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Protecting Childhood in the AIDS PandemicFinding Solutions that Work$
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Jody Heymann, Lorraine Sherr, and Rachel Kidman

Print publication date: 2012

Print ISBN-13: 9780199765126

Published to Oxford Scholarship Online: May 2012

DOI: 10.1093/acprof:oso/9780199765126.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 23 January 2021

Breaking the Cycle

Breaking the Cycle

Challenges and Solutions in Pediatric HIV Policy

(p.195) 9 Breaking the Cycle
Protecting Childhood in the AIDS Pandemic

Liezl Smit

Angela Dramowski

Kevin Clarke

Janine Clayton

Annemadelein Scherer

Amy Slogrove

Happyson Musvosvi

Marina Rifkin

Mark Cotton

Oxford University Press

Vertically transmitted pediatric HIV, or mother-to-child transmission, is a preventable disease. In many developed countries, antiretroviral (ARV) drugs for vertical transmission prevention (VTP) have virtually eliminated childhood infection and improved maternal survival. Progress in addressing the needs of children infected and affected by HIV/AIDS has been made in the last decade through improved evidence and accelerated action. Governments have displayed political will, with progressive policies around HIV prevention, care, and treatment services. Substantial external funding from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), the Global Fund, and others has supported national HIV programs. This chapter describes current policies and recommendations, main medical barriers to implementation, and potential ways forward in addressing paediatric HIV/AIDS. Strategies are discussed from a prevention, HIV detection, care and treatment, and high-risk group perspective, focusing on both health system and client factors.

Keywords:   pediatric HIV/AIDS, mother-to-child transmission, vertical transmission prevention, childhood infection, diagnosis, treatment, antiretroviral, health care

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