This document is an updated version of the April 2014 MSF Protocol for PMTCT. It reviews the currently recommended interventions to reduce transmission from the HIV infected mother to her child, as well as the clinical management of HIV exposed infants including early infant diagnosis. Prevention of HIV infection, family planning and management of unwanted pregnancies in HIV positive women are also part of the PMTCT strategy, but are not addressed in this document.
This document provides practical guidance to the teams in the field and will need to be used alongside existing national guidance where it exists. As such it does not propose all the possible alternatives. Rather, it proposes the preferred choices, in consideration of:
- The usual contexts where MSF works
- The need to avoid complex protocols