Strategies to Increase Identification of HIV Positive Children: A Compilation of Successfully Tested Changes in Communities and Health Facilities in Uganda
Identifying and diagnosing children as HIV-infected is the first step in the continuum of pediatric care and treatment. As part of its contribution to the UNAIDS first 90 goal to have 90% of all HIV infected people diagnosed, the USAID ASSIST, with support from the US President’s Emergency Plan for AIDS Relief (PEPFAR) works with the Ministry of Health (MOH) and implementing partners to test innovative approaches for increasing identification of HIV positive children and their caregivers. Following the HIV Continuum of Response (COR) model developed by ASSIST, all children and adults identified as HIV positive should be linked for HIV care and treatment. In October 2013, USAID ASSIST together with the regional implementing partners in East Central and South West regions identified eight health facilities and eight Civil Society Organizations that care for orphans and vulnerable children to test strategies to increase identification of HIV positive children. This change package highlights change ideas compiled by health facility and community QI teams to achieve two aims: 1) improve identification of HIV positive vulnerable children and their caregivers; and 2) improve enrolment of the vulnerable children and their caregivers identified as HIV positive. It provides detailed guidance that other health care providers and community organizations can use to improve identification and enrolment into care of HIV positive vulnerable children.