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Table 2 Interventions to promote adherence to a pediatric HAART program, Nairobi

From: Implementation of a comprehensive program including psycho-social and treatment literacy activities to improve adherence to HIV care and treatment for a pediatric population in Kenya

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