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Making it Happen: Revising national policies to reflect changes in WHO recommendations for preventing vertical transmission of HIV - Malawi

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Elizabeth Glaser Pediatric AIDS Foundation
Elizabeth Glaser Pediatric AIDS Foundation
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Making it Happen: Revising national policies to reflect changes in WHO recommendations for preventing vertical transmission of HIV – Malawi Vienna, Tuesday July 20 Elisabeth Glazer Pediatric Foundation Erik Schouten Department of HIV and AIDS Ministry of Health, Malawi
This presentation ,[object Object],[object Object],[object Object],[object Object]
Malawi 433,000 People in need for ART (CD4 ≀350 cells/mmÂł) 984,000 PLWHA 3,700 PLHIV per MD 135 PLHIV per nurse 49,000 Population per MD US$ 21 Total Health Expenditure (average exchange rate) 0.493 (160) HDI 265 GDP (US$) 1,800 Population per nurse 12% (U=16% , R=11%) Adult HIV prevalence 13 million Population
PMTCT programme Data January – March 2010 454 # health facilities providing PMTCT services 32% Infants receiving ARVs 39% AZT combination 42% SD NVP 19% ART 38% Women receiving ARVs 68% HIV status ascertained 93% At least 1 ANC visit National coverage – population denominator
PMTCT programme Data January – March 2010 454 # health facilities providing PMTCT services 32% Infants receiving ARVs 39% AZT combination 42% SD NVP 19% ART 38% Women receiving ARVs 68% HIV status ascertained 93% At least 1 ANC visit National coverage – population denominator
WHO guidelines for PMTCT process of revision of Malawi guidelines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Evaluation of WHO guidelines ,[object Object],[object Object],[object Object],[object Object]
Evaluation of WHO guidelines-2 ,[object Object]
Evaluation of WHO guidelines-2 ,[object Object]
Evaluation of WHO guidelines-2 ,[object Object],[object Object]
Evaluation of WHO guidelines-2 ,[object Object],[object Object]
Evaluation of WHO guidelines-2 ,[object Object],[object Object],[object Object]
Evaluation of WHO guidelines-2 ,[object Object],[object Object],[object Object]
Evaluation of WHO guidelines-2 ,[object Object],[object Object],[object Object],[object Object]
Option A vs Option B Daily NVP from birth to 6 weeks Daily NVP from birth until one week after all exposure to breast milk has ended Breastfeeding Infant Breastfeeding Infant ,[object Object],[object Object],[object Object],[object Object],[object Object],Mother Mother Option B: Maternal triple ARV prophylaxis Option A: Maternal AZT
Evaluation of WHO guidelines-2 ,[object Object],[object Object],[object Object],[object Object]
Evaluation of WHO guidelines-2 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Universal coverage of CD4 count testing ,[object Object],[object Object],[object Object],[object Object]
Evaluation of WHO guidelines-2 ,[object Object],[object Object],[object Object],[object Object],[object Object]
What to do? ,[object Object],[object Object],[object Object]
What to do? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What to do? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Challenges ,[object Object],[object Object],[object Object],[object Object]
Challenges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Option B+ ART for life for all HIV+ pregnant women
Conclusions and recommendations ,[object Object],[object Object],[object Object],[object Object]
Thank you

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Making it Happen: Revising national policies to reflect changes in WHO recommendations for preventing vertical transmission of HIV - Malawi

  • 1. Making it Happen: Revising national policies to reflect changes in WHO recommendations for preventing vertical transmission of HIV – Malawi Vienna, Tuesday July 20 Elisabeth Glazer Pediatric Foundation Erik Schouten Department of HIV and AIDS Ministry of Health, Malawi
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  • 3. Malawi 433,000 People in need for ART (CD4 ≀350 cells/mmÂł) 984,000 PLWHA 3,700 PLHIV per MD 135 PLHIV per nurse 49,000 Population per MD US$ 21 Total Health Expenditure (average exchange rate) 0.493 (160) HDI 265 GDP (US$) 1,800 Population per nurse 12% (U=16% , R=11%) Adult HIV prevalence 13 million Population
  • 4. PMTCT programme Data January – March 2010 454 # health facilities providing PMTCT services 32% Infants receiving ARVs 39% AZT combination 42% SD NVP 19% ART 38% Women receiving ARVs 68% HIV status ascertained 93% At least 1 ANC visit National coverage – population denominator
  • 5. PMTCT programme Data January – March 2010 454 # health facilities providing PMTCT services 32% Infants receiving ARVs 39% AZT combination 42% SD NVP 19% ART 38% Women receiving ARVs 68% HIV status ascertained 93% At least 1 ANC visit National coverage – population denominator
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