The reach and limits of the US President’s Emergency Plan for Aids Relief (PEPFAR) funding of Prevention of Mother-to-Child Transmission (PMTCT) of HIV in Nigeria

Type Journal Article - African journal of reproductive health
Title The reach and limits of the US President’s Emergency Plan for Aids Relief (PEPFAR) funding of Prevention of Mother-to-Child Transmission (PMTCT) of HIV in Nigeria
Author(s)
Volume 16
Issue 1
Publication (Day/Month/Year) 2012
URL http://www.ajol.info/index.php/ajrh/article/download/75902/66397
Abstract
WHO advocates the use of comprehensive 4-pronged strategy for PMTCT of HIV. It includes HIV prevention,
preventing unintended pregnancies in HIV positive women and follows up treatment and support as well as
therapeutic interventions around delivery. This study examines PEPFAR’s funding of Nigerian PMTCT, via an
analysis of the funded activities of 396 agencies PEPFAR funds to do PMTCT. PEPFAR Sub-partners selected for
this study were included because they were funded to do therapeutic intervention around delivery, but significant
gaps were identified regarding the other 3 prongs advocated by WHO. Up to 70% were not funded to do any
primary prevention. PEPFAR’s own reporting does not allow assessment of Sub-partner involvement in preventing
unintended pregnancies. Regarding follow up treatment and care, some Sub-partners were not funded at all.
PEPFAR is not supporting a comprehensive approach to PMTCT in the way it funds PMTCT in Nigeria

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