ASPA Project

Active Search for Pediatric HV/AIDS

Bridging the gap in pediatric HIV care and treatment in Cameroon


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Access to antiretroviral therapy (ARV) for HIV treatment is increasing significantly all over the world but still marred by age-related disparities. Indeed, 41% of adults eligible for ARVs actually receive treatment, compared to only 31% of children aged below 15 years (UNAIDS, 2015).
This disparity is even more pronounced in Cameroon, where ARV coverage for children aged 0 to 15 years is only about 10% compared with 28% for adults. This discrepancy is linked to the lack of a real strategy to better identify and enroll HIV-infected children into care. To reduce this gap, the ASPA project aims at promoting a new strategy for identification and enrollment of HIV-infected children and adolescents into HIV treatment and this through the active case finding approach.


  • To double the number of children and adolescents under ART (Antiretroviral treatment) in the different project sites by 2017


The ASPA project aims in 24 months (January 2016 to December 2017) to :
1. Sensitize and educate at least 5,000 parents living with HIV / AIDS in project sites on the need to screen their children for HIV / AIDS; 2. Screen at least 5,000 children and adolescents (0-19 years) in project sites; 3. Enroll at least 200 children and adolescents on ARV treatment in project sites. 4. Distribute at least 15 tons of foodstuffs to orphans and vulnerable children (OVC) in care at project sites.

ASPA project targets

The ASPA project targets children and adolescents aged 0-19 years. These are mainly:

    1. Children and adolescents whose parents are infected with HIV;

    2. Children and adolescents seen in outpatient departments of health facilities ;

    3. Orphans and vulnerable children (OVC)in care in project sites.

A dual strategy for rapid and expected results

To achieve the project goals, two screening strategies are implemented by ASPA:

    1- The targeted strategy (tPITC)which offers systematically HIV screening to children (0-19 years) of parents living with HIV / AIDS in the project sites. In this strategy, parents are given the option to test their children in the hospital or at home (community homebased screening).

    2- The blanket strategy (bPITC) which systematically proposes HIV / AIDS testing to all children seen in outpatients department in health facilities.

Four ASPA sites in 3 Regions

To achieve the project goals, two screening strategies are implemented by ASPA:

    The ASPA project is implemented in the following hospitals: Limbe Regional Hospital (South west), Abong-Mbang District Hospital (East), Ndop District Hospital (North West) and Batibo District Hospital (North West).


Coordination Team

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Dr Sieleunou,MD,MPH,MHE
Principal Investigator

He has extensive experience in maternal & child health programming, management, health system strengthening and research in Sub-Saharan Africa.

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Ajeh Rogers, MPH
Program Manager

PhD research follow. He is the Health Program Coordinator at R4D International. He has accumulated experience in public health program implementation and operational research over the past 5 years.

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Administration & Finance

He is the administration and Finance Officer in R4D International

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Leonard NDONGO
ICT Administrator

Masters in Technological Innovation and Computer Engineering from ISTIA France. He is specialized in building information system, network and the development of e-health and m -health applications and health informatics.