Interim Findings on the National PMTCT Pilot Sites Lessons and Recommendations

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Executive Summary

  1. Introduction
  2. The Process and Progress of Implementation
  3. Overview of Sites
  4. Coverage and Uptake of PMTCT Services
  5. Implementing the PMTCT Programme - Lessons Learnt

5.1 Uptake of HIV testing amongst pregnant women
5.2 The administration of NVP to mothers
5.3 Obstetric practices
5.4 The paediatric administration of NVP
5.5 Post-delivery follow-up and continuity of care
5.6 Organisation and management

  1. Impact of the National PMTCT Programme

6.1 Vertical Transmission Rates
6.2 Infant feeding
6.3 Beyond vertical transmission

  1. Conclusions and Recommendations

7.1 Addressing the Issues of Systems and Infra-structure
7.2 Improving quality of PMTCT services
7.3 Using the PMTCT programme as an engine for improving the quality of health care
7.4 Infant feeding
7.5 Expanding the programme

Appendix 1: Provincial Statistics
Appendix 2: Provincial Notes
Appendix 3: Site Reports (Shongwe Hospital and Pietermaritzburg PMTCT Sites)
Appendix 4: Additional Research Agenda
Appendix 5: Nevirapine

Lessons and Recommendations