There is global consensus that transmission of HIV from mother to child can be eliminated. The Global Task Team, co-chaired by UNAIDS and the US Office of the Global AIDS Coordinator, has developed a global framework with the goal of eliminating new HIV infections among children (transmission rate of less than 5 percent) by 2015. Reaching the goal depends on optimal execution of each step in a complex cascade of activities, including testing and counseling for HIV, early attendance for antenatal care to optimize antiretroviral prophylaxis for prevention of mother-to-child transmission (PMTCT), adherence to the drugs, CD4 count testing, and, in breastfeeding populations, retention in the PMTCT program until breastfeeding cessation. Retaining pregnant and lactating women in the program is critical, however there are barriers to retention and a paucity of knowledge about extent of retention. The Elizabeth Glaser Pediatric AIDS Foundation carried out a secondary data analysis of patient-level data in selected countries to assess the extent of retention among women and infants in the program. The study was conducted under USAID’s HIVCore project led by the Population Council.
Woelk, Godfrey, Aida Y. Berhan, Kwashie Kudiabor, Martha Mukaminega, John On'gech, Epiphanie Nyirabahizi, Caspian Chouraya, David Kimosop, Dieudonne Ndatimana, Mafayo Phiri, and Heather Hoffman. 2015. "A secondary analysis of retention across the PMTCT cascade in selected countries: Rwanda, Malawi, Kenya, and Swaziland," HIVCore Report. Washington, DC: USAID | Project Search: HIVCore.
HIVCore: Strengthening HIV and AIDS Treatment, Care, and Support and PMTCT Service Delivery Programs