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Community interventions and PMTCT: the other “p”

Community interventions and PMTCT: the other “p”. B. Ryan Phelps Office of HIV/AIDS, USAID. New HIV infections in children. Source: Universal Access Report, 2011. Objectives. Two literature reviews Retention along the PMTCT continuum of care Community-based strategies that work.

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Community interventions and PMTCT: the other “p”

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  1. Community interventions and PMTCT: the other “p” B. Ryan Phelps Office of HIV/AIDS, USAID

  2. New HIV infections in children Source: Universal Access Report, 2011

  3. Objectives • Two literature reviews • Retention along the PMTCT continuum of care • Community-based strategies that work

  4. PMTCT care continuum

  5. SdNVP coverage in pregnancy • The PMTCT Effectiveness in Africa: Research and Linkages to Care (PEARL) Study • http://www.pepfar.gov/documents/organization/118151.pdf

  6. More PMTCT Options

  7. HAART coverage in pregnancy Mandala et al, Zambia, 2010 Killam et al, Zambia, 2010 L. Ferguson et al. Linking HIV-positive pregnant women to treatment services Trop Med and Intl Health; v17 no 5 pp 564–580, May 2012

  8. PMTCT care continuum

  9. Retention of HIV-exposed infants (1) All pregnant mothers at first ANC Pregnant mothers accepting testing Pregnant mothers testing positive (25%) 36 week ANC Delivery 6 months postpartum Cook, Ciampa et al. 2011 Ahoua, Ayikoru et al. 2010 Manzi, Zachariah et al. 2005

  10. Retention of HIV-exposed infants (2) Eligible HIV-exposed infants Eligible HIV-exposed infants Return for at least one visit 4 month visit 2 months after enrolment 18 months of age Enrolled HIV-exposed infants Ioannidis, Taha et al. 1999 Sherman, Jones et al. 2004 Hassan, Sakwa et al. 2011

  11. Retention of HIV-exposed infants (3) (Unpublished CHAI data , 2009)

  12. PMTCT care continuum

  13. Objectives • Two literature reviews • Retention along the PMTCT continuum of care • Community-based strategies that work

  14. PEPFAR-supported Acceleration Plans Mediterranean Sea TUNISIA MOROCCO Legend 6 Original Acceleration Countries 8 New Acceleration Countries PEPFAR PMTCT programs in Global Plan countries* ALGERIA WESTERN LIBYA EGYPT SAHARA Red Sea MAURITANIA MALI NIGER ERITREA SUDAN SENEGAL CHAD THE DJIBOUTI GAMBIA BURKINA GUINEA GUINEA BISSAU BENIN NIGERIA * PEPFAR supports programming in India (not pictured) TOGO ETHIOPIA SOUTHSUDAN COTE CENTRAL SIERRA DTVOIRE GHANA AFRICAN LEONE REPUBLIC LIBERIA CAMEROON UGANDA SOMALIA DEMOCRATIC KENYA EQUATORIAL REP. OF REPUBLIC GUINEA THE OF THE CONGO GABON CONGO Indian RWANDA BURUNDI Ocean TANZANIA ANGOLA Atlantic MALAWI Ocean ANGOLA ZAMBIA MOZAMBIQUE MADAGASCAR ZIMBABWE NAMIBIA Acceleration Plans all required to have community engagement elements BOTSWANA SOUTH AFRICA Walvis Bay SWAZILAND LESOTHO SOUTH AFRICA

  15. New HIV infections in children Source: Universal Access Report, 2011

  16. Thank you. • Kea leboga. • Niyabonga.

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