Only a few years ago, an HIV diagnosis was a death sentence. Today, early diagnosis paired with treatment and care allows people to live long, healthy lives and reduces the likelihood of their transmitting the virus to others.
While mother-to-child transmission of HIV has been nearly eliminated from industrialized countries, progress has been slower in many African countries. Nearly 1.3 million cases of HIV have been averted as a result of the scale-up of programs to prevent mother-to-child-transmission of HIV. However, less than 50 percent of exposed infants under 2 months are tested for HIV.
percentage of children in need who receive life-saving treatment for HIV
number of children still in need of treatment for HIV
percentage of transmission rate that can be reduced to with effective interventions
The majority of underage infections worldwide are found among children living in 25 countries in sub-Saharan Africa and Southeast Asia. Ninety percent of the women in need of antiretroviral therapy (ART) to prevent mother-to-child transmission are found in these same countries.
Major strides have been made to reduce the risk of mother-to-child transmission of HIV. A global multi-partner effort has decreased the rate of transmission in children by 58 percent since 2000. More work needs to be done to integrate PMTCT efforts with maternal and newborn health. In 2014 only 32 percent of children in need received life-saving treatment. Approximately 1.8 million children are still in need of treatment.
The four-pronged PMTCT strategy includes the following:
- Primary prevention of HIV among women of reproductive age within services related to reproductive health, such as antenatal care, postpartum/natal care, and other health and HIV service delivery points, including working with community structures
- Providing appropriate counselling and support to women living with HIV to enable them make informed decisions about their future reproductive life, with special attention to preventing unintended pregnancies
- For pregnant women living with HIV, ensuring access to HIV testing and to the antiretroviral drugs that will help mothers’ own health and prevent infection being passed on to babies during pregnancy, delivery, and breastfeeding
- Better integrating HIV care, treatment, and support for women found to be HIV-positive and their families
- Option B/B+ Toolkit – Updated Version May 2015
- IATT Option B/B+ M&E Framework
- WHO Fact Sheet: What’s new in infant diagnosis
- WHO consolidated guidelines on HIV prevention, diagnosis, care and treatment for key populations
- UNAIDS 2016-2021 Strategy On the Fast Track to End AIDS
- Fast-Tracking Combination Prevention: Towards Reducing New HIV infections to Fewer than 500,000 by 2020
- PMTCT in Humanitarian Settings Part I: Lessons Learned and Recommendations
- PMTCT in Humanitarian Settings: Part II Implementation Guide