Elimination Initiative

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The Regional Initiative for the Elimination of Mother-to-Child Transmission of HIV and Congenital Syphilis in Latin America and the Caribbean, also known as the "Elimination Initiative", is a multi-agency effort to integrate the services of prevention and diagnosis of HIV and syphilis within the framework of primary care services, prenatal, sexual, reproductive and family health. Typically, prevention of the mother-to-child transmission of HIV and congenital syphilis has been addressed separately.

Contents

The initiative was launched in 2009 by UNICEF, PAHO, the Latin American Center for Perinatology (CLAP) and partner organizations in Latin America and the Caribbean and intends to eliminate the mother-to-child transmission of HIV and of congenital syphilis in the region by 2015.

Objectives

The main objective of this initiative is to eliminate congenital syphilis and mother-to-child transmission of HIV in Latin America and the Caribbean by 2015. Strategies and action plans related to the initiatives will be implemented in the Region beginning 2009 until 2015. To achieve their main goal, the initiative proposes an integrated approach to prevention; improve the prenatal coverage, diagnosis and early treatment of pregnant women in the region. It also recognizes the need to reinforce the integration of primary health care systems and improve information systems.

Specific targets set for 2015 are as follows: [1]

  1. Reduction of mother-to-child transmission of HIV to 2% or less.
  2. Reduction of the incidence of mother-to-child transmission of HIV infection to roughly 0.3 cases per 1,000 live births.
  3. Reduction of incidence of congenital syphilis to 0.5 cases or less, including stillbirths per 1,000 live births.

History

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<span class="mw-page-title-main">Syphilis</span> Sexually transmitted infection

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<span class="mw-page-title-main">Congenital syphilis</span> Medical condition

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<span class="mw-page-title-main">Pan American Health Organization</span> Public health agency for the Americas

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<span class="mw-page-title-main">Epidemiology of syphilis</span> Eradication efforts and prevalence of syphilis

Syphilis is a bacterial infection transmitted by sexual contact and is believed to have infected 12 million people in 1999 with greater than 90% of cases in the developing world. It affects between 700,000 and 1.6 million pregnancies a year, resulting in spontaneous abortions, stillbirths, and congenital syphilis. In Sub-Saharan Africa syphilis contributes to approximately 20% of perinatal deaths.

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<span class="mw-page-title-main">Neonatal infection</span> Human disease

Neonatal infections are infections of the neonate (newborn) acquired during prenatal development or within the first four weeks of life. Neonatal infections may be contracted by mother to child transmission, in the birth canal during childbirth, or after birth. Neonatal infections may present soon after delivery, or take several weeks to show symptoms. Some neonatal infections such as HIV, hepatitis B, and malaria do not become apparent until much later. Signs and symptoms of infection may include respiratory distress, temperature instability, irritability, poor feeding, failure to thrive, persistent crying and skin rashes.

<span class="mw-page-title-main">Catholic Medical Mission Board</span>

The Catholic Medical Mission Board (CMMB) is an international, faith-based NGO, providing long-term, co-operative medical and development aid to communities affected by poverty and healthcare issues. It was established in 1912 and officially registered in 1928. CMMB is headquartered in New York City, USA, and currently has country offices in Haiti, Kenya, Peru, South Sudan, and Zambia.

References

  1. "PAHO/WHO | Eliminación de la transmisión maternoinfantil del VIH y de la SC en ALC: Documento conceptual". Pan American Health Organization / World Health Organization. Retrieved 2021-02-26.
  2. HIV/STI Plan for the Health Sector 2006-2015 (PAHO, 2005)
  3. "Eliminatio of Congenital Syphilis in the Americas(PAHO, 2005)" (PDF). Archived from the original (PDF) on 2011-07-27. Retrieved 2010-07-18.
  4. CARICOM Health Ministers Launch Regional Initiative for HIV and Syphilis Free Generations
  5. "PAHO/WHO | Eliminación de la transmisión maternoinfantil del VIH y de la SC en ALC: Documento conceptual". Pan American Health Organization / World Health Organization. Retrieved 2021-02-26.
  6. "PAHO/WHO | Guía clínica para la eliminación de la transmisión maternoinfantil del VIH y de la sífilis congénita". Pan American Health Organization / World Health Organization. Retrieved 2021-02-26.
  7. Regional Initiative for the Elimination of Mother-to-Child Transmission of HIV and CS in LAC: Regional Monitoring Strategy
  8. The Global Fund 2010: Innovation and Impact, Geneva, Switzerland. Archived 2010-12-04 at the Wayback Machine
  9. PMTCT STRATEGIC VISION 2010–2015: Preventing mother-to-child transmission of HIV to reach the UNGASS and Millennium Development Goals (WHO, 2010).