title: How the global call for elimination of pediatric HIV can support HIV-positive women to achieve their pregnancy intentions.
abstract: The global call to eliminate new pediatric HIV infections requires a comprehensive approach, including consideration of the pregnancy intentions of HIV-positive women. This paper presents a literature review on the interface between pediatric HIV elimination and the pregnancy intentions of HIV-positive women, focusing on the four prongs of prevention of mother-to-child transmission: primary prevention of HIV infection in women; preventing unintended pregnancies in HIV-positive women; preventing transmission of HIV from infected women to their infants; and providing care, support and treatment to HIV-positive women, their children and their families. The paper describes the role of pregnancy intentions in determining appropriate health services for HIV-positive women - including family planning, reproductive and obstetric care, and HIV-related services - and explains how these essential health services are linked to improving maternal health, reducing child mortality and eliminating pediatric HIV. The paper provides context for the recent UNAIDS-led call to eliminate pediatric HIV, which will require a complete, integrated approach to providing family planning, maternal and child health, and HIV-related services for all HIV-affected individuals and families. Ensuring that HIV-positive women have access to high-quality health services to enable them to choose whether and when to have children is an essential component of this approach.
authors.affiliation: Elizabeth Glaser Pediatric AIDS Foundation, Washington, DC, USA. corinnemazzeo@gmail.com
authors.forename: Corinne I
authors.initials: CI
authors.lastname: Mazzeo
authors.forename: Elizabeth H
authors.initials: EH
authors.lastname: Flanagan
authors.forename: Emily A
authors.initials: EA
authors.lastname: Bobrow
authors.forename: Christian S
authors.initials: CS
authors.lastname: Pitter
authors.forename: Richard
authors.initials: R
authors.lastname: Marlink
mesh_terms: D044966:Anti-Retroviral Agents / Q000627:therapeutic use; D003153:Community Health Services / Q000458:organization & administration*; D003267:Contraception; D005260:Female; D014943:Global Health; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology* / Q000635:transmission; D006801:Humans; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control; D033182:Intention; D008429:Maternal Welfare; D010372:Pediatrics; D011247:Pregnancy; D011275:Pregnancy, Unwanted; D011322:Primary Prevention / Q000458:organization & administration*; D014480:United Nations
chemical_list: D044966:Anti-Retroviral Agents