Medical Research Council
World Health Organization
Health Systems Trust
2011-2012 Education Sector HIV and AIDS: Global Progress Survey- Progression, Regression or Stagnation?UNAIDS
Paediatric HAART where there is no paediatrician - Way forward for a paediatric primary HIV care and treatment plan
Management Sciences for Health
The Objectives of the meeting were to:
- Identify key issues in Paediatric HIV/AIDS Treatment, internationally and in South Africa, for which advocacy or other action may be required, based on what we know and what more needs to be done.
- Consult on how to take up these issues
- Reach Agreement on a way forward
Some of the major gaps and challenges identified were:
- A limited number of sites providing treatment to children in South Africa. Most of those in existence are at tertiary and academic institutions.
- Less than 3 000 children currently on HAART in South Africa
- Lack of appropriate diagnostics and ARV formulations
- Limited service provision to children who are often pushed to the back of queues by or in favour of adults
- Non-accreditation of HAART sites to provide treatment to children
- Potentially setting unattainable standards for the treatment of children in a context of too few inequitably distributed staff.
- Difficulties in attracting staff, particularly Pediatricians, to rural areas
- A general lack of Pediatricians in the public sector who give attention to HIV and AIDS
Some of the possible actions which could promote participation of children included:
- Raising awareness at various levels of current problems and the need to move rapidly to include children in implementation of the Operational Plan
- Review of implementation of PCR diagnostics at Primary Health Care level, integrated with IMCI, MTCT programmes allowing earlier identification of children
- Lack of child friendly approach to Primary health Care. Review of training approaches to ensure children are included in the health system as well as broader social system.
- Development of child size tablets and the development of innovative medicine formulations and methods of application at affordable prices
- Improvement of reporting mechanisms within the broader health system as to the progress of implementing the Operational Plan specifically highlighting the participation of children
- Improvement in deliver of social services to children in the context of the family.