Chapter

Breaking the Cycle

Liezl Smit, Angela Dramowski, Kevin Clarke, Janine Clayton, Annemadelein Scherer, Amy Slogrove, Happyson Musvosvi, Marina Rifkin and Mark Cotton

in Protecting Childhood in the AIDS Pandemic

Published in print February 2012 | ISBN: 9780199765126
Published online May 2012 | e-ISBN: 9780199918942 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780199765126.003.0009
Breaking the Cycle

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Vertically transmitted pediatric HIV, or mother-to-child transmission, is a preventable disease. In many developed countries, antiretroviral (ARV) drugs for vertical transmission prevention (VTP) have virtually eliminated childhood infection and improved maternal survival. Progress in addressing the needs of children infected and affected by HIV/AIDS has been made in the last decade through improved evidence and accelerated action. Governments have displayed political will, with progressive policies around HIV prevention, care, and treatment services. Substantial external funding from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), the Global Fund, and others has supported national HIV programs. This chapter describes current policies and recommendations, main medical barriers to implementation, and potential ways forward in addressing paediatric HIV/AIDS. Strategies are discussed from a prevention, HIV detection, care and treatment, and high-risk group perspective, focusing on both health system and client factors.

Keywords: pediatric HIV/AIDS; mother-to-child transmission; vertical transmission prevention; childhood infection; diagnosis; treatment; antiretroviral; health care

Chapter.  10847 words. 

Subjects: Public Health and Epidemiology

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