The document discusses prevention of mother-to-child transmission (PMTCT) of HIV. It outlines the principles of PMTCT, including maternal antiretroviral regimens, management of HIV-exposed infants, and the goals of Tanzania's PMTCT program. Without intervention, 25-45% of infants born to HIV-positive women will acquire HIV. PMTCT strategies aim to reduce this risk to below 5% through antiretroviral treatment or prophylaxis for mothers and infants, safer delivery and infant feeding practices like exclusive breastfeeding for six months.
Elimination of mother to child transmission of hivstompoutmalaria
The document discusses eliminating mother-to-child transmission of HIV by 2015. It provides facts on the magnitude of MTCT, defines elimination as reducing the transmission rate to below 5%, and outlines the tools and costs required. These include ARV regimens, family planning services, and focused efforts in the 25 highest burden countries. Peace Corps volunteers could help implement prevention activities and promote services to measure progress towards elimination goals.
Prevention of Mother to Child Transmission of HIV 2018Helen Madamba
Babies of pregnant women living with HIV can be born free of HIV infection. HIV counselling and testing is the gateway to diagnosis, treatment, care and support. Healthcare services need to provide enabling environments to support and empower women living with HIV and their children, to increase HIV knowledge and reduce stigma and discrimination.
This document discusses safe motherhood, including its key components and initiatives to promote it. Safe motherhood aims to ensure women receive high-quality care during pregnancy, childbirth, and postpartum in order to reduce maternal and infant mortality. It involves initiatives like family planning, antenatal care, skilled birth attendance, emergency obstetric care, and postnatal care for mothers and newborns. Major international conferences and agreements have aimed to promote safe motherhood. National programs in Nepal also work to expand access to safe motherhood services, especially for poor and rural women.
Integrated management of Neonatal and Childhood illness among Infants of 0 to...Dhruvendra Pandey
Integrated management of Neonatal and Childhood illness among Infants of 0 to 2 months, Difference between IMCI and IMNCI, Objective, Elements, Management of Diarrhea, Bacterial Infections, Jaundice, Hypothermia, Feeding problem, counseling of mothers, followup
Infection control in pediatric care unitArnab Nandy
This document summarizes best practices for infection control in neonatal intensive care units (NICUs). It discusses that the top pathogens seen are Klebsiella pneumoniae, E. coli, S. aureus, and coagulase-negative Staphylococci. The most common healthcare-associated infections are bloodstream infections. Basic infection control elements include risk assessment, strict hand hygiene practices, environmental controls like cleaning and barrier precautions, appropriate neonatal care techniques, and administrative policies around staffing, surveillance and accountability. Adherence to these infection control protocols can significantly reduce sepsis and neonatal mortality.
This document discusses infection control practices in neonatology units. It begins with a brief history of pioneers in infection control such as Ignaz Semmelweis and Joseph Lister. It then defines types of infections including healthcare-associated infections. The chain of infection and aims of infection control are described. Basic infection control measures like standard and transmission-based precautions are outlined. Hand hygiene is emphasized as the most important infection control practice. The 5 moments for hand hygiene are defined. Aseptic techniques including clean, aseptic and sterile techniques used in neonatology units are summarized.
The document discusses prevention of parent-to-child transmission (PPTCT) of HIV. It outlines NACO's four-pronged strategy for PPTCT, which includes primary prevention of HIV among women, preventing unintended pregnancies in HIV+ women, preventing transmission from mother to child, and treatment/care for women and children living with HIV. It then discusses factors influencing transmission risk and interventions to reduce risk during pregnancy, delivery, and infancy including antiretroviral prophylaxis and therapy.
The document discusses the Integrated Management of Neonatal and Childhood Illnesses (IMNCI) program in India. IMNCI aims to reduce infant and child mortality by improving child health, survival, and addressing malnutrition. It provides integrated care for newborns, infants, and children under 5 through training health workers, strengthening health systems, and improving family and community practices. Key components include training, improving access to essential medicines and referral systems, and promoting healthy behaviors through community engagement.
Elimination of mother to child transmission of hivstompoutmalaria
The document discusses eliminating mother-to-child transmission of HIV by 2015. It provides facts on the magnitude of MTCT, defines elimination as reducing the transmission rate to below 5%, and outlines the tools and costs required. These include ARV regimens, family planning services, and focused efforts in the 25 highest burden countries. Peace Corps volunteers could help implement prevention activities and promote services to measure progress towards elimination goals.
Prevention of Mother to Child Transmission of HIV 2018Helen Madamba
Babies of pregnant women living with HIV can be born free of HIV infection. HIV counselling and testing is the gateway to diagnosis, treatment, care and support. Healthcare services need to provide enabling environments to support and empower women living with HIV and their children, to increase HIV knowledge and reduce stigma and discrimination.
