New HIV infections among children eliminated and their mothers’ health and well-being is sustained.

Scale-up of prevention of mother-to-child services is one of the greatest public health achievements. In 2016, 76% of pregnant women living with HIV received effective antiretroviral medicines. In the eastern and southern Africa region, home to 50% of new HIV infections in children aged 0–14 years, 88% of pregnant women were receiving antiretroviral medicines in 2016. Elimination of mother-to-child transmission (eMTCT) remained a priority for the Joint Programme in 2016–2017.

Transition to the Start Free Stay Free AIDS Free framework created pathways to ensure that all pregnant women can access antiretroviral medicines and that they are retained in treatment and care; all HIV-exposed infants have access to antiretroviral prophylaxis to prevent infection; human rights and gender equality are upheld in eMTCT efforts; and community engagement is ensured. In November 2017, the Joint Programme and Start Free Stay Free AIDS Free partners launched a global action plan to accelerate development of paediatric formulations.

To build on the Global Plan towards the elimination of new HIV infections among children by 2015 and keeping their mothers alive (Global Plan), and ensure the sustainability of gains made, an eMTCT last mile agenda was adopted by the Joint Programme. It includes the integration of services using different service delivery platforms to close gaps in coverage.

In 2017, UN joint work on validating the eMTCT of HIV and syphilis as a public health problem continued to gain momentum. By the end of the year, 11 countries had been validated for eMTCT of HIV and/or syphilis, and all regions had established validation structures. Two WHO regions (Western Pacific and the Americas) have committed to the eMTCT of HIV, syphilis and hepatitis B infection.

Find more details in the SRA report.

Outputs 2016-2021

2.1Access to and quality of comprehensive eMTCT services improved



Targets and Milestones 2019 Progress
Percentage of countries implementing latest eMTCT guidance

2021: 100%

2019: 95%

2017: 90%

All: 67% [59/88]

FT: 79% [26/33]

Data source: 2019 JPMS country reports. Final numbers may vary slightly.