The most forgotten group: CLHIV!

Key Pediatric HIV Cascade Figures (South Africa)

• Diagnosis: Approximately 83% to 85.5% of children living with HIV are aware of their status.
• Treatment Coverage: Roughly 63% of children living with HIV are on ART.
• Viral Suppression: Only about 70% of children on ART are virally suppressed.
• Mortality: An estimated 2,100 children die from AIDS-related causes annually.

Challenges in the Cascade

• Treatment Adherence & Formulation: Suboptimal, non-child-friendly, or difficult-to-administer drug regimens have historically contributed to low suppression rates.
• Loss to Follow-up: High rates of attrition occur between diagnosis, linkage to care, and sustained retention in care.

HSPN will not keep quite!