Prevention of mother-to-child transmission of HIV
Percent of HIV-positive pregnant women provided with ART to reduce the risk of mother-to-child transmission during pregnancy.
Number of HIV-positive pregnant women who received ART as recommended by WHO.
Estimated number of HIV-positive pregnant women.
Already on ART; newly on ART or other regimen categories specific to the setting.
Numerator: national programme records aggregated from programme monitoring tools, such as patient registers and summary reporting forms.
Denominator: estimation models such as Spectrum or antenatal clinic surveillance surveys, in combination with demographic data and appropriate adjustments related to coverage of antenatal care surveys.
See also: Percent of all HIV positive pregnant women who received a complete course of ART prophylaxis; and Percent of HIV positive pregnant women who received appropriate treatment in labor, according to PMTCT recommendations
Routine facility information systems
The risk of mother-to-child transmission can be significantly reduced through the complementary approaches of providing antiretrovirals (as treatment or as prophylaxis) for the mother and antiretroviral prophylaxis to the infant, implementation of safe delivery practices, and safer infant-feeding practices.
This indicator allows for monitoring of the coverage of antiretrovirals among HIV-infected pregnant women to reduce the risk of HIV transmission to the child.
When disaggregated, this indicator can monitor increased access to more efficacious ARV regimens for PMTCT in countries that are scaling up newer regimen categories.
Because the indicator measures ARVs dispensed and not ARVs consumed, it is not possible to determine adherence to the complete ARV regimen or distinguish between different ARV regimens and between pre- and intra-partum components.
Labor and delivery, Intrapartum care, PMTCT, HIV care, Maternal health, Newborn health, Child health
World Health Organization (WHO). 2015 Global Reference List of 100 Core Health Indicators.; 2015. http://apps.who.int/iris/bitstream/10665/173589/1/WHO_HIS_HSI_2015.3_eng.pdf
World Health Organization. Monitoring, Evaluation, and Review of National Health Strategies: A Country-Led Platform for Information and Accountability.; 2011. http://www.who.int/healthinfo/country_monitoring_evaluation/1085_IER_131011_web.pdf
Pan American Health Organization (PAHO). Regional Initiative for the Elimination of Mother-to-Child Transmission of HIV and Congenital Syphilis in Latin America and the Caribbean. Washington, D.C.:; 2010. https://www.unicef.org/lac/Regional_Monitoring_Strategy.pdf
Further information and related links
Consolidated Strategic Information Guidelines for HIV in the Health Sector. Geneva: World Health Organization; 2015 (Retrieved from http://apps.who.int/iris/bitstream/10665/164716/1/9789241508759_eng.pdf?ua=1).
Countdown to 2015. Monitoring maternal, newborn and child health: understanding key progress indicators. Geneva: World Health Organization; 2011 (Retrieved from http://apps.who.int/iris/bitstream/10665/44770/1/9789241502818_eng.pdf).
Framework of actions for the follow-up to the Programme of Action of the International Conference on Population and Development beyond 2014. Report of the Secretary-General. New York (NY): United Nations; 2014 (Retrieved from https://www.unfpa.org/webdav/site/global/shared/documents/ICPD/Framework%20of%20action%20for%20the%20follow-up%20to%20the%20PoA%20of%20the%20ICPD.pdf).
Global AIDS response progress reporting 2014: construction of core indicators for monitoring the 2011 United Nations political declaration on HIV/AIDS. Geneva: Joint United Nations Programme on HIV/AIDS; 2014 (Retrieved from http://www.unaids.org/en/media/unaids/contentassets/documents/document/2014/GARPR_2014_guidelines_en.pdf).
Keeping promises, measuring results. Commission on information and accountability for Women’s and Children’s Health. Geneva: World Health Organization; 2011 (Retrieved from http://www.who.int/topics/millennium_development_goals/accountability_commission/Commission_Report_advance_copy.pdf).
Next generation indicators reference guide: planning and reporting. Version 1.2. Washington (DC): The President’s Emergency Plan for AIDS Relief; 2013 (Retrieved from http://www.pepfar.gov/documents/organization/206097.pdf).
