providing ARV treatment and 687 are providing PMTCT services and only 19 out of 131 hospitals provide HIV paediatric care. The lack of facilities is compounded by limited human resources – only 1,374 health care providers have the skills to deliver PMTCT services and only 10 have been trained on HIV paediatric care (UNGASS, 2012). Poor supply chain management leads to regular stock outs of drugs. Overall, the low prevalence of HIV makes it difficult to attract funding and domestic funding is limited to approximately 8 percent of the total Global Fund counterpart funding. 327. In moving forward, the GoSL, together with its partners:  Will continue steps towards becoming the first African country to implement the Test for All, Treatment for All Strategy (universal access to testing and treatment). All partners are currently working on a concept note and the road map.  Continue to implement the national EMTCT Strategic Plan, including implementation of PMTCT option B+, scale up of EID and pediatric HIV treatment and care.  Continue efforts to increase the retention and follow up all HIV positive clients through the existing community actors (support groups, community groups, community Health Workers.  Reduce youth vulnerability to HIV through effective implementation of the national prevention and behavior change communication strategies including the establishment of youth friendly health services to achieve universal access and reverses the spread of HIV.  Continue and extend support to NGOs working with children and adolescents living with HIV.  Review data collection and analysis, establish data quality improvement approach.  Intensify teacher training to facilitate HIV and AIDS prevention and Sexual and Reproductive Health promotion including life skills education in schools.  Strengthen adolescents’ data collection and analysis to guide programming.  Collaborate and strengthen relations to integrate HIV in the national protection programme in particular to children who are HIV positive. 7.2.5 Adolescent health services 328. The GoSL recognizes that the disease burden and health indicators for adolescents and youth in Sierra Leone are alarmingly high. Notable in this regard are the disproportionately high fertility rates, higher HIV and AIDS prevalence, especially among girls, unsafe abortions, teenage pregnancies and attendant increased mortality and morbidity, sexual abuse, mental illness and substance abuse and other delinquent behaviours. 329. The GoSL has, with the support of its partners, taken a number of steps to develop and implement programmes addressing the health-needs of youth and adolescents. The measures have targeted both the causes and the consequences of the health issues faced by young people in Sierra Leone. 330. The Child Rights Act makes express provision for access to information for adolescents on sexuality. A number of programmes targeting the sexual and reproductive health of adolescents have been rolled out, including the national strategy on teenage pregnancy, the provision of sexual and reproductive health information through the school curriculum and a number of communication and 86  Government of the Republic of Sierra Leone Initial Report on the African Charter on the Rights and Welfare of the Child 2002-2014