Prevention of Mother-to-Child Transmission

PMTCT page body

To successfully prevent vertical transmission of HIV from mothers to their infants, countries must intervene at the community level, through prevention of mother-to-child transmission (PMTCT) programs. These PMTCT interventions may adopt one or more of the following strategies: male involvement in PMTCT, peer mentorship, use of community health workers, mobile phone-based reminders, conditional cash transfers, training of midwives, integration of PMTCT services, and enhanced referrals. Community-based approaches are essential because many of the barriers that prevent uptake of PMTCT services occur at the community level. Effective programs seek to improve rates of enrollment, retention in care, and successful treatment outcomes among mother-infant pairs.

MEASURE Evaluation reached out to PEPFAR (United States President’s Emergency Plan for AIDS Relief)—and other donor-supported programs that implement programs, at the community level, to support prevention of mother-to-child transmission activities—to obtain data collection tools. The tools collected are those used by community workers in Nigeria, Ethiopia, South Africa, Uganda, Kenya, Côte d’Ivoire, the Democratic Republic of the Congo, and Botswana to monitor household care and services provided to mothers and their infants and conduct behavior change communication activities for pregnant women and mothers (of infants) living with HIV. The most common data elements among these tools were incorporated into the indicators in this collection. Each indicator is accompanied by a definition. These definitions were specifically designed to inform data collection by community programs and agents.

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