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E-MTCT Targets

International Guidance on Methods to Measure PMTCT Impact Chika Hayashi Strategic Information, HIV Department WHO. E-MTCT Targets. Towards the Elimination of New Paediatric HIV Infection among Children by 2015 and Keeping Their Mothers Alive, Global Plan 2011-2015 Launched June 2011

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E-MTCT Targets

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  1. International Guidance on Methods to Measure PMTCT ImpactChika HayashiStrategic Information, HIV DepartmentWHO

  2. E-MTCT Targets Towards the Elimination of New Paediatric HIV Infection among Children by 2015 and Keeping Their Mothers Alive, Global Plan 2011-2015 Launched June 2011 2015 Targets in the Global Plan: • 90% reduction in new child HIV infections • 50% reduction in HIV-related maternal deaths • <5% MTCT (final transmission) • Other targets for all 4 prongs of PMTCT

  3. Where are we with MTCT? Modelled 33% 27% 2005 UNGASS 2010 2015: MTCT<5%

  4. How should we measure progress in achieving E-MTCT ? ~Global and National Level~ Outcomes of Interest and Definition Methods Baseline and Measurement Frequency Plan from now to 2015

  5. Goal is to Assess Population-Level Outcome • Outcomes of interest: MTCT at different timepoints, new child HIV-infection, HIV-free survival, survival • Directly ascertain outcome. Some loss-to-follow-up is inevitable and thus need to couple with assumptions on outcomes in population not captured.

  6. Short Guide: Methods to Measure PMTCT Impact Modelling (and better data for it) Immunization Clinic Survey and Follow-Up Population-based surveys Cohort/Follow-up Data Analysis of EID Data For each approach (3-5pages): 1. Brief description of method 2. Questions it can answer 3. Suitable setting 4. Pros and cons 5. Steps and Tips 6. Budgeting for It Generic Protocol for Each Approach outlines what needs to be done step-by-step, with key country decision options for steps that should be adapted to the country context.

  7. Summary of Methods

  8. Triangulate multiple methods for validation

  9. Next Steps One national M&E system M&E Working Group of IATT PMTCT and other experts. Short guide finalized over the next month to be available for COP and GF-R11. We welcome your input! Generic protocols underway, finalize with experts and field-experience Field-test multiple methods in a few countries Collective effort to scale-up PMTCT impact evaluations PMTCT Impact Assessment Guide

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