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Introducing a framework for implementing triple elimination of mother-to-child transmission of HIV, syphilis and hepatitis B virus

Author : World Health Organization
Publisher : World Health Organization
Page : 22 pages
File Size : 12,47 MB
Release : 2024-02-02
Category : Medical
ISBN : 9240086781

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Triple elimination of mother-to-child transmission (MTCT) of HIV, syphilis and hepatitis B virus (HBV) requires a person- centred service delivery approach that meets the needs of and supports the rights of women, newborns, children and families and requires building cross-programmatic efficiencies that leverage and strengthen existing platforms for HIV, syphilis and HBV prevention, testing, treatment and care. With the recent release of guidance for validation of triple elimination and the 2023 guidance on country validation of viral hepatitis elimination and the path to elimination, WHO and partners have developed an accompanying 4 pillars framework for triple elimination implementation. The new framework will guide efforts to expand the focus of service delivery from elimination of MTCT of HIV to triple elimination of HIV, syphilis and HBV. The 4 pillars are: 1. Primary prevention of infection and vertical transmission; 2. SRH linkages and integration; 3. Essential maternal EMTCT services; and 4. Infant, child and partner services.

2010 Situation Analysis

Author :
Publisher :
Page : 47 pages
File Size : 36,90 MB
Release : 2011
Category : AIDS (Disease) in children
ISBN : 9789275316443

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"In November 2009, PAHO and UNICEF launched the Regional Initiative for the Elimination of Mother-to-Child Transmission of HIV and Syphilis in Latin America and the Caribbean. The Elimination Initiative (EI) was endorsed by key regional mechanisms including the Chief Medical Officers of the Caribbean and the CARICOM Caucus of Ministers. Joint prevention of mother-to-child transmission (PMTCT) of HIV and syphilis has been included as a priority in the Strategic Regional Health Plan of Central America for 2010-2015 by the Executive Secretariat of the Council of Ministers of Health of Central America and the Dominican Republic (COMISCA). In 2010, the Ministers of Health of the Andean Region (REMSA) endorsed the prioritization and facilitation of the Regional Initiative. The EI is articulated with the Global Plan Towards the Elimination of New HIV Infections among Children by 2015 and Keeping Their Mothers Alive. In September 2010, PAHO Member States approved the Strategy and Plan of Action for the Elimination of Mother-to-Child Transmission of HIV and Congenital Syphilis by Resolution 50/12 at the 50th Directing Council Meeting aimed at: reducing mother-to-child transmission of HIV to 2% or less, reducing the incidence of pediatric HIV cases to 0.3 or less per 1,000 live births, and reducing the incidence of congenital syphilis to 0.5 cases or less per 1,000 births by 2015. This report describes the current status of progress in the Region towards the Elimination Initiative goals, highlights gaps and challenges, and presents recommendations for future action to achieve these goals."--Page 6.

Disease Control Priorities, Third Edition (Volume 6)

Author : King K. Holmes
Publisher : World Bank Publications
Page : 1027 pages
File Size : 50,67 MB
Release : 2017-11-06
Category : Medical
ISBN : 1464805253

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Infectious diseases are the leading cause of death globally, particularly among children and young adults. The spread of new pathogens and the threat of antimicrobial resistance pose particular challenges in combating these diseases. Major Infectious Diseases identifies feasible, cost-effective packages of interventions and strategies across delivery platforms to prevent and treat HIV/AIDS, other sexually transmitted infections, tuberculosis, malaria, adult febrile illness, viral hepatitis, and neglected tropical diseases. The volume emphasizes the need to effectively address emerging antimicrobial resistance, strengthen health systems, and increase access to care. The attainable goals are to reduce incidence, develop innovative approaches, and optimize existing tools in resource-constrained settings.

