Description du poste
Recrutement-Consultant for development of the community DSD national implementation guidelines for mother-infant pairs, children and adolescents living with HIV "Ugandan Nationals Only"
Niveau d'études: Non précisé
Expérience: 5 ans
Expire le: 21-07-2022
UNICEF
Kampala, Uganda
Humanitaire (ONG, Associations, ...), Projet/programme de développement
Consultant for development of the community DSD national implementation guidelines for mother-infant pairs, children and adolescents living with HIV, Kampala, Uganda (45 Days), Ugandan Nationals Only
Job no: 552940
Contract type: Consultancy
Duty Station: Kampala
Level: Consultancy
Location: Uganda
Categories: Adolescent Development, HIV/AIDS
UNICEF works in some of the world’s toughest places, to reach the world’s most disadvantaged children. To save their lives. To defend their rights. To help them fulfill their potential.
Across 190 countries and territories, we work for every child, everywhere, every day, to build a better world for everyone.
And we never give up.
For every child, a fair chance
Uganda is one of the over 190 countries and territories around the world where we work to overcome the obstacles that poverty, violence, disease, and discrimination place in a child’s path. Together with the Government of Uganda and partners we work towards achieving the Millennium Development Goals, the objectives of the Uganda National Development Plan, and the planned outcomes of the United Nations Development Assistance Framework.
Visit this link for more information on Uganda Country Office
How can you make a difference?
Background
The fundamental mission of UNICEF is to promote the rights and well being of every child, irrespective of geographical location. For UNICEF, equity means that all children have an opportunity to survive, develop and reach their full potential, without discrimination, bias or favoritism. This mission is UNICEF’s blue print — in programs, in advocacy and in operations. The equity strategy, emphasizing the most disadvantaged and excluded children and families, translates this commitment to children’s rights into action.
There is growing evidence that investing in the health, education and social protection of a society’s most disadvantaged citizens — addressing inequity — not only will give all children the opportunity to fulfill their potential but also will lead to sustained growth and stability of countries. This is why the focus on equity is so vital. It accelerates progress towards realizing the human rights of all children, which is the universal mandate of UNICEF, as outlined by the Convention on the Rights of the Child, while also supporting the equitable development of nations.
UNICEF’s HIV response for children ensures that neither age, poverty, gender inequality, nor social exclusion determine access to life saving HIV prevention, treatment, and care. UNICEF and its partners’ responses seek to ensure all children are born free of HIV and remain HIV free for the first two decades of life, from birth through adolescence. The response also ensures that all children living with HIV (LHIV) have access to the treatment, care and the support they need to remain alive and healthy. This is UNICEF’s vision of an AIDS-free generation starting with children.
Ending AIDS among children is vital to ending the AIDS epidemic as a public health threat by 2030 – the overarching goal of the Joint United Nations Programme on HIV /AIDS (UNAIDS) of which UNICEF is a cofounding partner. UNICEF envisions an AIDS-free generation for all children and their families and has consistently supported Uganda’s efforts to achieve the UNAIDS’ 95-95-95 super fast-track targets and the global goal to end paediatric AIDS by 2030.
Uganda has been considered a largely successful story in HIV programming due to its bold policies and is on the right trajectory to achieve the UNAIDS’ 95-95-95 super fast-track targets for PLHIV. However, the children and adolescents’ cascades lag the adult cascades across the three 95s, but the gap is more pronounced with the first (identification) and third 95 (viral load suppression). This lag is despite two decades of consistent efforts and innovations to improve HIV care and treatment outcomes for children and adolescents living with HIV. Relatedly, the last mile toward elimination of vertical transmission of HIV continues to elude the country due to observed reversal and stagnation of early PMTCT gains.
The lower viral load suppression in children and adolescents is attributed to i)ART non-adherence due to non-palatable formulations; ii) high frequency dosing and iii) lower retention rates in care. Poor retention of PMTCT mother-infant
pairs, CALHIV is largely attributed to stigma, socio-economic barriers, lack of developmentally appropriate care for CALHIV.
In 2015, the World Health Organization (WHO) recommended a “differentiated care approach” to address the unique challenges faced by different PLHIV subpopulations. The core principle of the differentiated care approach is the acknowledgment of diversity beneficiary sub population and the incorporation of preferences of care for the heterogenous PLHIV. Differentiated Service Delivery equally aims at cost reduction and increased efficiencies using already existing resources.
The AIDS Control Programme (ACP) of the Ministry of Health, Uganda adapted and rolled out Differentiated Service Delivery (DSD) models for case finding, linkage to care and treatment, in 2017. The guidelines adapted differentiated models of care for PLHIV at facility and community level with HIV testing and ART collection points are aligned to specific PLHIV needs; notably adult populations were prioritized for the community-based models of care. Program data for adults LHIV who have been transitioned to DSD care at facility or community level demonstrates improved retention in care, greater psychosocial support as well sustained and improved treatment outcomes.
