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How Option B+ is shifting the PMTCT paradigm by Michelle R Adler; Patricia L Riley; Sheila Bandazi; Margarett K Davis is a Medicine article available to read on EtoBox.

What is How Option B+ is shifting the PMTCT paradigm about?

Affordable and effective interventions have been identified that can prevent new infant HIV infections, maintain the health of mothers, and greatly reduce transmission between discordant partners. Yet, 330 000 HIV-infected infants were born in 2011 worldwide, in part due to operational challenges inherent in the design of current PMTCT programmes. Option B+, the provision of life-long antiretroviral treatment (ART) to all pregnant and breastfeeding women, was recently introduced as a progressive and innovative approach to simplify service delivery and improve maternal and infant outcomes. This emphasis on treatment as the cornerstone of PMTCT has catalysed a shift in thinking about the PMTCT paradigm. No longer can PMTCT viewed as a time-limited intervention around pregnancy and breastfeeding. It must be reconceived as multiple overlapping continua of care that address the health and family planning needs of HIV-positive women throughout their reproductive years. Optimising maternal ART and exposed infant follow-up will require a bridging of maternal, neonatal, and child health programmes with HIV treatment programmes to support alternative service delivery models, develop new heal

Who reads How Option B+ is shifting the PMTCT paradigm?

Author

Michelle R Adler; Patricia L Riley; Sheila Bandazi; Margarett K Davis

Publisher

Mark Allen Group (ISSN 1759-7374)

Published

2013

Language

EN

Field

Medicine (Health Sciences)