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Prevention of mother-to-child transmission services as a gateway to family-based human immunodeficiency virus care and treatment in resource-limited settings: rationale and international experiences.

Abstract：

:In many developing countries, services to prevent the mother-to-child transmission (PMTCT) of human immunodeficiency virus (HIV) operate with limited contact with HIV care and treatment programs, despite significant advances in the accessibility of both services. There is a need to deliver more complex multidrug PMTCT interventions that extend beyond single-dose nevirapine, particularly for pregnant women with advanced HIV disease who are at high risk of transmitting HIV to their children and require rapid initiation of life-long highly active antiretroviral therapy. We argue for strengthened ties between PMTCT services and HIV care and treatment programs in resource-limited settings, viewing PMTCT programs as a gateway to family-based HIV care and treatment. Existing experiences from the multicountry MTCT-Plus Initiative suggest that close ties between PMTCT services and HIV care and treatment programs are feasible and can lead to significant advances in reducing the vertical transmission of HIV and promoting the health of HIV-infected women, children, and families.

journal_name

Am J Obstet Gynecol

journal_title

American journal of obstetrics and gynecology

authors

Abrams EJ,Myer L,Rosenfield A,El-Sadr WM

doi

10.1016/j.ajog.2007.03.068

subject

Has Abstract

pub_date

2007-09-01 00:00:00

pages

S101-6

issue

3 Suppl

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(07)00434-6

journal_volume

197

pub_type

杂志文章,评审

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