Established in 2001 to respond to the urgent needs of children affected by HIV/AIDS in Africa, ANECCA has made significant contributions to improve the outcomes of HIV exposed and infected children living in sub-Saharan Africa. The following are key highlights in chronological order.[/nrghost_heading]
- 2003 ANECCA held a regional technical meeting on cotrimoxazole prophylaxis for HIV exposed and infected children. It was attended by 48 experts from 14 countries. The idea of marking the child’s health card for identifying an exposed child was first suggested during this meeting, was then developed and tested in Zimbabwe, and it has now become an international standard of practice. Out of this meeting also, ANECCA issued an advocacy statement and this helped in the development of international recommendations on use of cotrimoxazole for HIV exposed and infected children.
- 2004 The Handbook on Paediatric AIDS in Africa was published and provided the first ever guide on prevention care and treatment of HIV in children in Africa. The handbook has continued to be a significant resource for both pre-and in-service training institutions, and has been disseminated to more than 35 countries. Using the handbook, ANECCA developed a training curriculum for pediatric HIV, and this was adopted or adapted as a national training curriculum in more than 25 African countries. The second edition was released in December 2011.
- 2005 ANECCA trained 21 master trainers from 7 countries (Tanzania, Kenya, Uganda, Rwanda, Malawi, Ethiopia), and another 46 trainers in Tanzania, Kenya, Uganda, South Africa and Zambia. Between 2005 and 2008 more than 500 front line health workers in 12 countries were trained on pediatric HIV care, either by ANECCA directly, or through nationally trained trainers. In Kenya, 29 senior pediatricians/clinicians were trained to decentralize pediatric HIV care services.
- 2005 ANECCA and its partners established an international multi-center collaboration on children on ART in low income countries (KIDS-ART-LINC collaboration).The aim of the collaboration was to retrospectively examine issues of children on HAART in Africa by examining both clinical and programmatic factors that could affect long-term outcomes. Financial support was provided by USAID/EA and NIH (October 2005-September 2006). Data was collected at 22 pediatric HIV care centers in 15 countries in the Sub-Saharan Africa region and was presented at the PEPFAR Implementers meeting in Durban and at the International AIDS Conference in Toronto in 2006, and published in international journals. The study formed a basis for more long term prospective cohort studies, still on-going, on children on ART in different regions of Africa.
- 2006 A regional technical forum on early infant diagnosis (EID) and attended by 69 experts from 17 countries was hosted by ANECCA. Best practices and barriers to EID and treatment were discussed, including emerging evidence then, for early initiation (at time of diagnosis) of ART for HIV infected infants. A position statement on EID and treatment was developed and disseminated to scale of up of DBS for EID.
- 2006 The Handbook on Pediatric AIDS in Africa was translated into French and has been widely disseminated in more than 15 French speaking African countries.
- 2007 Dakar Senegal – Regional workshop to support scale up of Pediatric HIV services in West and Central African Countries.
- 2008 Piloted clinical mentors-hip for pediatric HIV care in Uganda with training of 12 senior HIV clinicians. The mentorship toolkit that was developed has been widely used in other countries.
- 2008 ANECCA with Catholic Relief Services (CRS)/AIDSRelief developed a training curriculum for Psycho-social care and Counseling HIV infected children and adolescents. With this curriculum ANECCCA has trained service providers as well as trainers for counseling HIV infected children in Tanzania, Kenya, Uganda, Zambia, Malawi, Lesotho, Swaziland, Burundi, Rwanda, DRC.
- 2008 Provided technical assistance to the Ministry of Health Uganda by hosting and organizing a National Pediatric HIV advocacy forum in which 249 persons participated. The forum was used to disseminate results of facility assessments for pediatric ART, to share resource materials and to advocate for scale up and decentralization of pediatric ART services.
- 2008 Conducted a study to validate the utility of the 2006 WHO criteria for presumptive diagnosis of severe HIV disease in infants less than 18 months of age. This study was conducted on children from 3 hospitals in Uganda, Tanzania and Malawi, and the results were used to strengthen the evidence for maintaining the recommendation in the WHO 2010 guidelines to initiate treatment based on a presumptive diagnosis for infants in settings where HIV DNA PCR testing is not available.
- 2008 In partnership with Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) and Mbarara Hospital in Uganda, ANECCA provided Technical Assistance to the Ministry of Uganda on a pilot program to strengthen linkages between MCH, PMTCT and pediatric HIV care resulting in standard operating procedures and clinical pathways that were later adopted nationally.
- 2008-2009 Trained 59 trainers for pediatric care and treatment for Ministry of Health Uganda with funding from Baylor Uganda.
- 2009 ANECCA took the lead to scale up the pediatric HIV care, support and treatment services through provision of comprehensive pediatric HIV care, support and treatment technical support in five regions of Ethiopia. Between 2009 and 2011, 643 health care providers at 350 health centers were trained on pediatric HIV care, followed by monthly on-site clinical mentor-ship. As a result, the number of HIV-positive children enrolled in care at the 350 health centers increased from 1,447 in 2008 to 9,869 in 2011 and the number of children receiving ART increased from 48 to 3,763.
For more details, follow the link for the Ethiopian Report.
- 2010 Funded by Children’s Investment Fund Foundation (CIFF) in its Campaign to End Pediatric AIDS (CEPA) program to expand access to comprehensive PMTCT and pediatric treatment services, promoting integration of child and family health services with other health services to improve health outcomes for children, HIV-positive mothers and their families.
- 2010 Provided technical assistance to the Ministry of Health Uganda through the Health Communications Partnership (HCP) project to produce communication materials for scaling up pediatric HIV care, and for producing a standardized national pediatric HIV care and treatment curriculum for use in training of trainers courses.
- 2010 – 2011 ANECCA with funding from Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) conducted training of trainers and of service providers on psychosocial care and counseling HIV infected children and adolescents in Lesotho, Malawi, and Swaziland. Also with funding from EGAPF, ANECCA provided technical assistance to MOH Swaziland to develop a national training curriculum for health care providers on HIV counseling psycho-social support for children and adolescents.
For more details, click these links for the reports: Lesotho Report, Malawi Report, Swaziland Report
- 2011 In partnership with West Africa Health Organization (WAHO) held a workshop in Benin, to help 3 countries (Benin, Burkina Faso and Sierra Leone) on planning interventions to improve access to prevention, treatment, care and support services for mothers and children faced with the spread of HIV epidemic.
- December, 2011 ANECCA released the second edition of the Handbook on Pediatric AIDS in Africa with technical and programmatic updates.
- January 2012: ANECCA sub partnered with World Vision Ethiopia (WVE) to work on pediatric part of Preventive Care Package (PCP) program in Ethiopia.
- May 14-18, 2012: In partnership with West Africa Health Organization (WAHO) held a workshop to validate the translation of the 2nd Edition of the Handbook on Pediatric AIDS in Africa into French. The workshop was attended by ANECCA members from 13 French speaking countries in West, Central and East Africa.
- 2012 Translation of the Handbook of Paediatric AIDS in Africa into Portuguese.
- 2012 With USAID Ethiopia funding implementing a program to strengthen comprehensive services for adolescents living with HIV in Ethiopa.