Elimination of Mother-to-Child Transmission HIV, Hepatitis B and Syphilis in Asia and the Pacific

Resource | Publications,

The 2022 Global Strategy progress report provides an assessment of the situation of women’s, children’s and adolescent’s health in this third year of the COVID-19 pandemic. The report presents abundant evidence showing that inequities persist despite great progress in reducing maternal and child mortality in the two decades leading up to the pandemic.

 
 
Resource | Guidelines,

Hepatitis C virus (HCV) infection is a major public health problem and cause of chronic liver disease that leads to approximately 399 000 deaths annually. In 2019, only 21% of the 58 million persons with chronic HCV infection had been diagnosed, and 13%, treated.

These guidelines provide updated evidence-based recommendations on the priority HCV-related topics from the 2018 WHO Guidelines for the care and treatment of persons diagnosed with chronic hepatitis C infection and the 2017 WHO Guidelines on hepatitis B and C testing.

 
 
Resource | Publications,

Achieving validation of elimination of mother-to-child transmission (EMTCT) of HIV, syphilis and hepatitis B virus (HBV) is a tremendous accomplishment, requiring health ministry–led accountability, rigorous data analysis, intensive programme assessment and multilevel collaboration. This governance guidance outlines the standardized structures and processes used to validate EMTCT of HIV, syphilis and HBV at the national, regional and global levels.

 
 
Resource | Publications,

A series of country pilots (Brazil, Egypt, Georgia, Mongolia, Rwanda, Thailand and United Kingdom of Great Britain and Northern Ireland) of the elimination criteria across the six WHO regions was undertaken during 2021–2022. The main objective was to conduct a practical assessment and evaluate the feasibility of accurately measuring the impact and programmatic targets for hepatitis elimination as established by the WHO Interim guidance for country validation of viral hepatitis elimination.

 
 
Resource | Publications,

This policy brief focuses on the new recommendations on treatment of adolescents and children aged 3 years or older with chronic hepatitis C virus (HCV) infection.

 
 
Resource | Publications,

This policy brief, one of two on the updated hepatitis C (HCV) guidelines, focuses on the new recommendations on simplified service delivery for a public health approach to HCV testing, care and treatment. These recommendations include decentralization, integration and task-sharing, in addition to the use of point-of-care (POC) HCV viral load assays and reflex viral load testing. 

 
 
Resource | Publications,

An end to AIDS in children, achieved through a strong, strategic, and action-oriented alliance of multisectoral stakeholders at national, regional, and global levels that works with women children and adolescents living with HIV, national governments, and partners to mobilize leadership, funding, and action to end AIDS in children by 2030.

 
 
Resource | Tools,

The monitoring tool is divided into two parts. The first part addresses epidemiological trends in mother-to-child transmission in prison, with a view to collecting the epidemiological data needed to monitor progress towards the global targets on prevention of mother-to-child transmission.

 
 
Resource | Publications,
The goals of this virtual “mock review” are for the National PMTCT program to assess its progress towards EMTCT of HIV and syphilis using the WHO tools and indicators for validation of EMTCT, to identify challenges and what is needed to be done in order to meet the validation requirements in the required timeframes. The review was conducted from June – September 2021 by 4 component sub Technical Working Groups (TWG ) focusing on Programme, Data, Laboratory, and Human Rights (HR), Gender Equality (GE), and engagement of Civil Society (CS). Each National component sub TWG was supported by an independent regional expert and an additional regional expert explored the role of the private sector in PMTCT.
 
 
Resource | Guidelines,
Validation of elimination of mother-to-child transmission, or vertical transmission, of HIV, syphilis and hepatitis B virus (HBV), is an attestation that a country has successfully met standard criteria for elimination, or for being at 1 of the 3 levels of achievement on the ‘Path to Elimination’ while delivering quality services for women, girls and their children, through the life-course, respecting human rights and ensuring gender equality and community engagement. This document, the third version, adds on EMTCT of hepatitis B virus (HBV), bringing together a package of interventions and metrics to support integrated management and monitoring of vertical transmission across a wide range of epidemiological and programmatic contexts.