This document discusses safe motherhood, including its key components and initiatives to promote it. Safe motherhood aims to ensure women receive high-quality care during pregnancy, childbirth, and postpartum in order to reduce maternal and infant mortality. It involves initiatives like family planning, antenatal care, skilled birth attendance, emergency obstetric care, and postnatal care for mothers and newborns. Major international conferences and agreements have aimed to promote safe motherhood. National programs in Nepal also work to expand access to safe motherhood services, especially for poor and rural women.
Integrated management of Neonatal and Childhood illness among Infants of 0 to...Dhruvendra Pandey
Integrated management of Neonatal and Childhood illness among Infants of 0 to 2 months, Difference between IMCI and IMNCI, Objective, Elements, Management of Diarrhea, Bacterial Infections, Jaundice, Hypothermia, Feeding problem, counseling of mothers, followup
Infection control in pediatric care unitArnab Nandy
This document summarizes best practices for infection control in neonatal intensive care units (NICUs). It discusses that the top pathogens seen are Klebsiella pneumoniae, E. coli, S. aureus, and coagulase-negative Staphylococci. The most common healthcare-associated infections are bloodstream infections. Basic infection control elements include risk assessment, strict hand hygiene practices, environmental controls like cleaning and barrier precautions, appropriate neonatal care techniques, and administrative policies around staffing, surveillance and accountability. Adherence to these infection control protocols can significantly reduce sepsis and neonatal mortality.
This document discusses infection control practices in neonatology units. It begins with a brief history of pioneers in infection control such as Ignaz Semmelweis and Joseph Lister. It then defines types of infections including healthcare-associated infections. The chain of infection and aims of infection control are described. Basic infection control measures like standard and transmission-based precautions are outlined. Hand hygiene is emphasized as the most important infection control practice. The 5 moments for hand hygiene are defined. Aseptic techniques including clean, aseptic and sterile techniques used in neonatology units are summarized.
The document discusses prevention of parent-to-child transmission (PPTCT) of HIV. It outlines NACO's four-pronged strategy for PPTCT, which includes primary prevention of HIV among women, preventing unintended pregnancies in HIV+ women, preventing transmission from mother to child, and treatment/care for women and children living with HIV. It then discusses factors influencing transmission risk and interventions to reduce risk during pregnancy, delivery, and infancy including antiretroviral prophylaxis and therapy.
The document discusses the Integrated Management of Neonatal and Childhood Illnesses (IMNCI) program in India. IMNCI aims to reduce infant and child mortality by improving child health, survival, and addressing malnutrition. It provides integrated care for newborns, infants, and children under 5 through training health workers, strengthening health systems, and improving family and community practices. Key components include training, improving access to essential medicines and referral systems, and promoting healthy behaviors through community engagement.
This document discusses mother-to-child transmission of HIV, the effects of HIV and pregnancy on each other, and the management of HIV infection during pregnancy. It notes that most mother-to-child transmission occurs during labor and delivery. Prevention strategies like antiretroviral therapy, cesarean section, and exclusive formula feeding can significantly reduce transmission rates. Pregnancy does not generally affect HIV progression, but HIV can increase risks of complications like abortion, stillbirth, and low birth weight. Managing HIV in pregnancy involves counseling, testing, antiretroviral therapy, and post-exposure prophylaxis for newborns.
The document describes a case study of a 25-year-old unmarried woman who presented with heavy menstrual bleeding and was diagnosed with septic incomplete abortion and severe anemia. She was treated surgically and received blood transfusions and antibiotics. The document then provides background information on unsafe abortion, its prevalence in Nepal, and the country's abortion law which legalized abortion in certain conditions. It discusses methods of surgical and medical abortion and challenges to accessing safe abortion services in Nepal.
This is a lecture given to medical students of Cebu Institute of Medicine under the reproductive module. It contains a discussion of principles of HIV infection screening, diagnosis, staging and management, especially during pregnancy.
Dr. Poly Begum discusses strategies to reduce maternal mortality in Bangladesh, which include expanding training of midwives. Bangladesh aims to train 3,000 midwives by 2015 to improve maternal and neonatal health outcomes. Doubling the percentage of births attended by skilled health workers is a key goal. Strengthening emergency obstetric care through upgrading facilities and ensuring round-the-clock midwifery services are also part of the strategy. Cooperation across all sectors is needed to further reduce Bangladesh's maternal mortality ratio.
Vertical transmission is major contributor- HIV among children
No intervention – as high as 45%
With interventions – as low as less than 5%
Minimal manipulation
NVD vs. C-section
Anti retroviral prophylaxis vs. anti retroviral therapy
Exclusive breastfeeding vs. exclusive replacement feeding
Follow-up and care.
This document discusses HIV/AIDS, including transmission, signs and symptoms, stages of infection, treatment and prevention of mother-to-child transmission. It notes that HIV can be transmitted sexually, through infected body fluids or from mother to child. The stages of infection are acute infection, clinical latency and AIDS. Signs may include flu-like symptoms during acute infection and infections over time as immunity declines. Prevention of mother-to-child transmission is important, as without intervention up to 45% of babies may be infected, but can be reduced to less than 5% with antiretroviral treatment and safe delivery practices.
