Maternal and Child Health

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ACCLAIM Toolkit: Scaling Up Community Involvement in Maternal and Child Health and Prevention of Mother-to-Child HIV Transmission

Program Tools

A compilation of various tools (guidelines, standard operating procedures, presentations, job aids and forms) to enhance community involvement in MNCH and PMTCT services among men, women and community leaders. This toolkit showcases how to bring to scale three distinct approaches: “community days”, peer group mentorship and community leadership engagement. All were met with success in Zimbabwe, Swaziland and Lesotho and had a dramatic effect on number of pregnant women who attended antenatal care earlier in pregnancy and number of women who attended all recommended antenatal visits.

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Catalyzing Expanded Access to Early Testing, Care and Treatment for HIV-Exposed Infants in Lesotho

Fact Sheets

The Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) has worked in Lesotho since 2004, in collaboration with the Ministry of Health (MOH). EGPAF rapidly expanded access to comprehensive HIV/AIDS services throughout the country, establishing itself as a key HIV service implementation partner in Lesotho.Through this partnership and direct support to 121 facilities, EGPAF is well-placed to launch the UNITAID project in Lesotho, which will significantly increase the number of HIVpositive infants receiving life-saving treatment in nine countries.

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Tenofovir Disoproxil Fumarate Safety for Women and their Infants During Pregnancy and Breastfeeding: Systematic Review

Journal Articles

By Mofenson, Baggaley, Mameletzis

Pregnant/lactating women in some sub-Saharan Africa settings are at substantial risk of HIV acquisition and could benefit from preexposure prophylaxis (PrEP) with tenofovir disoproxil fumarate (TDF), but safety data in pregnancy/lactation are limited.

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Lessons learned from the PMTCT program in Swaziland: challenges with accepting lifelong ART for pregnant and lactating women – a qualitative study

Journal Articles

By Katirayi, Chouraya, Kudiabor, Mahdi, Kieffer, Moland, Tylleskar

This study provides insight into the challenges of lifelong ART initiation among pregnant women under Option A in Swaziland.

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Benefits and Risks of Antiretroviral Therapy for Perinatal HIV Prevention

Journal Articles

Randomized-trial data on the risks and benefits of antiretroviral therapy (ART) as compared with zidovudine and single-dose nevirapine to prevent transmission of the human immunodeficiency virus (HIV) in HIV-infected pregnant women with high CD4 counts are lacking.

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TIMIZA90 Project Factsheet

Fact Sheets

Timiza90 is a five-year (Oct 2016 to Sept 2021) U.S. Centres for Disease Control and Prevention (CDC)-funded Project which aims to support the implementation and expansion of high quality, sustainable, and comprehensive HIV prevention, care, and treatment programs.

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BRIDGING RURAL SUB-SAHARAN AFRICAN COMMUNITIES AND THE GLOBAL RESPONSE TO THE HIV AND AIDS EPIDEMIC

Issue Briefs

Lessons from the Advancing Community Level Action for Improved Maternal and Child Health and PMTCT (Project ACCLAIM).

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The Association between HIV Status and Antenatal Care Attendance among Pregnant Women in Rural Hospitals in Lesotho

Journal Articles

Early and frequent antenatal clinic (ANC) attendance is important for promotion of healthy outcomes for mother and child. This study explored the relationship between HIV status at the first ANC visit and subsequent ANC attendance among pregnant women in Lesotho.

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HIV-positive pregnant and postpartum women's perspectives about Option B+ in Malawi: a qualitative study

Journal Articles

By Katirayi, Namadingo, Phiri, Bobrow, Ahimbisibwe, Berhan, Buono, Moland, Tylleskär

The implementation of lifelong antiretroviral treatment (ART) for all pregnant women (Option B

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Challenges in the Elimination of Pediatric HIV-1 Infection

Journal Articles

By Katherine Luzuriaga, M.D., and Lynne M. Mofenson, M.D.

Preventing mother-to-child transmission of HIV-1 requires a series of steps in the care of women and their infants during pregnancy, delivery, and the postpartum period. This review outlines the steps and summarizes progress in resource-limited countries and elsewhere.

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