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Maximizing Benefits of New Strategies to Prevent Mother-to-Child HIV Transmission without Harming Existing Services

Citation

Chi, Benjamin H.; Thirumurthy, Harsha; & Stringer, Jeffrey S. A. (2014). Maximizing Benefits of New Strategies to Prevent Mother-to-Child HIV Transmission without Harming Existing Services. JAMA: Journal of the American Medical Association, 312(4), 341-342. PMCID: PMC4289618

Abstract

Over the past decade, global efforts to prevent mother-to-child human immunodeficiency virus (HIV) transmission have been driven by rapid progress in scientific discovery, policy, and program implementation. One important advance has been the Option B+ strategy to provide lifelong antiretroviral therapy (ART) to all HIV-infected women identified during pregnancy or breastfeeding. Initially developed as a strategy for settings in which CD4 T-lymphocyte testing was not available, Option B+ is now endorsed by the World Health Organization and its implementation has expanded to other countries worldwide. Although there are many clinical and operational justifications for the strategy, successful implementation of Option B+ requires substantial new investments in health infrastructure. Concerns that introduction of ambitious new services may redirect already scarce resources away from other initiatives are legitimate and warrant a careful evaluation and policy response.

URL

http://dx.doi.org/10.1001/jama.2014.6929

Reference Type

Journal Article

Year Published

2014

Journal Title

JAMA: Journal of the American Medical Association

Author(s)

Chi, Benjamin H.
Thirumurthy, Harsha
Stringer, Jeffrey S. A.

PMCID

PMC4289618