UNICEF-Optimising HIV Treatment Access (2012-2016)
Contribution ID : SE-0-SE-6-21500193This website displays open data about Swedish aid, which shows when, to whom and for what purpose Swedish aid is paid out, as well as what results it has produced. This page contains information about one of the contributions financed with Swedish aid.
UNICEF will work towards the roll out of Option B+ for PMTCT in 4 initial countries in the first two years and an additional 2 countries in the third year. They will work closely with the Ministries of health in Malawi, Uganda, Cote D'Ivoire and the Katanga region of DR Congo. UNICEF will also partner with EGPAF, ICAP and M2M in these...
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UNICEF will work towards the roll out of Option B+ for PMTCT in 4 initial countries in the first two years and an additional 2 countries in the third year. They will work closely with the Ministries of health in Malawi, Uganda, Cote D'Ivoire and the Katanga region of DR Congo. UNICEF will also partner with EGPAF, ICAP and M2M in these countries.
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Result
The focus of the OHTA initiative from January 2013 to September 2016 was to contribute to the reduction in new HIV infections among children and, specifically, to help avert 40,000 new HIV infections in the four focus countries. In 2016, the Swedish International Development Cooperative Agency (Sida) and the Norwegian Agency for Development Cooperation (NORAD) granted an extension phase (20162017) to facilitate documentation of promising practices, build evidence and experiences related to new emerging areas of importance to the elimination of mother-to-child-transmission of HIV (eMTCT) goals, and scale down downstream support to focal districts. The following are among the notable results achieved: -From 2013 to 2017 when the initiative ended, a total of 219 244 pregnant and breastfeeding women living with HIV in the four focus countries were reached with anti-retroviral therapy (ART) for PMTCT, resulting in an estimated 146,500 new HIV infections in children averted. -Increasing community participation and accountability was an important component of the OHTA initiative. Through the initiative, UNICEF strengthened community-facility linkages using multiple approaches that provided opportunities for interpersonal and community dialogue on key social and cultural issues that influence risk and vulnerability to HIV. In Malawi and Uganda, community mentor mothers - a cadre of previous PMTCT clients trained as lay counsellors - provided individualized education, psychosocial support, appointment reminders, referral services, and follow-up services to women and their families through home visits. By 2016, the mentor mothers in Malawi had served more than 26,000 community members through education sessions focused on the importance of HIV testing and treatment, and in Uganda, more than 19,000 couples had benefited from health education sessions through home visits conducted by the mentor mothers. -With the transition to lifelong treatment for pregnant women, service providers have been sensitized to the importance of tracking women along the PMTCT package of interventions and developing tools to allow for the identification of women who drop out of care. In terms of innovation, the OHTA initiative supported countries to develop longitudinal registers to allow for the tracking of mothers and their children for these purposes and for lay workers to identify women in need of follow up support. -The district-focused aspect of OHTA implementation enabled greater buy-in, and the data quality improvement initiatives led to improved attention to identifying and addressing bottlenecks through increased local programme ownership. -During the OHTA implementation period, there were increases in antenatal attendance, particularly in Uganda and Cote d' Ivoire, and increased coverage of Option B initiation, most notably in Malawi. These achievements could plausibly be due to the demand creation strategies of various community cadres who had been engaged to support PMTCT through the OHTA grant, and to the integration of PMTCT within the existing MNCH platform.
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