Figure 3.12
Preventing mother-to-child transmission Coverage of antenatal care services and services for preventing mother-to-child transmission among women living with HIV in high-prevalence countries, 2010 Source: WHO and UN Statistics Division PMTCT coverage, ANC coverage and number of HIV+ pregnant women (bubble size) 100
3
2
80
P M T C T Coverage
14
60 10
16
11
15 12
6
40
9
4
20
1
8
7
13
3
5
0 0
20
40
60
80
100
A N C Coverage (1 visit)
1 Angola
5 Chad
2 Botswana
6 Côte d’Ivoire
10 Kenya
9 Ghana
14 South Africa
3 Burundi
7 D.R. Congo
11 Lesotho
15 Uganda
4 Cameroon
8 Ethiopia
12 Mozambique
16 Zambia
13 Nigeria
Among these are efforts to prevent mother-to-child transmission and to promote male circumcision. On the horizon is the potential of expanded efforts to reap the prevention benefits of access to antiretroviral therapy, topical uses of antiretroviral drugs in microbicides, and the potential expansion of the prophylactic use of antiretroviral drugs before exposure to HIV. Male circumcision Three clinical trials have demonstrated that adult male circumcision significantly reduces the likelihood of uninfected men acquiring HIV from an HIV-infected female sex partner. UNAIDS and WHO have recommended that male circumcision be scaled up in areas of high HIV prevalence and low rates of male circumcision. A review of nine country experiences of scaling up adult male circumcision in Southern and Eastern Africa shows significant roll-out in the Nyanza province of Kenya and considerable experience gained in other areas (Table 3.2).
Chapter 3: HIV prevention | 2010 GLOBAL REPORT
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