RIATT-ESA 2019-2022 Strategy


The global decline in deaths from AIDS-related illness has largely been driven by progress in Sub-Saharan Africa, particularly Eastern and Southern Africa, which is home to 53% of the world’s population living with HIV.[1] Although there has been a decline in new infections it has not been fast enough. The Sub-Saharan region still accounts for 90% of new HIV infections in children in the world.[2]

In 2018 RIATT-ESA carried-out a strategic planning exercise to review the course of the epidemic and the gaps in the children’s response in policy and programmes in the region. This review informed the development of the RIATT-ESA 2019-2022 Strategy which redirects the focus to highly vulnerable groups of children and youth that have been falling through the cracks. The new RIATT-ESA Strategy aims to address the gaps in the HIV response by responding to specific drivers of the resurgence of HIV infection among children, youth and young key populations.

Through its network partners, RIATT-ESA will continue to drive the children and youth agenda in Eastern and Southern Africa so no child is left behind.

Click here to download the RIATT-ESA 2019-2022 Strategy

Download here the brief summary of the RIATT-ESA 2019-2022 Strategy

Evidence-based practices for retention in care of mother-infant pairs in the context of eliminating mother-to-child transmission of HIV in Eastern and Southern Africa

Evidence-based practices for retention in care of mother-infant pairs in the context of eliminating mother-to-child transmission of HIV in Eastern and Southern Africa

One of the key challenges to eliminating mother-to-child transmission of HIV is the retention of mothers and infants in care through the end of breastfeeding. This UNICEF review examines the bottlenecks to retention in care of mother-infant pairs and makes recommendations based on evidence-based practices.

Progress for Every Child in the SDG Era

The extent to which the world delivers on the 2030 Sustainable Development Goals (SDGs) will directly affect the future of millions of children – and thus, our shared future as a global community. The SDGs are universal in scope, and their call to leave no one behind puts the world’s most vulnerable and marginalized people – including children – at the top of the agenda.

Progress for Every Child in the SDG Era assesses the world’s performance to date, focusing on 44 indicators that directly concern 2030’s most important constituency: children.

Click to download the full report or the executive summary.

Change the Game: An agenda for action on childhood tuberculosis

As part of the Sustainable Development Goal agenda, the world has committed to ending preventable child deaths by 2030. Yet every day, nearly 700 children die from tuberculosis (TB), 80% of those before reaching their fifth birthday. Treatment exists that could prevent nearly all of these deaths, but less than 5% of the children who need it receive access.

This UNICEF brochure presents key facts and figures about childhood TB as well as an agenda to end the disease in children worldwide.

Key findings from the brochure:

Child deaths from TB ultimately result from four key gaps.

  • The prevention gap: the failure to prevent TB disease through preventive therapy for at-risk children.
  • The detection gap: the failure to diagnose TB disease in children.
  • The treatment gap: the failure to ensure timely access to effective treatment.

  • The research and investment gap: the failure to prioritize research and investment focused on the needs of children.

Click here to download the UNICEF brochure 

Paediatric and Adolescent HIV and the Sustainable Development Goals: the road ahead to 2030.

The Journal of the International AIDS Society (JIAS) has launched a new supplement entitled ‘Paediatric and Adolescent HIV and the Sustainable Development Goals: the road ahead to 2030‘.

The Sustainable Development Goals (SDGs) present a groundbreaking global development agenda to protect the most vulnerable. Adolescents living with HIV in Sub-Saharan Africa continue to experience extreme health vulnerabilities, but we know little about the impacts of SDG-aligned provisions on their health. This study tests associations of provisions aligned with five SDGs with potential mortality risks.

Click here to download the new JIAS supplement

Webinar Recording: Improving Early Infant Diagnosis

An essential first step in caring for HIV-infected children is accurate and early diagnosis of HIV, early HIV testing, prompt return of results, and rapid initiation of treatment. Survival of HIV‐infected infants depends on a robust early infant diagnosis (EID) system that allows for tracking of infants through to their final HIV status. HIV-infected, untreated infants have rapid disease progression and high mortality.. Investment to scale-up EID has increased substantially in the last decade; however, despite these efforts, timely infant diagnosis remains a challenge.

On Thursday, January 18, 2018, AIDSFree hosted a webinar on early infant diagnosis (EID) including an introduction to EID and presentations on a data-driven programmes and strategies from South Africa, Cameroon and Lesotho. 

For more information on the presenters or to watch the webinar recording click here. 

Source: aidsfree.usaid.gov

New Findings on Child Marriage in Sub-Saharan Africa

Despite increasing global attention and commitments by countries to end the harmful practice of child marriage, each year some 15 million girls marry before the age of 18. This set of studies contributes to the evidence base regarding child marriage by synthesizing research across 4 diverse country contexts in sub-Saharan Africa.

The research suggest that a combination of poverty, transactional sex, unequal gender norms contribute to a cycle of  unintended pregnancy that leads to school dropout and child marriage. The review of literature also indicate that child marriage further increases the risk of exposure to HIV.

Futher demonstrating how educating girls, providing women with economic opportunities, and providing access to sexual and reproductive health information and services can provide a path forward toward the goal of ending child marriage in a generation.

Click here to download the full report