Project information

Re-engaging Adolescents and Children with HIV

REACH improves access to quality paediatric HIV prevention, treatment and care services, by recruiting and training young people with HIV to work as community health workers (CHW). The young CHWs are left feeling empowered and valued, allowing them to effectively engage with young people around them

This current phase will take 12 months.

Charity information: One to One Children's Fund

One to One Children's Fund logo
  • Need

    Need

    HIV is the number one cause of death for adolescents in Sub-Saharan Africa. Of the 3.2 million children with HIV globally, 2.9 million live in Sub-Saharan Africa and less than 23% have access to antiretroviral treatment (ART).

    In addition, overburdened health teams are unable to provide the psychological support, youth friendly services and integrated care needed by young people with HIV. Children and adolescents with HIV have limited engagement in a pathway of care.

    Solution

    Clinic staff reported the most significant barrier to providing quality healthcare was the chronic shortage of trained healthcare staff. The solution identified is to recruit, train and employ young people with HIV to work as Peer Supporters in identified clinics. The Peer Supporters will educate children and young people about the need for testing, treatment adherence, nutrition and disclosure. They will assist with routine tasks to free up doctors for more technical aspects of treatment.

  • Aims

    Aim 1

    Improving the quality of life for young people with HIV

    Activities

    » Previously unemployed young people with HIV have the opportunity to learn new skills, earn a monthly stipend, and have improved future job prospects.
    » Improves psychosocial well-being of young people engaged as Peer Supporters and are left feeling empowered and valued.
    » Encouraging young people to disclose status and emphasizing the importance of nutrition while on ART.

    Bi-annual reports from PS supervisors assessing the number of infants, children and adolescents initiated on ART


    Aim 2

    Integrating young people with HIV into the care system and providing health worker sensitisation

    Activities

    » Sensitisation of health care providers to the needs of children and adolescents.
    » Opportunities for young Peer Supporters to meet, share experiences, network and mobilise as an important stakeholder group.
    » Peer Supporters are considered valued members of healthcare teams and participate in weekly staff meetings and team activities.

    Bi-annual reports from PS supervisors reviewing the recruitment and training of PS in the clinic


    Aim 3

    Expanding the number and type of psychosocial services offered by clinics to ensure a holistic model

    Activities

    » From the time freed up through task-shifting, doctors, nurses, counsellors and pharmacists have greater capacity to provide psychosocial support.
    » Peer Supporters are directly involved in running support groups for children and adolescents w/ HIV and can offer a variety of peer to peer activities
    » Improving access to sexual and reproductive health services for young people with a focus on young teen mothers.
    » Community outreach to raise awareness of HIV and the need for testing.

    Bi-annual reports from PS supervisor assessing how the PSs have improved clinic capacity and functionality


    Aim 4

    Task-shifting; decrease the burden on care workers so they have more time to improve quality of care

    Activities

    » Tasks necessary for smooth functioning of a busy clinic are performed by Peer Supporters instead of qualified healthcare workers.

    Bi-annual report from PS supervisor reporting on the range of services and number of youth friendly services


    Aim 5

    Improving treatment outcomes and adherence

    Activities

    » Improvements in early diagnosis, timely treatment and treatment adherence through individual follow-up, counselling and support.
    » Reduction in waiting time and improved access to treatment through the provision of increases staff resources at clinics.
    » Offering a wide range of support options to children, adolescents and their families.
    » Peer Supporters visit defaulters in their homes and provide support so that they are retained in care.

    Bi- annual reports from PS supervisors on improved access to training, mentoring, supervision and number of PS accessing life skills, knowledge and career prospects


  • Impact

    Impact

    Access to and quality of care provided to children and adolescents with HIV will improve. Success will be demonstrated by increases in the number of children and adolescents starting on ART, number of young people adhering to treatment, number of people reporting improved access to range of quality of life and care services, and increased range of services for children and adolescents.

    Risk

    -Peer Supporters may still be in school and need to attend class during clinic hours
    - May need parental authorisation to work
    One to One Children's Fund and its partner will allow Peer Supporters to attend school and work outside school hours, and will review contracts with parents as needed. The Peer Supporters will receive a job description and contract for their review and benefit.

    Reporting

    Submit bi-annual or annual update reports as requested by donors including quantitative and qualitative information on REACH, case studies, quotes and photographs. These reports are based on data received from Peer Supporter supervisors, interviews and monitoring and evaluation reports from PATA.

  • Budget

    Budget - Project Cost: £106,080

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      Amount Heading Description
      £30,055 Programme Management Programme management and reporting
      £40,731 Clinic Payments Stipends, supervisions, training for 20 clinics and 60 Peer Supporters
      £24,799 Programme Development Training, advocacy activities, clinic mentorship and supervision, monitoring and evaluation
      £10,495 Administrative and Overhead Communications, bank charges, office costs and other staff costs

    Current Funding / Pledges

    Source Amount
    Private Individual £16,000 Guaranteed
    UK Foundation £10,000 Guaranteed
    UK Charitable Trust £10,000 Guaranteed
    Private Individual £10,000 Guaranteed
  • Background

    Location

    Project REACH is implemented in 20 clinics across 5 countries in Africa: Cameroon, Ethiopia, Malawi, Uganda and the Democratic Republic of the Congo. These countries were prioritized based on rigorous assessment of general population, rate of HIV infection from mother to child, and paediatric HIV rates including: new infections, percentage of children with access to HIV treatment and AIDS deaths. All clinics are affiliated to the Paediatric AIDS Treatment for Africa (PATA) network, our partner.

    Beneficiaries

    Babies, children and adolescents living with HIV will benefit from higher quality of care services and more tailored treatment plans. The families, carers and community will also benefit from improved health care at local clinics, greater understanding of HIV/AIDS, and reduced stigma. 60 Peer Supporters will benefit from improved standard of living, monthly stipends, training and greater job prospects while improving the capacity of the local clinics.

  • Why Us?

    Why Us?

    One to One Children's Fund works in direct partnership with PATA, a network of organisations of 250 front-line Paediatric HIV/AIDS treatment teams from across sub-Saharan Africa, responsible for the care of more than 25% of all children needing ART in the region. We have been implementing the Expert Patient Programme since 2007 and have developed project REACH following eight face to face workshops with 84 young people and consultations with 218 facilities across 23 African countries.

    Read more about the Charity running this project.

    People

    Doctors/Nurses

    Doctors and nurses working in the clinics will make the project a success by recruiting and training Peer Supporters and supporting them in their work

    Peer Supporters

    Motivated Peer Supporters contribute to the very low default rate and become excellent role models in the community.

    Nathalie Renaud- Programme Director One To One Children's Fund

    20 years of programme experience, 7 in her current role, and involved in the design and implementation of the REACH programme.

    Dr. Daniella Mark- PATA Executive Director

    PATA has expanded and thrived due to Dr Mark and her predecessors whose expertise and deep commitment have helped and continue to help HIV+ children.