The Paediatric and Adolescent HIV Scale-up Project

Co-funded by ELMA Philanthropies and USAID, the Paediatric and Adolescent HIV Scale-up Project (PASP) at Right to Care was implemented by Right to Care, Anova Health Institute and the Wits Reproductive Health and HIV Institute (WRHI) in sub-districts A and B in the City of Johannesburg.

Key objectives of the programme were:

  • To improve rates of earlier HIV diagnosis in children and adolescents and
  • To increase access to quality HIV treatment and care for children and adolescents.

The programme initially supported eight sites but expanded to include every facility across the sub-districts.


In sub-district A there was a higher burden of HIV-infected children and adolescents. Programme staff went to every facility at least once a week. They provided:

case finding


psychosocial support

In sub-district B, testing yielded fewer positive patients. Programme staff then offered weekly testing at high-volume sites and monthly testing at other sites.

Key achievements

The programme helped to:

    • improve detection in paediatric patients through the use of the Right to Care screening tool which identified children and families at risk of living with HIV.
    • improve linkage of infants to care and treatment. The recruitment of a coordinator to assist with follow-up supported this effort.
    • tailor services towards the needs of children and adolescents.

Clinical and psychosocial support were provided by the Right to Care team to children and adolescents:

    • with high viral loads
    • who did not know they were HIV-positive and
    • who were not adherent to their treatment.

Right to Care developed the Flipster tool which provides specially-curated information on topics relevant to adolescents. Healthcare workers were trained to use the tool to:

    • help young people cope with HIV and
    • adhere to their treatment.
During the programme, service delivery was introduced to complement the technical assistance being offered. Best practices from this programme were shared internationally.

Treating health seriously, caring, making treatment available in South Africa and abroad.

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