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- Title
Advanced disease programming brings much needed attention and improvements to inpatient paediatric HIV care in Mozambique.
- Authors
Buck, W. Chris; Schindele, Andreas; Taibo, Elsa; Perez, Patricia; de Deus, Maria Inês Jorge Tomo; Matsinhe, Mércia; Cowan, Jessica; Simione, Teresa Beatriz; Couto, Aleny
- Abstract
This article discusses the improvements made to inpatient pediatric HIV care in Mozambique through the implementation of advanced disease programming. In the past, pediatric antiretroviral treatment (ART) was primarily available in day clinics, but efforts were made to decentralize and scale up ART services throughout the country. As a result, the percentage of health facilities offering ART increased from 39% to 96%, the number of children on ART increased from 41,400 to 99,169, and the estimated pediatric ART coverage increased from 41% to 79%. However, this focus on outpatient care led to gaps in the quality of inpatient HIV care for children. To address these gaps, a program was launched to provide technical assistance for inpatient pediatric HIV care in each province of Mozambique. A baseline assessment was conducted to identify areas of weakness, such as low testing rates and gaps in the quality of ART and tuberculosis care. Interventions were then implemented to improve these areas, including training for hospital staff, improved supply chain management, and targeted support for the implementation of advanced HIV disease screening. Follow-up assessments showed modest improvements in pediatric inpatient HIV care, including increased testing coverage and availability of necessary medications. The implementation of the advanced disease program has helped to identify and address gaps in inpatient pediatric HIV care, aligning with WHO recommendations and improving the quality of care at central and provincial hospitals. The long-term goal is to prevent new pediatric HIV acquisitions and provide timely diagnosis and treatment.
- Subjects
MOZAMBIQUE; HIV; PEDIATRICS; IMMUNE reconstitution inflammatory syndrome; PUBLIC hospitals; HEALTH facilities; HIV-positive children
- Publication
Journal of the International AIDS Society, 2024, Vol 27, Issue 1, p1
- ISSN
1758-2652
- Publication type
Article
- DOI
10.1002/jia2.26203