Achieving development goals for HIV, tuberculosis and malaria in sub-Saharan Africa through integrated antenatal care: barriers and challenges

摘要: The global health community is currently transitioning from the Millennium Development Goals (MDGs) to Sustainable (SDGs). Unfortunately, progress towards maternal, newborn and infant MDGs has lagged significantly behind other key goals, demanding a renewed effort in this area. World Health Organization institutions heralded integrated antenatal care (ANC) as best way address inter-related issues of HIV, tuberculosis (TB) malaria high risk groups pregnant women infants; ANC services also offer mechanism slow improved maternal health. There remarkably limited evidence on practice approaches program implementation, acceptability effectiveness for models targeting multiple diseases. Here, we discuss current guidelines literature describing implementation their role addressing TB during pregnancy sub-Saharan Africa. We highlight paucity data identify significant structural barriers system (funding, infrastructure, distribution, human resources), adoption (limited buy-in implementers, leadership, governance) and, broader context, patient-centred (fear, stigma, personal burdens) funding structures. recommendations action avenues develop systems integrate disease programs into that better these three priority infectious With transition SDGs concerns regarding failure meet MDGs, community, researchers, implementers bodies must work together ensure establishment quality operational research inform models. It imperative engages timely discussion about such innovations instigates appropriate actions advances are sufficient applicable SDGs.