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Y. GEBRE, N.JACK, S.CAFFE, A. DEL RIEGO , P. EDWARDS PAN AMERICAN HEALTH ORGANIZATION

IS HIV MOTHER TO CHILD TRANSMISSION AND CONGENITAL SYPHILIS ELIMINATION BY 2015 A REALITY IN THE ENGLISH CARIBBEAN ? . Y. GEBRE, N.JACK, S.CAFFE, A. DEL RIEGO , P. EDWARDS PAN AMERICAN HEALTH ORGANIZATION. Elimination Initiative Goal and Impact Indicators in the Caribbean .

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Y. GEBRE, N.JACK, S.CAFFE, A. DEL RIEGO , P. EDWARDS PAN AMERICAN HEALTH ORGANIZATION

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  1. IS HIV MOTHER TO CHILD TRANSMISSION AND CONGENITAL SYPHILIS ELIMINATION BY 2015 A REALITY IN THE ENGLISH CARIBBEAN? Y. GEBRE, N.JACK, S.CAFFE, A. DEL RIEGO, P. EDWARDS PAN AMERICAN HEALTH ORGANIZATION

  2. Elimination Initiative Goal and Impact Indicators in the Caribbean

  3. Elimination Criteria

  4. Tools of the Elimination Initiative CONCEPT CLINICAL GUIDELINES M&E REGIONAL STRATEGY Baseline Protocol DRAFT Laboratory Requirements DRAFT Field Guideline for the Implementation of the EI DRAFT Costing Tool IN PROGRESS Validation Tool

  5. Study objectives

  6. STUDY METHODS

  7. Ta

  8. EMTCT Indicators

  9. Fig 1.Percentage of pregnant women who were tested for HIV and received their results – and percentage of HIV Prevalence by country, 2010

  10. Fig 2. Percentage of Pregnant women tested for syphilis among those receiving ANC and prevalence of gestational syphilis by country, 2010

  11. Fig 3. Percentage (%) of child infections from HIV-infected women and percentage of infants receiving virological test with in 2 months in the Caribbean, 2010

  12. Table 2. Number of infants born to HIV-infected women assessed for and whose infant feeding practices were recorded at DTP3 visit, by country, 2010

  13. Fig 4. Percentage of infants born to HIV-infected women (HIV-exposed infants) who received ARV and percentage of HIV MTCT rate by country, 2010 95

  14. Fig 5. Percentages of HIV-infected pregnant women assessed for ART eligibility; positive for syphilis and HIV who received treatments by country, 2010-2011 95

  15. Impact Indicators Summary

  16. Conclusion • With increase quality service coverage and strengthened commitment, it now seems feasible by 2015 to eliminate new HIV infections and CS among children in some countries of the Caribbean. • Challenges include the continued access of ARVs, other essential supplies and human resources and lack of quality surveillance data and clear case definition for CS.

  17. The EMTCT cascade Incidence M&E VALIDATION Prevalence 2009 2010 2015 Beyond 2015

  18. Acknowledgements • The National AIDS Programmes (Caribbean) • The Caribbean EI working group • PAHO HIV Caribbean Office • Monica Alonso, PAHO/WHO HIV/FCH • EC/OCT HIV project-PHCO • The Chief Medical Officers -MoHs

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