Mother to child transmission of HIV in Sub-Saharan Africa


Book Description

Seminar paper from the year 2019 in the subject Sociology - Relationships and Family, grade: 1,15, LMU Munich (Soziologie), course: Reproductive Justice, language: English, abstract: This paper gives an overview of the mechanisms of mother to child transmission (MTCT) of HIV in Sub-Saharan countries and discusses why it still is a huge problem. It also shows what social and economic barriers occur when mothers, or to some extend people in general, try to access anti-retroviral treatments (ART). As research has shown, factors like social stigma still play a large role why so many people are not seeking help. Sub-Saharan countries still have an unproportioned part of the global HIV infection compared to the rest of the globe. The most common form of getting infected by HIV is by heterosexual contact, followed by MTCT. Even with the slowly declining numbers of infected people and people with no access to treatments, this still is a big issue that should be tackled and done more research on, especially on the mother to child transmission of HIV. MTCT contributes largely to the number of children affected by HIV by the age of ten and under. The author intents to point out why this should be worked on more and why factors like education and reducing social stigma should be advanced in order to enable a faster decline of vertical transmission numbers. Furthermore, basic mechanisms of MTCT are going to be explained and how it possibly can be prevented in every stage of the pregnancy. Additionally, the author clarifies why social, cultural, and economic factors play such a big role in fighting against HIV. The paper aims to show, how all these factors tie together and what future research could be done in order to reduce the number of people getting affected by HIV, especially infants and young people.




Prevention of HIV Mother-To-Child-Transmission in Sub-Saharan Africa


Book Description

The transmission of HIV infection from an HIV-positive mother to her child during labor, pregnancy, breastfeeding or delivery is termed as mother-to-child HIV transmission (WHO, 2013 report on HIV). A range of 15-45% infection transmissions are possible when no intervention strategies are put into place. Globally, goals and initiatives have been set to combat this issue as well as speeding up the interventions and achieve possible transmission rates of levels less than 5% and total elimination of new infant HIV infections by 2015 (WHO, 2013 report on HIV). In 2011, 57% of pregnant women living with HIV in low and middle-income countries received effective antiretroviral drugs for prevention of mother to child transmission (PMTCT), a substantial increase from 48% in 2010 (UNAIDS, 2011 data). Despite the availability of many interventions and massive investments to prevent MTCT, this pandemic situation still lingers in Africa. An estimated 390,000 children globally acquired HIV from their mothers in 2010 with over 90% of these new infections occurring in sub-Saharan Africa (UNICEF, 2011 Global HIV/AIDS Response report). This paper summarizes the current observation made after internship with the Office for Policy in Clinical Research Operations that falls under the Division of AIDS (DAIDS) with the National Institute of Health (NIH) in Bethesda, MD. The paper highlights the importance of the current recommendations used for the prevention of mother-to-child HIV transmission in sub-Saharan Africa. The World Health Organization (WHO) recommendation for the prevention of mother-to-child HIV transmission in Africa is the main focus of this report. The report also reflects on the core competencies of the masters in public health program learnt with the University of San Francisco and its association with the project. Different learning objectives of the project were also addressed in this report. Lastly, the overall quality of the project and the need of such projects for public health were addressed in the report.







Disease Control Priorities, Third Edition (Volume 6)


Book Description

Infectious diseases are the leading cause of death globally, particularly among children and young adults. The spread of new pathogens and the threat of antimicrobial resistance pose particular challenges in combating these diseases. Major Infectious Diseases identifies feasible, cost-effective packages of interventions and strategies across delivery platforms to prevent and treat HIV/AIDS, other sexually transmitted infections, tuberculosis, malaria, adult febrile illness, viral hepatitis, and neglected tropical diseases. The volume emphasizes the need to effectively address emerging antimicrobial resistance, strengthen health systems, and increase access to care. The attainable goals are to reduce incidence, develop innovative approaches, and optimize existing tools in resource-constrained settings.




Children and AIDS


Book Description

The disproportional loss of individuals to HIV/AIDS in their most productive years raises concerns over the welfare of surviving members of affected families and communities. One consequence of the rapid increase in adult mortality is the rise in the proportion of children who are orphaned. Sub-Saharan Africa, accounts for about 90 percent of these. Mainly due to the staggering toll of HIV/AIDS, research effort has focused on treatment and prevention. Children have received attention primarily in relation to 'mother to child transmission' and paediatric AIDS. These issues are important and compelling but fail to capture the whole story - the unprecedented surge in the number of children made vulnerable by HIV/AIDS. In this book we reflect on the plight of children classified as vulnerable, review interventions implemented to improve their welfare and grapple with the concept of vulnerability as it relates to human rights and the African child.







Prevention of Mother-to-child Transmission (PMTCT) of HIV in the Sub-Saharan Africa Region with a Focus on Uganda


Book Description

With the rise of the HIV/AIDS epidemic in the past thirty years, people of all ages, infants to elderly alike, all over the world, suffer from its adverse effects. Even an unborn baby in-utero can contract this virulent infection by means of mother-to-child transmission (MTCT) (Sweeney, 2005). Infants and children diseased in this way comprise 90% of the estimated 800,000 new cases of HIV in children seen each year, but the region hit hardest, however, is Sub-Saharan Africa, with the country of Uganda historically having the highest incident rate for a time (Stringer, E.M., et al. 2008). Therefore, the purpose of this paper is to learn more about the prevention of MTCT in order to attain a better understanding of what is being done in this arena to impede HIV progression, to discover gaps in HIV/AIDS research and application, and to discern new and appropriate avenues in which a broader spectrum of people could contribute to the prevention of MTCT.







Countdown to Zero


Book Description

This Global Plan provides the foundation for country-led movement towards the elimination of new HIV infections among children and keeping their mothers alive. The Global Plan was developed through a consultative process by a high level Global Task Team convened by UNAIDS and co-chaired by UNAIDS Executive Director Michel Sidibe and United States Global AIDS Coordinator Ambassador Eric Goosby. It brought together 25 countries and 30 civil society, private sector, networks of people living with HIV and international organizations to chart a roadmap to achieving this goal by 2015."




Consolidated Guideline on Sexual and Reproductive Health and Rights of Women Living with HIV


Book Description

he starting point for this guideline is the point at which a woman has learnt that she is living with HIV and it therefore covers key issues for providing comprehensive sexual and reproductive health and rights-related services and support for women living with HIV. As women living with HIV face unique challenges and human rights violations related to their sexuality and reproduction within their families and communities as well as from the health-care institutions where they seek care particular emphasis is placed on the creation of an enabling environment to support more effective health interventions and better health outcomes. This guideline is meant to help countries to more effectively and efficiently plan develop and monitor programmes and services that promote gender equality and human rights and hence are more acceptable and appropriate for women living with HIV taking into account the national and local epidemiological context. It discusses implementation issues that health interventions and service delivery must address to achieve gender equality and support human rights.