The vast majority of children infected with HIV are the result of mother-to-child transmission (MTCT) of the virus during pregnancy, labor, or breastfeeding. Botswana is one of the first countries in the developing world with a national prevention program (PMTCT) to reduce vertical transmission. The Horizons Program of the Population Council, in collaboration with the Centers for Disease Control and Prevention (CDC) and Premiere Personnel in Botswana, conducted an evaluation to describe the adherence of pregnant women to the current PMTCT regimen. The report recommends standardizing post-test counseling content through the use of job aids and adapting existing WHO materials, assessing each client’s understanding of essential HIV information, encouraging provision of at least two post-test counseling sessions for each woman and inviting partners and other family members, and improving the distribution of AZT as well as information about community resources.
Baek, Carolyn, Tracy Creek, Lee Ann Jones, Louis Apicella, Jennifer Redner, and Naomi Rutenberg. 2009. "Evaluation of HIV counseling and testing in ANC settings and adherence to short course antiretroviral prophylaxis for PMTCT in Francistown, Botswana," Horizons Final Report. Washington, DC: Population Council.
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