Canadian International Development Agency. 2 p.
Canadian International Development Agency
Mother to child transmission is defined at HIV infection transmitted from mother to child during pregnancy, delivery, or breastfeeding. Mother to child transmission presents a number of dilemmas for issue of prevention and treatment: Health progress made through breastfeeding promotion is now eroded in trying to reduce the risk of HIV transmission through breast milk; Drug trials for AZT and Nevirapine highlight the ethics of preventing transmission to child in countries where drug access is not available to mother. (Nevirapine has been shown to be more cost effective and there is little evidence of side-effects) Case studies: Thailand: small project which was later scaled up, offered AZT (before Nevirapine study results were available) to consenting HIV + infected pregnant women. Found that the additional cost was 0.13 USD per capita per year with 35 USD per DALY saved.
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