2018 Prevention of Mother to Child Transmission of HIV InfectionHelen Madamba
The document discusses prevention of mother-to-child transmission (PMTCT) of HIV in the Philippines. It outlines the objectives of discussing PMTCT program prongs, HIV epidemiology in the Philippines, transmission and management principles, and screening/testing during pregnancy. It provides statistics on increasing HIV prevalence in the Philippines, especially among men who have sex with men, IV drug users, and teenagers/single mothers. Modes of HIV transmission include unprotected sex and needle sharing. The document emphasizes screening, counseling, and ARV treatment during pregnancy and delivery to reduce mother-to-child transmission risk, as well as strategies to prevent unintended pregnancy and support women living with HIV.
Prevention of Mother to Child Transmission of HIV 2017Helen Madamba
This is a lecture delivered during the Integrated Orientation on HIV/AIDS and TBHIV Collaboration by the Department of Health Region 7 at Bohol Tropics Resort, Tagbilaran City, Bohol
Imnci -Integrated Management of Neonatal & Childhood IllnessRoselin V
This document provides an overview of Integrated Management of Neonatal and Childhood Illness (IMNCI). It discusses:
1) IMNCI was developed by WHO and UNICEF to reduce childhood mortality by improving family and community care practices and health worker case management skills.
2) IMNCI integrates prevention and treatment of major childhood illnesses like pneumonia, diarrhea and malnutrition through a syndromic approach.
3) Studies show IMNCI improves health worker performance and quality of care, and can reduce under-five mortality if well implemented. However, more focus is needed on strengthening family and community interventions.
Puerperal infection is an infection of the genital tract that occurs after delivery. It is commonly caused by bacteria like Doderlein bacillus. Risk factors include prolonged rupture of membranes, traumatic delivery, and anemia. Symptoms range from local infection to sepsis. Diagnosis involves examinations, tests, and cultures to identify the site and cause of infection. Treatment involves antibiotics, surgery if needed to drain abscesses, and supportive care. Prevention focuses on clean delivery techniques, prompt repair of lacerations, and prophylactic antibiotics in high risk cases.
The GDG stresses that the four-visit focused ANC (FANC) model does not offer women adequate contact with health-care practitioners and is no longer recommended. With the FANC model, the first ANC visit occurs before 12 weeks of pregnancy, the second around 26 weeks, the third around 32 weeks, and the fourth between 36 and 38 weeks of gestation
Dr. Laura Guay, the Foundation’s Vice President of Research, also conducted a journalist training today sponsored by the National Press Foundation, teaching reporters about some of the most misunderstood issues concerning HIV and children
I. Postpartum blues, also known as baby blues, is a transient condition that affects about 80% of new mothers within the first few days or weeks after childbirth.
II. Symptoms can include mood swings, crying, anxiety, irritability, and fatigue.
III. The condition is usually mild and self-limiting, resolving within 10 days without treatment. Support from family and seeking help from healthcare providers if symptoms are severe are recommended for successful management.
This document summarizes guidelines for preventing mother-to-child transmission (PMTCT) of HIV. It discusses how HIV can be transmitted from mother to child during pregnancy, delivery, and breastfeeding. The overall transmission rate without intervention is 15-45%, which can be reduced below 5% with effective interventions. These include voluntary counseling and testing for pregnant women, access to antiretroviral treatment for HIV-positive mothers and their infants, safe delivery practices, and guidance on infant feeding options. The document provides details on testing and treatment recommendations during the antenatal, intrapartum, and postpartum periods to reduce HIV transmission from mother to child.
1. The document discusses prevention of parent-to-child transmission (PPTCT) of HIV, including that transmission can occur during pregnancy, labor, delivery and breastfeeding. It also discusses the importance of PPTCT for preventing pediatric HIV infections.
2. PPTCT services in India aim to detect positive pregnant women and provide them comprehensive services including antiretroviral treatment (ART). The objectives are to detect over 80% of positive women, provide services to over 90%, and ensure over 95% ART compliance for positive women.
3. Care for HIV exposed infants includes care at birth, infant feeding support, antiretroviral prophylaxis, vaccines, cotrimoxazole
This document discusses mother-to-child transmission of HIV, the effects of HIV and pregnancy on each other, and the management of HIV infection during pregnancy. It notes that most mother-to-child transmission occurs during labor and delivery. Prevention strategies like antiretroviral therapy, cesarean section, and exclusive formula feeding can significantly reduce transmission rates. Pregnancy does not generally affect HIV progression, but HIV can increase risks of complications like abortion, stillbirth, and low birth weight. Managing HIV in pregnancy involves counseling, testing, antiretroviral therapy, and post-exposure prophylaxis for newborns.
