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After months of hard work strategizing, coordinating, and planning, we are finally just 1 day away from the PATA 2022 Summit, happening from 21-23 November 2022, titled Ending AIDS in Children, Adolescents and Young People – a Roadmap to 2030- Do it Right, Do it Together, Do it Now! Starting on Monday the summit launches in 12 countries, across 24 in-person satellites. The virtual Prime Opening Session starts at 11h00 SAT/ 10h00 WAT/ 12h00 EAT. An event not to be missed! Paediatric – Adolescent Treatment Africa
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Welcome to the PATA 2022 Summit
HIV testing services (HTS)
Prevention of Mother to Child Transmission of HIV/Syphilis/HBV.
Mental Health
Gender Identity, Attraction and Expression.
Archives
November 2022
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HIV testing services (HTS) provide the first critical link to comprehensive HIV treatment and prevention services such as voluntary medical male circumcision (VMMC), pre-exposure prophylaxis (PrEP), post-exposure prophylaxis (PEP) and other combination HIV prevention services. In addition, this initial step also provides opportunities to offer other interventions such as sexual and reproductive health services (SRH), TB screening and referral, and substance abuse screening and referral.
HIV testing should be voluntary and conducted ethically in an environment where the six Cs principles of Consent, Confidentiality, Counselling, Correct results, Connection (linkage) to care and other appropriate post-test services and creating an enabling environment are adhered to. #InformationDivision of National AIDS and STI Control Program
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• Prevention of mother-to-child transmission (PMTCT) of HIV, Syphilis and Hepatitis B
(triple elimination) should be offered as part of a comprehensive package of fully
integrated, routine antenatal care interventions.
• All pregnant women, unless known positive, should be counseled and tested for HIV, Syphilis (using the HIV-Syphilis dual test) and HBV during their first ANC visit, and if negative a repeat HIV-Syphilis dual test should be performed in the 3rd trimester.
• Lifelong ART should be initiated in all pregnant and breastfeeding women living
with HIV, regardless of gestational age, WHO clinical stage or CD4 count
• ART should be started as soon as possible, ideally on the same day HIV diagnosis is made,
with ongoing enhanced adherence support
• The preferred first line ART regimen for pregnant and breastfeeding women is TDF + 3TC
+ DTG
• For pregnant and breastfeeding women newly initiated on ART, obtain VL 3 months after
initiation, and then every 6 months until complete cessation of breastfeeding
• For HIV positive women already on ART at the time of confirming pregnancy or
breastfeeding, obtain a VL irrespective of when prior VL was done, and then every 6
months until complete cessation of breastfeeding.
• For pregnant or breastfeeding women with a VL ≥ 200 copies/ml (unsuppressed): assess for and address potential reasons for viremia, including intensifying adherence support, and repeat the VL after 3 months of excellent adherence.
▪If the repeat VL is < 200 copies/ml (suppressed) then continue routine
monitoring.
▪If the repeat VL is ≥ 1,000 copies/ml (treatment failure), prepare for change to
an effective regimen.
▪If the repeat VL is 200 – 999 copies/ml (low level viremia), reassess adherence
and other causes of viremia and consult the Regional or National TWG.
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Mental Health Matters
Doing What Matters in Times of Stress: There are a number of ways to promote mental health, including early childhood interventions; support to children; socio-economic empowerment; social support for elderly populations; programmes targeted at vulnerable people; mental health promotional activities in schools; mental health interventions at work; violence prevention programmes; and anti-discrimination laws and campaigns. Mental health promotion should be mainstreamed into governmental and non-governmental policies and programmes. In addition to the health sector, it is essential to involve the education, labour, justice, transport, environment, housing, and welfare sectors.
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Gender Bread
One Way to Understand Gender Identity, Attraction and Expression.
The gender bread visual is a way to further understand the terms relating to sex, gender, and sexuality. Program managers or training and curriculum specialists may find it useful to use in a training session with caregivers. Talking about the gender bread visual creates an opportunity to use the language terms introduced in this lesson. It also encourages caregivers to ask questions and share experiences about gender identity.