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Adolescence present a unique challenge as rapidly changing physiological and psychological maturity influence attitudes towards care and health seeking behaviors, and intersect with issues around livelihood security, disrupted family structure, and fear of stigma.
An estimated 2.1 million adolescents globally are living with HIV (ALHIV). Despite remarkable progress in antiretroviral therapy (ART) scale up – only a third has access to HIV treatment and care. Adherence and virological suppression remain a great challenge among ALHIV on ART
Adolescent needs a differentiated model of care, not a modified adult care model.
prevention strategies among adolescents hasnt prove all effective.
The proposal address some of the existing challenges through a model that put patients at the center of their care. The Teen Club model also work with teachers and care givers as well as health staff. The model is well implemented since 2011 and taken to scale. Building from its successes and learning from the implementation challenges, the Teen model of care can evolve into:
- integrate HIV negative adolescents and build peer-to-peer or HIV positive to negative relationships to enhance HIV prevention strategies, including promoting HIV self-testing by peers.
- Include interventions to address and prevent sexual violence among adolescents. Some models of self-defense has been pilot in malawi, the team can learn from them
- Increase the sport component in the club activities
- link the program with academical institutions like Colleges in zomba and other districts to liaise adolescent with scholarship and professional development
- Ensure to include the advocacy component in the proposal

ALL THE BEST, this is an amazing proposal!!!