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Volume VIII Issue 8:
PATA introduces new programme with funding support from the M.A.C AIDS Fund
The PATA 2014 Continental Summit: Please forward key themes and topics for consideration and inclusion
PATA Local Forum in South Africa
Lea Toto Programme (Kenya) visited by their mentor
Three Month Progress Updates from the PATA 2013 East African Regional Forum
Expert Patient Programme 2014-2015
UNAIDS Report on the global AIDS epidemic 2013
1. PATA introduces new programme with funding support from the M.A.C AIDS Fund
In order for people living with HIV (PLHIV) to achieve and maintain virological suppression and benefit from treatment and care services, they must remain engaged in the healthcare system. However, many PLHIV are lost from care at various stages of the HIV treatment continuum.
PATA has been awarded funding from the M.A.C AIDS Fund through a one year PATA-M.A.C. Aids Fund partnership known as “RiCC-A” (Retention in the Cascade of Care –Africa). RiCC-A’s aim is to strengthen retention in the cascade of care across countries of focus, including South Africa, Botswana, Nigeria and Zambia.
The PATA-M.A.C. AIDS partnership will provide a broad integration of retention in the cascade of care as a priority theme into all of PATA’s work during 2014. Using PATA forums, mentoring, capacity-building, support of small clinic-based initiatives and our community health worker programme, PATA will focus on retaining HIV-infected pregnant women, infants and adolescents in care, monitoring our results and sharing lessons learned across the PATA network.
2. The PATA 2014 Continental Summit: Please forward key themes and topics for consideration and inclusion
Team PATA has started to prepare for the PATA 2014 Continental Summit, which will be held in the first week of December 2014.
At this year’s summit, 40 multidisciplinary paediatric HIV treatment teams (each comprising of a doctor, nurse, pharmacist, counsellor and/ or community health worker) will come together to learn from world experts and share models of best practice.
Key to the PATA Summit process is knowledge translation, which allows teams of healthcare professionals to incorporate evidence-based information and examples of best practice into their own daily practice. This helps to optimise treatment outcomes and benefits the healthcare system as a whole.
Team PATA would like to invite its network members and partners to forward key themes and topics they would like to have considered for inclusion in the PATA 2014 Continental Summit. PATA also invites suggestions on summit activities that may further team-building and networking.
Please forward your thoughts and ideas to firstname.lastname@example.org
3. PATA Local Forum in South Africa
PATA recently held a local forum in King William’s Town, in the Eastern Cape (South Africa). The forum was co-hosted by local partner, Grey Hospital. The theme of the forum was: Working with adolescents living with HIV: Retention in care. Teams were provided the latest updates on HIV in their province with a focus on adolescent prevention, treatment and care. The focus on adolescents as a key group to reach and retain in care was highlighted.
Participants enjoyed learning from locally-based experts. These included Prof Gerald Boon (Department of Health, Eastern Cape), Dr Madeleine Muller (Beyond Zero, formally known as the Institute for Youth Development South Africa-IYDSA), Sr Judith Mongcongaza (Frere Hospital, Eastern Cape), Dr Cheree Goldswain (Cecilia Makiwane and Frere Hospitals), Nomonde Qukula (Qulo Health Promotion Networking and Training) and Dr Candice Fick (WITS Reproductive Health and HIV Institute).
The presentation topics at this gathering included community-based health promotion models, teen communication, adolescent-friendly services, integration of sexual and reproductive health services, strengthening inter-facility transfer, mental health issues in adolescents living with HIV and strategies to facilitate retention in care.
The forum was attended by clinics teams from Grey Hospital, Grey Gateway Clinic, Dimbaza CHC, Bisho Hospital, Stutterheim Hospital, Ginsberg Clinic and Institute for Youth Development South Africa (IYDSA)/ Beyond Zero.
At the conclusion of the forum, clinics teams were guided by PATA to set quality improvement goals. Teams used information and discussion from the plenary presentations to generate goals and actions that would better reach and retain adolescents in care. Goals developed ranged from allocating specified clinic times for adolescents, to an improved transition process, and providing expanded psychosocial support interventions for the age group.
