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Government-funded programmes and services for vulnerable - Unicef

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<strong>Government</strong>-<strong>funded</strong> <strong>programmes</strong> <strong>and</strong> <strong>services</strong> <strong>for</strong> <strong>vulnerable</strong> children in SA<br />

➔<br />

<br />

adults with AIDS;<br />

<br />

<strong>for</strong> HIV+ children <strong>and</strong><br />

adults <strong>and</strong> those on<br />

treatment.<br />

The nutritional support<br />

components <strong>and</strong> feeding<br />

options support were<br />

covered in previous<br />

sections of this table<br />

(see ‘Infant <strong>and</strong><br />

Young Child Feeding<br />

Programme’).<br />

The remaining<br />

components will be<br />

dealt with in detail in<br />

the remainder of this<br />

table under the various<br />

specialised programme<br />

headings as the CCMT<br />

is integrated within all<br />

healthcare <strong>programmes</strong>.<br />

HIV<br />

counselling<br />

<strong>and</strong> testing<br />

(HCT)<br />

programme xx<br />

<strong>and</strong><br />

The national<br />

adolescentfriendly<br />

clinic<br />

initiative<br />

The HCT programme,<br />

as supplemented by the<br />

new 2010 Guidelines<br />

<strong>for</strong> the Management of<br />

HIV in Children, aims<br />

to provide an integrated<br />

testing service at all levels<br />

of the public health<br />

service delivery system<br />

<strong>for</strong> infants, children <strong>and</strong><br />

adults. It seeks to ensure<br />

that all infants, children<br />

<strong>and</strong> adults are tested, that<br />

infants <strong>and</strong> children are<br />

tested as early as possible,<br />

that those that test HIV<br />

negative maintain their<br />

negative status, <strong>and</strong> that<br />

people who test HIV+<br />

are supported, through<br />

appropriate treatment <strong>and</strong><br />

support, to live long <strong>and</strong><br />

healthy lives.<br />

Targeted beneficiaries<br />

Infants, children <strong>and</strong><br />

adolescents<br />

More specifically, the<br />

testing of the following<br />

children is expressly<br />

required: xxi<br />

<br />

infants;<br />

<br />

features suggestive<br />

of HIV infection <strong>and</strong><br />

with acute illnesses;<br />

<br />

with suspected<br />

symptomatic HIV<br />

infection;<br />

<br />

with TB;<br />

<br />

<br />

sibling has HIV<br />

infection;<br />

HCT can take place at<br />

any primary, secondary<br />

or tertiary health<br />

facility.<br />

HCT is provided at<br />

both state <strong>and</strong> private<br />

health facilities.<br />

Regulations to the<br />

Health Act have<br />

been promulgated<br />

(Gazette No. 33188)<br />

which allow certain<br />

persons who are<br />

not healthcare<br />

providers, subject to<br />

certain conditions, to<br />

withdraw blood from<br />

a living person.<br />

Key conditions are that:<br />

<br />

receive training<br />

at a healthcare<br />

establishment; <strong>and</strong><br />

➔<br />

104

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