The MoH has set a goal of establishing Prevention of Mother to Child Transmission (PMTCT) programmes, in all antenatal clinics in the country by the end of 2006.
ART availability will allow for expansion of the PMTCT programme into a PMTCT-plus effort, with counselling aimed at enrolling the entire family in continuing care and treatment offered by the CTC, most closely associated with the antenatal clinic.
Availability of polymerase chain reaction (PCR) machines at reference laboratory facilities, will allow for early diagnosis of HIV infection among children born to HIV+ mothers. The goal will be to allow the start of ARV therapy in all HIV infected children within the first four months of life. In the absence of a PCR facility, WHO Clinical Staging should be utilised in initiating ARV treatment. (See Chapter 12).
Close linkage and coordination between the PMTCT Programme and the Care and Treatment Programme will make each programme more effective and efficient.