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).
Globally, children under age 15 account for about 5 percent of all people living with HIV, 9 percent of new HIV infections and 13 percent of all AIDS-related deaths. Children under 1 year of age are among those most vulnerable to HIV. Globally, just more than half (54%) of the estimated 1.7 million children living with HIV aged 0–14 years are on treatment. Without improvements, treatment coverage among children will continue to stagnate and lag behind adults. Out of 21 high burden countries, 12 countries account for 80% of this treatment gap, and include South Africa, Nigeria, Mozambique, Tanzania, Ethiopia, DRC, Uganda, Côte d’Ivoire, Malawi, Zambia, Kenya and Zimbabwe.