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Strengthening Community & Health Systems for Quality PMTCT: Applications in Kenya, Nigeria, South Africa, & Ethiopia

In addition to a lack of access to quality prevention of mother-to-child transmission of HIV services at the clinic level, community-level factors such as stigma; adverse gender dynamics; low support for HIV testing, antenatal care, and skilled birth attendance; and poor linkages between communities and their facilities all pose challenges to improving PMTCT outcomes. Since 2002, Pathfinder has implemented prevention of mother-to-child transmission of HIV programming in countries across the globe, gaining insight into the barriers women face in access and adherence, and using these lessons to inform implementation of our global prevention of mother-to-child transmission of HIV strategy.

This technical brief discusses implementation experience in four African countries, providing recommendations for future efforts to more holistically advance improved prevention of mother-to-child transmission of HIV outcomes in resource-limited settings.

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