AI Article Synopsis
- The text discusses the progress made in preventing mother-to-child HIV transmission in the U.S. and suggests that complete elimination (EMCT) of such transmissions is achievable.
- It outlines essential goals and a framework for coordinated elimination efforts, highlighting the importance of comprehensive reproductive health care, including HIV testing and real-time identification of HIV-positive pregnant women.
- The text stresses that EMCT is an ongoing process that requires continuous effort and research, as new HIV infections among women of childbearing age will still pose challenges.
Article Abstract
The availability of effective interventions to prevent mother-to-child HIV transmission and the significant reduction in the number of HIV-infected infants in the United States have led to the concept that elimination of mother-to-child HIV transmission (EMCT) is possible. Goals for elimination are presented. We also present a framework by which elimination efforts can be coordinated, beginning with comprehensive reproductive health care (including HIV testing) and real-time case-finding of pregnancies in HIV-infected women, and conducted through the following: facilitation of comprehensive clinical care and social services for women and infants; case review and community action; allowing continuous quality research in prevention and long-term follow-up of HIV-exposed infants; and thorough data reporting for HIV surveillance and EMCT evaluation. It is emphasized that EMCT will not be a one-time accomplishment but, rather, will require sustained effort as long as there are new HIV infections in women of childbearing age.
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| http://dx.doi.org/10.1542/peds.2012-0194 | DOI Listing |
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