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Expanding pediatric access to antiretroviral therapy in South Africa

MICHAELS, Desireé
et al
August 2006

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This paper presents the results of a rapid situational analysis of the antiretroviral (ARV) rollout in South Africa which found that several ARV programmes are treating children successfully. However, all the institutions surveyed identified a large number of concerns and challenges that need to be overcome in order to improve care for children living with HIV. Key actions required include early identification of HIV-infected children, effective referral, standardised training in pediatric HIV management for health professionals, and increased community awareness and support

Health South Africa : efforts to ARV for kids are still in their infancy

NDURU, Moyiga
May 2004

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An interesting article noting the challenges of supplying the medicines to HIV positive children who have received little attention. Early in 2004 the South African national programme to provide anti-retrovirals (ARVs) became operational. There is now hope that this will bring opportunities for under 14 year olds including very young children to gain more access to the drugs. The government is seeking to treat over 50,000 people per year under the ARV programme. In private clinics it costs almost US$93 to put a child on ARV for one month although this has halved since two years ago. Doctors and health officials are debating about what age is right for a child to start ARV treatment although theoretically it can start as soon as it is born. Doctors Without Borders advises that treatment should start as soon as a child is discovered to be HIV positive so that the immune system is bolstered

Care for children infected and those affected by HIV/AIDS; a handbook for community health workers

SAVE THE CHILDREN UK
2003

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This handbook aims to contribute towards improving the provision of care and support to children infected by or affected by HIV/AIDS. It aims to provide basic information on HIV/AIDS, and to assist carers in providing home-based care and counselling. Subjects covered in the handbook include basic facts about HIV, HIV counselling and testing, nutrition, hygiene, nursing care for children (including on specific opportunistic infections), and the emotional health of children with guidance on how children cope with bereavement. Practical suggestions are also made on improving communication with children

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