Cote d'Ivoire: Influencing National PMTCT Policies (April 2007)


In May 2006, a PEPFAR partner organization initiated a review of prevention of mother-to-child HIV transmission (PMTCT) policy and guidelines in Cote d'Ivoire. Key health sector stakeholders participated in regular working group meetings, a document-writing retreat, and a two-day national validation workshop. The recommendations from the meetings were integrated into a final report.

The review process allowed new strategies to be integrated into PMTCT policy and guidelines. Cote d'Ivoire now has a national policy calling for health district leadership of PMTCT activities; routine, opt-out HIV counseling and testing; HIV rapid testing in maternity units; early infant diagnosis; use of highly active antiretroviral therapy for HIV-positive pregnant women who require treatment, and short-course antiretroviral prophylaxis regimens for women who do not yet need treatment.

The next priority is to disseminate the new guidelines to health care sites, and train staff to use the new guidelines to increase uptake of PMTCT services among HIV-positive pregnant women.


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