Though incredible gains have been made to control HIV and AIDS epidemics, AIDS-related deaths have plateaued. Those facing the greatest risk of mortality and morbidity are the individuals living with advanced HIV disease. The burden of advanced HIV disease is significant and the health risks faced by those living with HIV are great. The Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) has been working to build innovative models to respond to the health needs of all individuals at risk of, or infected with HIV, including those diagnosed with advanced HIV disease. This fact sheet highlights why advanced HIV disease requires urgent attention, and health programming and services that can prevent and treat advanced disease.
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Child,Precious Ogweno accompanied by caregiver Leah Ogweno, at the TB clinic -HEI in Mbita sub county hospital, Mbita, Homabay. Photo by Kevin Ouma for EGPAF.
Journal Articles
Tuberculosis Preventive Treatment Uptake Among Patients Initiating Antiretroviral Therapy in Malawi: Children Left Behind
Published November 2025
Background: Tuberculosis preventive treatment (TPT) is recommended for people living with HIV (PLHIV) to reduce the tuberculosis (TB) incidence in regions with a high prevalence of TB. We evaluated the uptake and completion of TPT among newly initiated antiretroviral therapy (ART) patients in a programme setting in Malawi. Objectives: To describe TPT initiation and completion rates, and […]
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Topics:
Pediatric Tuberculosis (TB),
Tuberculosis (TB)
Countries:
Malawi
Project Brief
Integrating Nurturing Care for Early Childhood Development into Primary Health Care: The Tanzania Experience
Published July 2025
Overview More than 275 million children in low- and middle-income countries are at risk of suboptimal development, including over 66% of children in sub-Saharan Africa. In Tanzania 43% of children are at high risk of not achieving their full potential for growth and development. Risk factors for suboptimal development include poverty, nutritional deficiencies, maternal depression, […]
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Countries:
Tanzania
Jaclkline Awuor hands her daughter Ruthfrida medicine in ther home in Mbita on 29 July 2021. Through adherance counselling, parents are encouraged to do DOT ( direct observation therapy) to ensure children take their medicine since peadiatric supression tends to be lower than that of adults.
Journal Articles
Accelerating Access to Paediatric Medicines
Published April 2025
Overview Despite progress in reducing neonatal and child mortality, access to age-appropriate medicines remains inequitable, particularly in low-income and middle-income countries. The Global Accelerator for Paediatric Formulations (GAP-f), a WHO-hosted network established in 2020, addresses these gaps by uniting 33 partners to promote innovation and access to child-friendly formulations. Phase 2 (2022–24) of GAP-f’s work […]
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