Youth HIV services: Combining prevention and treatment.
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Transcript of Youth HIV services: Combining prevention and treatment.
![Page 1: Youth HIV services: Combining prevention and treatment.](https://reader035.fdocuments.in/reader035/viewer/2022081517/5a4d1b227f8b9ab0599959c1/html5/thumbnails/1.jpg)
Youth HIV services: Combining prevention and treatment
![Page 2: Youth HIV services: Combining prevention and treatment.](https://reader035.fdocuments.in/reader035/viewer/2022081517/5a4d1b227f8b9ab0599959c1/html5/thumbnails/2.jpg)
Issues: The unmet need…
• HIV positive youth were observed not to remain in care
• Services at ARV clinics not youth friendly• 9% of persons aged 13-21 tested HIV
positive- majority not enrolled in care• Only 5% of persons enrolled in HIV care in
Nyanza are youth• Prevention programs often separate from
treatment programs
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Components of youth friendly servicesServices• Integration• Participatory• Individualized• Short waiting times• Minimally invasive
proceduresPhysical Environment• Confidential location• Recreation facilities• Clinic that does not look
like a clinic
Staff attitudes• Youth friendly
– language– dressing
• Non-judgmental• Confidential
Accessibility • Cost of travel• Cost of services• Convenient location• Convenient hours
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Tuungane
• HIV prevention program for youth
• Youth VCT and STI clinic • Central clinic with drop-in
center• 5 satellite clinics• Works with 70 youth
groups in Kisumu
FACES
• Family AIDS Care and Education Services
• HIV Care and treatment program in Nyanza which began in Mar 2005
• Goal is to provide comprehensive, coordinated and compassionate HIV care to HIV infected persons and their families
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Goals of collaboration: Tuungane-FACES
• Improve HIV care for youth in Kisumu– Ages 13 - 21
• Increase the number of youth enrolled in HIV care in Kisumu
• Increase uptake of VCT among youth in Kisumu
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Collaboration Roles• Tuungane
– Space with recreation facilities
– Staff• Support• Clinical officer• Nurse
– Community mobilization– VCT– STI treatment– Transport of samples– Support group– Program planning
• FACES– Clinical mentoring– ART and OI drugs– Staff exchanges– CME– Lab– Technical assistance– Teleform– Reporting to PEPFAR– Support group– Program planning
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Laboratory
Pharmacy
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Challenges
• Recruitment of girls into clinic• Need for pediatric services (patients would
not refer babies to other sites)• Links to PMTCT services• Supervision of clinical staff: balancing
schedules of FACES clinical staff and Tuungane staff who do field work
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Progress and Successes• Over 200 youth aged 13-21 enrolled at clinic, 32
children. – Patients on ARVs 68, 7 are children
• VCT uptake-• Mom’s and babies day- every Wednesday at central
clinic and satellites• FP services being introduced• PMTCT services introduced• Weekly CME• Weekly support group with > 100 active members
– IGA for support group• Fortnightly joint staff meetings
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No. of new Patients enrolled
0
50
100150
200
250
Nov Dec Jan Feb Mar Apr May June July Aug
Month
No. enrolled
Series1
Total No. of patients initiated on ARVs
0
20
40
60
80
Nov Dec Jan Feb Mar Apr MayJune July Aug
Month
No. initiated
Total No. of patientsinitiated on ARVs