slide1 n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Unite for Children, Unite against AIDS. PowerPoint Presentation
Download Presentation
Unite for Children, Unite against AIDS.

Loading in 2 Seconds...

play fullscreen
1 / 18

Unite for Children, Unite against AIDS. - PowerPoint PPT Presentation


  • 230 Views
  • Uploaded on

PMTCT. Unite for Children, Unite against AIDS. Dr. Doreen Mulenga Senior Advisor, HIV/AIDS UNICEF New York. UNAIDS epidemic update November 2007. Children continue to be infected mainly through MTCT despite having tools to eliminate this infection 2.1 Million children living with HIV

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Unite for Children, Unite against AIDS.' - Audrey


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

PMTCT

Unite for Children,

Unite against AIDS.

Dr. Doreen Mulenga

Senior Advisor, HIV/AIDS

UNICEF New York

unaids epidemic update november 2007
UNAIDS epidemic update November 2007

Children continue to be infected mainly through MTCT despite having tools to eliminate this infection

  • 2.1 Million children living with HIV
    • Increase from 1.5 million reported in 2001
  • 420,000 new HIV infections
    • Decline from 460,000 reported in 2001
  • 290,000 children died
slide3

Commitments have been made

2001 United Nations Global Assembly Special Session on HIV/AIDS

Reduce the proportion of infants infected with HIV by 20% by 2005 and 50% by 2010, by:

  • Ensuring that 80% of pregnant women accessing antenatal care receive information, counseling and other HIV prevention services
  • Providing access for HIV-infected women and babies to effective treatment to reduce MTCT of HIV…
slide4

2

1

3

4

slide5

Evidence Based Packaging of PMTCT Services

Prong I

HIV/PMTCT education targeting families, couples, young people, high risk populations

STI screening and Rx in MCH services

Condom promotion and use in the context of PMTCT targeting MCH couples, young people, VCT clients, ART clients, STI clients

Provider initiated HIV testing and counselling in key service points – PMTCT, STI, family planning

Adolescent life skills education

Prong II

Integrated FP services in PMTCT

2. Expansion of FP services in the context of PMTCT to ART, STI, VCT, youth friendly reproductive health services.

slide6

Evidence Based Package of PMTCT Services

Prong III

HIV/PMTCT education / on going prevention counselling

Provider initiated testing and counselling

ARV prophylaxis – more efficacious combination treatment for PMTCT/HAART for women in need

Safe delivery practices – avoidance of invasive procedures and prolonged rupture of membranes; C/S

IF counseling and systematic and institutionalised support to mothers

Condom promotion and use during pregnancy and lactation

Prong IV

HIV prevention during lactation

Early Initiation and exclusive BF

Cotrimoxazole preventive treatment for + mothers in need and for exposed infants

Bednets and IPT for pregnant women

CD4 screening for positive mothers

ART pregnant and lactating mothers in need Rx

Psychosocial Support

Nutritional support including provision of food rations

Integrated HIV and IMCI screening and management at primary facility level

Human rights and legal protection

programme coverage reporting modality
Programme CoverageReporting modality
  • Annual national data (Jan to Dec) through UNICEF and WHO country offices
    • 2007 data collected end Jan 2008 – being analysed.
  • Validated by Ministry of Health in collaboration with in country partners
  • Analysed by UNICEF in collaboration with WHO and UNAIDS
  • Global data bases used as denominators to ensure standardisation
  • Data as good as what is reported
    • In some of the countries data collecting mechanisms very weak
16 of all pregnant women and 21 of women attending at least 1 anc visit were hiv tested in 2006
16% of all pregnant women and 21% of women attending at least 1 ANC visit were HIV tested in 2006
slide10

Increase in PMTCT ARV coverage to 23%; notable increase in East and Southern Africa to 31%(denominator is all estimated positive pregnant women)

remaining challenges and gaps
Remaining challenges and gaps
  • Limited human resources and infrastructure for scale up
  • Inadequate integration into maternal and child health
    • Goal is HIV-free child survival
    • PMTCT is still viewed as a vertical programme
    • PMTCT not included in the basic MCH package of services
    • Prong 1 and 2 are the weakest components
  • Inadequate follow-up of women and children for HIV care, support and treatment
  • Weak counseling, monitoring and support of Infant Feeding
summary we are gaining momentum
SummaryWe are gaining momentum
  • Most countries have national strategies
  • Access is going up nearly everywhere
    • In 2006, 16% , compared with 11% in 2005, of the total estimated number of women giving birth tested for HIV
    • The proportion of HIV positive pregnant women who received ARVs for PMTCT has increased from 10% in 2004 to 15% in 2005 to 23% in 2006
    • In all regions, more HIV-infected children have greater access to ART with over 50% increases
    • HIV testing in young children using dry blood spots increasing
  • Improved scientific evidence on moreeffective ARV regimens; infant feeding to guide program implementation
  • We need to do more to build the evidence for models of SRH/PMTCT integration scale up.
what can you do
What can you do?
  • Link up with the national technical working group
  • National policies and plans
  • Standard operating procedures
  • Training and networking opportunities
  • Procurement policies
  • National tracking of progress
  • Identify the priority entry points based on the access and utilisation of services and the characteristics of your countries epidemic; MNCH services, HIV care and treatment services, STI and VCT services. Additionally under five and support groups of women living with HIV.
slide18

Policies

Making Pregnancy Safer Strategy

Mother-Baby Package:Implementing safe motherhood in countries

Health

Systems

Global action for skilled attendants

Tools

Antiretroviral drugs for treating pregnant women and preventing HIV infection in infants

Individuals,families and communities