December 16, 2008

A Question of Life or Death

Treatment Access for Children Living With HIV in Kenya

Map of Kenya
I. Summary
Key Recommendations
II. Methodology
III. Background
HIV/AIDS Treatment for Children
The Epidemic in Eastern and Southern Africa
The Global Fight against HIV/AIDS
Fighting HIV/AIDS in Kenya
IV. Barriers to Treatment for Children Living with HIV
Perceptions about HIV and Lack of Accurate Medical Information
Stigma, Fear, and Silence as Barriers to HIV Testing and Treatment
Lack of Care, Neglect, and Abuse of Children Living with HIV
Caregivers' Failure to Take Children for HIV Testing and Medical Care
Children with No Caregivers: Child-Headed Households and Street Children
Economic Barriers to Testing and Treatment
V. Treatment Access during the 2008 Post-Election Violence
Impact of Post-Election Violence on the Health Sector and on ART
The Emergency Response Treatment in IDP and Transit Camps
VI. First Adults, Then Children? Government Health and Protection Policies
Pediatric HIV Policies and Practice in Kenya
Government Policies to Improve Protection of Children with HIV
VII. Legal Framework
VIII. Detailed Recommendations
To the Government of Kenya
To UNAIDS, the World Health Organization (WHO), the United States, and Other Donor Agencies Working on HIV/AIDS
To the United National Children's Fund (UNICEF) and Other Donor Agencies Working on Child Protection
To Donor Countries
To the African Union (AU) Commissioner for Social Affairs
Acknowledgments