Integrating and Scaling Up PMTCT

There are many opportunities for integrating healthcare services to more effectively and efficiently provide services that promote PMTCT. For example, HIV services such as counseling and testing can be integrated with maternal and child health services or family planning services. Integration of family planning and HIV services offers opportunities to reach more women with life-saving services such as contraception, HIV prevention counseling, and antiretroviral therapy. This section of the toolkit includes briefs and reports supporting the case for integration of services, scaling up services, approaches for integrating and scaling up services, and programmatic examples.

PEPFAR Guidance on Integrating Prevention of Mother to Child Transmission of HIV, Maternal, Neonatal, and Child Health and Pediatric HIV Services

2011 | The President’s Emergency Plan for AIDS Relief (PEPFAR) | 16 p

English

Supporting the integration of Prevention of Mother to Child Transmission (PMTCT) and pediatric HIV with Maternal, Neonatal, and Child Health (MNCH) services at the levels of policy, program administration, or service delivery, offers an opportunity for The President’s Emergency Plan for AIDS Relief (PEPFAR) to use limited resources to leverage other key programs and strengthen the MNCH platform in each PEPFAR country through Partnership Frameworks.

2011 | Center for Strategic and International Stuides | 14 p

English

This report provides a current summary on preventing mother-to-child transmisstion of HIV (PMTCT) by addressing the continued need for financial investment and strategic programming to scale up PMTCT efforts.

2010 | Elisabeth Glaser Pediatric AIDS Foundation | 32 p

English

Elimination of pediatric HIV and AIDS requires that strong connections be forged between maternal-child health (MCH) and HIV policies, programs, and services. Evidence is emerging that the integration and linkage of these service areas is an effective and practical strategy for strengthening health systems and ensuring high-quality, comprehensive health services.

2010 | FHI | 54 p

English

This study was undertaken to provide a “snapshot” of early integration efforts, in order to provide the U.S. Agency for International Development (USAID) and national programs with information needed to improve integrated services. Three models of integrated HIV and FP services were included in this study: family planning in counseling and HIV testing (FP-CT), family planning in HIV care and treatment services (FP-C&Tx), and HIV services (particularly counseling and testing) into family planning (HIV-FP).

2010 | FHI

Family Planning and HIV Integration: Approaching the Tipping Point |

Policy Support for Strengthening Family Planning and HIV/AIDS Linkages |

Integrating HIV Prevention and Family Planning Services: The Aastha Project in Mumbai, India |

Integrating Family Planning and Antiretroviral Therapy Services in Uganda |

Preventing Mother-to-Child HIV Transmission through Family Planning in Maternal and Child Health Services: Kenya, Rwanda, and South Africa |

A Five-Country Study of Family Planning and HIV Integrated Services |

Adding Family Planning Services to HIV Counseling and Testing Centers in Kenya |

Integrating Family Planning into HIV Care and Treatment Services in Kenya

This set of briefs summarizes the current state of integration between the family planning (FP) and HIV/AIDS fields. The briefs highlight recent developments in FP/HIV integration, including changes in the policy environment, new programmatic examples, and the latest operations research results. This user-friendly package of information will help guide policymakers, program managers, donors, and researchers in strengthening FP/HIV integration policies and programs.

2010 | Joint United Nations Programme on HIV/AIDS [UNAIDS] | 150 p

Full Report |

Summary |

This report reviews the progress made in 2009 in scaling up access to selected health sector interventions for HIV prevention, treatment and care in low- and middle-income countries.

2008 | Joint Learning Initiative on Children and AIDS (JLICA)

English

This paper outlines and discusses the evidence for supporting and integrating these key components and the evidence for barriers to implementation. It argues that recent science-based evidence on early neural development and the effects of deprivation and “toxic” stress on the young child is directly relevant for children affected by HIV/AIDS in resource-poor settings. Longterm, consistent, well-designed and aggressive intervention at this critical period in human development can make best use of synergistic opportunities to integrate PMTCT with ECD.

2008 | Tearfund | 44 p

English

This report provides an overview of PMTCT, with background information on the context and approaches to preventing mother-to-child transmission of HIV. The current global status and country progress with PMTCT is also reviewed followed by lessons learned.

2007 | United Nations Children's Fund [UNICEF] | 36 p

English

The original purpose of the IATT was to contribute to improving and scaling up programmes to prevent HIV infection in pregnant women, mothers and their children, in accordance with the Declaration of Commitment on HIV/AIDS of the United Nations General Assembly Special Session on HIV/AIDS in 2001. This goal was expanded in 2003 when the United Nations adopted a comprehensive strategic approach to the prevention of HIV infection in infants and young children which includes the following four components:

2007 | United Nations Children's Fund [UNICEF] | 39 p

English

The purpose of this document is to provide guidance on the development of a national PMTCT and pediatric HIV care, treatment and support scale up plan. It includes a brief summary of the key steps in the development process, a template, and programmatic issues that need to be taken into consideration.

2005 | INFO Project at the Johns Hopkins Bloomberg School of Public Health Center for Communication Programs | 2 p

English |

French |

Spanish

This brief focuses on the following key points:

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