The document describes a case study of a 25-year-old unmarried woman who presented with heavy menstrual bleeding and was diagnosed with septic incomplete abortion and severe anemia. She was treated surgically and received blood transfusions and antibiotics. The document then provides background information on unsafe abortion, its prevalence in Nepal, and the country's abortion law which legalized abortion in certain conditions. It discusses methods of surgical and medical abortion and challenges to accessing safe abortion services in Nepal.
This is a lecture given to medical students of Cebu Institute of Medicine under the reproductive module. It contains a discussion of principles of HIV infection screening, diagnosis, staging and management, especially during pregnancy.
Dr. Poly Begum discusses strategies to reduce maternal mortality in Bangladesh, which include expanding training of midwives. Bangladesh aims to train 3,000 midwives by 2015 to improve maternal and neonatal health outcomes. Doubling the percentage of births attended by skilled health workers is a key goal. Strengthening emergency obstetric care through upgrading facilities and ensuring round-the-clock midwifery services are also part of the strategy. Cooperation across all sectors is needed to further reduce Bangladesh's maternal mortality ratio.
Vertical transmission is major contributor- HIV among children
No intervention – as high as 45%
With interventions – as low as less than 5%
Minimal manipulation
NVD vs. C-section
Anti retroviral prophylaxis vs. anti retroviral therapy
Exclusive breastfeeding vs. exclusive replacement feeding
Follow-up and care.
This document discusses HIV/AIDS, including transmission, signs and symptoms, stages of infection, treatment and prevention of mother-to-child transmission. It notes that HIV can be transmitted sexually, through infected body fluids or from mother to child. The stages of infection are acute infection, clinical latency and AIDS. Signs may include flu-like symptoms during acute infection and infections over time as immunity declines. Prevention of mother-to-child transmission is important, as without intervention up to 45% of babies may be infected, but can be reduced to less than 5% with antiretroviral treatment and safe delivery practices.
2018 Prevention of Mother to Child Transmission of HIV InfectionHelen Madamba
The document discusses prevention of mother-to-child transmission (PMTCT) of HIV in the Philippines. It outlines the objectives of discussing PMTCT program prongs, HIV epidemiology in the Philippines, transmission and management principles, and screening/testing during pregnancy. It provides statistics on increasing HIV prevalence in the Philippines, especially among men who have sex with men, IV drug users, and teenagers/single mothers. Modes of HIV transmission include unprotected sex and needle sharing. The document emphasizes screening, counseling, and ARV treatment during pregnancy and delivery to reduce mother-to-child transmission risk, as well as strategies to prevent unintended pregnancy and support women living with HIV.
Prevention of Mother to Child Transmission of HIV 2017Helen Madamba
This is a lecture delivered during the Integrated Orientation on HIV/AIDS and TBHIV Collaboration by the Department of Health Region 7 at Bohol Tropics Resort, Tagbilaran City, Bohol
Imnci -Integrated Management of Neonatal & Childhood IllnessRoselin V
This document provides an overview of Integrated Management of Neonatal and Childhood Illness (IMNCI). It discusses:
1) IMNCI was developed by WHO and UNICEF to reduce childhood mortality by improving family and community care practices and health worker case management skills.
2) IMNCI integrates prevention and treatment of major childhood illnesses like pneumonia, diarrhea and malnutrition through a syndromic approach.
3) Studies show IMNCI improves health worker performance and quality of care, and can reduce under-five mortality if well implemented. However, more focus is needed on strengthening family and community interventions.
Puerperal infection is an infection of the genital tract that occurs after delivery. It is commonly caused by bacteria like Doderlein bacillus. Risk factors include prolonged rupture of membranes, traumatic delivery, and anemia. Symptoms range from local infection to sepsis. Diagnosis involves examinations, tests, and cultures to identify the site and cause of infection. Treatment involves antibiotics, surgery if needed to drain abscesses, and supportive care. Prevention focuses on clean delivery techniques, prompt repair of lacerations, and prophylactic antibiotics in high risk cases.
The GDG stresses that the four-visit focused ANC (FANC) model does not offer women adequate contact with health-care practitioners and is no longer recommended. With the FANC model, the first ANC visit occurs before 12 weeks of pregnancy, the second around 26 weeks, the third around 32 weeks, and the fourth between 36 and 38 weeks of gestation
Dr. Laura Guay, the Foundation’s Vice President of Research, also conducted a journalist training today sponsored by the National Press Foundation, teaching reporters about some of the most misunderstood issues concerning HIV and children
I. Postpartum blues, also known as baby blues, is a transient condition that affects about 80% of new mothers within the first few days or weeks after childbirth.
II. Symptoms can include mood swings, crying, anxiety, irritability, and fatigue.
III. The condition is usually mild and self-limiting, resolving within 10 days without treatment. Support from family and seeking help from healthcare providers if symptoms are severe are recommended for successful management.
