The article published in The Lancet Global Health highlights the urgent need for more efficient and child-friendly programmatic approaches to preventing, diagnosing and treating tuberculosis in children.
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.
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.
Despite global scientific advancements and increased sharing of “best practices”, there are clearly two entirely different narratives of HIV unfolding across the world. What is at the core of
this divergence, and why does it persist?
This International AIDS Society (IAS) Annual letter 2018 Letter explains why. Click here to download.
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.
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.
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.
Digital technology has transformed the world we live in. Childhood is no exception. One in three internet users worldwide is a child, and young people are now the most connected of all age groups. Digital technology can be a game changer for disadvantaged children, offering them new opportunities to learn, socialize and make their voices heard. But as technology rapidly evolves, so can the risks children face online.
The State of the World’s Children 2017: Children in a Digital World discusses how digital access can be a game changer for children or yet another dividing line. The report represents the first comprehensive look from UNICEF at the different ways digital technology is affecting children, identifying dangers as well as opportunities. It makes a clear call to governments, the digital technology sector and telecom industries to level the digital playing field for children by creating policies, practices and products that can help children harness digital opportunities and protect them from harm.
A Call for Accountability in the Context of the Sustainable Development Goals!
AIDS Accountability International (AAI) recently developed a Scorecard for Women and Girls SRHR in Africa. The report aims to create transparency, stimulate dialogue and provoke action around the state of sexual and reproductive health and rights (SRHR) in Africa for women and girls. It highlights key issues that affect the full realization of sexual and reproductive health in Africa generally and specifically speaks to SRHR issues within seven African countries: Ghana, Liberia, Malawi, South Africa, Tanzania, Uganda and Zambia.
It also provides a comparison of SRHR indicators among African countries using the AAI Scorecard Methodology explained in detail in this report.
The International Children's Palliative Care Network (ICPCN) in partnership with the RIATT-ESA Care and Support working group is launching a policy brief for Palliative Care for children with Drug-Resistant Tuberculosis.
Tuberculosis (TB) in children has become a serious health issue worldwide and new estimates reveal that at least 67 million children have been infected by TB with 850 000 developing the active disease. This is compounded by the fact that two million of these children have been infected by multi-drug resistant TB, leading to 25 000 cases requiring expensive and toxic treatment. The need for palliative care for children with DR-TB cannot be overstated.
Some of the recommendations include:
- The Integration of children’s palliative care into primary, secondary and tertiary healthcare services.
- Training of all health and allied health workers in children’s palliative care, ensuring that training is provided through basic training and continuing education, intermediate training and specialist palliative care training.
- Ensuring equitable access to pain-relieving and other palliative medicines, including opioids in formulations suitable for children.
- Ensure that care is provided in a holistic manner i.e. physical, psychological, social and spiritual.
- Sensitise the community to the need for children’s palliative care, identifying individuals who may be local CPC champions.
This report presents the most current data on four specific forms of violence – violent discipline and exposure to domestic abuse during early childhood; violence at school; violent deaths among adolescents; and sexual violence in childhood and adolescence. The statistics reveal that children experience violence across all stages of childhood, in diverse settings, and often at the hands of the trusted individuals with whom they interact daily.
Key facts highlighted in the report:
- Close to 300 million (3 in 4) children aged 2 to 4 worldwide experience violent discipline by their caregivers on a regular basis; 250 million (around 6 in 10) are punished by physical means.
- Worldwide, 1 in 4 (176 million) children under age 5 live with a mother who is a victim of intimate partner violence.
- Worldwide, close to 130 million (slightly more than 1 in 3) students between the ages of 13 and 15 experience bullying.
- 732 million (1 in 2) school-age children between 6 and 17 years live in countries where corporal punishment at school is not fully prohibited.
- Worldwide, around 15 million adolescent girls aged 15 to 19 have experienced forced sex in their lifetime.
This report by Know Violence in Childhood uncovers the massive global burden of childhood violence.
Child poverty is a universal problem with devastating impacts on children and societies. This guide, by UNICEF and the Coalition to End Global Poverty, seeks to share experiences from across the world to support countries building national pathways to end child poverty and to achieve Sustainable Development Goal (SDG 1) on Ending Poverty.
June 2017 ICASO and EANNASO published a discussion paper suggesting that the Global Fund might not be investing enough money in HIV prevention in Africa to meet its targets.
The Global Fund Strategy 2017-2022 sets ambitious targets for HIV prevention aiming to achieve a 38% reduction in new infections over the 2015-2022 period, including a 58% reduction in HIV incidence in adolescent girls and young women aged 15-24. However, this discussion paper highlights how not all countries and populations are makings the same progress on prevention.
Key Findings include:
- Among the sample, an average of 15% of HIV and TB/HIV Global Fund grants are dedicated to HIV prevention interventions. This is below the UNAIDS benchmark of 26% for prevention.
- The Global Fund’s investments in HIV prevention are largely in line with disease burden. Countries with higher numbers of new infections request and receive more HIV prevention funding.
- Advocacy from civil society and communities is absolutely vital, particularly on urging countries to request greater HIV prevention funding for key populations and adolescent girls and young women
This discussion paper frames resource needs for HIV prevention in terms of global estimates. The aim of this discussion paper is to contribute to civil society and community groups’ advocacy efforts to increase Global Fund investments in HIV prevention interventions during the 2017-2019 funding cycle.