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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Saving lives for a lifetime: Supporting orphans and vulnerable children impacted by HIV/AIDS
Journal of Acquired Immune Deficiency Syndromes, Volume 60, No. SUPPL.3, Year 2012
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Description
President's Emergency Plan for AIDS Relief (PEPFAR's) response to the millions of children impacted by HIV/AIDS was to designate 10% of its budget to securing their futures, making it the leading supporter of programs reaching orphan and vulnerable children (OVC) programs globally. This article describes the evolution of PEPFAR's OVC response based on programmatic lessons learned and an evergrowing understanding of the impacts of HIV/AIDS. In launching this international emergency effort and transitioning it toward sustainable local systems, PEPFAR helped establish both the technical content and the central importance of care and support for OVC as a necessary complement to biomedical efforts to end the HIV/AIDS epidemic. Critical services are reaching millions of HIV-affected children and families through vast networks of community-based responders and strengthened national systems of care. But rapid program scale-up has at times resulted in inconsistent responses, failure to match resources to properly assessed needs, and a dearth of rigorous program evaluations. Key investments should continue to be directed toward more sustainable and effective responses. These include greater attention to children's most significant developmental stages, a focus on building the resilience of families and communities, a proper balance of government and civil society investments, and more rigorous evaluation and research to ensure evidence-based programming. Even as HIV prevalence declines and medical treatment improves and expands, the impacts of HIV/AIDS on children, families, communities, economies, and societies will continue to accumulate for generations. Protecting the full potential of children-and thus of societies-requires sustained and strategic global investments aligned with experience and science. Copyright © 2012 by Lippincott Williams & Wilkins.
Authors & Co-Authors
Nyberg, Beverly J.
United States, Washington
Office of Global Health and Hiv/aids
Yates, Dee Dee
Namibia, Windhoek
International Consultant
Lovich, Ronnie
United States, Fairfield
Save the Children Usa
Coulibaly-Traoré, Djénéba
United States, Atlanta
Centers for Disease Control and Prevention
Sherr, Lorraine T.
United Kingdom, London
Ucl Medical School
Thurman, Tonya Renee
United States, New Orleans
Tulane University
Sampson, Anita
South Africa, Pretoria
Usaid
Howard, Brian
Cote D'ivoire, Abidjan
Usaid
Statistics
Citations: 35
Authors: 8
Affiliations: 8
Identifiers
Doi:
10.1097/QAI.0b013e31825da836
ISSN:
15254135
Research Areas
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study