Latest update January 23rd, 2025 7:40 AM
PANCAP welcomes PAHO’S EMTCT Plus Initiative
– as fight to reduce mother to child transmission of HIV continues
The region continues to be heavily impacted by the HIV epidemic. This has translated to an estimated prevalence of 1.3 percent and 310,000 persons living with the disease at the end of 2016.
Director of PANCAP, Dereck Springer
This is according to Director of the Pan Caribbean Partnership Against HIV/AIDS, [PANCAP] Mr. Dereck Springer.
Even as he considered that in 2016, 18,000 new infections occurred, Springer recognized the recently launched EMTCT – Plus: Framework for Elimination of Mother-to-Child Transmission of HIV, Syphilis, Hepatitis B and Chagas by the Pan American Health Organisation [PAHO].
The objective of the EMTCT-plus initiative is to achieve and sustain the elimination of mother-to-child transmission of HIV, Syphilis, Chagas, and perinatal Hepatitis B (HBV) as a public health threat. It embraces the principles and lines of action of the Strategy for Universal Access to Health and Universal Health Coverage, building upon the lessons learned from the PAHO 2010 Strategy and Plan of Action for the EMTCT of HIV and Congenital Syphilis.
According to Springer, the investments made in HIV Prevention of Mother-to-Child Transmission [PMTCT] in the region are significant which has allowed for notable progress.
For instance, he disclosed that in June 2015, Cuba became the first country in the world to achieve elimination of mother to child transmission (EMTCT) of HIV and Syphilis.
“This achievement was lauded by the World Health Organisation (WHO) as a major victory in the fight against HIV and an important step in achieving an AIDS-free generation. Since then, the region has accelerated efforts to achieve elimination status. Option B Plus is the defined standard of care and fully implemented,” Springer highlighted.
He added, too, that there have been significant investments in capacity building for health care workers across the region in delivering the highest quality of care that is based on scientific evidence.
“All pregnant HIV infected women are initiated on antiretroviral therapy as early as possible and maintained for life. Laboratory systems have been strengthened to provide quality assured early infant diagnosis to all exposed infants. Across the region, our programmes are striving to ensure viral suppression throughout pregnancy and delivery, so that no baby is born HIV positive,” Springer further amplified.
At the end of 2016, ART coverage among HIV pregnant mothers was 74 percent and 1700 new infections were averted as a result of Prevention of Mother-to-Child Transmission (PMTCT) programmes, Springer revealed. According to him, currently, several countries in the region are undergoing the WHO validation process for HIV and Syphilis and many more are in the final stages of preparing and submitting their documentation.
As such it is Springer’s view that the EMTCT Plus initiative launched by WHO and aimed at the elimination of four diseases, namely HIV, Syphilis, Hepatitis B and Chagas disease, is strategic in leveraging the momentum of HIV PMTCT initiatives. He therefore underscored that “The Partnership [PANCAP] envisages the EMTCT Plus initiative as a coordinated approach, building on well-established and successful platforms and systems of Maternal and Child Health [MCH] programmes.”
The successes and lessons learned around sustainability and integrating HIV PMTCT responses within MCH programmes, according to the PANCAP Director, will serve as key tools in guiding EMTCT of Syphilis, Hepatitis B and Chagas disease. For this reason he added, “The Partnership welcomes the EMTCT Plus Initiative and commits to working with PAHO and all stakeholders in the achievement of this significant regional public health good.”
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