Well done to all clinics teams who participated in this local forum. PATA wishes you the best of luck in achieving your goals.
4. Lea Toto Programme (Kenya) visited by their mentor
In February 2014, Lea Toto Programme (Kenya) received a visit from Dr Nandita Sugandhi (Clinton Health Access Initiative), a PATA mentor for Lea Toto. According to Nicolas Makau (a supervisor at Lea Toto), Dr Sugandhi’s visit was informative and interactive. Dr Sugandhi participated in a morning round table briefing with the Lea Toto staff and management.
The visit created a platform for discussing various challenges that Lea Toto were facing, especially around adolescent drug adherence and HIV-exposed infants. Dr Sugandhi also had the opportunity to visit Lea Toto satellite clinics, the Nyumbani Laboratory and the Respite Centre, which supports children with severe malnutrition. Dr Sugandhi also engaged with a group of patients and provided technical medical support to the resident doctor.
Dr Sugandhi described her visit to Lea Toto as “terrific”. “Lea Toto is such an impressive programme,” she said. “They have made progress on the goals they had set for themselves during the PATA 2013 East African Regional Forum in Dar es Salaam.
Given Dr. Sugandhi’s wide experience in HIV treatment and care, her visit was found to be most valuable and the team expressed their sincere gratitude in her efforts to visit. Dr Sugandhi enjoyed her visit and expressed her appreciation at being provided the opportunity to learn from the Lea Toto team whom she hopes to visit again.
5. Three Month Progress Updates from PATA 2013 East African Regional Forum
The three month goal of Joint Clinical Research Centre-JCRC (Uganda) was to improve nutritional assessments and community knowledge about nutrition into 2014. JCRC planned to train Expert Patients to use Mid-Upper Arm Circumference (MUAC) tapes.
So far, JCRC has trained six Expert Patients in using MUAC tapes. These Expert Patients have been giving health talks on nutrition in the clinic and in the community. They have also conducted nutritional assessments for children.
Village Health Works (Burundi) aimed to test 80% of pregnant women in their antenatal care clinic for HIV as part of their three month goal. Village Health Works has now reported conducting voluntary counselling and testing (VCT) among 100% (n=194) of pregnant women in their care. Those who tested positive were immediately enrolled for PMTCT.
Partners in Health-PIH (Rwanda) had set a three month goal of improving their existing system of HIV/ TB/ malaria care. PIH social workers who work closely with Expert Patients conduct patient education sessions from Mondays to Fridays on different topics that include ANC, nutrition and feeding of infants, PMTCT, vaccination and the prevention of tuberculosis and malaria. Congratulations to these teams on their significant progress!
6. Expert Patient Programme 2014-2015
This year’s Expert Patient Programme has undergone a number of key strategic changes. As part of PATA’s final 2015 Global Plan/ MDG push, the Expert Patient Programme will now focus on low-resource, high-patient volume clinics in a fewer number of priority countries, with a special focus on young children (0-5 years) and adolescents.
In addition, the existing programme will begin a significant advocacy drive to support integration of community health workers into existing health system structures, and undertake intensive data and best practices collection for sharing across the PATA network and more broadly.
These changes to the programme’s focus meant that 19 clinics graduated from the programme into a ‘Friends of the Expert Patient Programme’ alumni group, and 30 clinics were selected to continue into 2014-2015.
7. UNAIDS Report on the global AIDS Epidemic 2013
The latest edition of the UNAIDS report on the global AIDS epidemic, released in November 2013, draws on an unprecedented body of data and analysis. It is primarily based on three sources: epidemiological estimates, the global AIDS response and country progress reporting.
The report includes new country by country scorecards. Based on the latest data from 186 countries, this global reference provides comprehensive analysis of the AIDS epidemic and response.
Overall, much progress has been made in terms of the 2015 targets, and we have seen sharp reductions in the number of children newly infected with HIV. However, challenges remain, with paediatric treatment coverage at just 34%, roughly half of the coverage rate in adults.
To see how your country is doing in terms of combating HIV and AIDS, you can download the report here:
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