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Sixth Annual Emergency Plan for AIDS Relief Track 1.0 ART Program Meeting “Integrating HIV Services at ART Sites”. Pediatric HIV Care and Treatment Session August 11, 2008. Pediatric HIV Care and Treatment Session 1:40 – 1:50 pm – Provider initiated testing and counseling and
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Sixth Annual Emergency Plan for AIDS Relief Track 1.0 ART Program Meeting“Integrating HIV Services at ART Sites” Pediatric HIV Care and Treatment Session August 11, 2008
Pediatric HIV Care and Treatment Session 1:40 – 1:50 pm – Provider initiated testing and counseling and decentralization of Pediatric HIV care and treatment in Africa – Gordon E. Schutze (Baylor) 1:50 – 2:00 pm – HIV testing of infants and children – Elaine Abrams (ICAP) 2:00 – 2:10 pm – Infant survival: challenges in implementation of early services – Doug Watson -Robb Schenenberger – (AIDSRelief)- 2:10 – 2:25 pm – Pediatric barriers study results – Tanzania – Denis Tindyebma (EGPAF) 2:25 – 2:35 pm – FHI: Lessons learned and challenges on scaling up Pediatric HIV clinical care and treatment – Philippe Chiliade (FHI) 2:35 – 2:45 pm – Scaling up pediatric HIV programs: Data from three countries – Guerino Chalamilla (HSPH) 2:45 – 2:55 pm – Follow-up of HIV exposed infants: best practices and models of service delivery – Prepared by Anthony Endozien – Anthony Amoroso (AIDSRelief) 2:55 – 3:15 pm – Discussion: Implementation of new treatment recommendations, program indicators and basic care of HIV infected, affected and exposed children
Important changes/advances in Pediatric HIV • WHO PITC guidelines • WHO recommendations for pediatric HIV treatment: • Early treatment initiation in infancy regardless of clinical/immunological parameters • First line regimen based on exposure history to NVP for young infants • Change in CD4 cut-off for children 36-59 mos/age • PEPFAR II • New targets • New indicators with age group disaggregation • Emphasis on PMTCT and integration with MCH • Sustainability
Areas of Focus for Pediatric HIV Care and Treatment • PMTCT program expansion and co-located with ART programs or prescribing privileges • Enhance follow-up services for women identified in PMTCT and their children • Implement systematic testing of family members of HIV positive children and adults • Expand Pediatric Care and ART to sites with ART services for adults • Implement pediatric HIV care/prevention packages • Quality of Pediatric HIV care and treatment programs • Targeted evaluations, PHE, other