The Call to Action Project was launched in 1999 by the Elizabeth Glaser Pediatric AIDS Foundation to increase access to and scale up prevention of mother-to-child transmission (PMTCT) services. From 2002 to 2010, with $100 million in funding from USAID, the project supported over 2,600 PMTCT sites across 14 countries. By the end of 2009, the project had provided nearly 4 million women with access to PMTCT services and showed that 97% of pregnant women received HIV counseling, 92% accepted testing, and 88% of HIV-positive women received antiretroviral prophylaxis for PMTCT.

1. CUMULATIVE RESULTS FROM THE CALL TO ACTION PROJECT (2002 – 2010) Nicole Buono, MPH Elizabeth Glaser Pediatric AIDS Foundation

2. Project Background & Context EGPAF’s “Call to Action” initiative was launched in 1999 with the help of a Foundation commitment of $1 million, which initially funded 8 sites Presidential Initiative preceded PEPFAR, focused on PMTCT In Sept 2002, USAID/Washington awarded the Foundation a $100 million grant for a multi-country, service-based program to increase access to and to scale up PMTCT services 2

3. Project Background & Context Since 2002, USAID funds have enabled the implementation of programs in 14 countries as well as operations research studies on topics such as: Integrating PMTCT into MCH services Improving the use of combination prophylaxis regimens Improving postnatal care USAID funds also facilitated the identification of, advocacy for changing of key policies related to PMTCT: Opt-out testing Take-home ARV prophylaxis Ipdatingthe child health card HIV counseling and testing in L&D 3

4. CTA-Supported Countries 4

5. CTA Expansion The number of sites assisted by EGPAF has grown tremendously since the year 2002 with a cumulative total of over 2,600 individual sites having received Foundation support under CTA As of December 31, 2009, the CTA project had provided nearly 4 million women with access to PMTCT services 5

6. 6 52% 63% 42% 30% 31% Number of PMTCT sites in select CTA countries & the percentage supported by EGPAF (2007)

7. PTMCT Cascade for the CTA Project(2003-2009) 7

8. PMTCT Cascade for the CTA Project(2003-2009) 8

10. 92% accepted testing and 99% received HIV test results

11. 88% of HIV-positive women received ARV prophylaxis for PMTCT (including those on HAART)

12. 61% of HIV-exposed infants received ARV prophylaxis9

13. Comparison of PMTCT Cascade Performance: All Africa programs vs. EGPAF CTA programs, 2008 10

14. 11

15. Type of PMTCT regimen provided to women in CTA-supported sites (2006-2009) 12

16. Thank you! DISCLAIMER: This program was made possible through support provided by the Office of HIV/AIDS, Global Bureau Center for Population, Health and Nutrition, of the United States Agency for International Development (USAID), through the President’s Emergency Plan for AIDS Relief, as part of the Elizabeth Glaser Pediatric AIDS Foundation's International Family AIDS Initiatives (“Call To Action Project”/ Cooperative Agreement No. GPH-A-00-02-00011-00). Private donors also supported costs of activities in many countries. The opinions expressed herein are those of the authors and do not necessarily reflect the views of USAID. 13