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Nigel Rollins Maternal, Newborn, Child and Adolescent Health

Opportunities and challenges for Community Health Workers to increase coverage of interventions and quality of care for HIV-exposed and infected children. Nigel Rollins Maternal, Newborn, Child and Adolescent Health. '… Critical enablers Social enablers: Community mobilisation

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Nigel Rollins Maternal, Newborn, Child and Adolescent Health

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  1. Opportunities and challenges for Community Health Workers to increase coverage ofinterventions and quality of care for HIV-exposed and infected children Nigel Rollins Maternal, Newborn, Child and Adolescent Health

  2. '… Critical enablers Social enablers: Community mobilisation Programme enablers: Community-centred design and delivery.'

  3. Rowe AK. Lancet 2005;366:1026-1035

  4. 2011 • Two modules • Training materials for CHWs • Consistent with IMCI but appropriate for CHWs • Regular visits to homes ofpregnant women and for 2 weeks after delivery • Counselling cards used to guide discussions at home • If CHW identifies sick child then guides what to do, and when to refer (sometimes referred to as 'iCCM') • No reference to HIV or TB

  5. Nompilo study • The effectiveness of an HIV-adapted Integrated Management of Childhood Illness training and supervision programme of community health workers to support interventions that will reduce Mother-to-Child HIV transmission and improve Delivery of Other Essential Newborn and Child • HIV-adapted WHO materials • Quality improvement supervision of CHWs

  6. November 2012 WHO and UNICEF consultation to review CHW modules • Considered the education level and competencies of CHWs • Considered the range of routine tasks that CHWs deliver and the limits of what else they might be able to do • Listed potential HIV and TB-related interventions • Thought through the minimum set of HIV and TB-related activities and interventions that could be delivered by CHWs • Thought about the practical implications for CHWs, as members of the community, to know communicate specific messages and deliver these interventions • WHO-UNICEF materials adaptations

  7. 2014 including HIV / TB messages and interventions

  8. Acknowledgements • Dick Chamla. UNICEF • Mark Young. UNICEF • Bernadette Daelmans. WHO • Cathy Wolfheim • Davina Patel • Jennifer Reddy. University of KwaZulu-Natal • Sandy Reid. University of KwaZulu-Natal • Patricia Shirey

  9. Where we were, where we want to be: Infant feeding in the context of HIV and ARVs • Tuesday 22 July. 07.00-08.30 • Room 101-102 • Design and implementation challenges for PMTCT implementation research. The INSPIRE Initiative: A South-South collaboration • Tuesday 22 July. 18.30-20.30 • Plenary 3

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