Mother-to-child (MTCT) transmission of HIV remains a major public health problem worldwide. Each year an estimated 600,000 HIV-infected infants — at least 1,600 every day — are born in resource-constrained countries.
Transmission of HIV occurs during pregnancy, labor and delivery, and breastfeeding. Among women who do not breastfeed, an estimated 65 percent of perinatal HIV infections occur late in pregnancy and during labor and delivery.
Reducing MTCT involves preventing:
(1) HIV infection among women of childbearing age
(2) Unwanted pregnancy among HIV-positive women
(3) Transmission during pregnancy, labor and delivery, and breastfeeding
A comprehensive program to reduce MTCT includes:
- Improved availability, quality, and use of maternal and child health services
- Voluntary counseling and testing (VCT) for HIV
- Antiretroviral therapy
- Infant feeding options
- Casesarian section
- Care and support
- Other interventions, such as vaginal disinfection or vitamin A supplementation
- Contraceptive services
Related FHI publications
FHI Focus On: Reducing HIV Transmission from HIV Positive Women to Their Infants (2004, PDF, 156KB)
FHI Briefs: Mother-to-Child Transmission of HIV (2004, PDF, 1.17MB)
Family Planning and the Prevention of Mother-to-Child Transmission of HIV: A Review of the Literature (2004)
Nevirapine Results Quickly Put into Practice
Network:
Fact sheet, Reducing Mother-to-Child Transmission of HIV
Mother-to-Child Transmission (MTCT) Strategy (2004)
IMPACT on HIV: Affordable Drug Offers Hope for Preventing Mother-to-Child Transmission of HIV
IMPACT on HIV: Preventing Mother-to-Child Transmission of HIV
Other related resources
Family Planning and Prevention of Mother-to-Child Transmission: Contraception in the Era of HIV/AIDS. (FHI satellite session at the 2004 International AIDS Conference in Bangkok):
- Introduction (slide presentation by Duff Gillespie, PhD) (PDF, 78K)
- Family Planning in the Era of HIV (slide presentation by Jacqueline E. Darroch, PhD) (PDF, 339K)
- Contraception and HIV: Acquisition, Transmission, Progression (slide presentation by Willard Cates, Jr., MD, MPH) (PDF, 666K)
- How do we promote Family Planning in the Era of HIV/AIDS? (slide presentation by E. Anne Peterson, MD, MPH) (PDF, 470K)
- Integration of Family Planning and PMTCT Programs: The 'Why' and the 'How' (slide presentation by Heidi W. Reynolds, PhD, MPH) (PDF, 280K)
FHI/Guyana Launches PMTCT Educational Campaign 
FHI/Guyana has launched a prevention of mother-to-child transmission of HIV (PMTCT) campaign in Guyana. The campaign offers a first-of-its-kind set of materials to promote good PMTCT behaviors. The materials include a set of cue cards to support client-provider interaction around PMTCT. The cards highlight specific moments when stigma and discrimination should be discussed. Other items in the campaign include a take-home brochure, a button, and several posters.
Learn more »
View set of cue cards »