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Eliminating mother-to-child transmission of the human immunodeficiency virus in sub-Saharan Africa: The journey so far and what remains to be done

"This review was carried out to provide a comprehensive overview of efforts toward elimination of mother-to-child transmission (MTCT) of human immune deficiency virus (HIV) with respect to progress challenges, and recommendations in 21 sub-Saharan African priority countries. We reviewed literature p...

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Published: 2016
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LEADER 00000njm a2000000a 4500
001 oai:repository.ui.edu.ng:123456789/12920
042 |a dc 
720 |a Adetokunboh,O. O.  |e author 
720 |a Oluwasanu, M.  |e author 
260 |c 2016 
520 |a "This review was carried out to provide a comprehensive overview of efforts toward elimination of mother-to-child transmission (MTCT) of human immune deficiency virus (HIV) with respect to progress challenges, and recommendations in 21 sub-Saharan African priority countries. We reviewed literature published from 2011 to April 2015 using 3 databases; PubMed, Scopus, and Web of Science, as well as the 2014 Global Plan Progress Report. A total of 39 studies were included. Between 2009 and 2013, there was a 43% reduction in new HIV infections, the final MTCT rate was reduced from 28% to 18%, and antiretroviral therapy (ART) coverage increased from 11% to 24%. Challenges included poor adherence to antiretroviral therapy, poor linkage between mother—child pairs and post-natal healthcare services low early infant diagnosis coverage, low pediatric ART coverage, and high unmet needs for contraceptive services. Future recommendations include identification of key barriers, health system strengthening, strengthening community involvement, and international collaboration. There has been significant progress toward eliminating MTCT of HIV, but more effort is still needed. 
024 8 |a 0922-3444 
024 8 |a ui_art_adetokunboh_eliminating_2016 
024 8 |a Journal of Infection and Public Health 9, pp. 396—407 
024 8 |a https://repository.ui.edu.ng/handle/123456789/12920 
653 |a Global Plan 
653 |a Mother-to-child transmission 
653 |a HIV 
653 |a Priority countries 
653 |a Sub-Saharan Africa 
245 0 0 |a Eliminating mother-to-child transmission of the human immunodeficiency virus in sub-Saharan Africa: The journey so far and what remains to be done