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prevention oFmother-to- child transmission oF hiv - Unicef UK

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<strong>prevention</strong> <strong><strong>oF</strong>mother</strong>-<strong>to</strong><strong>child</strong><br />

<strong>transmission</strong> of <strong>hiv</strong><br />

© UNICEF <strong>UK</strong>/Kenya 2006/Irby<br />

Mary Wasike and baby Samuel<br />

Mary discovered she had HIV<br />

when she was five months<br />

pregnant.<br />

A health worker at Isiolo District<br />

Hospital in central Kenya<br />

explained that there was an<br />

effective treatment <strong>to</strong> prevent her<br />

from passing HIV <strong>to</strong> her baby.<br />

Mary received a course of<br />

medicine for three months<br />

before she gave birth and a<br />

tablet when she went in<strong>to</strong><br />

labour. Baby Samuel was given<br />

some medicated syrup soon<br />

after he was born <strong>to</strong> protect him<br />

from the virus.<br />

Information Sheet<br />

Last updated: February 2010<br />

After an agonising wait of seven<br />

months, Mary received joyful<br />

news: Samuel’s HIV test confirmed<br />

he was born free from HIV.<br />

“When the nurse <strong>to</strong>ld me,<br />

it was the happiest day of<br />

my life. I was so excited, I<br />

couldn’t sleep!”<br />

Mary did not pass the virus <strong>to</strong><br />

baby Samuel because of the<br />

medicine and care she received<br />

at the UNICEF-supported hospital.<br />

Every <strong>child</strong> has a right <strong>to</strong> the best<br />

possible health, regardless of<br />

their background. With your help<br />

UNICEF can ensure that more<br />

babies are born free from HIV.<br />

UNICEF’s campaign<br />

Almost every minute of every<br />

day, a baby is born with HIV,<br />

passed on by their mother<br />

during pregnancy, labour<br />

or delivery.<br />

In 2008, an estimated 387,000<br />

babies were born with HIV.<br />

Lacking treatment, a third of<br />

them are unlikely <strong>to</strong> live <strong>to</strong> see<br />

their second birthday.<br />

This is because, despite<br />

recent progress, only 2 in 5<br />

mothers with HIV has access<br />

<strong>to</strong> the medicine and health care<br />

services they need <strong>to</strong> free their<br />

babies from HIV.<br />

? UNICEF <strong>UK</strong>, 30a Great Sut<strong>to</strong>n Street, London, EC1V 0DU<br />

( 0844 801 2414 8 unicef.org.uk/unite Registered Charity No. 1072612


To protect the right of all <strong>child</strong>ren<br />

<strong>to</strong> the best possible health,<br />

UNICEF is campaigning <strong>to</strong> ensure<br />

that all pregnant women with HIV<br />

receive the right medicine and<br />

care <strong>to</strong> prevent them passing HIV<br />

on<strong>to</strong> their baby.<br />

Given this medicine and care,<br />

the chance that a mother with<br />

HIV will pass the virus <strong>to</strong> her<br />

baby drops <strong>to</strong> less than 1 in 50.<br />

UNICEF’s Unite for Children,<br />

Unite against AIDS campaign<br />

aims <strong>to</strong> provide medicine and<br />

care for all mothers and babies.<br />

Mother-<strong>to</strong>-<strong>child</strong> <strong>transmission</strong><br />

Without the services <strong>to</strong> prevent<br />

mother-<strong>to</strong>-<strong>child</strong> <strong>transmission</strong> of<br />

HIV (PMTCT), about one-third<br />

of women with HIV will pass the<br />

virus <strong>to</strong> her baby. Given proper<br />

PMTCT services, this risk can be<br />

reduced <strong>to</strong> less than 2 per cent.<br />

PMTCT services include<br />

counselling, medicine and testing<br />

for HIV. Mothers with HIV receive<br />

a course of anti-retroviral medicine<br />

<strong>to</strong> take before birth and then a<br />

tablet with the onset of labour.<br />

When the mother has given birth,<br />

the baby is given medicated syrup.<br />

In addition, mothers are counselled<br />

on infant-feeding options <strong>to</strong> reduce<br />

the risk of <strong>transmission</strong> through<br />

breastfeeding.<br />

UNICEF believes that mothers<br />

with HIV need more than just<br />

the medical treatment and care<br />

that prevents them passing the<br />

virus <strong>to</strong> their babies. It is vital <strong>to</strong><br />

provide ongoing treatment and<br />

care, so that the baby that is<br />

born free does not grow up<br />

an orphan.<br />

To this end, we support the<br />

development of PMTCT services<br />

as a starting point for providing<br />

treatment, care and support <strong>to</strong><br />

whole families.<br />

Preventing mother-<strong>to</strong>-<strong>child</strong><br />

<strong>transmission</strong> of HIV is one of<br />

the four main aims of our Unite<br />

for Children, Unite against AIDS<br />

campaign.<br />

Five-year-old Kel<strong>to</strong>n holds his four-week-old brother, Elson. His mother, Inonge, learned<br />

she was HIV-positive while pregnant with Elson. She participates in a PMTCT programme<br />

which provides Elson with preventative medication and will administer his first HIV test<br />

when he is six weeks old. © UNICEF/NYHQ2009-0731/Nesbitt<br />

The other aims are:<br />

m Provide paediatric treatment<br />

Worldwide, all <strong>child</strong>ren with<br />

HIV must receive <strong>child</strong>friendly<br />

medicine.<br />

m Prevent HIV among young<br />

people<br />

Young people, especially<br />

young women, are the most<br />

vulnerable <strong>to</strong> HIV. We need<br />

<strong>to</strong> empower young people by<br />

providing them with the facts<br />

about HIV.<br />

m Protect and support orphans<br />

and other <strong>child</strong>ren made<br />

vulnerable by HIV and AIDS<br />

The 17.5 million <strong>child</strong>ren<br />

orphaned because of AIDS<br />

need <strong>to</strong> receive protection,<br />

care and support.<br />

What you can do<br />

Fulfilling the rights of every<br />

<strong>child</strong> means ensuring that HIV<br />

and AIDS is not allowed <strong>to</strong><br />

reverse the progress we have<br />

already made for <strong>child</strong>ren. We<br />

need your help <strong>to</strong> reach the<br />

most remote and marginalised<br />

<strong>to</strong> ensure that every <strong>child</strong> has<br />

the best possible start in life.<br />

Denying <strong>child</strong> rights is wrong.<br />

Campaign, donate or raise<br />

money and help us put it right.<br />

To find out more, please visit<br />

unicef.org.uk/unite<br />

UNICEF is funded entirely<br />

through voluntary donations.<br />

While we are part of the United<br />

Nations family we are not<br />

funded from the UN budget.<br />

? UNICEF <strong>UK</strong>, 30a Great Sut<strong>to</strong>n Street, London, EC1V 0DU ( 0844 801 2414 8 www.unicef.org.uk/unite

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