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Paediatric Provider-Initiated HIV Testing and Counselling, Zambia Ministry of Health

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Approximately 95,000 children aged 0 to 14 years in Zambia live with HIV. The majority of these children are unaware of their HIV status. As one of the most affected nations in sub-Saharan Africa, there is a dire need in Zambia to implement services to identify, care for, and treat HIV infection in children and families. Identification and follow-up of HIV-exposed infants through prevention of mother-to-child transmission (PMTCT) services has been an effective approach to identify and treat HIV-infected infants. However, its success is largely limited to the children of women who enroll in the PMTCT program during antenatal care and who are linked to ongoing care and treatment. Significant barriers delay or prohibit the identification of the children of women of unknown HIV status who do not (or did not) participate in PMTCT programs, as well as the children of women living with HIV who participate in PMTCT programs but are lost to follow-up before the child's HIV status is determined. Evidence from a variety of settings, including Zambia, suggests that many opportunities to diagnose infants and children at health facilities are being missed, thereby leaving HIV-infected children without access to life-saving care and treatment.

Recognizing that low levels of HIV awareness are a critical barrier to universal treatment access, the World Health Organization (WHO) issued country-level operational guidance on provider-initiated HIV testing and counseling (PITC) of adults and children. PITC is an approach in which HIV testing is a routine standard of care for all patients presenting at health facilities. In Zambia, implementation of pediatric PITC services complements the ongoing national expansion of comprehensive PMTCT services and efforts to strengthen the linkages among antenatal, labor and delivery, postnatal and child health services. These services are critical to reducing pediatric HIV infection and to providing access to HIV prevention, care and treatment services for mothers and families.

These guidelines, and the accompanying pediatric PITC training package and job aides (including counselling cue cards, wall charts, and supervisory tools) are intended to guide and support the nation-wide scale-up of PITC services in health facilities across Zambia.

National Curriculum

Participant Manual Slides Trainer Manual
PDF Word PPT PDF Word
Introduction and Overview 158K
249K
NA 640K
1MB
Module 1: Introduction and Course Overview 126K
477K
561K
350K
816K
Module 2: Review of MTCT and PMTCT 226K
653K
677K
403K
889K
Module 3: Review of Infant and Young Child Feeding 502K
1.4MB
1.6MB
758K
2.4MB
Module 4: Overview of Paediatric HIV Testing and Counselling 171K
530K
1.2MB
366K
804K
Module 5: Pre- and Post-test Counselling for Paediatric HIV Testing 245K
799K
621K
430K
1MB
Module 6: HIV Testing in Children 2MB
3.6MB
5MB
2.2MB
3.8MB
Module 7: Ongoing Care, Treatment and Supportive Counselling for the Child and Family 2.6MB
4.1MB
1.4MB
2.8MB
4.5MB
Module 8: Record Keeping, Monitoring and Quality Assurance 770K
1.4MB
2.1MB
964K
1.6MB
Module 9: Paediatric PITC Action Planning and Implementation 163K
371K
579K
231K
460K
Module 10: Supervised Clinical Practicum and Action Planning 195K
639K
1.1MB
373K
985K
Module 11: Training Review, Evaluation and Closing 137K
568K
1.2MB
329K
941K
Optional Field Visit NA NA NA
Glossary NA
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Guidelines and Tools

PDF Word
PITC Guidelines 5.4MB
936K
PITC Guidelines Appendices 4MB
5.4MB
PITC Quality Assurance Tool 98K
246K
Dried Blood Spot Collection Technique Poster (36" x 24" or 91.4cm x 61cm) 3.8MB
NA
HIV Testing Algorithms 1.4MB
NA
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