Differentiated Service Delivery (DSD) models are designed to be patient-centred and current data demonstrates that they serve individual and sub-population needs while reducing workload at health facilities;, the current guidelines unfortunately do not explicitly provide for community models for mother-infant pairs [PMTCT mothers], children and adolescents LHIV, and therefore inadvertently negate the “patient-centred care” requisite for these subpopulations. The specific subpopulations affected include children
Niveau d'études: Non précisé
Expérience: 5 ans
Expire le: 21-07-2022
UNICEF
Kampala, Uganda
Humanitaire (ONG, Associations, ...), Projet/programme de développement
Consultant for development of the community DSD national implementation guidelines for mother-infant pairs, children and adolescents living with HIV, Kampala, Uganda (45 Days), Ugandan Nationals Only
Job no: 552940
Contract type: Consultancy
Duty Station: Kampala
Level: Consultancy
Location: Uganda
Categories: Adolescent Development, HIV/AIDS
UNICEF works in some of the world’s toughest places, to reach the world’s most disadvantaged children. To save their lives. To defend their rights. To help them fulfill their potential.
Across 190 countries and territories, we work for every child, everywhere, every day, to build a better world for everyone.
And we never give up.
For every child, a fair chance
Uganda is one of the over 190 countries and territories around the world where we work to overcome the obstacles that poverty, violence, disease, and discrimination place in a child’s path. Together with the Government of Uganda and partners we work towards achieving the Millennium Development Goals, the objectives of the Uganda National Development Plan, and the planned outcomes of the United Nations Development Assistance Framework.
Visit this link for more information on Uganda Country Office
How can you make a difference?
Background
The fundamental mission of UNICEF is to promote the rights and well being of every child, irrespective of geographical location. For UNICEF, equity means that all children have an opportunity to survive, develop and reach their full potential, without discrimination, bias or favoritism. This mission is UNICEF’s blue print — in programs, in advocacy and in operations. The equity strategy, emphasizing the most disadvantaged and excluded children and families, translates this commitment to children’s rights into action.
There is growing evidence that investing in the health, education and social protection of a society’s most disadvantaged citizens — addressing inequity — not only will give all children the opportunity to fulfill their potential but also will lead to sustained growth and stability of countries. This is why the focus on equity is so vital. It accelerates progress towards realizing the human rights of all children, which is the universal mandate of UNICEF, as outlined by the Convention on the Rights of the Child, while also supporting the equitable development of nations.
UNICEF’s HIV response for children ensures that neither age, poverty, gender inequality, nor social exclusion determine access to life saving HIV prevention, treatment, and care. UNICEF and its partners’ responses seek to ensure all children are born free of HIV and remain HIV free for the first two decades of life, from birth through adolescence. The response also ensures that all children living with HIV (LHIV) have access to the treatment, care and the support they need to remain alive and healthy. This is UNICEF’s vision of an AIDS-free generation starting with children.
Ending AIDS among children is vital to ending the AIDS epidemic as a public health threat by 2030 – the overarching goal of the Joint United Nations Programme on HIV /AIDS (UNAIDS) of which UNICEF is a cofounding partner. UNICEF envisions an AIDS-free generation for all children and their families and has consistently supported Uganda’s efforts to achieve the UNAIDS’ 95-95-95 super fast-track targets and the global goal to end paediatric AIDS by 2030.
Uganda has been considered a largely successful story in HIV programming due to its bold policies and is on the right trajectory to achieve the UNAIDS’ 95-95-95 super fast-track targets for PLHIV. However, the children and adolescents’ cascades lag the adult cascades across the three 95s, but the gap is more pronounced with the first (identification) and third 95 (viral load suppression). This lag is despite two decades of consistent efforts and innovations to improve HIV care and treatment outcomes for children and adolescents living with HIV. Relatedly, the last mile toward elimination of vertical transmission of HIV continues to elude the country due to observed reversal and stagnation of early PMTCT gains.
The lower viral load suppression in children and adolescents is attributed to i)ART non-adherence due to non-palatable formulations; ii) high frequency dosing and iii) lower retention rates in care. Poor retention of PMTCT mother-infant
pairs, CALHIV is largely attributed to stigma, socio-economic barriers, lack of developmentally appropriate care for CALHIV.
In 2015, the World Health Organization (WHO) recommended a “differentiated care approach” to address the unique challenges faced by different PLHIV subpopulations. The core principle of the differentiated care approach is the acknowledgment of diversity beneficiary sub population and the incorporation of preferences of care for the heterogenous PLHIV. Differentiated Service Delivery equally aims at cost reduction and increased efficiencies using already existing resources.
The AIDS Control Programme (ACP) of the Ministry of Health, Uganda adapted and rolled out Differentiated Service Delivery (DSD) models for case finding, linkage to care and treatment, in 2017. The guidelines adapted differentiated models of care for PLHIV at facility and community level with HIV testing and ART collection points are aligned to specific PLHIV needs; notably adult populations were prioritized for the community-based models of care. Program data for adults LHIV who have been transitioned to DSD care at facility or community level demonstrates improved retention in care, greater psychosocial support as well sustained and improved treatment outcomes.
Differentiated Service Delivery (DSD) models are designed to be patient-centred and current data demonstrates that they serve individual and sub-population needs while reducing workload at health facilities;, the current guidelines unfortunately do not explicitly provide for community models for mother-infant pairs [PMTCT mothers], children and adolescents LHIV, and therefore inadvertently negate the “patient-centred care” requisite for these subpopulations. The specific subpopulations affected include children
