COLLABORATION BETWEENCU-ICAP ETHIOPIA AND THE PSYCHOSOCIAL UNIT AT ADAMA HOSPITAL

Yoseph GutemaPediatric/PMTCT Advisor ICAP Ethiopia Kigali, RwandaOctober 21,2009

Supporting Sustainable Adherence to HIV Prevention, Care & TreatmentICAP Technical WorkshopOctober 19-22, 2009Kigali, Rwanda

Adama Hospital

Located in Adama town Adama hospital is a 250-bed regional referral

hospital The catchment population of the hospital is

estimated to be 5 million In Adama Town(until September 2009) no of street children= 867 no of OVC = 1020 no of sexually abused children= 526

Adama Hospital

In Adama hospital, no of children ever enrolled in care

= 1411/ 7192(19 %) no of children ever started on ART =

639/3477(18.3 % )

Adama Hospital ART Center

1

Adama Referral Hospital Comprehensive Chronic HIV care and Training Center

Before

After

Adama Hospital ART Center

Adama Hospital Pediatric Friendly Clinic

Adama Hospital Pediatric Friendly Clinic

Cumulative no of Infants & Children Ever Started and Ever Enrolled in Care at Adama Hospital

Age Category Cumulative ever enrolled in care

Cumulative ever on ART

Lost to F/U amongst patients on ART

Infants < 18 months 458 174 10 (5 .7% )

Children 18-59 months

317 114 13(11%)

Children 5-14 years 636 351 42(11%)

UTCSA at Adama Hospital

Psychologist is hired to attend to needs of children in community Provides psychological support for abused

children Provides care and support for abandoned

children Facilitate age determination service for

children in conflict with the law

Unit for Treatment of Children who need Special Attention

ICAP-E and UTCSA Collaboration

Problems identified in our HIV-infected children Orphanhood Mental health problems Child abuse Homeless

Collaborate with the psychologist as part of the MDT to meet the special need of the children enrolled in care at Adama Hospital

Psychosocial problems referred from ART Clinic

Serial Number Type of problems Number

1 Adherence 9

2 Psychological problemsFear of expressing ideasDepressionLoss of hopeAnger

13

3 Behavioral problems StealingCheatingQuarrelling

5

4 Academic problemsDropping –out schoolAbsenteeismLate-coming

4

Services Provided by the MDT

Psychological support Child Centered Counseling Play Therapy

Sand box/tray Anatomically correct dolls Different games. Puppets

Medical support

8 Yrs old child (sexually abused)

14 yrs old child (sexually abused)

Next Steps

Establishment of Pediatric Peer support Group/ buddies

Expanding the service to other ICAP supported facilities

Adama Pediatric Psychosocial unit will be model center

Thank You ForYour Attention

Photo: Lora Iannotti