[pronut-hiv] Monitoring effectiveness of programmes to prevent mother-to-child HIV transmission in lower-income countries

["ProNut-HIV" <pronut-hiv@healthnet.org>]

Monitoring effectiveness of programmes to prevent mother-to-child HIV transmission in lower-income countries
 
Elizabeth M Stringer, Benjamin H Chi, Namwinga Chintu,aTracy L Creek, Didier K Ekouevi, David Coetzee, Pius Tih, Andrew Boulle, Francois Dabis, Nathan Shaffer,b Catherine M Wilfertg & Jeffrey SA Stringera
 
Abstract Ambitious goals for paediatric AIDS control have been set by various international bodies, including a 50% reduction in new paediatric infections by 2010. While these goals are clearly appropriate in their scope, the lack of clarity and consensus around how to monitor the effectiveness of programmes to prevent mother-to-child HIV transmission (PMTCT) makes it difficult for policy-makers to mount a coordinated response. In this paper, we develop the case for using population HIV-free child survival as a gold standard metric to measure the effectiveness of PMTCT programmes, and go on to consider multiple study designs and source populations. Finally, we propose a novel community survey-based approach that could be implemented widely throughout the developing world with minor modifications to ongoing Demographic and Health Surveys.
 

Bulletin of the World Health Organization 2008;86:57*62.