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2 egpaf approach and activites who_vienna 2010
1. WHOÂ Guidelines:Â
2010 and Beyond
2010 d B d
C s a
Christian Pitter, MD MPH
e,
Director, Global Technical Policy
Elizabeth Glaser Pediatric AIDS Foundation
Elizabeth Glaser Pediatric AIDS Foundation
3. EGPAF International Programs:
2000 8 sites in 6 countries
2010 >4865 sites in 16 countries
4865
United China
States
India
Rwanda
Uganda
Cote
dâIvoire
Kenya
Cameroon Tanzania
D.R. Congo Malawi
Mozambique
South
Africa Zimbabwe
Swaziland
Zambia Lesotho
*Program initiated with EGPAF support and transitioned to other implementers
4. 70 000
60 000 Estimate of the annual number
50 000 of infant infections averted
40 000 through the provision of ARV
30 000 prophylaxis to HIV-positive
20 000 pregnant women, globally,
10 000 1996â2008
0
1996 1998 2000 2002 2004 2006 2008
70,000
Estimated number of infections
averted in
new pediatric infections 2008
with and without
PMTCT prophylaxis
globally, 1996-2008
5. Four Linked Guidelines
nseÂ
etc.)
ARVs forÂ
ARVs for
Respon
H,TB, e
Vertical Pediatric ART
Transmission
e HIV R
ealth Sy m (MCH
mprehensive
ystem
Adult &Â
IYCF
Com
Adolescent ART
Ad l t ART
He
6. What the New GuidelinesÂ
Represent
⢠Progress of knowledge in provision ofÂ
g g p
HIVÂ services
⢠Th fi t t i
The first step in codifying knowledgeÂ
dif i k l d
into standards of care
⢠Opportunity to improve approaches,Â
y,
service delivery, and outcomes
⢠A relatively rare âleverage pointâ toÂ
focus attention and effort
f i d ff
7. Overall Major Changes
⢠â logis cal and supplyâchain needs
⢠â need for longâterm followâup andÂ
integration between PMTCT and HIV careÂ
g
and treatment
⢠â need for treatment
â need for treatment
⢠Advancement of monitoring andÂ
evaluation
If implemented at scale, the virtual
If implemented at scale, the virtualÂ
elimination of pediatric HIV
8. Guidelines as a Leverage Point
Guidelines as a Leverage Point
Elimination ofÂ
Pediatric HIV
Concerted Efforts
Implementation
Advocacy
ResearchÂ
Concerted Efforts CurrentÂ
National Systems, Partners and Communities
National Systems Partners and Communities
Implementation
I l i Success
Advocacy
ResearchÂ
WHOÂ
Guidelines
8
9. What We Need to Do:Â
Be of ServiceâŚ
Be of Service
1. To our host countriesâ HIV responseÂ
To our host countries HIV response
o Assist/Advise in adaptation
o Assist/Advise in implementation
2. To districts and facilities we serve
o Implementation planning and support
Implementation planning and support
3. To our Mission
o S 1&2 b
See 1 & 2 above
o Evaluate Â
o Document & Share
Document & Share
10. Supporting Guideline AdaptationÂ
&Â Implementation
& Implementation
⢠Toolkits phases I, II, and III
p , ,
⢠Technical advocacy/support at nationalÂ
level
l l
⢠Technical support at implementation level
Technical support at implementation level
⢠Interâcountry supportÂ
⢠Global sharing and leadership
⢠DOCUMENT, EVALUATE, DOCUMENT