ICASA 2023: Bridging the gap in paediatric HIV care through using the child-friendly KidzAlive model to promote HIV disclosure services in Nigeria

Abstract (Poster Presentation)

Background

Paediatric HIV disclosure is crucial for the well-being of HIV-positive children and adolescents in Nigeria. However, there is limited data, training, and standardisation in this area, impacting their health and well-being.

Description

Zoë-Life, in collaboration with NASCP, CHAI, SFH, and UNICEF Nigeria, launched a pilot project in Akwa Ibom, Taraba, and Rivers to address gaps in paediatric HIV disclosure. The KidzAlive model, an evidence-based approach, equips healthcare workers and caregivers with child-centred care to facilitate disclosure. This includes training, mentorship, and child-friendly spaces in healthcare facilities. As part of the initiative, 149 healthcare workers were trained, and 20 child-friendly spaces were created.

Lessons Learned

Using Kirkpatrick’s model to evaluate the training revealed that many healthcare workers felt unprepared for paediatric HIV disclosure. Training led to a 10.66% improvement in confidence and a 24.59% increase in knowledge. Participants found the KidzAlive training empowering, recognising the importance of treating each child as an individual.

Results

Before the KidzAlive training, HIV care for children was compromised due to limited resources. Post-training, satisfaction rates reached 97.72%, reflecting the effectiveness of the intervention in improving HIV care.

Next Steps

Zoë-Life aims to expand the KidzAlive model in Nigeria by implementing a mentorship programme led by KidzAlive Champions. A comprehensive baseline for HIV disclosure services is being established to guide future efforts and scale up the program across the country.