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VALIDATION TOOLS

VALIDATION OF EPTCT FOR HIV & SYPHILIS

As countries in the Asia-Pacific commit to and progress towards the Elimination of Parent-to-Child Transmission (EPTCT) of HIV & Syphilis, a regional mechanism to assess and validate elimination is being set up.  WHO, UNICEF, UNFPA, and UNAIDS have developed a set of guidelines for this process in “Global guidance on criteria and processes for validation of elimination of mother-to-child transmission (EMTCT) of HIV and syphilis”. 

WHEN TO APPLY FOR VALIDATION?

Countries can apply for validation of EPTCT of HIV and/or syphilis when they determine that they have met the IMPACT targets for one year and the PROCESS targets for two years. EPTCT should also have been achieved in at least one of the lowest-performing sub-national administrative units.

GLOBAL TARGETS

MINIMUM IMPACT TARGETS

  • HIV

    • less than 50 new paediatric infections per 100 000 live births
    • transmission rate of either less than 5% in breastfeeding populations or less than 2% in non-breastfeeding populations
  • Syphillis

    • less than 50 cases of congenital syphilis per 100 000 live births

PROCESS TARGETS

  • Target 1

    • antenatal care coverage (at least one visit) greater than or equal to 95%
  • Target 2

    • coverage of HIV and/or syphilis testing of pregnant women greater than or equal to 95%
  • Target 3

    • antiretroviral treatment coverage of HIV-positive pregnant women greater than or equal to 90%
  • Target 4

    • treatment of syphilis-seropositive pregnant women greater than or equal to 95%
VALIDATION GUIDELINES & TOOLS

To help countries in the validation process of elimination of parent to child transmission, a set of guidelines and tools have been developed. These are available for download below and on the resources page.

WHO CAN USE THESE TOOLS?

They are intended for national, regional, and global validation committees for EPTCT, national AIDS and sexually transmitted infection programme managers, maternal and child health programme managers, monitoring and evaluation officers, policy-makers and staff of technical agencies, and international partners involved in supporting EPTCT initiatives.