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Mobilising, strengthening and building resilience in a network of health providers and facilities on the frontline of paediatric and adolescent HIV service delivery in sub-Saharan Africa
Groote Schuur Hospital (GSH) in Cape Town, South Africa, was one of the first paediatric treatment pilot sites in Africa, and began rollout of ART in 2002. It became an important learning ground for visiting paediatricians and health teams from across Africa. Seeing this learning in action inspired the birth of PATA as a knowledge-sharing hub and network of health providers and facilities.“
The first PATA Forum was held in 2005. PATA Summits and Forums (continental and regional summits, and local forums) are held annually and continue to create and inform 'Communities of Practice’ in paediatric and adolescent treatment, care and support.
PATA Forums have reached and provided capacity to over 350 attending health facility teams from 24 countries,expanding the PATA network and its footprint across sub Sahara Africa.
PATA Summit and Forums provide access to valuable information and insights into effective paediatric and adolescent HIV service delivery models. The PATA Summit and Forum process highlights operational barriers and offers a valuable springboard to develop small incubation projects that are documented and shared as PATA Promising Practices. This information has the power to drive change in policy and practice
Through active participation in global and regional working groups and coalitions, the PATA network X w connects frontline health providers to global policy platforms, and builds improved linkage and influence from local to global and global to local. The PATA network offers a powerful platform for collaboration, peer-to-peer exchange, and south-to-south linkage and learning.
The name PATA is an acronym for Paediatric-Adolescent Treatment Africa, but also means ‘to touch’ in isiXhosa and isiZulu, and ‘to reach out’ in kiSwahili. PATA reaches out to moblise, strengthen and build resilient health providers who in turn reach out to touch the lives of children and adolescents who can live long and healthy lives when accessing optimal HIV treatment, care and support.
* The PATA network includes professional health providers, community health workers and peer supporters (YPLHIV) who are actively engaged in HIV services, treatment and care at a health facility
PATA Summits and Forums offer a platform for action, and are at the foundation of growing the PATA network and expanding its scope of work. Summits and forums are collaborative meetings where multiple cadres of health providers, policy makers and programme managers convene to share best practice. Key to PATA methodology is providing those on the frontline of service delivery an opportunity to access global guidance and technical input, whilst also giving policy makers and stakeholders the opportunity to engage with everyday operational barriers in service delivery. The forums culminate in health facility teams drafting quality improvement plans that may grow into promising practice pilots or PATA incubation projects and programmes.
C3 aims to link health facilities and communities to deliver services together for improved PMTCT, paediatric case finding and HIV treatment outcomes. Leveraging lessons from phase I, and following the implementation of 36 clinic-CBO joint activations in nine countries in sub-Saharan Africa between 2013- 2016, an ambitious phase II has begun, the launch of the toolkit in phase II guides the initiation and scale-up of further clinic -CBO partnerships, advancing the development of a 'Community of Practice’ that studies, documents, shares lessons and advocates for best practices in clinic-community engagement.
P2Z was launched in 2016 as a consortium between PATA and the African Young Positives Network (AY+), and aims to improve access to effective treatment and care for adolescents and young people living with HIV (AYPLHIV). P2Z builds the capacity of both PATA and AY+ networks, bringing frontline health providers and AYPLHIV together, to jointly plan, deliver and evaluate adolescent-friendly HIV services (AFHS). P2Z quality improvements and support for national networks of YPLHIV have been initiated in Malawi, Zambia, Zimbabwe, Kenya, Uganda, Tanzania and eSwatini.
REACH aims to investigate and demonstrate the positive impacts of a multi-country peer support model, where YPLHIV are engaged as peer supporters and integrated into health facilities to improve treatment and care services for AYPLHIV. The model places emphasis on improving adolescent retention whilst providing peer supporters with skills, leadership capacity and opportunity to improve their personal health and wellbeing. REACH is implemented in Cameroon, DRC, Zambia, Uganda, Malawi, Ethiopia and Kenya.
READY+ aims to advance sexual and reproductive health and rights (SRHR), psychological wellbeing, care and treatment with, by and for 30 000 AYPLHIV in Mozambique, eSwatini, Tanzania and Zimbabwe. The programme is being implemented by an innovative and multi-disciplinary consortium.
Leading Loud strengthens capacity across all PATA programmes to improve and undertake evidence based advocacy. Leading Loud invests in developing creative communication materials and tools that support and advance youth-led services, youth leadership and youth-friendly health services reinforced by sensitive and engaged health providers.
ABCD is an adolescent co-developed package of care provided by young peer supporters living with HIV to reduce adolescent maternal depression. ABCD for Adolescent Maternal Mental Health is a mobileenhanced tool which will capacitate 70 peer supporters in six Southern African countries to facilitate improved access to mental health support for adolescent mothers living with HIV.
DSD4A is a project aimed at generating evidence on differentiated ART delivery gaps and best practice examples in South Africa, with a special focus on YPLHIV It is a patient-centred approach that seeks to tailor delivery of services to the varying needs of people living with HIV, while reducing the burden on the health system