HIV surveillance among pregnant women attending antenatal clinics: Evolution and current direction

Jacob Dee, Jesus M. Garcia Calleja, Kimberly Marsh, Irum Zaidi, Christopher Murrill, Mahesh Swaminathan

Research output: Contribution to journalReview articlepeer-review

11 Scopus citations

Abstract

Since the late 1980s, human immunodeficiency virus (HIV) sentinel serosurveillance among pregnant women attending select antenatal clinics (ANCs) based on unlinked anonymous testing (UAT) has provided invaluable information for tracking HIV prevalence and trends and informing global and national HIV models in most countries with generalized HIV epidemics. However, increased coverage of HIV testing, prevention of mother-to-child transmission (PMTCT), and antiretroviral therapy has heightened ethical concerns about UAT. PMTCT programs now routinely collect demographic and HIV testing information from the same pregnant women as serosurveillance and therefore present an alternative to UAT-based ANC serosurveillance. This paper reports on the evolution and current direction of the global approach to HIV surveillance among pregnant women attending ANCs, including the transition away from traditional UAT-based serosurveillance and toward new guidance from the World Health Organization and the Joint United Nations Programme on HIV/AIDS on the implementation of surveillance among pregnant women attending ANCs based on routine PMTCT program data.

Original languageEnglish
Article numbere85
JournalJMIR Public Health and Surveillance
Volume3
Issue number4
DOIs
StatePublished - 1 Oct 2017
Externally publishedYes

Keywords

  • Ethics
  • HIV
  • Pregnant women
  • Prenatal
  • Surveillance

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