Positive Action for Children Fund

Partnership objectives

Provide support and deliver prevention of mother-to-child transmission of HIV (PMTCT) services. 

Mothers living with HIV need to be helped to prevent their babies becoming infected. Mothers living with HIV need to be helped to prevent their babies becoming infected. Copyright ViiV Healthcare

What are the health needs and challenges?

AIDS has become a leading cause of illness and death among women of reproductive age in countries with a high burden of HIV infection. Infants born to women living with HIV can become infected during pregnancy, labour and delivery or later through breastfeeding. More than 1400 children under 15 years of age become infected with HIV every day, most through mother-to-child transmission. Children account for more than 10% of all new HIV infections. Although mother-to-child transmission has been virtually eradicated in the developed world, the roll out of comprehensive programs for the prevention of mother-to-child transmission (PMTCT) still falls short of its target of universal access.

Description of partnership activities and how they address needs and challenges

The Positive Action for Children Fund currently provides grants to support diverse programs globally and offers a Technical Assistance program through our partners to support smaller community organizations. Through the fund, these organizations can continue to support affected communities and mitigate the impact of HIV and AIDS on children and their families. The hope is to ensure that those communities deliver sustainable projects that reach individuals at risk from or coping with HIV infection.
The Positive Action for Children Fund aims to support and inform the global effort to alleviate the impact of HIV and AIDS on maternal and child health by supporting interventions that engage affected communities, and to ensure those communities can themselves deliver projects that reach individuals at risk from or coping with HIV infection

The Positive Action for Children Fund announced its first grants in June 2010. It aims to support and inform the global effort to alleviate the impact of HIV and AIDS on maternal and child health by supporting interventions that engage or are led by affected communities.

The program targets funding towards projects that deliver in one or more of these areas:

  • Pursuing community engagement, participation and leadership
  • Using patient focused and family-centered approaches
  • Achieving integration between HIV services, and between HIV and sexual and reproductive health (S&RH) services
  • Generating demand for S&RH and PMTCT services
  • Using an evidence-base and delivering evidence-generation
  • Supporting or delivering advocacy
  • Strengthening grass roots action and organizations

The Fund is for community programming, so encourages applications for interventions devised with, and involving, affected communities themselves.

PACF projects range across all four elements of the World Health Organization’s PMTCT strategy, as set out below:

Primary prevention 
Sexually active people, in particular the young generation, need access to sex education, sexual health services and primary HIV prevention: projects that successfully deliver these can contribute to reducing the numbers of HIV+ parents in successive generations.

Reproductive choice for PLWHIV
People living with HIV should be able to enjoy sexual and reproductive health and wellbeing; as well as make informed choices about the timing and number of children: projects need to take a rights-based approach that can enhance mainstream services as well as targeting interventions that deliver the equitable treatment of people living with HIV.

PMTCT interventions
Mothers living with HIV need to be helped to prevent their babies becoming infected, by the use of ARV treatment and appropriate breastfeeding regimes: projects need to explore the implications of the latest guidance and research for implementation in this area.

Children and families 
Infants, children and adolescents in families affected by HIV, both infected and uninfected, have a variety of needs: projects can impact on early testing and treatment, how young people cope with their status and treatment requirements, the sexual and reproductive health of adolescents and the health and welfare of children and young people whose families and opportunities have been affected by HIV.

Summary of impact and forward looking information

The Positive Action for Children Fund awarded £3.4 million to 17 projects in 12 countries in 2013. Sixteen of the recipients are new grantees, and one is a current grantee who will receive renewed funding. This is in addition to the £3.9 million to 99 organisations in 26 countries which were awarded in 2012 – which included 84 renewed grants plus an additional 15 new grants.

In 2014 PACF launched a video contest called “Every Footstep Counts” in order to raise awareness about the fight to end mother-to-child transmission of HIV. The contest encouraged organisations around the world working on PMTCT to submit videos telling their story. In addition to receiveing an unrestricted grant of $10,000 winners were also given the opportunity to attend the International AIDS Conference in Melbourne, Australia (20-25 July 2014) to present their video in the Global Village.  

Aligned to the Global Plan for the elimination of transmission of HIV from mother to child, the PACF is currently funding  more than 100 programs globally – with about 90% of its support targeted at sub-Saharan Africa. The impact at a community level is in the thousands of community health workers trained, the hundreds of community leaders that are providing local leadership and the tens of thousands of people, primarily women of reproductive age who are more likely to be using antenatal and PMTCT services as a result of PACF funded grantees working at a local community level.

Videos

Fighting HIV stigma in Mexico

Partnership information

Company(ies) GlaxoSmithKline , Pfizer

Partner(s) Elizabeth Glaser Pediatric AIDS Foundation, National Association of Manucturers (NAM), The Foundation for AIDS Research (amFAR), ViiV Healthcare

Type of Partner(s) NGOs, Other Business

Therapeutic Focus Infectious Diseases, Women and Children's Health

Disease(s) Children's Health, Family Planning, Sexual & Reproductive Health, HIV/AIDS, Women's Health

Program Type(s) Health System Infrastructure - Development of Physical Infrastructure, Health System Infrastructure - Training, Prevention Programs - Awareness & Outreach

Targeted Population(s) Children, Marginalised / Indigenous People, Men, Mothers, People with low income, Women, Youth

Region(s) Europe & Central Asia, Latin America & Caribbean, Middle East & North Africa, South Asia, Sub-Saharan Africa

Number of Countries 21

Country(ies) Cameroon, Chile, Côte d'Ivoire, Democratic Republic of the Congo, Egypt, Ethiopia, Haiti, India, Kenya, Lesotho, Mexico, Mozambique, Nepal, Nigeria, Russia, Sierra Leone, South Sudan, Swaziland, Tanzania, Zambia, Zimbabwe

Start Date 2009

More information The ViiV Healthcare Effect

Anticipated completion date 2019