In 2003, UNICEF estimated that nearly 250,000 children were infected with HIV in South Africa. While scale-up of prevention of mother-to-child transmission (PMTCT) programs has improved testing and care for perinatally infected infants, uptake of these services remains low in much of sub-Saharan Africa and few HIV infected children are diagnosed and receive services through PMTCT programs. With support from USAID/PEPFAR, the Horizons Program adapted a family-centered model for children and families in need of broader-reaching HIV diagnostic services in South Africa. The Family Centered Approach (FCA) pilot intervention was designed to expand access to HIV testing for family members with children ages 0–14 years in their care. This approach gives health-care providers a method for encouraging HIV-positive individuals to refer family members for HIV testing, with the aim of identifying HIV-positive children ages 0–14 years who may have been missed through PMTCT early infant diagnosis programs. This research summary describes the FCA pilot intervention.
Sheehy, Meredith, Nomtandazo Patricia Mini, Tonicah Maphanga, and Scott E. Kellerman. 2009. "Family centred approach for HIV services: Pilot study in South Africa," Horizons Research Summary. Washington, DC: Population Council.