This document summarizes guidelines for preventing mother-to-child transmission (PMTCT) of HIV. It discusses how HIV can be transmitted from mother to child during pregnancy, delivery, and breastfeeding. The overall transmission rate without intervention is 15-45%, which can be reduced below 5% with effective interventions. These include voluntary counseling and testing for pregnant women, access to antiretroviral treatment for HIV-positive mothers and their infants, safe delivery practices, and guidance on infant feeding options. The document provides details on testing and treatment recommendations during the antenatal, intrapartum, and postpartum periods to reduce HIV transmission from mother to child.
1. The document discusses prevention of parent-to-child transmission (PPTCT) of HIV, including that transmission can occur during pregnancy, labor, delivery and breastfeeding. It also discusses the importance of PPTCT for preventing pediatric HIV infections.
2. PPTCT services in India aim to detect positive pregnant women and provide them comprehensive services including antiretroviral treatment (ART). The objectives are to detect over 80% of positive women, provide services to over 90%, and ensure over 95% ART compliance for positive women.
3. Care for HIV exposed infants includes care at birth, infant feeding support, antiretroviral prophylaxis, vaccines, cotrimoxazole
Approximately 8,500 women living with HIV give birth annually in the US. Since the beginning of the AIDS epidemic, almost 5,000 children under age 13 who got HIV through perinatal transmission have died. New HIV infections in children have dramatically declined from 400,000 in 2009 to around 220,000 in 2014 due to efforts like the UNICEF Global Plan. Prevention of perinatal transmission is crucial since there is no HIV vaccine; it requires pregnant women to take antiretroviral therapy consistently during and after pregnancy and avoid breastfeeding. Challenges to prevention include not all pregnant women knowing their HIV status and inconsistent access to treatment.
This was a lecture given during the CME activitiy for POGS Region 7 by the Philippine Infectious Disease Society for Obstetrics and Gynecology (PIDSOG) at Casino Espanyol in Cebu City.
Care of HIV positive Pregnant and breastfeeding women_Feb_1_2023.pptxyakemichael
The document provides an overview of prevention of mother-to-child transmission (PMTCT) of HIV, describing its 4 prongs and continuum of services from antenatal care to postnatal care. It aims to eliminate new HIV infections in children and reduce mortality and morbidity in HIV-positive women and their exposed infants. Key interventions discussed include lifelong antiretroviral therapy (ART) for positive mothers, cotrimoxazole prophylaxis, nutrition support, safe delivery practices, early infant diagnosis, and viral load monitoring throughout pregnancy and breastfeeding.
This document summarizes guidelines for the prevention of mother-to-child transmission (PMTCT) of HIV in Ethiopia. It outlines the epidemiology of HIV in women and children, defining MTCT and PMTCT. Risks of MTCT are highest without intervention, ranging from 20-45%. The national PMTCT strategy includes: primary HIV prevention; preventing unintended pregnancies in HIV+ women; preventing transmission from mother to child; and treatment, care and support of women and families. Key components are counseling and testing, antenatal care, labor/delivery care, postpartum care, infant care including ARV prophylaxis, and lifelong ART for eligible mothers. National guidelines have opted for WHO PMTCT
Mother to child transmission of HIV can occur during pregnancy, childbirth, and breastfeeding. The risk is higher if the mother's HIV infection is in an advanced stage, if she is malnourished, has other STDs, or her membranes rupture early. Antiretroviral therapy and cesarean delivery before labor can reduce transmission risk. Exclusive breastfeeding for 6 months poses a lower risk than mixed feeding. India's PMTCT program provides counseling, testing, antiretroviral prophylaxis to pregnant women and newborns to prevent transmission and aims to reduce transmission by 50% by 2010.
The document discusses prevention of mother-to-child transmission (PMTCT) of HIV services. The goal of Tanzania's PMTCT program is to attain virtual elimination of mother-to-child HIV transmission while improving care for infected parents and children. A comprehensive approach includes primary HIV prevention, preventing unintended pregnancies, preventing vertical HIV transmission, and treatment, care and support for infected women and their families.
This document outlines Ghana's Elimination of Mother-to-Child Transmission of HIV (EMTCT) program. The goals of the EMTCT program are to provide comprehensive services to maintain the health of the mother and prevent transmission of HIV from mother to child. The strategies include primary prevention of HIV in women, preventing unintended pregnancies in HIV-positive women, and preventing transmission during pregnancy, delivery and breastfeeding. The document describes the antenatal, delivery, postpartum and newborn care services provided to support EMTCT, including HIV testing, treatment and infant follow up.
Lisa Bohmer worked as the HIV/AIDS Director for UNICEF in Ethiopia and presented on challenges and opportunities for preventing mother-to-child transmission of HIV/AIDS in Africa. Key points included: HIV transmission can occur during pregnancy, labor, delivery or breastfeeding; Ethiopia faces high infection rates particularly among young people and women; and challenges include stigma, improving safer birthing practices, counseling on infant feeding options, and ensuring a steady supply of drugs and testing kits. Opportunities lie in increased funding, integrating PMTCT into other health programs, and engaging communities to promote testing and reduce stigma.
