1. HIV treatment and care services for adolescents: A situational analysis of 218 facilities in 23 sub-Saharan African countries
Luann Hatane, Executive Director
Paediatric-Adolescent -Treatment Africa (PATA)
24 July 2017
9th IAS Conference
Commissioned by

2. Methods
The WHO commissioned PATA to undertake a facility-level situational analysis of adolescent HIV treatment and care services in preparation for consolidated guidelines
PATA network & CHAI, EGPAF & SSDO health facilities
Web-based survey
High Level (HL) & Deep Dive (DD) versions (31 vs 61 items)
English, French & Portuguese
Telephonic follow-up
50% response rate from PATA network

3. Results SAMPLE 218 facilities, 23 countries, 3 sub-regions
Together, cared for 80,072 ALHIV (definition variable)
TREATMENT ADHERENCE
Non-adherence key challenge (40%), but insufficient protocols (39%)
Adherence counselling focused primarily on behaviour
Most recommend peer support, BUT no mechanisms
Mental health issues (41%) and neurocognitive impairment (21%)

4. Most common approach: specific day or time
DATA ISSUES
Poor definition consistency (26%) & data disaggregation (80%)
SEPARATE SERVICES
Attend to adolescents at same time
& space as adult/paediatric (65%)
TRANSITION
No protocols to guide transition (49%)
SRH integration
Limited integration of SRH services (63%)
Most common approach: specific day or time

5. For more information & resources
Thanks
Alice Armstrong, Martina Penazzato HIV Department, WHO
Jane Ferguson Healthy Adolescents & Young Adults Research Unit, Africa Centre for Population Health
Daniella Mark, Lina Taing, Catarina Andrade, Toby Runciman PATA
Nandita Sugandhi, Martina Penazzato, Surbhi Modi, Anouk Amzel IATT Child Survival Working Group
Jessica Rodrigues, Sostena Romano IATT secretariat
Doctors, nurses, counselors, pharmacists, peer supports across the PATA network
For more information & resources