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Table 1 PMTCT cascade

From: The impact of programs for prevention of mother-to-child transmission of HIV on health care services and systems in sub-Saharan Africa - A review

PMTCT CASCADE (focusing primarily on components 3 and 4, preventing transmission to infant and treating mother and infant)

Component

Linked to

 

1. Utilisation of antenatal care (ANC)

ANC services

All pregnant women

2. Receiving HIV pretest counselling

ANC unit or voluntary counselling and testing (VCT) services

3. Acceptance of HIV test

ANC/VCT services

4. Receiving HIV test results & post-test counselling

ANC/VCT services

5. Get CD4 assessment

ANC/VCT services

HIV- positive Pregnant women

6. Use of ARV prophylaxis for mom and/or baby (for seropositive moms)

ANC services/ARV programs

7. Adherence to ARVs during pregnancy

ANC unit/ARV programs

8. Deliver with skilled attendant & Take ARVs

Obstetric services

9. Follow safe infant feeding practices

Child health services

10. Bring infant for HIV testing

Child health or VCT services

11. Adhere to maternal/infant ARVs after birth

Child health, obstetric or VCT services

12. Use postpartum family planning

Obstetric services