1) The document discusses eliminating pediatric HIV/AIDS through preventing mother-to-child transmission (PMTCT). It outlines the four components of the WHO's PMTCT strategy and improvements in reducing new HIV infections among children from 600,000 in 1990 to 370,000 in 2009.
2) While PMTCT programs have expanded, only about half of pregnant women and infants receive antiretroviral drugs. Early diagnosis and lifelong treatment are critical for infants to survive.
3) Goals for HIV care programs include preventing opportunistic infections, early identification and management of complications, and engaging patients in care, treatment and prevention through education and support. With continued progress, the document argues that virtual elimination of pediatric HIV
This document discusses reducing the burden of tuberculosis (TB) in adolescents and women aged 30 years and younger in India. It provides background on India's National TB Elimination Program and issues related to detecting and treating TB in adolescents and pregnant women. Key points include that pregnant women are at higher risk of active TB, it can have adverse effects on pregnancy outcomes, and women face stigma associated with having TB. The document outlines coordination mechanisms between TB and maternal health programs to improve screening, diagnosis, treatment, and monitoring of TB in this high-risk group.
Maternity and child health care programmeskeshavapavan
The document discusses maternal and child health care services provided at primary health care centers in rural India. It outlines antenatal care including registration, checkups and services; intrapartum care including normal and assisted deliveries; postnatal home visits and newborn care. It also discusses care of children including immunizations and nutrition, family planning services, and adolescent and school health programs. The primary health centers aim to provide these essential services to reduce preventable maternal, newborn and child deaths.
The document provides background information on the implementation of maternal, newborn, adolescent and child health care services in Myanmar using a continuum of care approach. It was developed in accordance with the National Health Plan and short term strategic plans for reproductive health, child health development and adolescent health development. The services were initially implemented in 10 townships in 2011 and have since expanded to 200 townships. The services are delivered through family-oriented, population-oriented, and individual-oriented channels and coordinated at the national and sub-national levels.
This document discusses HIV/AIDS in pregnancy and prevention of mother-to-child transmission (PMTCT) of HIV in Nigeria. It provides statistics on the burden of HIV in Nigeria and describes the primary mode of HIV transmission as sexual contact. It then focuses on mother-to-child transmission, risk factors that increase transmission during pregnancy and delivery, and the benefits of PMTCT for both mother and infant. It also outlines recommended testing, treatment and prevention strategies used in PMTCT programs.
This document provides guidelines for managing HIV infection in pregnancy. It discusses counseling pregnant women who test positive for HIV, antenatal care including investigations and treatment with antiretroviral therapy, preventing mother-to-child transmission through medication and delivery methods, care during labor and delivery, testing and treatment for infants, and postpartum care of both mother and baby. The goal is to reduce the risk of transmitting HIV from mother to child to less than 2% through screening, testing, antiretroviral treatment, and modifying delivery and infant feeding practices.
This lecture describes the approach to screening, diagnosis and management of HIV and TB infection among pregnant patients. Prevention of Mother to Child Transmission of HIV infection mainly based on the Philippine Obstetrical and Gynecological Society Clinical Practice Recommendations.
The document discusses the Baby Friendly Hospital Initiative and exclusive breastfeeding. It begins by defining the Baby Friendly Hospital Initiative as a program introduced in 1991 by the WHO and UNICEF to promote breastfeeding. It outlines the Ten Steps to Successful Breastfeeding that hospitals must follow to receive Baby Friendly designation. Each step is then discussed in more detail, including establishing breastfeeding policies, training healthcare staff, rooming-in, breastfeeding on demand, and providing post-discharge support groups. The benefits of exclusive breastfeeding for six months are emphasized, such as perfect nutrition, immunity, and bonding.
Similar to Prevention of Mother to child transmission - PMTCT.ppt (20)
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...rightmanforbloodline
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Versio
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
2. Outline
• Background on pediatric HIV transmission
• Principals of PMTCT
• Maternal PMTCT Regimens
• HIV-Exposed Infant Management
3. Definition
• PMTCT: prevention of mother-to-child transmission
• HIV-Exposed Infant: baby born to a woman who is
HIV-infected
• Prophylaxis: giving a medication to prevent a
disease/condition from occurring
• Treatment/Therapy: giving a medication to control
or treat a disease/condition that a patient has
4. Paediatric HIV - Epidemiology
• In 2012 2.3 million people were newly infected with HIV
- 550,000 newly infected children
• In 2017, 180,000 children become HIV positive,
• More than 90% of pediatric HIV infections are acquired
vertically
• Without diagnosis and treatment 30% die before age 1 and
50% before 2 years
• Children who acquired HIV from their mother declined from
18% in 2010 to 10% in 2017(UNAIDS 2018)
7. Exposed child without intervention
• 10-15% become infected during pregnancy
• 10-15% become infected at labor and delivery
• 5-20% infected through breastfeeding
8. How do we intervene it?
• Prior PMTCT strategies reduce MTCT to about 15%
• More aggressive PMTCT measures could allow this to
be decreased to 5%
• If an HIV-exposed infant is given ART within the first 12
weeks of life, they are 75% less likely to die from an
AIDS-related illness.(UNAID 2014)
NB: If the mother and child will use Nevirapine and mother
only breastfeeding her child, the risk of having HIV will
decrease.
