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Dr . Agnes Mahomva ( MBChB , MPH) Country Director XIX International AIDS Conference PowerPoint Presentation
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Innovative rapid scale-up of effective PMTCT services to achieve virtual elimination of new pediatric HIV infections: A Zimbabwe experience. Dr . Agnes Mahomva ( MBChB , MPH) Country Director XIX International AIDS Conference Washington DC 22/07/2012. Background.

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slide1

Innovative rapid scale-up of effective PMTCT services to achieve virtual elimination of new pediatric HIV infections: A Zimbabwe experience

Dr. Agnes Mahomva (MBChB, MPH)

Country Director

XIX International AIDS Conference

Washington DC

22/07/2012

background
Background
  • Population of 12 million
  • Health system challenged by
    • Depressed economy
    • HIV prevalence 14.3% in adults
    • HIV prevalence 16.1% in Pregnant women attending antenatal care (ANC) clinics
national roll out of effective pmtct services
National Roll-Out of Effective PMTCT Services
  • Roll-out of PMTCT services for elimination of new pediatric HIV infections is underway supported by:
    • Strong political commitment (3% AIDS levy)
    • Existing health infrastructure - a total of 1,560 health facilities provide ANC
    • All ANC facilities providing PMTCT services but mainly single-dose nevirapine by the end of 2006
roll out of the 2010 pmtct guidelines
Roll-Out of the 2010 PMTCT Guidelines
  • In 2011, EGPAF with USAID and CIFF funding collaborated with MOHCW to roll-out revised national PMTCT guidelines through
    • Stakeholder consultations on WHO PMTCT option selection (Option A chosen)
    • Integrated national PMTCT training curriculum and M&E tools
    • Health care worker training
    • Strategies and innovations for rapid scale-up
slide5
Launch of the Zimbabwe national program on elimination of new HIV infections in children, January 2011

Minister of Health and Child Welfare speaking

innovative strategies
Innovative Strategies
  • Introduction of PMTCT District Focal Persons
    • Coordination of all district PMTCT activities
  • Deployment of point-of-care CD4 machines
    • Support early CD4 testing and ART for pregnant women in ANC
  • Targeted advocacy and community engagement
    • Promote early ANC and minimize mother-baby loss to follow-up
  • Coordination of three sub-grantees
    • Rapid roll-out of health care worker trainings nation wide
pmtct results 1 by end of december 2011
PMTCT Results (1) (by end of December 2011)
  • 1,344 (86%) of 1,560 MOHCW ANC facilities implementing WHO 2010 PMTCT guidelines
    • Up from 134 (9%) in 2010
  • 5,890 (37%) identified ART-eligible pregnant women received ART in ANC
    • Up from 2,498 (17%) in 2010
pmtct results 2 by end of december 2011
PMTCT Results (2) (by end of December 2011)
  • A total of 367,498 pregnant women enrolled in 1,344 EGPAF supported sites
    • 96% (351,867) tested for HIV and received results
    • 12% (43,758) HIV-positive
    • 84% (36,760) of HIV-positive women received ARV prophylaxis (not including ART)
    • 56% (24,696) of HIV-exposed infants received ARV prophylaxis per 2010 guidelines (extended NVP)
conclusions
Conclusions

Rapid scale-up of effective national PMTCT services require:

  • MOHCW leadership for coordination and national program strategic direction
  • Meaningful collaboration with partners and donors as an essential component
  • Use of innovative approaches and strategies
acknowledgements
Acknowledgements
  • Zimbabwe Ministry of Health and Child Welfare
  • U.S. President’s Emergency Plan for AIDS Relief through USAID
  • UK Department for International Development
  • The Children’s Investment Fund Foundation
  • EGPAF-FAI partners
    • J.F. Kapnek Trust,
    • OPHID Trust
    • ZAPP-UZ