TAILIEUCHUNG - PEPFAR Guidance on Integrating Prevention of Mother to Child Transmission of HIV, Maternal, Neonatal, and Child Health and Pediatric HIV Services

Diagnosis in most cases can be made from clinical presentation with certainty; if the clinician has a strong suspicion. Differentials include papular urticaria, chickenpox, mosquito bite etc. Rarity of cases and lack of suspicion as well as uneventful recovery are the most important causes of missing a case clinically. Though laboratory confirmation depends on direct isolation of virus in cell cultures, Indirect fluorescent assays (IFA), RT-PCR or serum neutralization techniques are also useful. Clinical presentation is quite characteristic to raise the suspicion of the condition and remains the sole diagnostic modality in resource constrained areas. Previous outbreaks in Kerala and. | The President s Emergency Plan for AIDS Relief PEPFAR PEPFAR Guidance on Integrating Prevention of Mother to Child Transmission of HIV Maternal Neonatal and Child Health and Pediatric HIV Services FINAL January 2011 PEPFAR Guidance on Integrating Prevention of Mother to Child Transmission of HIV Maternal Neonatal and Child Health and Pediatric HIV Services Objectives of the Guidance Supporting the integration of Prevention of Mother to Child Transmission PMTCT and pediatric HIV with Maternal Neonatal and Child Health MNCH services at the levels of policy program administration or service delivery offers an opportunity for The President s Emergency Plan for AIDS Relief PEPFAR to use limited resources to leverage other key programs and strengthen the MNCH platform in each PEPFAR country through Partnership Frameworks. In so doing PEPFAR aims to strengthen national ownership of programs increase the coverage of quality PMTCT and pediatric HIV services increase program sustainability strengthen the health system and improve MNCH health outcomes overall. The . Global Health Initiative GHI also presents an opportunity to strengthen synergies between various health services in order to produce significantly improved HIV MNCH and reproductive health RH outcomes and impact. Therefore given the various benefits of integration outlined above the objectives of this updated guidance are to Highlight importance of integration for PEPFAR PMTCT pediatric HIV and MNCH program support. Identify an essential package of integrated PMTCT pediatric HIV MNCH services and health systems strengthening activities. Recommend possible action steps to operationalize and evaluate integration efforts. Background PEPFAR supports the scale-up of PMTCT and pediatric HIV services as critical interventions in each country s HIV prevention care and treatment program. In 2008 the . Congress reinforced this approach by mandating that PEPFAR a support HIV testing and counseling for 80 of pregnant .

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