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Prevention
of mother to child transmission
Extracted from the UNICEF update from the First Zimbabwean National
AIDS Conference June 15-18, 2004
June 16, 2004
The uptake of
the prevention of mother to child transmission programme remains
an enormous challenge in the AIDS fight and men have been encouraged
to be supportive of the initiative. These were sentiments raised
by participants during a presentation on Prevention of Parent to
Child Transmission (PPCT).
The National
Technical Coordinator, Dr Agnes Mahomva said prevention of mother
to child transmission is critical and a public health priority in
Zimbabwe. Dr Mahomva defined PMTCT as the use of interventions before
and during pregnancy, as well as during labour and delivery in attempts
to reduce HIV transmission rates to the infant. This risk of transmission
is high during pregnancy, labour and delivery, and when breastfeeding.
"Over 90
percent of HIV infection in children due to mother to child transmission,"
said Dr Mahomva. "The overall transmission rate in breastfeeding
populations such as Zimbabwe is estimated to be about 33 percent."
The Ministry
of Health and Child Welfare together with its partners began the
PMTCT programme in 1999 as a pilot project and to date there are
more than 100 health institutions that now provide these services.
However, the bone of contention by some AIDS activists is that men
were not supporting the PMTCT programme.
"Men are
not coming out to support their pregnant wives. They claim that
they feel intimidated by the largely female environment at prenatal
clinics," said Miriam Zimbizi, coordinator of the Mufudzi Wakanaka
home based care progamme in Mhondoro. "There is a need for
men to come out of their shells and support their women through
the whole process. Men must be told that because of anti retroviral
treatment, there is hope of a better life for them and the child."
All agreed that much more needs to be done to make prenatal clinics
more "male friendly."
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