigorous training to take such roles. Each year Moremi Initiative identifies a cadre of 25 extraordinary young African women between the ages of 19-25.Candidates are drawn from every region in Africa and the Diaspora through highly competitive processes and according to criteria that include demonstrated leadership potential, service to their community, and commitment to women’s empowerment.

Meet the Divine Divas: Four inspirational characters designed to capture girls’ attention and aspirations

A key to the Diva Centre’s success lies in the Divine Divas themselves. Our team devised a quartet of aspirational characters, each one represents a different type of contraception. Supergirl uses the IUD, Ms. Ambition picks the implant, and condoms are the perfect choice for the Everygirl. By leading with a vision of who girls want to be, not scary side effects (girls commonly hear that condoms give you cancer and the pill makes you infertile), the Divine Divas help teens imagine themselves using contraception, and achieve, their futures.

DHIS2: District Health Information Sftware 2 (DHIS2)

District Health Information Software 2 (DHIS2) is an open source, web-based health management information system (HMIS) platform. Today, DHIS2 is the world's largest HMIS platform, in use by 67 low and middle-income countries. Key features: governed open source, dynamic embrace of technology, in-country ownership, capacity building, uptake by key global health institutions, DHIS2’s ability to integrate with other software, benefits of scale, cross-sector applicability and interoperability, sustainability.