Government-funded programmes and services for vulnerable - Unicef

Government-funded programmes and services for vulnerable children in SA
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Treatment of
HIV infection
in children
and adults xxix
Every infant and child
that is exposed to
and/or infected with
HIV has a right to
comprehensive therapy
which includes PEP,
counselling and support,
nutritional support,
supplementation and an
extended immunisation
schedule.
Counselling and support
and nutritional support
for HIV-infected children
are dealt with under the
preceding sections on
nutritional programmes,
PMTCT and testing
and counselling. The
extended immunisation
schedule for HIVinfected
children is dealt
with below under the
IMCI programme and
immunisations.
Prevention and
treatment for HIVexposed
and/or
-infected infants under
the age of one year
includes:
to all HIV-exposed
infants (infant NVP)
from birth up until the
age of six weeks;
as a prophylaxis
against opportunistic
infections for all HIVexposed
and HIV+
children. CTX is given
to all HIV-exposed
infants from six weeks
Targeted beneficiaries
All HIV-exposed infants
younger than one year
of age
All HIV+ infants and
children younger than
one year
HIV+ children older
than one, but younger
than 15 at stages 3
or 4 of the disease or
who have a CD4 count
below 750 if the child
is younger than five, or
below 350 cells/mm³ if
the child is older than
five
HIV+ children between
the ages of 15 and 18
(adolescents) and HIV+
adults with a CD4 count
of less than 200 or at
clinical stage 4
HIV+ pregnant
adolescents and
women and all HIV+
adolescents and adults
with TB with a CD4
count less than 350
All HIV+ people older
than 15
Primary, secondary
and tertiary health
facilities
Primary healthcare
facilities (clinics) are
now expected to be
able to initiate and
provide ART for
both adults and
children. xxx Up until
2010, ART could
only be initiated by
doctors at accredited
sites. It can now be
initiated and provided
by nurses at primary
healthcare facilities,
with the objective
of caring for an
increasing number of
children and pregnant
women at primary
healthcare level.
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