Scaling up paediatric HIV care with an integrated, family-centred approach: an observational case study from Uganda.

Family-centred HIV care models have emerged as an approach to better target children and their caregivers for HIV testing and care, and further provide integrated health services for the family unit's range of care needs. While there is significant international interest in family-centred approaches, there is a dearth of research on operational experiences in implementation and scale-up. Our retrospective case study examined best practices and enabling factors during scale-up of family-centred care in ten health facilities and ten community clinics supported by a non-governmental organization, Mildmay, in Central Uganda.

Institutionalizing provider-initiated HIV testing and counselling for children: an observational case study from Zambia.

Background: Provider-initiated testing and counselling (PITC) is a priority strategy for increasing access for HIV-exposed children to prevention measures, and infected children to treatment and care interventions. This article examines efforts to scale-up paediatric PITC at a second-level hospital located in Zambia's Southern Province, and serving a catchment area of 1.2 million people.

Scaling up beyond 'pills and skills': preventing parent-to-child HIV/AIDS transmission and the public/private divide in southern India.

This paper argues that current HIV/AIDS intervention models in southern India--in particular, those targeting the prevention of parent-to-child transmission (PPTCT)--underutilize the private sector and thereby compromise an efficient integration of HIV/AIDS humanitarian responses into India's health development system. While PPTCT is a critical strategy for curbing the HIV/AIDS epidemic-particularly in countries like India, where prevalence rates among young women are escalating-the cascade of prepartum, intrapartum, and postpartum PPTCT interventions are often difficult for women and spouses to access as a result of socio-cultural, structural and economic obstacles. Recognizing the complex ecologies within which PPTCT interventions must take place, qualitative analysis focussed on current PPTCT gaps in southern India and how healthcare providers and policymakers are moving to scale-up PPTCT by integrating into maternal, child and reproductive health services.