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Preventing mother-to-child HIV transmission: the first year of Thailand's national program

Pornsinee Amornwichet1, Achara Teeraratkul, R J Simonds

  • 1Department of Health, Ministry of Public Health, Tivanon Road, Nonthaburi, 11000, Thailand.

JAMA
|July 4, 2002
PubMed

Insights

Thailand

Area of Science:

  • Public Health
  • Infectious Disease Epidemiology
  • Global Health

Background:

  • Thailand implemented a national program in 2000 to prevent mother-to-child HIV transmission.
  • Approximately 10,000 children annually are born at risk in Thailand.

Purpose of the Study:

  • To evaluate the implementation and outcomes of Thailand's national program for preventing mother-to-child HIV transmission.

Main Methods:

  • Data collected monthly from 822 public health hospitals across 12 regions.
  • Study included women giving birth between October 2000 and September 2001 and their neonates.
  • Key outcomes measured were HIV testing rates, antenatal antiretroviral prophylaxis for mothers, and neonatal antiretroviral prophylaxis and infant formula.

Main Results:

  • Over 96% of women received antenatal care, with 93.3% tested for HIV.
  • 70.1% of HIV-seropositive women received prophylactic antiretroviral drugs before delivery.
  • 88.7% of exposed neonates received antiretroviral drugs and 83.2% received infant formula.

Conclusions:

  • Thailand's national program successfully implemented key components for preventing mother-to-child HIV transmission.
  • The program's success offers a model for other developing countries to consider for similar initiatives.
Abstract

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