Clinic-CBO Collaboration (C3)
The Clinic-CBO Collaboration (C3) Programme is a partnership between PATA and Positive Action for Children Fund (PACF) to link health facilities and communities to deliver services together for improved PMTCT- paediatric case finding and HIV treatment.
An estimated 150,000 children (age 0–14 years) were newly infected with HIV globally in 2015, 85% of whom live in sub-Saharan Africa. Of the 1.8 million children living with HIV globally, half do not receive ART and for those who do receive ART, it often comes too late. Without timely treatment, half of the children living with HIV who are not initiated on treatment will not reach two years of age.
Achieving global fast track targets, scaling up comprehensive PMTCT and rolling out WHO guidance on the immediate initiation of ART will require up-skilling of health providers and expanded service delivery. In a health system that has limited human resources and whose clinics are already overburdened, high impact interventions, together with community-based models need to be identified at each step of the HIV prevention, care, and treatment cascade. Greater efforts are needed to build and document a growing body of evidence, demonstrating the impact of community engagement and clinic – community-based collaboration. PATA will draw upon lessons and opportunities from C3 Phase I (2014-2017) where 36 clinic-CBO partnerships were initiated across 9 countries to expand and deepen the program in C3 Phase II (2017 -2020).
Leverage C3 learning• Consolidate C3 learning into a Toolkit for local and global distribution
• Develop a complementary online set of interactive tools and infographics
• Link learning to a Community of Practice on clinic – community engagement
Build upon and strengthen PATA-PACF collaboration• Scale-up and initiate 60 new clinic-CBO partnerships across 6 countries
• Facilitate Partnership Initiation Forums and the development of Joint Activation Plans
• Undertake operational deep dive case study on C3 methodology
Establish a C3 Community of Practice to document and share lessons• Establish an online set of tools and e-learning platform
• Share information, tools, and resources
• Document and share promising practices and operational research
• Host a biennial Regional Collaborative Learning Forum on the prevention of mother-to-child transmission (PMTCT), early infant diagnosis (EID), paediatric case finding, and HIV treatment and care
Advocate for improved linkage along the paediatric HIV prevention and treatment cascade – with adoption of community engagement policy and practice• Communication strategy on C3 methodology developed and distributed
• C3 presentations, papers and policy briefing documents or case studies delivered
• Promote increased investments into C3 and community engagement
• Advocate for improved monitoring and reporting on clinic-community engagement