Reducing perinatal HIV transmission in developing countries through antenatal and delivery care, and breastfeeding: supporting infant survival by supporting women's survival.

摘要: In 1998, a joint UNAIDS/UNICEF/WHO working group announced an initiative to pilot test intervention reduce perinatal transmission of human immunodeficiency virus (HIV), based on new guidelines HIV and infant feeding. This for developing countries includes short-course zidovudine (AZT) treatment advice HIV-positive women not breastfeed their infants, where this can be done safely. The present paper raises questions about the extent public health benefit intervention, even though it may cost-effective, due limited capacity antenatal delivery services implement fully. It argues that is necessary provide universal access replacement feeding methods support in safe use, only who have tested during pregnancy, but also untested decide breastfeed, some whom infected with or acquire breastfeeding period. further additional funding, more staff, staff training, improved resources are needed integrate successfully into care. will prevent infants from getting absence many these changes. However, comprehensive approach prevention care both would promote better survival women, which turn contribute greater survival. If combination antiretroviral therapy latter part pregnancy and/or period shown preliminary evidence suggests might as effectively current and, addition, allow practice preserved.