Fight against HIV in mothers and children ramps up

Jul 31 2008

As the world's leaders and AIDS community gather in Mexico for the biennial global conference on HIV and AIDS, UNITAID, UNICEF and the World Health Organization (WHO) today announced an infusion of $50 million aimed at halting mother-to-child transmission of HIV.

Over the next two years, UNITAID funding will be used to test some 10 million pregnant women for HIV and treat 285 000 mothers and children in nine target countries: Central African Republic, China, Haiti, Lesotho, Myanmar, Nigeria, Swaziland, Uganda, and Zimbabwe. These countries represent approximately 25% of the world's HIV-infected pregnant women giving birth annually.

"This effort aims to go beyond mere prevention by promoting ongoing treatment for mothers and their babies," said Dr Philippe Douste-Blazy, Chair of UNITAID's Executive Board. "Our aim is to fund the most effective and appropriate medicines and diagnostics on the market for both women and children."

A novel element of the project is that it will allow UNICEF to negotiate reduced drug prices, allowing for a greater scale-up of more effective treatment for HIV-infected women as well as aim to prevent infection in their children. This ramping up means the WHO-recommended treatment protocol - introduced in 2006 and a far superior solution to the single therapy Nevirapine - can be implemented much more quickly and intensively.

Funding will also provide a one-year course of antiretroviral treatment to HIV positive pregnant women in need, in the nine countries.

"Testing pregnant women for HIV gives mothers a better chance to survive this disease," said Ann M. Veneman, UNICEF Executive Director. "Women, their children and their entire communities benefit when life-saving treatment is provided to HIV positive mothers as quickly as possible."

WHO will ensure that expansion of programmes, use of antiretroviral medicines and procurement of commodities are done according to published guidelines and recommendations through close collaboration with Ministries of Health. WHO will also provide support in monitoring and evaluating prevention-of-mother-to-child transmission programmes to meet national targets.

"Women are one of the main target groups for WHO action," said Dr Margaret Chan, WHO Director-General. "Women play an important role in the functioning of communities, in caring for and educating children and make invaluable contributions to societies' development."

The three agencies are already funding and providing commodities to prevent mother to child HIV transmission in eight African countries, representing approximately 342 000 women.