PMTCT

EMTCT of HIV & Syphilis in Thailand (Mar 2017)

A total of 30 participants from India, Nepal, Nigeria, Sri Lanka, Thailand and the United States attended the webinar on March 20, 2017 to discuss Thailand's lessons learned in reaching the elimination of mother-to-child transmission (EMTCT) of HIV and syphilis. Thailand is the first country in the Asia and the Pacific region and the first with a large HIV epidemic to receive validation from the WHO for achieving this milestone.

The links to the presentation and summary are below:

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Presented on March 20, 2017

CROI Summary 2017 (Mar 2017)

A total of 105 participants from Uganda, Nepal, Iran, Zimbabwe, South Africa, Kenya, and many other countries attended the webinar on March 9th which featured new research on PMTCT and pediatric treatment presented at CROI 2017.

The links to the webinar, presentations, and webinar summary are below:

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Presented on March 9, 2017

Measurement of mother-to-child transmission of HIV in countries with high HIV prevalence in women of reproductive age

This document outlines the fundamentals of PMTCT impact determination and provides considerations for development of pragmatic, streamlined and resource-efficient systems for MTCT estimate generation in high burden settings. The guidance attempts to acknowledge the current reality of PMTCT programme data and the need for reliable MTCT rates while also encouraging a forward-looking approach towards sustainable PMTCT programme data improvements.

Note that this document is intended for countries in sub-Saharan Africa with a high prevalence of HIV among women of reproductive age. Although many of the underlying principles are relevant to settings with a lower burden of HIV, the guidance is not targeted for those programmes.

The tools in appendix 2 can be accessed here.

Safeguarding the future: Giving priority to the needs of adolescent and young mothers living with HIV

This technical service delivery brief details core programmatic examples from across sub-Saharan Africa and key multi-sectoral strategic actions that demonstrate how governments, health facilities, social services, communities, families and adolescent and young mothers are working together to bridge the gap between adolescent and adult-focused HIV and maternal health services. The programme examples provided serve to highlight potential and ongoing learnings in countries. 

The technical brief, developed by UNICEF and WHO, builds upon a learning session convened in 2019 by WHO and Coalition for Children Affected by AIDS. The session convened scientific and programmatic experts to consolidate the evidence on adolescent mothers and their children and to deliberate on the multiple-level changes needed to improve their outcomes. Aimed at HIV programme managers in health ministries and other adolescent-linked line ministries, the brief informs and supports global dialogue and accelerates action in prioritizing services and support for adolescent and young mothers living with HIV.

 

Validation Mother-to-Child Transmission of HIV and Syphilis

This governance guidance provides clarity, consistency and detail related to the structure, function, composition and operational duties of validation committees at national, regional and global levels as an extension to what is provided in the Global guidance on the criteria and processes for validation: elimination of mother-to-child transmission of HIV and syphilis. In addition, this publication describes the standardized methods for country programme review and validation of EMTCT of HIV and syphilis and PTE at these levels.

Elimination Mother-to-Child Transmission off HIV and Syphilis

This guidance document provides standardized processes and consensus-developed criteria to validate EMTCT of HIV and syphilis, and to recognize high-HIV burden countries that have made significant progress on the path to elimination. The guidance places strong emphasis on country-led accountability, rigorous analysis, intensive programme assessment and multilevel collaboration, including the involvement of communities of women living with HIV. It provides guidance to evaluate the country’s EMTCT programme, the quality and accuracy of its laboratory and data collection mechanisms, as well as its efforts to uphold human rights and equality of women living with HIV, and their involvement in decision-making processes.

Start Free, Stay Free, AIDS Free: Final report on 2020 targets

In the global quest to end the AIDS epidemic as a public health threat by 2030, meeting the HIV-related needs of children, adolescents and pregnant and breastfeeding women represents a critical piece of unfinished business. To inject a sense of urgency in to global efforts to end the epidemic among children, adolescents and young women, global partners joined together in 2015 to launch the Start Free, Stay Free, AIDS Free framework. Unveiled as the global community was embracing a series of 2020 targets intended to Fast-Track the HIV response, Start Free, Stay Free, AIDS Free called for a super-Fast-Track approach to end AIDS as a public health threat among children, adolescents and young women by 2020.

Since the deadline for achieving the targets passed in December 2020, this is the final Start Free, Stay Free, AIDS Free progress report. Although the targets were global, partners identified 23 countries for intensified focus under the framework. This report specifically highlights progress against the targets in focus countries. The only focus countries outside sub-Saharan Africa (India and Indonesia) do not report data on Start Free, Stay Free, AIDS Free targets and are not covered in this report.