Displaying items by tag: Overall Targets

Monday, 01 August 2011 18:05

Overall Target 3: Reduce incidence of CS to less than 0.5 per 1,000 live births (Metadata)

The target of reducing the incidence of congenital syphilis addresses efforts to eliminate vertical transmission of syphilis^{2, 3}. This target directly addresses the public health issue of how well interventions are being provided to prevent new infant infections in women who are already syphilis sero-positive.

Measure of Target

Numerator

Denominator

Method of Measurement

The percentage of infants who have congenital syphilis should decrease as the coverage of interventions for ECS interventions increases.

Number of infants born to syphilis sero-positive mothers who have CS.

The percentage of infants who have congenital syphilis should decrease as the coverage of interventions for ECS interventions increases.

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Published in Prevention of Parent-to-Child Transmission

Monday, 01 August 2011 18:03

Overall Target 3: Reduce incidence of CS to less than 0.5 per 1,000 live births

Countries and their respective targets

Bangladesh
None

Cambodia
None

China
None

India
None

Indonesia
None

Lao PDR
None

Malaysia
None

Myanmar
None

Nepal
None

Papua New Guinea
None

Thailand
None

Vietnam
None

Framework Indicators measured:
(See Indicator Definitions and Metadata Entry)

To follow.

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Published in Prevention of Parent-to-Child Transmission

Monday, 01 August 2011 18:01

Overall Target 2: Reduce PTCT to less than 5%

Countries and their respective targets

Bangladesh
Percentage of infants born to HIV positive mothers who are infected: 2%

Cambodia
Percentage of HIV-infected infants born to HIV-positive mothers: 16%

China
Percentage of HIV-infected infants born to HIV-positive mothers: <5%

India
None

Indonesia
None

Lao PDR
None

Malaysia
Vertical transmission of HIV (2010): 4%
Vertical transmission of HIV (2015): 0%

Myanmar
Percentage infants born to HIV-infected mothers who are infected (Prevention of PTCT): 11%

Nepal
None

Papua New Guinea
None

Thailand
Rate of mother-to-child-transmission of HIV: <3.3%

Vietnam
Rate of mother-to-child-transmission of HIV: 5%

Framework Indicators measured:
(See Indicator Definitions and Metadata Entry)

To follow.

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Published in Prevention of Parent-to-Child Transmission

Monday, 01 August 2011 17:57

Overall Target 2: Reduce PTCT to less than 5% (Metadata)

The target of reducing parent-to-child transmission (PTCT) to less than 5% addresses efforts to eliminate vertical transmission of HIV. This target directly addresses the public health issue of how well interventions are being provided to prevent new infant infections in pregnant women already infected with HIV. The estimated risk of transmission without any interventions is around 35% (around 20-25% without breastfeeding)¹². The regional target is to reduce over parent-to-child transmission to less than 5%, and a sub target of <2% transmission in non-breastfeeding settings.

Measure of Target

Numerator

Denominator

Method of Measurement

The denominator is not limited to only identified HIV-positive pregnant women.

In breastfeeding populations, PTCT should be assessed after cessation of breastfeeding.

The percentage of infants who are HIV-infected should decrease as the coverage of interventions for PPTCT and the use of more effective regimens increases

Number of infants born to HIV-infected mothers who are HIV-infected.

Number of all estimated HIV-positive pregnant women

ANC cohort of HIV+ mothers:
In this method, programmes select a random sample of HIV-positive women from ANC files who gave birth earlier (e.g. in the past 12 months), and attempt to determine outcomes through data abstraction and linking, and intensive follow-up with post-partum and child records.

Analysis of EID Data:
Countries should also analyse EID programme data to calculate the number of HIV-exposed infants with positive EID results. These findings can be combined with estimates of the number of infants lost to follow up to get a national estimate of number of new infant HIV infections in a given year.

Browse indicator definitions/metadata by Prong/Programmatic target.

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Published in Prevention of Parent-to-Child Transmission

Monday, 01 August 2011 17:54

Overall Target 1: Reduce new paediatric HIV infections by 90% by 2015 (Metadata)

The target of reducing new paediatric HIV infections by 90% reflects the contributions of the 4-Prong strategy for PPTCT and signifies the importance of a comprehensive approach. While it is recognized that the 90% target by 2015 is aspirational, significant progress towards this target can be made among countries in the Asia Pacific region.

Measure of Target	Numerator	Denominator	Method of Measurement
Regional Baseline (2009): 22,000 new paediatric HIV infections Regional Target (2015): < 2,200 new paediatric HIV infections Successful implementation of all prongs is required to achieve this			1.) Retrospective analysis of cohort data, such as ANC or Early Infant Diagnosis (EID) data. 2.) Modeling, using projection software such as the Spectrum package used by the UN for HIV estimates and projections.