Supporting Early Infant Diagnosis and Prevention of Mother To Child Transmission

Addressing HIV during pregnancy, birth and breastfeeding is the most effective way of reducing the numbers of new HIV infections and improving the life expectancy and quality of life for babies with HIV.

The Context

Programmes like ours have averted 1.3 million new infections in children since 2000. However two out of five pregnant women with HIV don’t get treatment to prevent transmission – far too many children are being born with HIV unnecessarily. At the same time only one in three of the 2.6 million children with HIV are on treatment, so identifying and treating infants with HIV is vital.

Meet Punyezwa, who benefited from support from One to One Children's Fund during her pregnancy.

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  • Improve the lives of 6,600 pregnant women, their families and 6,000 infants
  • Reduce the percentage of pregnant women living with HIV who pass the virus onto their babies from 28% to 2% over three years
  • Empower 99% of pregnant women to choose to test for HIV
  • 100% of women who test positive will receive appropriate care and support
  • Ensure 99% of HIV-positive babies are diagnosed and are receiving treatment by the time they are 18 months old
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  • CHWs conduct HIV tests on infants and babies born to HIV-positive mothers within 6 weeks of birth, at 7 weeks after weaning and at 18 months of age
  • Clinics provide all HIV positive infants with ARVs within two weeks of diagnosis
  • We train technical and management staff at local clinics to deliver treatment and meet the quality guidelines set out by the South African Department of Health
  • The project use SMS technology to improve processes for referring and tracing patients and defaulters
  • All project staff, including 26 government nurses, receive special training on Prevention of Mother to Child Transmission (PMTCT), Early Infant Diagnosis and ARV for HIV-positive infants
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Progress to Date

  • The transmission rate is currently at 4%
  • We have employed a local project coordinator with a nursing background and trained 52 Community Health Workers (CHWs) to work in one of the 13 clinics supported by the programme

Meet Punyezwa, who benefited from support from One to One Children's Fund during her pregnancy.

Location: Ngqeleni and Libode, Eastern Cape Province, South Africa
Funder: ViiV Healthcare’s The Positive Action for Children Fund
Partner: The Small Projects Foundation
Dates: From 2014 to present
Status of Project: Replicating and scaling up

Between 30% and 45% of HIV positive women who are not accessing treatment will pass the virus on to their babies.


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