Skip Navigation


The European Journal of Public Health Advance Access originally published online on February 13, 2006
The European Journal of Public Health 2006 16(2):123-127; doi:10.1093/eurpub/cki150
This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
16/2/123    most recent
cki150v1
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (5)
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Malyuta, R.
Right arrow Articles by Zhilka, N.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Malyuta, R.
Right arrow Articles by Zhilka, N.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author 2006. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Infectious Diseases

Prevention of mother-to-child transmission of HIV infection: Ukraine experience to date

Ruslan Malyuta1, Marie-Louise Newell2, Mikael Ostergren1, Claire Thorne2 and Nadezhda Zhilka3

1 World Health Organization Regional Office for Europe, Copenhagen, Denmark
2 Institute of Child Health, University College, Centre for Paediatric Epidemiology, London, UK
3 Ministry of Health, Department of Mother and Child Health, Kiev, Ukraine

Correspondence: Ruslan Malyuta, MD, Medical Officer, Child and Adolescent Health and Development, World Health Organisation, Regional Office for Europe, Scherfigsvej 8, DK-2100 Copenhagen, Denmark, tel: +45 39171329, fax: +45 39171852, e-mail: rmalyuta{at}yahoo.com

Background: Despite the availability of effective interventions for the prevention of mother-to-child transmission (PMTCT), questions remain regarding implementation of programmes in settings with limited resources. This article sets out to describe the first 2 years of the implementation of the national PMTCT programme in Ukraine. Methods: National data sources and data from a cohort of pregnant HIV-infected women delivering in 13 centres in Ukraine since 2000 were analysed. Results: Interventions for prevention of MTCT have been implemented as a national programme within Ukraine's well developed infrastructure for maternal and child health. Implementation of an ‘opt-out’ model of counselling and HIV testing in antenatal clinics resulted in a 97% uptake of women who agreed to be HIV tested. In 2002, ~91% of HIV-positive pregnant women received ARV prophylaxis (mainly single-dose nevirapine or short-course zidovudine) for PMTCT. The MTCT rate has decreased from 30% in 2000 to 10% in 2002. The need to scale-up prevention interventions in pregnant women with risky behaviour and late access to medical services was identified in a review of the national programme in 2003. Conclusions: Further implementation of a comprehensive approach for the prevention of HIV infection in infants, including more extensive ART regimen, as recommended by WHO, would help Ukraine to achieve the strategic goal of virtual elimination of HIV infection in infants by 2010.

Keywords: antiretroviral, HIV infection, infants, pregnant, prevention, prophylaxis, Ukraine


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.