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Community and primary health facility platforms have been recognized as important, but under-utilized entry points to address the large prevention, case detection and treatment gaps faced by young children with TB and/or HIV. In 2014, WHO and UNICEF revised community health worker packages for integrated community case management (iCCM) targeting children under five years of age, to include screening and referral for TB and HIV (TB/HIV iCCM). As part of an integrated, child-centered approach, TB/HIV iCCM is recommended for use in high TB and HIV burden settings.

Developed by UNICEF and Save the Children, Lessons from the Field (Uganda, Nigeria, Malawi) and Guidance (under development) are available for download.

The 20th ICASA International Conference on AIDS and STI's in Africa (ICASA) will be taking place in Kigali, Rwanda on 2–7 December 2019. Download the 'Three Frees' Roadmap above to find sessions on the HIV epidemic among children, adolescents and pregnant women hosted by partners of Start Free Stay Free AIDS Free.

This brief summarizes lessons learned from Zimbabwe’s pilot implementation of integrated or multi-disease testing. Partnerships in the country focused on leveraging existing GeneXpert platforms for both TB and HIV testing to improve access to early infant HIV diagnosis and viral load testing. These findings describe the benefits of integrated testing for clients, health providers and the health system and are a resource for other countries scaling up point-of-care integrated testing.

This brief highlights the current scenario of policies and programmes related to point-of-care viral load testing among pregnant and breastfeeding women living with HIV. In many countries, viral load policies are not differentiated for pregnant and breastfeeding women despite evidence that point-of-care viral load testing is helpful for this population. Same-day results for pregnant and breastfeeding women can help ensure timely initiation of ART, improved rates of viral suppression and retention in care to support efforts of preventing vertical transmission of HIV.

This toolkit was developed by the Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) with funding from a consulting agreement with Johnson & Johnson, in support of the New Horizons Advancing Pediatric HIV Care Collaborative. 

The Disclosure of HIV Status Toolkit for Pediatric and Adolescent Populations provides general guidance on disclosure of HIV status in pediatric and adolescent HIV care. This document contains tools for use in clinical practice to build the capacity of health care workers, caregivers, and pediatric and adolescent patients themselves—in assisting with and delivering successful and informed disclosure. It is primarily targeted for use among health care workers.

Specific modules support:

• Health care workers or caregivers to disclose an HIV status to a child or adolescent.
• Horizontally-infected adolescents to disclose their status to their caregivers.
• Adolescents to disclose to their social networks, community, and romantic partners.

Find out more at the Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) website. 

Innovative Approaches for Eliminating Mother-to-Child Transmission of HIV: Experiences from Côte d’Ivoire, the Democratic Republic of the Congo, Malawi, and Uganda

This report documents several promising practices focused on community engagement for PMTCT implemented under the Optimizing HIV Treatment Access for Pregnant and Breastfeeding Women (OHTA) Initiative. OHTA, a UNICEF-supported initiative with funding from the Governments of Norway and Sweden, aimed to accelerate access to Option B+ for the elimination of mother-to-child transmission in Côte d’Ivoire, the Democratic Republic of the Congo, Malawi, and Uganda. 

Find out more here.