9. Factors affecting mother to child
transmission
• HIV Viral Load (> 50/UL of blood)
Acute Infection
Advanced Disease
• Low CD4
• Poor nutritional status
• Inter-current STIs
• Placental Infections (malaria, chorioamnionitis)
10. Factors affecting mother to child transmission
• Prolonged rupture of
membranes (more than 4
hours)
• Premature rupture of
membrane
• Obstetric procedures
• Preterm delivery
• Low birth weight
• Breast inflammation during
breastfeeding
• Duration of breastfeeding
• Mixed feeding
• Oral thrush or ulcerations
in breastfeeding infants
• Bloody amniotic fluid
• Hemorrhage in labour
11. Goals of Tanzania’s PMTCT Program
• Increasing proportion of pregnant women and breast
feeding to know their HIV status and HIV +ve to receive
ARVs
• Ensure access to care and treatment for mother and
babies living with HIV
• 90% reduction of new infant infections by 2030
• Mother-to-child transmission rate less than 5%
• At least 90% of all HIV-Exposed infants alive and
uninfected at 2 years of age
12. PMTCT Overview
4 elements of a comprehensive approach to PMTCT;
1. – Primary prevention of HIV among women of
childbearing age and their partners
2. – Prevention of unintended pregnancies among
women living with HIV
3. – Prevention of vertical transmission of HIV from
mothers to their infants
4. – Provision of treatment, care and support to women
living with HIV and their partners, infants, and families
13. Primary prevention of HIV among women
of childbearing age and their partners
All women and their partners should know their HIV
status
• HIV testing and counseling
Encourage safer sex practices
• Condom use
• Reduction of number of sexual partners
• Remain faithful to sexual partner
• STI prevention and treatment
14. Prevent unintended pregnancies among
women living with HIV
Provide family planning counseling
• HIV-Infected woman who do not wish to get
pregnant should use 2 methods for contraception
-Barrier method
– condom use
15. Prevention of vertical transmission of HIV from
mothers to their infants
HIV-testing and Counseling for all Pregnant women
• Identifies HIV-positive women who require services
Antiretroviral Drugs
• Maternal ARVs decrease viral load and exposure of
infant to HIV
• Infant ARVs provide protection during and after
exposure to HIV (prophylaxis)
Safer Delivery Practices
Safer Infant Feeding Practices
16. PMTCT – Anti-retroviral Drugs
2010 WHO Recommendations for PMTCT
• Eligible HIV-positive pregnant women should start
ART
WHO Stage 3 or WHO Stage 4
CD4 < 350
• Women not eligible to start ART would receive
prophylaxis
Option A: accepted by Tanzania
Option B
17. PMTCT- Antiretroviral Drugs
2010 WHO Recommendations for PMTCT
• Option A
Women not eligible for ART receive prophylaxis
during pregnancy with:
-AZT twice daily
-sdNVP at onset of labor
-AZT + 3TC twice daily at onset of labor for 7 days
• Option B
Triple drug prophylaxis during pregnancy
18. According to STG & NEMLIT 2021
• Available alternative first line ART regimen includes;
TDF+ FTC+EFV 600mg (FDC)
OR
ABC+3TC+ EFV 600mg or DTG
OR
AZT+3TC+EFV 600mg or DTG
19. PMTCT- Antiretroviral Drugs
Malawi developed Option B+ which has now been
approved by WHO and recently accepted in Tanzania
• Option B+: ALL HIV-positive pregnant and
breastfeeding women should be started on ART for
lifelong therapy, regardless of WHO Stage or CD4
count.
