hiv testing for children in resource-limited settings what are we waiting for在资源贫乏地区儿童艾滋病毒检测中我们还在等什么.pdfVIP

Policy Forum HIV Testing for Children in Resource-Limited Settings: What Are We Waiting For? 1 2 Scott Kellerman *, Shaffiq Essajee 1 Center for Health Services, Management Sciences for Health, Arlington, Virginia, United States of America, 2 Clinton Health Access Initiative, Clinton Foundation, New York, New York, United States of America Introduction systems designed for adults do not meet adopt as soon as possible. But without the needs of children. The time has come better ways to identify infected infants, the In many African countries, HIV has to develop and implement specific strate- policy alone will not change the treatment reversed previously recorded declines in gies to increase opportunities for children landscape in the short term. Although child mortality. Worldwide, children ac- to access HIV testing, especially in sub- infant diagnosis is now available in many count for 18% of HIV-related deaths and Saharan Africa. PMTCT programs, at current rates of 15% of HIV infections each year [1–3], an As criteria for treatment initiation PMTCT coverage, the majority of HIV- estimated 2.3 million children are infected, evolve and ART programs are scaled up infected infants are born to mothers who and 730,000 urgently need antiretroviral in resource-limited settings, the need to were never tested and never received therapy (ART), which only about 275,000 expand HIV testing will become more PMTCT prophylaxis.