In South Sudan, there are over 18,000 children under the age of 15 living with HIV. Lack of pediatric- and adolescent-focused HIV counseling and testing, limited tracking of HIV-positive pregnant women, and lack of early infant diagnosis are bottlenecks for pediatric case finding and treatment uptake. As a result, only two percent of eligible HIV-positive children are enrolled in antiretroviral therapy (ART).
In 2010 there were more than 2.3 million people living with HIV in Eastern Europe and Central Asia—almost twice the number of people living with HIV in 2001. Despite the growing need for HIV care and treatment, less than 23 percent of people living with HIV in the regions were receiving antiretroviral therapy (ART). Access to comprehensive HIV care and treatment was complicated by a number of factors including inconsistent knowledge of the national ART guidelines, lack of coordination among clinicians, staff shortages, and limited distribution of ART medicines.
In Ethiopia, Ten Year Collaboration Leads to Transformation of HIV Prevention, Care, and Treatment Services
Over the past decade, the Government of Ethiopia has transformed the HIV prevention, care, and treatment landscape of the country. As a result of sustained, multi-sector efforts, and support from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), the Federal Ministry of Health (FMOH) has introduced high impact interventions that have led to an 80 percent decrease in HIV prevalence in Ethiopia, from 6.6 percent in 2001 to 1.4 percent in 2011.
In Kenya, there are over 1.5 million people living with HIV, and approximately 10 percent are adolescents from ages 10 to 19. Huge strides have been made in scaling up HIV services in Kenya, however, adolescents are not being served in the same way as other groups. Complex reproductive and sexual health needs of young people are often overlooked making it difficult for many HIV-positive adolescents to seek services and adhere to treatment.
Harare, Zimbabwe—October 19, 2015 The groundbreaking Zimbabwe Population-based HIV Impact Assessment (ZIMPHIA) survey enrolled its first participants on October 18th, with 12 ZIMPHIA field teams kicking off data collection in the northern region of Zimbabwe.
In Lesotho, New Health Information System Provides Streamlined, Integrated Data Across Health Programs
For Lesotho, a small rural country with a population of two million and an HIV prevalence rate of 23 percent, strengthening strategic information systems so program managers have actionable data to inform their decisions is a critical step to improving HIV care and treatment services. Historically, Lesotho has had parallel paper and electronic reporting systems, making it difficult to track program achievements or detect potential bottlenecks. Typically, patient data for tuberculosis, HIV, and other key health programs have been submitted on paper to multiple units and then transferred using multiple electronic tools, with little or no analytics or information exchange across systems.