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Evaluation of PEPFAR (2013) / Chapter Skim
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7 Children and Adolescents-Main Messages
Pages 343-346

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From page 343...
... Although it is not realistic to expect PEPFAR to meet all the need of children and adolescents in partner countries, there are particular areas where PEPFAR could strive to address these needs more fully. In particular, there remain gaps in coverage for PMTCT relative to PEPFAR's 85 per cent goal; the coverage of pediatric HIV care and treatment remains proportionally much lower than the coverage for adults, despite the goal in the reauthorization legislation to provide care and treatment services in partner countries to children in proportion to their percent age within the HIV-positive population; and OVC programs struggle to adequately meet the needs of children, and adolescents in particular.
From page 344...
... •  utcomes for consideration should be linked to the aims of OVC O programs and therefore could include, for example, increased rates of staying in school, decreased excessive labor, reduced rates of ex posure to further traumas, increased immunization completion, and increased coverage of HIV testing and treatment. With a continued focus on supporting developmentally informed programs, consider ation should be given to identifying appropriate core outcomes for different age groups and for achieving developmental milestones.
From page 345...
... These areas, which may target and serve a broader eligible population of children and adolescents than is determined for specific OVC programs, include care and treatment, PMTCT, other prevention services, and gender programs. •  o improve the targeted coverage and sustainability for children and T adolescents, PEPFAR and its implementing partners should continue to enhance services through existing systems and infrastructure and to support national governments in expanding social support services and the workforce to meet the health, education, and psychosocial needs of affected children and adolescents.

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