Antiretroviral roll-out in South Africa : where do children feature?

SHUNG-KING, Maylene
ZAMPOLI, Marco

Publication Date 

August 2004
49 p

This is a discussion paper on South Africa's 2003 roll out plan for the 'Comprehensive Care and Treatment for HIV and AIDS' and its implementation. It considers how the plan addresses children's needs and assesses its weaknesses, particularly in relation to the topic of ART for HIV-infected children. The paper laments that children's specific needs are not adequately dealt with, stressing that a comprehensive, child-oriented approach must give consideration to the mother-infant relationship and acknowledge that the health of the mother is a necessary component of the well-being of children. The plan also fails to consider the issues of children in residential care facilities, counselling needs of children, the specific difficulties associated with testing and diagnosing babies and children, and aspects of drug availability and treatment adherence in children. The paper concludes with recommendations designed to help policy making, service delivery and advocacy strategies. In particular the document calls for child-specific attention in areas of monitoring, adherence and drug provision, recommends that greater emphasis is placed on children's needs in the upscaling of ART provision, particularly through primary health care services, and that watchdog bodies and children's rights organisations take a more active role

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