Regional minimum standards for guidance on Prevention of Mother to Child Transmission (PMTCT) in the SADC region
PUBLICATION YEAR: 2009
TITLE AUTHOR(S): K.Peltzer, N.Wabiri, J.Seager, G.Setswe
KEYWORDS: HIV/AIDS, PREVENTION OF MOTHER TO CHILD TRANSMISSION (PMTCT) PROGRAMME
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Intranet: HSRC Library: shelf number 6128
HANDLE: 20.500.11910/4535
URI: http://hdl.handle.net/20.500.11910/4535
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
The main aim of this project was to develop regional harmonized minimum standards for policies, protocols and guidelines for prevention of mother to child transmission (PMTCT) of HIV and AIDS in the Southern African Development (SADC) region. This is consistent with Article 10 of the SADC Protocol on Health, which calls for the harmonization of policies on disease prevention and control. Several approaches were followed in developing these minimum standards. Firstly, an extensive literature review of both published and unpublished literature on PMTCT in the SADC region and globally was conducted as well as analysis of PMTCT policies, protocols and guidelines. Secondly, a technical meeting was held in Gaborone from 15-16 December 2008 with PMTCT experts and implementers from the region. The objective of the meeting was to discuss and share experiences on current national policies and programmes for PMTCT, and to give guidance on the approach for developing minimum standards. Thirdly, policy discussions were held in 14 SADC Member States with representatives of Ministries of Health and National AIDS authorities, and local and international stakeholders, to gain more understanding on how the programmes work, and to identify major achievements, challenges and best practices. Based on information collected from the Member States, individual PMTCT reports were developed for each of the Member States. These were subsequently sent back to the Member States for verification. Based on a review and assessment of PMTCT policies, protocols and guidelines in the Member States and global recommendations, minimum standards were developed. These include: a) Minimum standards for prevention of HIV infection in women; b) Minimum standards for preventing unintended pregnancies in HIV infected women; c) Minimum standards for preventing transmission from an HIV-infected woman to her infant; and d) Minimum standards for providing care and support for HIV-infected women, their infants and their families; e) Minimum standards for access to PMTCT; f) Minimum standards for integration of PMTCT into maternal and child health (MCH) and sexual and reproductive health (SRH) services. This document guides Member States on mechanisms and institutional arrangements for implementation of the minimum standards. It also guides MS on resources for implementation and systems for monitoring implementation.-
Related Research Outputs:
- Prevention of mother to child transmission: a report of an assessment of a pilot programme in fifteen health facilities in Gauteng province
- The costing of a rural PMTCT pilot site in the Eastern Cape
- Factors influencing the utilisation of prevention of mother-to-child-transmission (PMTCT) services by pregnant women in the eastern Cape, South Africa
- The practicalities of using Nevirapine for PMTCT in under-resourced settings: the case of Qaukeni district in the eastern Cape province, South Africa
- Prevention of HIV from mother to child (PMTCT) in a resource poor setting in the Eastern Cape, South Africa: baseline survey of pregnant women
- Follow-up survey of women who have undergone PMTCT in a resource poor setting
- Barriers to prevention of HIV transmission from mother to child (PMTCT) in a resource poor setting in the Eastern Cape, South Africa
- Family planning among HIV positive and negative prevention of mother to child transmission (PMTCT) clients in a resource poor setting in South Africa
- PMTCT services in a rural district municipality of the Eastern Cape, South Africa
- Experiences of PMTCT services by HIV+ mothers in the Eastern Cape of South Africa
- Experiences of prevention of mother to child transmission services by HIV+ mothers in the Eastern Cape of South Africa
- Follow-up survey of women who have undergone a prevention of mother-to-child transmission program in a resource-poor setting in South Africa
- Barriers to implementation of PMTCT program in the Eastern Cape of South Africa
- Assessing missed opportunities for the prevention of mother-to-child HIV transmission in an Eastern Cape local service area
- Programme to improve implementation of the Prevention of Mother to Child Transmission of HIV in Gert Sibande district in Mpumalanga, South Africa: baseline assessment: preliminary report
- Optimising the implementation of the Prevention of Mother to Child Transmission (PMTCT) of HIV programme in Camdeboo Local Service Area (LSA) of the Eastern Cape, South Africa: report on rapid baseline assessment
- Optimising the implementation of the Prevention of Mother to Child Transmission (PMTCT) of HIV programme in Makana Local Service Area (LSA) of the Eastern Cape, South Africa: report on rapid baseline assessment
- Obstacles in executing preventions plans for HIV birth infections
- Barriers to implementation of PMTCT program in the Eastern Cape of South Africa
- Child and mother indicators of progress towards the MDG: a four country comparison