In Zambia, children living with HIV needed to travel long distances to receive care at the central paediatric referral hospital. In response, the paediatric services developed a primary care outreach service to provide services closer to where children live. Children younger than 16 years of age who had demonstrated good adherence, were established on ART with no opportunistic infections and who wanted care closer to home, were offered this ART delivery model. The children were referred to their closest primary care clinic and a team, including a clinician from the referral hospital’s paediatric service, provided outreach support. Children were seen three monthly at the primary care clinic for clinical consultations and ART refill by the outreach team. Viral loads were taken every second visit.
This paediatric outreach model is an example of out-of-facility (paediatric referral hospital service) individual model and of a new-build differentiated ART delivery model.
Eligibility
Younger than 16 years, no opportunistic infections, demonstrated good adherence to ART
Building Blocks
ART refills
What
ART refill
When
3 monthly
Where
Primary care clinics
Who
Outreach team, including clinician and counsellor
Clinical consultation
What
Clinical consultation
Rescript
Blood draw (VL 6 monthly)
When
3 monthly
Where
Primary care clinics
Who
Outreach team, including clinician and counsellor
Psychosocial support
What
One-on-one adherence counselling
When
3 monthly
Where
Primary care clinics
Who
Outreach team
Further reading
Read more about differentiated HIV treatment for families here. Also available in French and Portuguese.
