Skip directly to search Skip directly to A to Z list Skip directly to navigation Skip directly to site content Skip directly to page options
CDC Home

WHO and HHS/CDC Prevention of Mother-to-Child Transmission of HIV (PMTCT) Generic Training Package Components - Presentation Module 2

MODULE 2 - Overview of HIV Preventionin Mothers, Infants and Young Children.
Slide 1
Overview of HIV Prevention in Mothers, Infants and Young Children


Module 2 Objectives: Describe the comprehensive approach to prevention of HIV infection in infants and young children. Discuss mother-to-child transmission (MTCT) of HIV infection. Describe the four elements of a comprehensive approach to the prevention of HIV in infants and young children. Describe the role of maternal and child health (MCH) services in the prevention of HIV in infants and young children.
Slide 2
Module 2: Objectives


Overview of HIV Prevention in Mothers, Infants and Young Children. Session 1. Comprehensive Approach to Reducing HIV Infection in Infants and Young Children.
Slide 3
Session 1: Comprehensive Approach to Reducing HIV Infection in Infants and Young Children


Scope of HIV. Content not inserted as inteneded: Country or local data on HIV.
Slide 4
Scope of HIV


Content not inserted as inteneded: Country or local data on MTCT.
Slide 5
Scope of HIV


Comprehensive Approach to Reducing HIV Infection in Mothers, Infants and Young Children. Element 1: Primary prevention of HIV infection. Element 2: Prevention of unintended pregnancies among women infected with HIV. Element 3: Prevention of HIV transmission from women infected with HIV to their infants. Element 4: Provision of treatment, care and support to women infected with HIV, their infants and their families.
Slide 6
Comprehensive Approach to Reducing HIV Infection in Mothers, Infants and Young Children


Session 2: Mother-to-Child Transmission (MTCT) of HIV Infection.
Slide 7
Session 2: Mother-to-Child Transmission (MTCT) of HIV Infection


Language of HIV/AIDS. MTCT – mother-to-child transmission of HIV infection. PMTCT – prevention of MTCT. PLWHA – people living with HIV/AIDS. Local slang for HIV infection—for example, 'the big truck'.
Slide 8
Language of HIV/AIDS


Estimated MTCT Rates. Without intervention: During pregnancy 5–10%. During labour and delivery About 15%. During breastfeeding 5–15%. MTCT infection rates = up to 40%.
Slide 9
Estimated MTCT Rates


PMTCT Interventions to Decrease Risk of HIV Transmission to Infant. During pregnancy: Decrease viral load by using ARV prophylaxis and treatment. Monitor and treat infections. Support optimal nutrition.
Slide 10
PMTCT Interventions to Decrease Risk of HIV Transmission to Infant


PMTCT Interventions to Decrease Risk of HIV Transmission to Infant. Safer delivery practices. Avoid: Routine rupture of membranes. Invasive delivery techniques. Unresolved infections such as STIs. Provide: Elective caesarean section when safe and feasible.
Slide 11
PMTCT Interventions to Decrease Risk of HIV Transmission to Infant


PMTCT Interventions to Decrease Risk of HIV Transmission to Infant. Promote safer infant feeding: Replacement feeding. Exclusive breastfeeding for limited time. Avoidance of mixed feeding.
Slide 12
PMTCT Interventions to Decrease Risk of HIV Transmission to Infant


Overview of HIV Prevention in Mothers, Infants, and Young Children. Session 3: Four Elements of a Comprehensive Approach to Prevention of HIV Infection in Infants and Young Children
Slide 13
Session 3: Four Elements of a Comprehensive Approach to Prevention of HIV Infection in Infants and Young Children


A Framework for a Comprehensive Approach to PMTCT. Prevention of Primary HIV Infection. Prevention of Unintended Pregnancies among Women Infected with HIV. Prevention of HIV Transmission from Women Infected with HIV to their Infants. Provision of Treatment, Care, and Support to Women Infected with HIV and Families.
Slide 14
A Framework for a Comprehensive Approach to PMTCT


Element 1: Prevention of Primary HIV Infection. ABCs of primary HIV prevention for parents-to-be: A = Abstain. B = Be faithful to one HIV-uninfected partner. C = Condom use – use condoms consistently and correctly. Adapt approach to local culture and target groups at risk.
Slide 15
Element 1: Prevention of Primary HIV Infection


Element 2: Prevention of Unintended Pregnancies Among Women Infected with HIV. Access to counselling and referral for family planning. Safe, consistent, effective contraception.
Slide 16
Element 2: Prevention of Unintended Pregnancies Among Women Infected with HIV


Element 3: Prevention of HIV Transmission from Women Infected with HIV to Their Infants. Core Interventions: HIV testing and counselling. Antiretrovirals. Safer delivery practices. Safer infant-feeding practices.
Slide 17
Element 3: Prevention of HIV Transmission from Women Infected with HIV to Their Infants


Element 4: Provision of Treatment, Care and Support to Women Infected with HIV and their Families. Prevention and treatment of opportunistic infections. ARV treatment. Palliative and non-ARV care. Nutritional support. Reproductive healthcare. Psychosocial and community support.
Slide 18
Element 4: Provision of Treatment, Care and Support to Women Infected with HIV and their Families


Overview of HIV Prevention in Mothers, Infants, and Young Children. Session 4: Role of Maternal and Child Health Services in the Prevention of HIV Infection in Infants and Young Children.
Slide 19
Session 4: Role of Maternal and Child Health Services in the Prevention of HIV Infection in Infants and Young Children


MCH Programmes Offer Services that Facilitate PMTCT: Antenatal care. Family planning services. ARV prophylaxis and treatment. Family planning. Safer delivery practices.
Slide 20
MCH Programmes Offer Services that Facilitate PMTCT


Module 2: Key Points. A comprehensive approach is needed to prevent HIV infection in infants and young children. The four elements of the comprehensive approach to PMTCT are: Primary prevention of HIV infection. Prevention of unintended pregnancies among women infected with HIV. Prevention of HIV transmission from women infected with HIV to their infants. Provision of treatment, care and support to women infected with HIV, their infants and their families.
Slide 21
Module 2: Key Points


Module 2: Key Points. Without intervention the risk of MTCT is 25–40%. Combination interventions can reduce the MTCT rate by up to 40% in breastfeeding populations. Because ARV prophylaxis alone does not treat the mother’s infection, ongoing treatment, care, and support are needed.
Slide 22
Module 2: Key Points


Module 2: Key Points. MCH services can act as an entry point to the range of services that can provide care and support to the woman who is HIV-positive and affected family members. Linkages to community services can provide enhanced treatment, care, and support.
Slide 23
Module 2: Key Points


 

 

Contact Us:
  • Centers for Disease Control and Prevention
    1600 Clifton Rd
    Atlanta, GA 30333
  • 800-CDC-INFO
    (800-232-4636)
    TTY: (888) 232-6348
    24 Hours/Every Day
  • Contact CDC-INFO
  • Page last reviewed: August 4, 2010
  • Page last updated: August 9, 2010
USA.gov: The U.S. Government's Official Web PortalDepartment of Health and Human Services
Centers for Disease Control and Prevention   1600 Clifton Rd. Atlanta, GA 30333, USA
800-CDC-INFO (800-232-4636) TTY: (888) 232-6348 - Contact CDC-INFO