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Provision of care following prevention of mother-to-child HIV transmission services in resource-limited settings

Ginsburg, Amy Sarah; Hoblitzelle, Charles W; Sripipatana, Tabitha L; Wilfert, Catherine M

doi: 10.1097/QAD.0b013e3282f155f4
Epidemiology and Social: Concise Communication

Objective: To evaluate the provision of care for mother and child after institution of prevention of mother-to-child transmission (PMTCT) of HIV services.

Design: As part of an effort to improve services, we undertook a review of our multicountry PMTCT program.

Methods: Review of key indicators from our PMTCT database and reporting practices from January 2005 to June 2006 throughout 18 resource-limited countries.

Results: 1 066 606 pregnant women were counseled and tested, and 102 336 tested HIV-positive. Antiretroviral prophylaxis was dispensed to 81 384 mothers and 52 342 HIV-exposed infants. From available reporting, 1388 pregnant women were dispensed antiretroviral drugs for treatment and 9060 children received cotrimoxazole prophylaxis at 6 weeks.

Conclusions: PMTCT services are integrated into maternal-child health services but adult and pediatric care and treatment programs often function independently, without coordination or linkages. Integrating care into maternal-child health services and linking mother's HIV status to child are necessary for HIV-infected mothers and HIV-exposed children to receive appropriate follow-up and treatment.

From the Elizabeth Glaser Pediatric AIDS Foundation, Santa Monica, CA, USA.

Received 4 March, 2007

Revised 15 August, 2007

Accepted 17 August, 2007

Correspondence to Amy Sarah Ginsburg, MD, MPH, Elizabeth Glaser Pediatric AIDS Foundation, 2950 31st Street, Suite 125, Santa Monica, CA 90405, USA. E-mail: messageforamy@gmail.com

© 2007 Lippincott Williams & Wilkins, Inc.