Adolescent HIV Treatment Coalition (ATC)

MISSION: Provide a collective voice and promote accountability in the HIV response to the realities of adolescent lives by calling attention to the gaps and proposing solutions on adolescent HIV care and treatment issues.

Some 1.2 billion adolescents aged 10-19 years make up 16% of the world’s population and 1.8 million of them are living with HIV. Compared with their adult counterparts, adolescents living with HIV have poorer retention in care, lower rates of viral suppression and higher rates of mortality. As we move forward to end AIDS by 2030, it is imperative that a multi-stakeholder advocacy agenda is driven to ensure that adolescents are front and centre in the HIV response.

The Adolescent HIV Treatment Coalition (ATC), hosted by the International AIDS Society, is a diverse network that advocates for accessible quality HIV treatment and care for adolescents living with HIV (ALHIV). The ATC is comprised of a wide range of stakeholders, from global to regional networks of people living with HIV, international and national non-governmental organizations, community-based organizations, researchers, research cohorts and treatment advocacy organizations.

The coalition aims to promote advocacy under four key themes, identified by coalition partners:

  1. Meaningful engagement of adolescents living with HIV
  2. Differentiated service delivery for adolescents living with HIV
  3. Optimization of treatment options for adolescents
  4. Strategic information and data.

Learn more about the ATC membership


Viewpoint on ALHIV & YPLHIV engagement in the HIV response

In order to provide guidance on engaging adolescents and young people living with HIV in the response, the ATC published a viewpoint article titled “Engaging adolescents with HIV to ensure better health and more informed research” in the Journal of the International AIDS Society special issue, “Transitioning adolescents through paediatric into adult HIV care: Where are we now?”.


A stakeholder in adolescent HIV research

Understanding the importance of community participation in research development, the ATC has worked closely with research cohorts and institutions to enhance their community reach, as well as to evaluate opportunities to develop new research protocols.

Featured work:

BREATHER Plus Trials
As a stakeholder in the adolescent HIV response, the ATC endorsed the development of the BREATHER Plus Trials to develop short-cycle therapy trials in Uganda, Kenya and South Africa. BREATHER Plus is a randomized open-label three-arm trial evaluating the efficacy, safety and acceptability of weekends off dolutegravir-based antiretroviral therapy (ART) and monthly long-acting injectable ART.

Global paediatric and adolescent research agenda
The ATC took part in the Global Paediatric and Adolescent research prioritization process led by the World Health Organization and CIPHER. The agenda will help focus future research and funding to inform policy and programming and ensure better outcomes for children and adolescents living with HIV.

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Engagement of YPLHIV as a pillar to end AIDS

In order to reduce mortality of ALHIV and YPLHIV globally, the policy barriers that hinder their access to treatment and care must be addressed. In collaboration with stakeholders, The ATC’s approach to addressing global policy barriers on ALHIV and YPLHIV lies in d developinsg a multi-stakeholder global advocacy agenda that includes ALHIV and YPLHIV them in every step of the process. By understanding their needs and engaging them in the development of the agenda, we ensure accountability and ownership.

Featured work:

Intergenerational Summit for Positive Youth Leadership
The summit aimed to foster a dialogue among positive youth leadership in the HIV response to understand the status of the global spaces that impact and engage young people living with HIV and leverage solidarity and action to improve the engagement and development of ALHIV and PLHIV networks across the world.

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Differentiated service delivery for adolescents living with HIV
As part of our work in differentiated service delivery (DSD), the coalition developed four infographic video stories to exemplify the importance of DSD for adolescents. The video series features Jane, Vincent, Namusoke and Poon who share their stories and explain some of the challenges they face as ALHIV and how DSD support them.

Watch the video series