20. PMTCT- Infant Regimens
Administer NVP immediate after birth to all HIV
exposed infant and continue until to 6 weeks of age
• Mother on ART
Infant NVP once daily for 6 weeks
• For high risk infants
Duo prophylaxis containing NVP syrup (once daily) and
AZT syrup (twice daily) for the first 6 weeks of life, then
continue with daily NVP alone up to 12 weeks of life
21. PMTCT- Infant Regimens…….
• Infant prophylaxis is most effective when given as
soon as possible after birth, preferably within 6–12
hours
• HIV exposed infants identified beyond the age of 4
weeks should not be given ARV prophylaxis
22. NPV Dosing Guideline For Infants
Infant Age NVP daily dosing
Birth to 6 weeks
• Birth weight 2000-2499g 10mg (1ml) once daily
• Birth weight > 2500g 15mg (1.5ml) once daily
> 6 weeks – 6 months 20mg once daily
>6 months – 9 months 30mg once daily
>9 months to end of BF 40mg once daily
23. NPV Dosing Guideline For Infants….
• Low birth weight infants <2000g should receive mg/kg
dosing; suggested starting dose is 2mg/kg once daily
(STG & NEMLIT 2021)
25. PMTCT–Safer Infant Feeding Practices
Definitions
• Exclusive breastfeeding
-Providing ONLY breastmilk to an infant (no water, porridge, etc)
• Replacement feeding
-Providing another source of nutrition to an infant other than breastmilk,
ie infant formula
• Mixed feeding
-For child less than 6 months of age, giving both breastmilk and
additional foods
• Complementary Feeding
-For child older than 6 months of age, giving both breastmilk and
additional foods
26. PMTCT – Safer Infant Feeding Practices
• 2010 WHO Infant Feeding Recommendations
Exclusive Breastfeeding for ALL infants for the 1st
6 months of life
After 6 months of age, continue breastfeeding, but
add additional foods into the diet
Complementary feeding until 1 year, then wean
HIV-negative or HIV-unknown infants
HIV-positive infants may continue BF until 2 years
or longer
27. Benefits of Breastfeeding
• Optimal nutrition for infants
• Decreased infections from respiratory and diarrheal
illnesses
• Improved survival, especially in the first 6 months of life
• Affordable
28. Risks of Breastfeeding
Ongoing exposure to HIV-infection through breastfeeding
‐Decreased with exclusive breastfeeding
29. How to Make Breastfeeding Safer
• Child
-Timely treatment of thrush and other oral lesions
• Mother
‐Appropriate breast care and timely treatment of
mastitis or infection
‐Breastfeeding mothers should have recent CD4
‐Eligible mothers should be on ART
30. How to Make Breastfeeding Safer
...safer, and successful!
• Education about nutritional requirements of lactating
mothers– and support if available
• Proper lactation management and support
• Supportive environment in hospitals and clinics
(“Baby Friendly”)
• Early identification of problems
• Promotion of condom use
31. Benefits of Replacement Feeding
• No risk of HIV transmission to the infant
• Other family members able to help feed infant,
especially if mother is working
32. Disadvantages of Replacement Feeding
No protective antibodies
Increased risk of infection, especially diarrheal
and respiratory infections
Malnutrition
Especially if formula not properly prepared
Cost
Preparation time/supplies needed
People may wonder why woman not breastfeeding
33. How to Make Replacement Feeding
Safer
• Boil and cool water before each use
• Caregivers should wash their hands and the child’s
face/hands with soap before preparing or giving feeds
• Feed with cup or spoon, not a bottle with a nipple
34. How to Make Replacement Feeding
Safer
• Caregivers need instruction on how to appropriately mix
formula
• Give anticipatory guidance about diarrhea
‐Danger signs
‐How to treat diarrhea
‐Provide ORS
35. Provision of treatment, care and support
to women living with HIV and their
partners, infants, and families
• Routine antenatal care
• Partner testing and counseling
• Referral to CTC for services for family members
• Linkage to community support services
37. References
• Tanzania National Guidelines on PMTCT, 2017
• Antiretroviral Drugs for Treating Pregnant Women and
Preventing HIV Infections in Infants. WHO 2010.
• Triple antiretroviral compared with zidovudine and single-dose
NVP prophylaxis during pregnancy and breastfeeding for
prevention of mother to child transmission. Lancet Inf. Dis. Jan
2011.
• TANZANIA GUIDELINE FOR PEDIATRIC AIDS TREATMENT.
• STG & NEMLIT 2021
• UNAID, 2018
Inflamed breast niples may be a risk factor for HIV transmission through breastfeeding
A normal CD4 count is from 500 to 1400 cells per cubic millimeter of blood
CD4 count decrease over time in person who are not receiving ART.
At level s below 200 cells per cubic millimeter, patent become susceptible to a wide variety of Ois, many which can be fatal
Obstetric procedures are amniocentesis, and amnioscopy
Prolonged rupture of membrane place a new born at risk of getting infection (PPROM)
Aiming to improve child survival among HIV exposed and infected children
UNAID, 2015 goal 90-90-90 up to 2020
Administer NVP syrup immediately after birth to all HIV exposed infants and continue until six weeks of age
In case a high risk HIV exposed infant is identified, administer duo prophylaxis containing NVP syrup (once daily) and AZT (azidothymidine) syrup (twice daily) for the first 6 weeks of life, then continue with daily NVP alone up to 12 weeks of life
High-risk infants are those who are:
o Born to women diagnosed to be living with HIV during current pregnancy or breast
feeding period.
o women known to be HIV positive but not yet on ART or
o already on ART but with high viral load (≥50/UL of blood)