World Health Organisation, US Department of Health and Human Services, US Centers for Disease Control and Prevention, and Global AIDS Program
Publication Date: July 18, 2008
Recommendations for a comprehensive approach to the training of healthcare workers in the prevention of mother-to-child HIV transmission (PMTCT). Topics covered include: scope of the worldwide HIV epidemic; transmission and natural course of HIV infection; introduction to mother-to-child HIV transmission; comprehensive approach to prevention of HIV infection in infants and young children; role of maternal and child health services in the prevention of HIV infection in infants and young children; antiretroviral therapy and antiretroviral prophylaxis for PMTCT; antenatal, labour and delivery, and postpartum management of women infected with HIV and women of unknown HIV status; care of infants who are HIV exposed and infants born to women of unknown HIV status; stigma and discrimination related to mother-to-child HIV transmission; HIV testing and counselling for PMTCT, including counselling skills, pretest information and counselling, HIV testing, and posttest counselling; infant feeing in the context of HIV infection; comprehensive care and support for pregnant women with HIV infection, mothers with HIV infection, HIV-exposed infants, and families with HIV infection; role of healthcare workers in the care and treatment of HIV-infected mothers and HIV-exposed infants; community linkages for treatment, care, and support services for mothers, HIV-exposed infants and families; safety and supportive care in the work environment, including standard precautions and creating a safe work environment, managing occupational HIV exposure, and supportive care for the caregiver; and PMTCT programme monitoring and data collection.
Keywords: HIV - Epidemiology, HIV - First-line Therapy, HIV - Paediatric/Adolescent Patients, HIV - Pathogenesis and Natural History, HIV - Pregnancy, HIV - Prevention, HIV - Psychosocial Issues, HIV - Resource-Limited Settings, HIV - Women