Results for "Prevention of Mother to Child Transmission"
Each year over a million infants are born to HIV-infected mothers. With scale up of prevention of mother-to-child transmission (PMTCT) interventions, only 210 000 of the 1.3 million infants born to mothers with HIV/AIDS in 2012 became infected. Current programmatic efforts directed at infants born to HIV-infected mothers are primarily focused on decreasing their risk of infection, but an emphasis on maternal interventions has meant follow-up of exposed infants has been poor. Programs are struggling to retain this population in care until the end of exposure, typically at the cessation of breastfeeding, between 12 and 24 months of age. But HIV exposure is a life-long condition that continues to impact the health and well being of a child long after exposure has ended. A better understanding of the impact of HIV on exposed infants is needed and new programs and interventions must take into consideration the long-term health needs of this growing population. The introduction of lifelong treatment for all HIV-infected pregnant women is an opportunity to rethink how we provide services adapted for the long-term retention of mother–infant pairs.
Ms. Lydia Nakalyango is the only midwife on staff during the day at the Maternal and Child Health Department of Busia Health Center IV, which serves not just their own municipality, but clients from neighboring Kenya as well. Lydia takes care of antenatal clients while also paying attention to the labor ward for any mothers delivering. She is also on standby to care for new babies referred for early infant diagnosis.
In July 2011, Malawi introduced an ambitious public health program known as “Option B+,” which provides all HIV- infected pregnant and breastfeeding women with lifelong combination antiretroviral therapy, regardless of clinical stage or CD4 count. Option B+ is expected to have benefits for HIV-infected women, their HIV-exposed infants, and their HIV-uninfected male sex partners. However, these benefits hinge on early uptake of prevention of mother-to-child transmission, good adherence, and long-term retention in care. The Prevention of mother-to-child transmission Uptake and REtention (PURE) study is a 3-arm cluster randomized controlled trial to evaluate whether clinic- or community-based peer support will improve care-seeking and retention in care by HIV- infected pregnant and breastfeeding women, their HIV-exposed infants, and their male sex partners, and ultimately improve health outcomes in all 3 populations. We describe the PURE Malawi Consortium, the initial work conducted to inform the trial and interventions, the trial design, and the analysis plan. We then discuss concerns and expected contributions to Malawi and the region.
In October 2014, UNAIDS set treatment targets to help end the AIDS epidemic, known as the 90:90:90 goals.They seek to achieve the following by 2020: 90% of HIV infected persons know their status, 90% of HIV positive persons are placed on treatment, and 90% of those on treatment are virally suppressed.
During 2002 alone, 3.1 million people died of AIDS and another 5 million were newly infected. Young people ages 15-24 account for 42 percent of new HIV infections and represent almost one-third of people living with HIV/AIDS worldwide.
The themes emerging from this collection are straightforward and within our grasp. To be sure, there is an urgent need to strengthen earlier diagnosis of newborns to identify exposed and infected children and strategies for getting those children into HIV care and treatment services sooner than has been the norm. There is also a need to provide comprehensive, integrated programs – HIV is not just a medical disease but a social one.
The four-year Ethiopia Network for HIV/AIDS Treatment, Care, and Support (ENHAT-CS) project held its end-of-project conference in December in Addis Ababa, Ethiopia, and announced its notable achievements in the two regions where it operated – Amhara and Tigray.
When Rose Chebet was five months pregnant with twins, she visited Kapchorwa Hospital in Eastern Uganda for a routine antenatal visit. She was devastated to learn that she was HIV positive and she feared her twins would not survive. Health workers referred Chebet, a first-time mother, to an antiretroviral therapy (ART) clinic where she began taking medication.
CAMBRIDGE, MA —To commemorate World AIDS Day 2007, the Keanahikishime-implemented HIV/AIDS Care and Support Project is sponsoring and organizing an array of activities in Ethiopia.
CAMBRIDGE, MA (APRIL 1, 2008)—Fewer children are dying in Malawi, more programs are in place ensuring better health, and stronger policies and systems are now alleviating the pandemics of malaria, tuberculosis, and HIV. From 2003–2007, The Reducing Child Morbidity and Strengthening Health Care Systems Program in Malawi accomplished these goals, reporting a marked reduction in childhood mortality and illness, and a strengthened health system with proven sustainability.