6 th Annual Emergency Plan for AIDS Relief Track 1.0 ART Program Meeting August 11–12, 2008;...
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Transcript of 6 th Annual Emergency Plan for AIDS Relief Track 1.0 ART Program Meeting August 11–12, 2008;...
![Page 1: 6 th Annual Emergency Plan for AIDS Relief Track 1.0 ART Program Meeting August 11–12, 2008; Washington D.C. Christian Pitter, MD MPH Director, Global.](https://reader036.fdocuments.us/reader036/viewer/2022062423/5697bfa71a28abf838c98ee9/html5/thumbnails/1.jpg)
6th Annual Emergency Plan for AIDS Relief Track 1.0 ART Program Meeting
August 11–12, 2008; Washington D.C.
Christian Pitter, MD MPHDirector, Global Technical Policy
PMTCT Scale-upElizabeth Glaser Pediatric AIDS Foundation
![Page 2: 6 th Annual Emergency Plan for AIDS Relief Track 1.0 ART Program Meeting August 11–12, 2008; Washington D.C. Christian Pitter, MD MPH Director, Global.](https://reader036.fdocuments.us/reader036/viewer/2022062423/5697bfa71a28abf838c98ee9/html5/thumbnails/2.jpg)
Rwanda
Uganda
Kenya
Thailand
Angola
Malawi
Tanzania
Zambia
Zimbabwe
Russia
Swaziland
Dominican Republic
Cameroon
India
Georgia
Honduras
Mozambique
China
Cote d’Ivoire
Lesotho
D.R. Congo
SouthAfrica
Project initiated with EGPAF funds & successfully transitioned to other support
EGPAF Country Programs: 8 sites in 6 countries in 20003,000 sites as of March 31, 2008, with a presence in 18 countries
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EGPAF PMTCT CascadeTotals 2000-2008
![Page 4: 6 th Annual Emergency Plan for AIDS Relief Track 1.0 ART Program Meeting August 11–12, 2008; Washington D.C. Christian Pitter, MD MPH Director, Global.](https://reader036.fdocuments.us/reader036/viewer/2022062423/5697bfa71a28abf838c98ee9/html5/thumbnails/4.jpg)
EGPAF PMTCT CascadeTotals 2000-2008
![Page 5: 6 th Annual Emergency Plan for AIDS Relief Track 1.0 ART Program Meeting August 11–12, 2008; Washington D.C. Christian Pitter, MD MPH Director, Global.](https://reader036.fdocuments.us/reader036/viewer/2022062423/5697bfa71a28abf838c98ee9/html5/thumbnails/5.jpg)
EGPAF PMTCT
• Accelerating outputs– Approximately 2 million women tested since
2006 out of 5 million cumulative
• Improving Performance– Counseling, Testing & Results– Maternal and Infant ARV uptake
![Page 6: 6 th Annual Emergency Plan for AIDS Relief Track 1.0 ART Program Meeting August 11–12, 2008; Washington D.C. Christian Pitter, MD MPH Director, Global.](https://reader036.fdocuments.us/reader036/viewer/2022062423/5697bfa71a28abf838c98ee9/html5/thumbnails/6.jpg)
EGPAF PMTCT CascadePercents 2000-07 vs. 2007-08
![Page 7: 6 th Annual Emergency Plan for AIDS Relief Track 1.0 ART Program Meeting August 11–12, 2008; Washington D.C. Christian Pitter, MD MPH Director, Global.](https://reader036.fdocuments.us/reader036/viewer/2022062423/5697bfa71a28abf838c98ee9/html5/thumbnails/7.jpg)
EGPAF PMTCT CascadeImproved Performance
• Experience at facility level
• Making it simpler for women– Rapid Testing– Opt-out HIV Testing– SD-NVP Dosing at Diagnosis
![Page 8: 6 th Annual Emergency Plan for AIDS Relief Track 1.0 ART Program Meeting August 11–12, 2008; Washington D.C. Christian Pitter, MD MPH Director, Global.](https://reader036.fdocuments.us/reader036/viewer/2022062423/5697bfa71a28abf838c98ee9/html5/thumbnails/8.jpg)
EGPAF PMTCT CascadePrevalence, maternal and infant
ARV uptake 2000-07
![Page 9: 6 th Annual Emergency Plan for AIDS Relief Track 1.0 ART Program Meeting August 11–12, 2008; Washington D.C. Christian Pitter, MD MPH Director, Global.](https://reader036.fdocuments.us/reader036/viewer/2022062423/5697bfa71a28abf838c98ee9/html5/thumbnails/9.jpg)
New Challenges in PMTCT 1
• Combination Prophylaxis– More efficacious than SD-NVP– Numerous implementation challenges (supply
chain, training, support)– 28% of EGPAF PMTCT sites using
combination prophylaxis; increasing capacity
• Integration/Linkage with Reproductive Health, HIV C&T, Child Health
![Page 10: 6 th Annual Emergency Plan for AIDS Relief Track 1.0 ART Program Meeting August 11–12, 2008; Washington D.C. Christian Pitter, MD MPH Director, Global.](https://reader036.fdocuments.us/reader036/viewer/2022062423/5697bfa71a28abf838c98ee9/html5/thumbnails/10.jpg)
New Challenges in PMTCT 2
• Achieving universal access– “Low-hanging fruit”– Working at all levels of
the health system– Sustainability
WHO, 2008
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PMTCT District Approach
• Zimbabwe, Tanzania, Zambia, Uganda, Côte d’Ivoire, others
• Working with/in/through district administrative structure– Subgrant mechanisms with accountability– TA for planning, targets, infrastructure– TA for clinical and program services– Ongoing support and mentorship