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Preventing Mother-to-Child Transmission of HIV

Objectives

  • To improve the efficacy and effectiveness of PMTCT in low-and-middle-income countries during the interim period while a HIV vaccine is developed. More specifically, to enhance the availability, quality and uptake of PMTCT services by determining innovative and effective implementation strategies and programmatic solutions to overcome existing barriers and bottlenecks to enhanced PMTCT service delivery.

New Activities

This is a new area of focus for CIDA under the MOU. CIDA activities will focus on two key areas:

Improving the availability and quality of comprehensive PMTCT services by exploring the following:

  • Integration of comprehensive PMTCT services with other existing health services;
  • Innovative approaches to testing and diagnostics supported by access to appropriate counselling;
  • Innovative solutions to address the critical shortages of health care providers; and
  • Improving quality and availability of health data for decision-making, monitoring, program evaluation and results tracking.

Improving the uptake of comprehensive PMTCT services:

  • Implementing innovative approaches to increase access to comprehensive PMTCT services outside of health facility settings, while strengthening linkages between services delivered in health facilities and community-based approaches;
  • Identifying strategies to increase the involvement of male partners and mobilize communities in relation to PMTCT;
  • Addressing stigma, discrimination and gender inequality as barriers that prevent women from accessing comprehensive PMTCT services; and
  • Promoting clear policies and messages about infant feeding, and training health providers in appropriate counselling and support to HIV-positive women.

Expected Outcomes

  • An increase in the proportion of HIV infections averted in infants born to mothers with HIV in low-and-middle-income countries;
  • An increase in the number of women accessing high-quality PMTCT services in low-and-middle-income countries;
  • An increase in the number of women receiving a complete course of anti-retroviral prophylaxis to reduce the risk of MTCT in low-and-middle-income countries;
  • An increase in the number of women receiving infant feeding counseling and support to reduce the risk of MTCT during breastfeeding in low-and-middle-income countries; and
  • A decrease in HIV incidence in pregnant women and children in low-and-middle-income countries.