Elizabeth Glaser Pediatric AIDS Foundation

Promising practices in community engagement for elimination of new HIV infections among children by 2015 and keeping their mothers alive

Published by: 
UNAIDS

Leaders from around the world attending the 2011 High Level Meeting on AIDS committed to work towards the elimination of new HIV infections among children by 2015 and reducing AIDS-related maternal mortality. This is to be accomplished through the implementation of a new Global Plan* for scaling up comprehensive prevention of mother-to-child transmission of HIV
(PMTCT) programmes. The Global Plan calls for broader thinking and action both within and outside the formal health-care delivery system. An important feature of the plan is its emphasis on community engagement as an integral part of the scale-up strategy.

Changing Obstetric Practices in the Context of HIV: An Evaluation of service provision in the national PMTCT learning sites

Published by: 
Health Systems Trust
This report is based on a rapid assessment of the effects of the introduction of PMTCT on the overall provision of obstetric services, and to evaluate changes in clinical obstetric practice made in response to concerns about transmission of HIV. The study concentrated on labour and delivery practices, and did not evaluate antenatal care. Twenty-one PMTCT facilities in eight provinces were visited. Staff were given a questionnaire and medical records were reviewed. Each facility was evaluated in terms of service patterns. Results highlight issues related to clinical obstetric care, human resources, quality of care and operational aspets of the programme.