Armstrong-Mensah Elizabeth, Ruiz Krystal, Fofana Aminata, Hawley Victoria
Georgia State University, School of Public Health, Atlanta, Georgia 30303.
Int J MCH AIDS. 2020;9(3):354-359. doi: 10.21106/ijma.404. Epub 2020 Aug 9.
About 86 percent of the estimated 160,000 children newly-infected with the human immunodeficiency virus (HIV) live in sub-Saharan Africa. Despite global efforts to reduce perinatal HIV transmission, this phenomenon continues to be a public health problem in sub-Saharan Africa. This paper discusses challenges associated with perinatal HIV transmission prevention in sub-Saharan Africa and offers strategies for the way forward. These strategies include safe sex education and behavioral change, increased access to integrated antenatal care, training of unskilled traditional birth attendants into formal delivery systems, access to antiretroviral therapy, and investing in virologic testing.
在估计新增的16万例感染人类免疫缺陷病毒(HIV)的儿童中,约86%生活在撒哈拉以南非洲地区。尽管全球致力于减少围产期HIV传播,但这一现象在撒哈拉以南非洲地区仍是一个公共卫生问题。本文讨论了撒哈拉以南非洲地区预防围产期HIV传播所面临的挑战,并提出了未来的应对策略。这些策略包括安全性行为教育和行为改变、增加获得综合产前护理的机会、将无技能的传统助产士纳入正规分娩系统、获得抗逆转录病毒疗法以及投资于病毒学检测。