CHIVA is committed to supporting consistent, high quality practice across health and social care services provided to children and families living with HIV. CHIVA produces guidelines which ensure that information about best practice in the care of children living with HIV is available to all.
CHIVA has also produced a quality standard addressing children's knowledge of their HIV. Quality standards support the implementation of best practice by identifying benchmarks against which organisations can measure, assess and develop their services. They also support an outcomes-based evaluation process for services.
The quality standard Open and honest practice when working with children is aimed at professionals working outside of health clinic settings with children who have HIV and with their families. It examines published materials and practice experience and sets out a framework of understanding in relation to children's knowledge of HIV.
The document is accompanied by the CHIVA statement: Children and HIV knowledge, which expresses CHIVA’s position concerning children’s knowledge about their HIV. The statement was approved by all members of the CHIVA Executive Committee in 2014 and has underpinned our ethos since.
The standard promotes professional practice which supports children's access to direct, clear information about their HIV and encourages opportunities for conversations with children about HIV. The standard includes aims and indicators which organisations can work towards meeting at a ‘basic’ and more ‘developed’ practice level. Organisations can use the standard to examine and assess their current practice around supporting children’s knowledge of their HIV and to identify where practice can be improved.
Health professionals in particular should be directed to CHIVA practice guidance for health professionals on talking to children about health and HIV: conversations and approaches to enhance understanding and wider disclosure.
This guidance supports conversations with children about HIV as early as possible. It considers approaches to these conversations and factors that influence successful communication with children. It addresses the process of building understanding over time and overcoming obstacles to understanding.