Are We Reaching the Children? Issues in Pediatric HIV Programming Anouk Amzel, MD, MPH Jacqueline...
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Are We Reaching the Children? Issues in Pediatric HIV Programming Anouk Amzel, MD, MPH Jacqueline Firth, MD, MPH Office of HIV/AIDS USAID March 7, 2014
Are We Reaching the Children? Issues in Pediatric HIV
Programming Anouk Amzel, MD, MPH Jacqueline Firth, MD, MPH Office
of HIV/AIDS USAID March 7, 2014 9:45am Slide 2 Outline Epidemiology
of Pediatric HIV Perinatal Infection and Implications Prevention of
Infant Infections How are infant infections different from adult
infections? Where Can HIV-positive children be found? Adolescents
Living with HIV Starting and Keeping Children and Adolescents LHIV
on Treatment Treatment of Children and Youth with HIV Retention in
Care and Treatment Programs Slide 3 Epidemiology Slide 4 Children
and HIV How many new HIV infections occurred among children (0-14
years) in low- and middle-income countries in 2012? What percentage
of HIV-infected children received ART in 2012? What percentage of
infants living with HIV will die before their first birthday
without treatment? Before their second birthday? Towards an
AIDS-Free Generation: Children and AIDS 6 th Stocktaking Report
2013, UNICEF, Nov. 2013 260,000 34% One-third Half Slide 5 Where
are Children Living with HIV? Slide 6 The Good News Slide 7
Prevention of infant infections Slide 8 BREASTFEEDING POPULATION
Overall cumulative risk MTCT (without antiretroviral drugs): 40-45%
Timing of MTCT >28 wks Labor- Delivery 35-40% 1-6 mos6-24 mos0-1
mo Pregnancy 10-25%
