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Banner Image of Paediatric AIDS, vertical transmission
infoCredit: UNAIDSinfoCredit: UNAIDS
Result Area 3

Paediatric AIDS, Vertical Transmission

HIV Prevention
HIV Treatment
Paediatric AIDS, Vertical Transmission
Community-led responses
Human Rights
Gender Equality
Young People
Fully funded HIV response
Integration and Social Protection
Humanitarian Settings and Pandemics

Paediatric AIDS, Vertical Transmission

Overview
Joint Programme Results
Investments
Resources
Other Resources
Overview

AIDS-related deaths among children continued to decline in 2022-–2023. By 2023, 15 countries had been validated for the elimination of mother-to-child transmission of HIV (EMTCT). Botswana became the first high-burden country to be certified for achieving an important milestone on the path to EMTCT, demonstrating that an AIDS-free generation is possible even in countries with high HIV burdens. Twelve countries joined the Global Alliance to end AIDS in children and formed inclusive country teams to develop prioritized action plans to accelerate progress. Vertical transmission prevention programmes have averted 3.4 million new HIV infections in children since 2000. However, children still lag behind in the HIV response and many gaps remain to reach zero vertical transmission of HIV and have all children living with HIV on treatment.

Number of new HIV child infections vs number of infections averted due to PMTCT
Source: AIDSinfo
Coverage of people receiving ART - by age
Source: AIDSinfo
Joint Programme Results

In 2022-2023, the Joint Programme intensified action to eliminate vertical transmission of HIV. Seventy-five of the countries supported by the Joint Programme have a national plan for the elimination of vertical transmission of HIV and implement the “treat-all” policy for pregnant and breastfeeding women. Clear guidance on criteria and processes for validation of triple elimination (HIV, syphilis and hepatitis B) was launched, with an emphasis on rights-based and integrated approaches for women, children and adolescents in countries preparing for validation of elimination.

Sixty-four countries supported by the Joint Programme have integrated HIV services for children into at least 50% of primary health care sites. By the end of 2023, over 90 countries were procuring paediatric dolutegravir, the WHO-recommended antiretroviral drug option for children. Efforts to improve HIV service delivery for children included the development of the UNICEF Paediatric Service Delivery Framework, which is being used in six high-burden countries. Health systems strengthening reached more than 10 million women and children with HIV and other health services, and 36 countries benefited from US$ 817.5 million in commitments to strengthen the elimination service cascade in the context of reproductive, maternal, newborn and childcare. However, urgent and more effective action is needed to increase treatment access for children living with HIV.

To address the need for greater global and national political will, action and resourcing to end paediatric AIDS, UNICEF, with WHO, UNAIDS Secretariat, PEPFAR, implementing partners, networks of people living with HIV and civil society, in 2022 co-convened the Global Alliance to end AIDS in children. Twelve 12 African countries have joined it to accelerate action.

Joint Programme Specific Outputs
3.1 Countries supported to adopt updated normative guidance, recommendations and develop and share best practices for elimination of vertical transmission and optimizing HIV testing, treatment and outcome for children and adolescents living with HIV.
3.2 Regions, partners and countries guided and supported to prioritize and implement sustainable, services for eliminating vertical transmission of HIV and ending paediatric AIDS through building capacity, integration of HIV into maternal, neonatal, child and adolescent health and primary care, and through leveraging domestic and international investments.

UBRAF Indicator Data

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Investments
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Resources

  • Reports
  • Infographics
RA03-2022-2023
Nov 2024
2022-2023 Report: Result Area 3 Paediatric AIDS, Vertical Transmission
PCB 54_ 2022-2023 PMR Executive Summary
Jun 2024
2022–2023 PMR Executive Summary
2022-2023 PMR Results Report
Jun 2024
2022-2023 PMR Results Report
2022 RA 03_EN_0.pdf
Jul 2023
2022 Report: Result Area 3: Paediatric AIDS, vertical transmission
2022 PMR Executive Summary
Jun 2023
2022 PMR Executive Summary
2022 PMR Results Report
Jun 2023
2022 PMR Results Report
Children-Infographic_Final_Edit
Nov 2024
Ending AIDS in Children (2022-2023)
FINAL_eMTCT_A4_prepress
Jul 2016
Eliminating new HIV infection among children and adolescents and accelerating treatment (2016)

Other Resources

Reducing the number of children born with HIV | UNAIDS
The Global Alliance to end AIDS in children | UNAIDS
Global Alliance to end AIDS in Children by 2030 Launch, Africa — Remarks by Winnie Byanyima | UNAIDS
Understanding measures of progress towards the 95–95–95 HIV testing, treatment and viral suppression targets | UNAIDS
Triple elimination initiative of mother-to-child transmission of HIV, syphilis and hepatitis B (who.int)
Compendium of Promising Practices on the Role of African Faith Community Interventions to End Paediatric and Adolescent HIV | UNAIDS
Homepage | GPC (unaids.org)
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