Building Capacity to Accommodate HIV Infected and affected

Children Gordon Otieno Odundo

Chief Executive ,Gertrude’s Children’s Hospital Gertrude’s Children’s Hospital Professional Training Centre

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AERIAL VIEW Gertrude’s Children's Hospital ( google maps 2011)

Gertrude’s Children’s Hospital, Nairobi ,Kenya is one of the few hospitals in Sub-Saharan Africa that is dedicated solely to the provision of healthcare for children

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Gertrude’s Children's Hospital Main Entrance

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Gertrude’s Children’s HospitalProfessional Training Centre

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The Challenge then and nowWHO estimates that 2.5 million children worldwide are infected with HIV or ill with AIDS, with more than 90% of them coming from Sub-Saharan Africa. Clinical treatment of children with HIV/AIDS poses particular challenges Gertrude’s Professional Training Centre

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Partnership

Gertrude’s Children’s Hospital (GCH)

Kenya Paediatric Association (KPA)

National AIDS and Sexually Transmitted Infections Control Program (NASCOP)

United States Agency for International Development (USAID)

Family Health International (FHI)

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IMPACT: Improving AIDS Prevention and Care Project 1999-2007

2004 -2005• Review and packaging of

teaching materials• Training of paediatric

HIV/AIDS master trainers• Training of trainer of

trainers on paediatric HIV/AIDS management

• Training paediatric health providers on paediatric HIV/AIDS management

• Establishment of training centre at Gertrude’s Children’s Hospital

2005-2007• National scale up of

paediatric treatment and care

• Development of mentorship program

• Development of psychosocial curriculum for paediatric HIV management

• Development of paediatric treatment guidelines

• Increased support by development partners with regard to issues pertaining to paediatric HIV treatment and care

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OutputNational Curriculum on Comprehensive Paediatric HIV Management.

1,000 health workers trained in Comprehensive Paediatric HIV Management

300 children enrolled on treatment

20 trainer of trainers

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Paediatric Treatment Sites in Relation to Overall sites(NASCOP)

As per NASCOP records 5056 have been trained to date. Training is facilitated by support from USAID, EU and CDC.As at end of dec 2010, there were 35,551 paeds on ART in Kenya

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Sadly 20,000 children are infected each year ‘Children are not just small adults they require special care, treatment, and drug formulations and this requires that healthcare workers receive specific education, training, and on-going support.’

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Focus Areas in New Round of Funding

• Capacity building• Post‐training follow‐up and supervision, CME• Mentorship for HIV, AIDs, TB, MNCH,• Continuous quality improvement techniques• Mentoring for strengthened systems• Scaling up community strategy

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Looking to the future

Proposed Gertrude’s Children’s Hospital

Institute of Child Health

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