Mother-to-child transmission of HIV

Globally, an estimated 1.3 million women and girls living with HIV become pregnant each year. In the absence of intervention, the rate of transmission of HIV from a mother living with HIV lớn her child during pregnancy, labour, delivery or breastfeeding ranges from 15% lớn 45%. As such, identification of HIV infection should be immediately followed by an offer of linkage lớn lifelong treatment and care, including tư vấn lớn remain in care and virally suppressed and an offer of partner services.

In 2019, 85% of women and girls globally had access lớn antiretroviral therapy (ART) lớn prevent mother-to-child transmission (MTCT). However, high ART coverage levels bởi not reflect the continued transmission that occurs after women are initially counted as receiving treatment. Achieving retention in care and prevention of incident HIV infections in uninfected populations remain high priorities lớn reach global elimination targets. Since the global shift lớn, and accelerated rollout of, highly effective, simplified interventions based on lifelong ART for pregnant women living with HIV, virtual elimination of MTCT – also known as vertical transmission – has been shown lớn be feasible.

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Elimination of MTCT of HIV is strongly supported by global commitments and the promotion of integration of prevention of MTCT interventions into maternal, newborn, child and adolescent health services, as well as strengthened health systems. In addition, improved access lớn sexual and reproductive health services – including preventing unintended pregnancies and screening and treatment for sexually transmitted infections in women and girls living with HIV – is being actively promoted.

The integration of interventions has led lớn the Triple Elimination Initiative, which not only promotes person-centered care, but also reduces incidence, morbidity and mortality. The initiative also strengthens disease monitoring through the use of strategic information for response planning.

WHO continues lớn work in this area, supporting countries lớn improve and better monitor interventions towards ending the AIDS epidemic as a public health threat by 2030.

Strategic documents

Global health sector strategies on, respectively, HIV, viral hepatitis, and sexually transmitted infections for the period 2022-2030 guide the health sector...

The Global Strategy for Women’s, Children’s and Adolescents’ Health (2016-2030)

The new Global Strategy aims lớn achieve the highest attainable standard of health for all women, children and adolescents, transform the future and ensure...

News

Video

Governance for the validation of elimination of mother-to-child transmission of HIV, syphilis and hepatitis B virus: an overview of validation structures and responsibilities at national, regional and global levels

Achieving validation of elimination of mother-to-child transmission (EMTCT) of HIV, syphilis and hepatitis B virus (HBV) is a tremendous accomplishment,...

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Governance guidance for the validation of elimination of mother-to-child transmission of HIV and syphilis

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Consolidated guidelines on HIV testing services for a changing epidemic

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Providing contraceptive services in the context of HIV treatment programmes

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Advocacy brief: breastfeeding and HIV: global breastfeeding collective

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Key considerations for differentiated antiretroviral therapy delivery for specific populations: children, adolescents, pregnant and breastfeeding women and key populations

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Global guidance on criteria and processes for validation: Elimination of Mother-to-Child Transmission of HIV and Syphilis, 2nd edition

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Preventing HIV during pregnancy and breastfeeding in the context of PrEP

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Consolidated guideline on sexual and reproductive health and rights of women living with HIV – Executive summary

This guideline responds lớn requests from organizations, institutions and individuals for guidance which consolidates existing recommendations specific...

Guideline on when lớn start antiretroviral therapy and on pre-exposure prophylaxis for HIV

This early-release guideline makes available two key recommendations that were developed during the revision process in năm ngoái. First, antiretroviral therapy...