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Ensuring a Public Health Impact of Programs to Reduce HIV Transmission From Mothers to Infants: The Place of Voluntary Counseling and Testing
- Source :
- American Journal of Public Health. 92:347-351
- Publication Year :
- 2002
- Publisher :
- American Public Health Association, 2002.
-
Abstract
- Since 1999, many African governments have launched programs to offer short-course antiretroviral drug regimens to reduce mother-to child transmission of HIV. HIV testing in prenatal care is the gateway to these antiretroviral regimens. Pilot projects in Africa show an uptake of antiretroviral drugs in 8% to 50% of pregnant women presumed to be HIV infected; often, a minority of eligible women in care received these regimens. Use of lay counselors and rapid onsite HIV testing may alleviate health service barriers. Community education to promote voluntary counseling and testing, which involves men, is the long-term solution. In the short term, possibilities to enhance delivery of an effective intervention include group pretest counseling, universal offer of testing with women having the right to “opt out,” universal treatment (mass treatment for those whose HIV status is not determined by voluntary counseling and testing), universal testing with women having the right to “opt out” of learning their test results, and mass treatment for all without testing.
- Subjects :
- Adult
Counseling
medicine.medical_specialty
Anti-HIV Agents
Voluntary counseling and testing
Developing country
HIV Infections
Pilot Projects
Prenatal care
Truth Disclosure
Acquired immunodeficiency syndrome (AIDS)
Pregnancy
Intervention (counseling)
medicine
Humans
Child
Health Education
Transmission (medicine)
business.industry
Public health
Health Plan Implementation
Public Health, Environmental and Occupational Health
AIDS Serodiagnosis
Prenatal Care
Global HIV/AIDS
Patient Acceptance of Health Care
medicine.disease
Infectious Disease Transmission, Vertical
Surgery
Government Programs
Family medicine
Africa
Public Health Practice
Female
Health education
business
Subjects
Details
- ISSN :
- 15410048 and 00900036
- Volume :
- 92
- Database :
- OpenAIRE
- Journal :
- American Journal of Public Health
- Accession number :
- edsair.doi.dedup.....ad713178e15cde815674262903b8a5ab