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Preble, Elizabeth A.; Ellen G. Piwoz
Prevention of Mother-to-Child Transmission of HIV in Asia: Practical Guidance for Programs
The LINKAGES Project, June 2002, 82 pp

"Effective prevention of MTCT requires a three-pronged approach: preventing infection in women of reproductive age; preventing unwanted pregnancies in HIV-infected women; and offering MTCT prevention interventions to women who are both HIV-infected and pregnant. This paper focuses on the third prong. It reviews the technical dimensions of MTCT (including mechanisms, timing, and risk factors); discusses issues around the diagnosis and treatment of pediatric AIDS; and describes programmatic issues and experience in Asia and elsewhere with the following five core interventions to prevent MTCT (PMTCT): 1) Comprehensive maternal and child health (MCH) services 2) Voluntary counseling and testing (VCT) 3) Antiretroviral (ARV) prophylaxis 4) Counseling and support for safe infant feeding 5) Optimal obstetric practices. This paper focuses on the five most affected countries in the region - Cambodia, China, India, Myanmar, and Thailand - but the technical background presented and lessons learned from these five countries are relevant for the rest of the region. The paper is intended for use as a technical resource, a programmatic guide, and a basis for policy dialogue and
coordination. It includes recommendations on how to move forward in PMTCT programs to governments, non-governmental organizations, and other partner organizations joined in the effort to prevent the spread of HIV/AIDS in Asia.

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