Global guidance on criteria and processes for validation

Author :
Publisher : World Health Organization
Page : 86 pages
File Size : 21,67 MB
Release : 2021-11-26
Category : Medical
ISBN : 9240039368

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The global community has committed to elimination of mother-to-child transmission, or vertical transmission, of HIV, syphilis and hepatitis B virus (HBV) as a public health priority and reducing global disease burden, quality reproductive, maternal and child health services to a level no longer a public health concern. Achieving and maintaining elimination requires strong political and public health commitment. Strengthened, resilient health systems improve a broad range of services and outcomes while similarities in prevention interventions add to the benefit of an integrated approach. Validation is an attestation that a country has successfully met standard criteria for elimination, or for being at one of the 3 levels of achievement on the ‘Path to Elimination’ while delivering quality services for women, girls and their children, through the life-course, respecting human rights and ensuring gender equality and community engagement. It requires systems that comprehensively identify and monitor new infections and infant outcomes. Establishment of criteria for validation began in 2007 with global consultations while lessons learnt advised publication of 2 editions of global guidance on criteria and processes for validation: elimination of mother-to-child transmission of HIV and syphilis (the ‘Orange Book’). This document, the third version, adds on EMTCT of HBV, bringing together a package of interventions and metrics to support integrated management and monitoring of vertical transmission across a wide range of epidemiological and programmatic contexts.

Reducing the Odds

Author : National Research Council
Publisher : National Academies Press
Page : 426 pages
File Size : 12,65 MB
Release : 1999-02-13
Category : Medical
ISBN : 9780309062862

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Thousands of HIV-positive women give birth every year. Further, because many pregnant women are not tested for HIV and therefore do not receive treatment, the number of children born with HIV is still unacceptably high. What can we do to eliminate this tragic and costly inheritance? In response to a congressional request, this book evaluates the extent to which state efforts have been effective in reducing the perinatal transmission of HIV. The committee recommends that testing HIV be a routine part of prenatal care, and that health care providers notify women that HIV testing is part of the usual array of prenatal tests and that they have an opportunity to refuse the HIV test. This approach could help both reduce the number of pediatric AIDS cases and improve treatment for mothers with AIDS. Reducing the Odds will be of special interest to federal, state, and local health policymakers, prenatal care providers, maternal and child health specialists, public health practitioners, and advocates for HIV/AIDS patients. January

Mother- to - Child Transmission of HIV and Congenital Syphilis

Author : Lorna Elizabeth Jenkins
Publisher :
Page : pages
File Size : 45,88 MB
Release : 2013
Category :
ISBN :

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ABSTRACT Background: Worldwide HIV is going through a feminization and rejuvenation as more women are living with HIV/AIDS, increasing the risk of vertical transmission. Despite the efforts in Latin America and the Caribbean (LAC) by 2010, Panama was the third most affected country in the region with HIV/AIDS, with females aged 15-24 twice as affected as men. Methods: This descriptive epidemiological study of HIV vertical transmission in Panama reviewed clinical charts to identify health care personnel's practices during pregnancies in 2008. This study also examines the impact of interventions comparing the HIV outcome of the children at the end of the 18-month follow-up period (March 2011). Results: This study found 290 clinical charts; 116 from women and girls living with HIV who were pregnant in 2008 and 174 clinical charts of prenatally exposed children to HIV in 2008. During pregnancy, 58.05% of the mothers received HAART, and 68.39% received intravenous zidovudine during labor. The 81.03% of the children received oral zidovudine six weeks after birth, and 54.02% were fed with infant-adapted formula. During the follow-up period 12.64% of children studied were diagnosed as HIV positive and 36.36% of those children had an older seropositive sibling. Discussion: The Republic of Panama has made efforts to prevent vertical HIV transmission. The current study shows early interventions such as receiving HAART during pregnancy, intravenous zidovudine during labor, caesarean section birth, receiving oral zidovudine six weeks after birth, and feeding with infant-adapted formula that show statistical significance when compared to final diagnosis of the prenatally exposed children to HIV.