Factors predicting adherence to treatment and care | System adaptation | Psycho-social support | Capacity building |
---|---|---|---|
Patient-related factors | Child friendly clinics with: - Playground | - Social support network to refer patient to according to the needs and demands. | - Treatment literacy training |
- A dedicated pediatric clinic day | - Development of material (fairytale, booklet) | - Hero book training | |
- Pediatric waiting bay with toys, video, games. | - Support groups | - Attitude training | |
- Pediatric counselling room | - Individuals therapy session | - Community based campaigns to promote awareness and understanding of the specific plight of children living with HIV/AIDS | |
- Testing and counselling decentralised in the ward with special session to help the coping with disclosure of positive status | - Financial support for bus fare | ||
- 3 target groups: children, teenagers and caregivers | - Referral to Post Test Clubs | ||
- Art therapy | |||
- Sand therapy | |||
- Individual counselling tailored schedule | |||
Therapy related factors | - Pill boxes | - Treatment literacy training | |
- Tick sheets | |||
- Enrolment of children born from a positive mother until HIV status is confirmed | |||
- Malnutrition screening | |||
- Provision of supplementary and therapeutic food | |||
- Referral to a Pediatrician | |||
Patient-provider relationship factors | - Childrens' Fun Day | Staff training in: | |
- HIV medicine | |||
- Training of young peer PLWHA in basic counselling and in training of the trainer on a range of curricula | - Pediatric HAART | ||
- Basic counselling | |||
- Attitude training | |||
- Treatment literacy | |||
- Counsellors trained in various techniques for counselling (Hero book, play therapy, and training of the trainer for treatment literacy) | |||
- PLWHA peer counsellor trained in basic counselling skills, treatment literacy and ToT for TL |