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Zambia, 16 September 2010: Expanding services and using 'Mother-Baby Pack' to reduce HIV among children

© UNICEF/NYHQ2010-0881/Nesbitt
Women attend a health counselling session in Samfya, Zambia.

MANSA, Zambia 16 September 2010 – The birth of a child is a huge celebration in Zambia and across Africa – as the saying goes, it’s ‘a mother’s joy.’ But when a woman is living with HIV, pregnancy can also be an enormous challenge.

Eight-month-old Siniza was born at a health clinic in the rural town of Samfya, in Zambia’s Luapula province. His parents learned that they were HIV-positive during an ante-natal consultation. Fortunately, however, they were able to participate in the clinic’s Prevention of Mother-to-Child Transmission (PMTCT) programme, which is supported by UNICEF.

Immediately after he was born, Siniza was put on antiretroviral (ARV) treatment to prevent HIV and was tested for the virus at six weeks of age. To the family’s great relief, he has not inherited the virus. 

Preventing transmission

In Zambia, as in many places in sub-Saharan Africa, many pregnant women live with HIV. An estimated 95,000 children under the age of five are also living with the virus. The vast majority of these children acquired HIV either before they were born, during pregnancy or delivery or when they are being breastfed.

About 148 children under the age of five die in Zambia for every 1,000 live births. HIV is a major contributor to this unacceptably high number. Nearly 35 percent of babies born to HIV-infected parents inherit the disease, and without treatment about half of those will die before their second birthday.

The prevention of mother-to-child transmission, however, could go a long way toward reducing child deaths from HIV-related illnesses.

“A comprehensive programme for PMTCT is the single most effective tool to significantly reduce the numbers of new paediatric HIV infections,” said then UNICEF Representative in Zambia Lotta Sylwander.

© UNICEF/NYHQ2010-0885/Nesbitt
A health worker draws blood from a woman living with HIV at a clinic in the rural town of Samfya, Zambia.

Services expand

Zambia has already had success with PMTCT. More than 70 percent of Zambian health facilities offer the programme and more than half of pregnant women living with HIV in the country are receiving antiretroviral drugs.

Challenges remain, however. The majority of facilities providing PMTCT care are located in urban centres, and it is often difficult for rural families to get proper medical care. In this respect, Siniza was one of the lucky ones.

UNICEF and the World Health Organization are addressing the need for extended PMTCT services with an innovative pack of medicines. The UNICEF ‘Mother-Baby Pack’ contains all the drugs needed to protect the health of a mother living with HIV, and to prevent her from passing the infection to her baby. It is initially being introduced in the sub-Saharan African countries of Zambia, Kenya, Cameroon and Lesotho, with the possibility of further expansion.

The project represents a major push to help Zambia meet the United Nations Millennium Development Goals targets related to HIV and AIDS. The MDGs, a set of internationally recognized targets for reducing poverty worldwide, calls for countries to have halted and begun to reverse the spread of HIV – and to ensure universal access to treatment – by the year 2015.

And in Zambia, improvements can’t come quickly enough. “This gives hope to women and children in Zambia,” said Ms. Sylwander.



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