Transitioning Care, Support, and Treatment Services for Adolescents Living with HIV

The U.S. President’s Emergency Plan for AIDS Relief PMTCT/Pediatric Technical Working Group and the United States Agency for International Development’s Africa Bureau hosted a field-driven learning meeting for U.S. government staff and key African partners from February 7-10, 2012, in Gaborone, Botswana. The consultation was held in response to calls from practitioners, government officials, and programmers to share knowledge, experience, and resources on how to best care for the increasing numbers of perinatally infected children surviving to adolescence and adulthood. This group-emerging as a unique population and a unique challenge for policy makers, programmers, and service providers-requires greater attention and a stronger understanding of their unique needs to support continued health and development. The meeting highlighted programs in eight countries that are facing and responding to the needs of adolescents living with HIV and the gaps and opportunities in transitional services.  Participating countries included Botswana, Kenya, Mozambique, Namibia, South Africa, Uganda, Zambia, and Zimbabwe.

Specifically, the meeting aimed to:

  • Provide a forum for country programs to share promising practices that address challenges in designing, implementing, monitoring, and evaluating transitional services for perinatally infected adolescents living with HIV.
  • Finalize the technical brief and transition toolkit currently under development.
  • Explore methods of routine monitoring of transition services and policies and explore methods for evaluating these efforts.
  • Identify three to five potential next steps for country programs to improve the quality of existing transitional services; these next steps may include participatory situation analysis, costed action plan development, proposals for implementation, further evaluation, South-to-South/cross-learning technical assistance, or other next steps not yet identified.
  • Explore methods of routine monitoring of transition services and policies and explore methods for evaluating these efforts.


PDF Icon Download the Meeting Report (PDF 483 KB)


Day 1 Day 2 Day 3

US Government Perspective: Transitioning Care, Support, and Treatment Services for Adolescents Living with HIV
(PDF, 78 KB)
Presented by Jenny Albertini, USAID

Adolescent Guidelines: Community/Personal/

(PDF, 1 MB)
Presented by Rick Olson and Susan Kasedde, UNICEF

Botswana: Positive Innovation for the Next Generation-SMS and Measuring and Evaluation
(PDF, 3.7 MB)
Presented by Ziada Tewelde and Katy Digovich, Positive Innovation for the Next Generation

Transitioning Care, Support, and Treatment Services for ALHIV: Evidence on Transition
(PDF, 313 KB)
Presented by Melissa Sharer, AIDSTAR-One

Technical Overview: Community Care
(PDF, 103 KB)
Presented by Nkidi Moritshane, CDC

Small Group Work
(PDF, 221 KB)

Botswana: Baylor Children's Center of Excellence-A Comprehensive of Phased Approach to Transition
(PDF, 1.76 MB)
Presented by Marape Marape, Baylor Children's Clinical Center of Excellence

Zimbabwe: World Education IMPACT and Children First
(PDF, 1.2 MB)
Presented by Alton Mpungu, World Education

Country Group Work
(PDF, 253 KB)

Kenya: Eastern Deanery AIDS Relief Program-Disclosure Facility Community Linkages
(PDF, 236 KB)
Presented by Virginia Maina, EDARP

South Africa: South2South Partnership-Peer Support/Teen Club and Disclosure Booklet
(PDF, 248 KB)
Presented by Janine Clayton, Stellenbosch University

Zambia: University Teaching Hospital Center of Excellence-Adolescents in Transition after South-to-South Visit
(PDF, 1.3 MB)
Presented by Sylvia Mwanza-Kabage, University Teaching Hospital

Uganda: Reach Out Mbuya-Holistic Peer Participation
(PDF, 2.83 MB)
Presented by Richard Kilonzo, Reach Out Mbuya HIV/AIDS

Technical Overview: Facility-Based Services
(PDF, 200 KB)
Presented by Ryan Phelps, USAID, and Samson Lanje, CDC

Namibia: Positive Vibes-Treatment and Social Support
(PDF, 1 MB)
Presented by Angelina Shetu, Youth Delegate


Kenya: ICAP, CHS, MMS-Minimum Package of Services for Adolescents
(PDF, 260 KBB)
Presented by Pauline Sisa, ICAP Columbia University

South Africa: Empilweni Services- Clinic with Adolescent Treatment and Care Program
(PDF, 930 KB)
Presented by Karl Technau

Zambia: Prevention, Care, and Treatment Partnership-ZPCT II/FHI 360-HAART Scale-Up for Adolescents
(PDF, 194 KB)
Presented by Patrick Katayamoyo, ZPCTII

Botswana: University of Botswana/University of Pennsylvania-Neurocognitive Aspects of HIV Among Adolescents
(PDF, 462 KB)
Presented by Nthabiseng Phaladze, University of Pennsylvania

Uganda: MildMay-Sexual and Reproductive Health and Prevention of Mother-to-Child Transmission
(PDF, 2 MB)
Presented by Esther Kawuma, MildMay