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Report on the assessment of the utility of prevention of mother to child transmission program data for routine HIV sentinel surveillance among pregnant women receiving antenatal care services, 2012-2013
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March 2015
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Description:This evaluation was used to assess the utility of Prevention-of-Mother-to-Child HIV Transmission (PMTCT) program data for HIV surveillance in place of Antenatal Clinic (ANC) based surveillance in Namibia.
ANC-based HIV sentinel surveillance (ANC HSS) is the basis for monitoring national trends in HIV infection in many countries, through HIV testing of blood samples collected during routine ANC visits by pregnant women. With PMTCT programs rapidly expanding, PMTCT data may increasingly be used for surveillance purposes. PMTCT programs target the same population of pregnant women as in ANC-based surveillance and they often collect similar information. At the WHO/AFRO HIV Surveillance meeting in July 2009 it was established that the strengthening of PMTCT programmes for surveillance purposes should be a priority surveillance activity. There is, however, little known about the comparability of ANC-based PMTCT data to ANC based sentinel surveillance data in most countries. It is not known how HIV test results and prevalence would compare between ANC HSS and PMTCT program data. The quality of site PMTCT individual-level data and HIV testing quality assurance methods are often uncertain.
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