Unfinished Business (UB)

The ELMA Unfinished Business initiative is a coordinated and ambitious effort in response to the significant treatment gap among children with HIV. The aim of UB is to facilitate a linking and learning hub for UBII in South Africa to provide technical support, accelerate learning and document lessons, with a focus on integration of peer support and clinic-community collaboration (C3) strategies. UB aims to ensure that children and adolescents are linked to quality support services and life-long treatment.

Phase II of Unfinished Business (UB II) leverages Phase I’s achievements to accelerate efforts, address remaining challenges and achieve scale through direct support to the five highest-burden districts with the largest paediatric treatment gap in Gauteng (Johannesburg and Tshwane) and KwaZulu-Natal (eThekwini, uMgungundlovu, Zululand).  Using a consortium methodology, four implementing partners: Anova Health Institute, Wits RHI, Health Systems Trust (HST) and AIDS Foundation of South Africa (AFSA) were appointed under the coordination of CHAI to identify 176,776 HIV-positive children and adolescents and improve national paediatric ART coverage to 73% in South Africa through demonstrating the impact of an effective system to refer, trace, initiate and case manage HIV-positive children and adolescents.

The consortium approach provides a unique opportunity for implementing partners to accelerate learning by working collaboratively, receiving technical support together, pooling experiences and documenting cross-cutting lessons.

PATA provides technical support to Unfinished Business Phase II partners in the effective integration and documentation of peer support and clinic-community collaboration strategies with the aim of building an investment case for the wider adoption of these strategies.