The Asia-Pacific Prevention of Parent-to-Child Transmission (PPTCT) Task Force | Women and Children Alive and Free from HIV and Syphilis

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REGIONAL SCENARIO
EPIDEMIOLOGY

Greater than 95% HIV burden borne by 10 countries
Cambodia, China, India, Indonesia, Malaysia, Myanmar, Nepal, Papua New Guinea, Thailand and Vietnam

4,880,000 people living with HIV
1.68 million (34%) women
168,000 children (>14 years)

360,000 newly infected by HIV in 2009

21,000 newly infected children - Greater than 90% due to parent to child transmission (PTCT)
About half of the children newly infected with HIV in Asia-Pacific die without treatment

PPTCT PRACTICES AND COVERAGE

69 million annual pregnancies
Only 35% of pregnant women are tested

73,000 HIV+ pregnant women
32% received ARV prophylaxis
32% HIV-exposed infants received ARV

Less than 10% of countries implement Early Infant Diagnosis (EID)

A growing proportion of women are infected through sex with their spouse or intimate male partners

33% of all new infections now occur between married couples or sexual partners in Thailand
60% of people newly diagnosed with HIV are women in Papua New Guinea
HIV-positive women now outnumber men in Cambodia and India

The trend is signalling a possible rise in HIV transmission to newborns if Prevention of Parent-to-Child Transmission services are not scaled up

CONGENITAL SYPHILIS
REGIONAL EPIDEMIOLOGY AND SCREENING PROCESS

600,000 pregnant women newly infected with syphilis each year

Antenatal syphilis screening practices vary across regions
Routinely conducted for all ANC attendees: Thailand, Malaysia, Papua New Guinea, Sri Lanka

Antenatal syphilis prevalence
Up to 6-7%: Papua New Guinea and Solomon Islands
0.04-0.07%: Bangladesh, China, India and Myanmar

In the Community

See what’s happening in the community.

Costing and Resource Needs New!

New!

Advocacy Toolkit May 2013

Galvanize in-country action towards eliminiation of new paediatric infections of HIV and congenital syphilis
Download the Advocacy Toolkit

Consultative Meeting on HIV and Key Affected Women and Girls: Reducing Intimate Partner Transmission of HIV Within ASEAN

View the statement made by the ASEAN for this meeting.

No getting to zero new HIV infections in ASEAN without women

Young women, female sex workers, transgender women, women who use drugs and women living with HIV have called on ASEAN to support women and girls living with and affected by HIV.

Option B+

Use of Anteretroviral Drugs for Treating Pregnant Women and Preventing HIV Infection in Infants Download the Programmatic Update, WHO April 2012

Health Systems Strengthening

Strengthening support for maternal, newborn and child health within Global Fund proposals
Download the MNCH Practical Guidance Tool, Global Fund, Aug 2011

Women of the Asia Pacific Network of People Living with HIV

A study on access to reproductive and maternal health care for women living with HIV in Asia. Findings from six countries Bangladesh, Cambodia, India, Indonesia, Nepal, Vietnam
Download Positive and Pregnant: How Dare You

HIV Testing and Counseling

Guidance for couples including Antiretroviral Therapy for Treatment and Prevention in Serodiscordant Couples
Download WHO Recommendations for a public health approach, Apr 2012

Regional Scenario Video

View a short video highlighting the Asia-Pacific regional scenario, gaps in MCH, PPTCT and congenital syphilis coverage and the vision for moving towards elimination
Play Video

HIV/AIDS Data Hub Website

Browse additional key regional data, analysis and references on www.aidsdatahub.org under women and children, HIV epidemiology, maternal, neonatal and child health, PPTCT and Congenital Syphilis
www.aidsdatahub.org

Little is known on the treatment of syphilis sero-positive pregnant women and newborns

Few pregnant women receive ART for their own health and survival

Early Infant Diagnosis (EID) coverage is less than 10% in most countries

Loss to follow-up is high

113,000 HIV+ children eligible for ART
43,800 currently receiving treatment

Disparity of ART coverage for children among regions

48% East Asia Pacific

33% South Asia

41% infants in general population receive exclusive breastfeeding from birth to 6 months of age

Overall Targets
	Reduce new paediatric HIV infections by 90% by 2015 The target of reducing new paediatric HIV infections by 90% reflects the contributions of the 4-Prong strategy for PPTCT and signifies the importance of a comprehensive approach.
	Reduce PTCT of HIV to <5% The target of reducing parent-to-child transmission (PTCT) to less than 5% addresses efforts to eliminate vertical transmission of HIV.
	Reduce incidence of CS to <0.5 per 1,000 live births The target of reducing the incidence of congenital syphilis addresses efforts to eliminate vertical transmission of syphilis.

Programmatic Targets
	50% reduction of HIV incidence among women 15-49 years of age (from a 2009 baseline)	≥90% HIV-infected mothers and exposed infants receive effective ARVs to reduce PTCT
	Zero unmet need for family planning for women living with HIV	≥90% syphilis sero-positive mothers and exposed infants receive effective treatment
	≥90% of pregnant women access antenatal care services and skilled care at birth	≥90% eligible HIV-positive pregnant women remain on ART at 12-months post-partum
	≥90% of pregnant women know their HIV and syphilis serostatus	≥90% eligible HIV-infected children (0-14 years) receive ART

Click on the desired format (PDF - DOC), to download and view the latest, most comprehensive fact sheets or Click on country flags to see specific indicators, highlighted references and country level referral networks.

Afghanistan PDF - DOC	Cambodia PDF - DOC	Indonesia PDF - DOC	Maldives PDF - DOC	Pakistan PDF - DOC	Thailand PDF - DOC
Bangladesh PDF - DOC	China PDF - DOC	Lao PDR PDF - DOC	Myanmar PDF - DOC	Papua New Guinea PDF - DOC	Timor Leste PDF - DOC
Bhutan PDF - DOC	India PDF - DOC	Malaysia PDF - DOC	Nepal PDF - DOC	Sri Lanka PDF - DOC	Vietnam PDF - DOC

Elimination Certification - Country Eligibility

Download Key References
• Eligibility Requirements
• Certification Application

MDG4: Reduce Child Mortality
MDG5: Improve Maternal Health
MDG6: Combat HIV/AIDS, malaria, and other diseases

Potential Contributions of PTCT of HIV and CS Elimination toward Health Related MDGs

Understanding concurrent MNCH initiatives helps place PPTCT and ECS targets in the context of broader MNCH and sexual and reproductive health (SRH) agendas. Generating synergies between HIV and broader health and human development efforts represents a major opportunity for the PPTCT and ECS elimination initiatives. Comprehensive efforts to eliminate new paediatric HIV infections and CS may also contribute toward achieving MDGs 4, 5, and 6.

Downloads:

• MDG Report 2011
• MDG Progress Chart 2011