Capacity building for integrating family-centred care at partner facilities.

<p>Figure describes the courses designed by Mildmay and made available during partner facility service integration, as needs assessments determine. These include short-term (week) courses on skills sets like pediatric HIV nursing or laboratory skills, modular courses on more advanced subjects like community-based HIV care and health systems approaches, and training for community volunteers on HIV/AIDS basics and counseling skills.</p

Client flow pathway into HIV care and treatment within family-centred approach.

<p>Figure demonstrates the patient flow at integrated facilities; the pathway has been adapted from the WHO Integrated Management of Adult Illness sequence of care. Entry points into family-based points including outpatient care, maternal and child health clinics, antenatal care, inpatient admissions, and community-based outreach. Clients then proceed through triage assessments, education and support as required, assessment of client and family health status, care and treatment as required, positive prevention for HIV-infected clients, and follow-up care services.</p

Cumulative trend of uptake of paediatric care after introduction of family-based approach at Mildmay main site in 2003.

<p>Figure demonstrates uptake trends from 1999 to 2010 for three key indicators: number of children and adolescents enrolled in HIV care, number on cotrimoxazole prophylaxis, and number on ART. Uptake data shows sharp increases for all three indicators at 2003, when the family-based approached was introduced at Mildmay.</p

Possibilities for integrated service package for family-centred care.

<p>Figure displays recommended services listed within four sub-headings: HIV and TB care, paediatric and adult primary care, psychosocial and economic support, and administrative services.</p

Service approach at health facilities before and after family-centred approach.

<p>Figure describes several service delivery components (e.g. scheduling, counseling, medication refills, and community engagement) before and after the family-centred approach. The figure demonstrates considerable effort to re-align the service approach to make it family-friendly, for example, same-day scheduling for families or fast-tracking families with children for services.</p

Percentage of total HIV tests that were positive, by age group.

<p>Bar graph demonstrates, by quarter in a 36-month period (a) what proportion of total inpatient and outpatient children tested were identified HIV-infected, (b) what proportion of these children were under and over 18 months old.</p

Proportion of inpatient children eligible for PITC that were counselled and tested.

<p>Line graph demonstrates the proportion of inpatient children eligible for PITC that (a) were counselled, and (b) were tested for HIV, by each quarter in the 36-month period following the introduction of PITC. Counselling and testing rates climb to over 99%.</p