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TABLE OF CONTENTS

1. Eliminating Mother-To-Child HIV Transmission Will Require Major Improvements In Maternal And Child
Health Services..................................................................................................................................................... 1

Bibliography........................................................................................................................................................... 3

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Eliminating Mother-To-Child HIV Transmission

Will Require Major Improvements In Maternal
And Child Health Services
Barker, Pierre M; Mate, Kedar . Health Affairs ; Chevy Chase  Vol. 31, Iss. 7,  (Jul 2012): 1489-97.

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ABSTRACT
 
Although some low- and middle-income countries have made progress toward eliminating mother-to-child
transmission of HIV, others lack health systems that can deliver accessible and reliable care. We modeled how
access to maternal and child health services and the effective delivery of interventions would affect efforts to
eliminate HIV transmission during pregnancy and after childbirth in low- and middle-income countries. In countries
with high HIV rates, our model predicts transmission rates of 19.7 percent at current levels of access and
efficiency of maternal and child health and HIV treatment. Even if current treatment programs were carried out at
or near perfect levels, we predict that significant residual mother-to-child transmission (7.9 percent) would remain.
The model suggests that under current conditions, poor access to routine health services contributes three times
more to overall mother-tochild HIV transmission than do current suboptimal levels of efficiency of anti-HIV-
transmission interventions. We conclude that current efforts to optimize programs to prevent mother-to-child HIV
transmission will not, on their own, eliminate HIV in newborns. Access to maternal and child health services will
need to be dramatically improved, as will prevention measures, such as identifying and treating HIV before
pregnancy.

DETAILS

Subject: Human immunodeficiency virus--HIV; Disease prevention; Disease transmission;

Health care access; Maternal &child health; Public health; Studies

MeSH: Africa South of the Sahara, Child, Child Health Services -- standards, Delivery of
Health Care -- organization &administration, Delivery of Health Care -- standards,
Female, HIV Infections -- drug therapy, HIV Infections -- transmission, Health Services
Accessibility -- organization &administration, Health Services Accessibility --
standards, Humans, Infant, Infant, Newborn, Maternal Health Services -- standards,
Models, Organizational, Pregnancy, Program Evaluation, Quality Improvement --
organization &administration, Child Health Services -- organization &administration
(major), HIV Infections -- prevention &control (major), Infectious Disease
Transmission, Vertical -- prevention &control (major), Maternal Health Services --
organization &administration (major)

Classification: 1200: Social policy; 9130: Experiment/theoretical treatment

Publication title: Health Affairs; Chevy Chase

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Volume: 31

Issue: 7

Pages: 1489-97

Number of pages: 9

Publication year: 2012

Publication date: Jul 2012

Section: MOTHERS &CHILDREN

Publisher: The People to People Health Foundation, Inc., Project HOPE

Place of publication: Chevy Chase

Country of publication: United States, Chevy Chase

Publication subject: Insurance, Public Health And Safety

ISSN: 02782715

Source type: Scholarly Journals

Language of publication: English

Document type: Feature, Journal Article

Document feature: Tables Graphs References

Accession number: 22778338

ProQuest document ID: 1027881781

Document URL: https://search.proquest.com/docview/1027881781?accountid=38628

Copyright: Copyright The People to People Health Foundation, Inc., Project HOPE Jul 2012

Last updated: 2017-11-19

Database: Biological Science Database

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 Bibliography
Citation style: APA 6th - American Psychological Association, 6th Edition

Barker, P. M., & Mate, K. (2012). Eliminating mother-to-child HIV transmission will require major improvements in
maternal and child health services. Health Affairs, 31(7), 1489-97. Retrieved from
https://search.proquest.com/docview/1027881781?accountid=38628

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