FACE
Families and Communities for the elimination of Paediatric HIV (FACE Paediatric HIV)
Introduction
The FACE-Paedriatic Consortium which is led by OPHID is implementing a five-year programme meant to eliminate new HIV infections in children and improve the survival of mothers and children in line with the national strategic plan. The Project is funded by USaid through SAfAIDS.
Primary Target
Women of child bearing age (HIV positive women, women of unknown HIV status and young women).
Secondary Target
Men aged between 20 and 55 years, leaders (traditional, religious, political), Government health related structures, older women (mothers, mothers in law, sisters in law), traditional birth attendants.
Coverage
This is a national project that is being implemented in Midlands, Masvingo, Matabeleland North, Harare, Matabeleland South and Mashonaland West Provinces. In Masvingo Province the project is being implemented in Chivi District at Mhandamabwe Rural Health Centre, Chivi District Hospital, Chishave Rural Hospital, and Ngundu Clinic.
Programme Goal:
To eliminate new HIV infections in children and improve survival of mothers and children in line with the National Strategic Plan for Eliminating New HIV infections in Children and Keeping Mothers and Families Alive:2011 – 2015
The SAfAIDS Community Mobilisation Goal:
Increase uptake and retention of mothers, infants and families in HIV care and treatment services and creating an enabling environment for sustained elimination of new HIV infections in children and keeping mothers alive.
Programme Strategic Objectives
· Provision of technical and other assistance to the national level PMTCT programme
· Strengthen provision of clinical services for comprehensive PMTCT programme
· Strengthen paedriatic HIV services.
· Conduct operations research to inform evidence-based policies and programme strategies.
· Strengthen continuum of care for mother, infant and family.
Strategic approach
1. Social mobilisation for promoting health seeking behaviours for increased uptake and retention of mothers, infants and families in HIV care and treatment.
2. Advocacy to address policy and social barriers to PMTCT service uptake and retention.
3. Communication targeted at providing PMTCT and paedriatic HIV related standardised information as a tool to systematically influence social change for increased uptake and retention of mothers, infants and families in HIUV care and treatment services.
Key activities
1. Strengthen leadership and ownership at provincial, district and local level
2. Decentralisation of paedriatic ART services.
3. Support development of national research agenda for PMTCT and HIV paedriatic care and treatment.
4. Build capacity of village health and community based advocates as "front-line" workers to mobilise and coordinate continuum of care.
5. Integrate PMTCT and HIV care services in family planning and adolescent sexual and reproductive health programmes.
Expected results
· A national PMTCT programme with demonstrated leadership and technical capacity at all levels to effectively and efficiently implement the national strategic plan.
· 100% of MNCH sites provide high quality, comprehensive, family-centred, PMTCT/MNCH services in line with national standards: partner and couple counselling expanded at all points.
· 98% of HIV positive pregnant women receive ARVs in PMTCT and 50% of eligible pregnant women initiated on Antiretroviral therapy for their own health.
· 90% of HIV-exposed children receive ARV prophylaxis; 90% of HIV exposed infants started on cotrimoxazole prophylaxis and 80% of children born to HIV positive mothers are tested for HIV at 6 weeks after birth. 80% of infants and children (< 2 years) who need life-long ART that are commenced on it.
· Mother, infants and their families are retained and supported in community care services.
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