Preventing Mother-to-Child Transmission of HIV in Resource-Limited Settings
The Elizabeth Glaser Pediatric Aids Foundation Experience
Bibliographic Data
Objectives. In September 1999, the Elizabeth Glaser Pediatric AIDS Foundation initiated a multicountry, service-based programmatic effort in the developing world to reduce perinatally acquired HIV infection. We review 61⁄2 years of one of the world's largest programs for the prevention of mother-to-child transmission (PMTCT) of HIV. Methods. Each PMTCT facility records patient data in antenatal clinics and labor and delivery settings about counseling, testing, HIV status, and antiretroviral prophylaxis and submits the data to foundation staff. Results. More than 2.6 million women have accessed foundation-affiliated services through June 2006. Overall, 92.9% of women who received antenatal care or were eligible for PMTCT services in labor and delivery have been counseled, and 82.8% of those counseled accepted testing. Among women identified as HIV positive, 75.0% received antiretroviral prophylaxis (most a single dose of nevirapine), as did 45.6% of their infants. Conclusions. The foundation's experience has demonstrated that opt-out testing, supplying mothers with medication at time of diagnosis, and providing the infant dose early have measurably improved program efficiency. PMTCT should be viewed as an achievable paradigm and an essential part of the continuum of care
Antiretroviral therapy · Developing country · Family medicine · Human immunodeficiency virus (HIV) · Nevirapine · Transmission (telecommunications) · Viral load · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · HIV/AIDS Research and Interventions · Medicine · Pediatrics
Improving mothers' access to PMTCT programs in West Africa
Scaling up prevention of mother-to-child HIV transmission programs in sub-Saharan African countries
Prevention of mother-to-child HIV transmission in resource-limited settings
Barriers to initiating antiretroviral therapy during pregnancy
Factors influencing utilization of postpartum CD4 count testing by HIV-positive women not yet eligible for antiretroviral treatment
Factors affecting adherence to short-course ARV prophylaxis for preventing mother-to-child transmission of HIV in sub-Saharan Africa
| Unique citing works | 6 |
|---|---|
| Citations per year | 0,35 |
| Citation span | 2009 - 2014 (6) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 5 |