Increasing Preventive Treatment and Care
infrastructure exists, administering combination antiretroviral therapy
to the mother beginning in the second trimester, and treating the
mother and child following birth.
Where adequate infrastructure
does not exist, administering a single dose of nevirapine to the mother
at the time of delivery and at least one dose to the infant shortly
Where capacity allows, providing care and treatment
to eligible family members.
As appropriate, supporting safer
breastfeeding practices, replacement feeding or early weaning for
infants after birth.
Building Healthcare Delivery Systems
twinning. Pairing U.S. hospitals and clinics with African and Caribbean
counterparts, facilitating the training of personnel and implementation
of prevention, care and treatment programs.
Volunteer medical and
nursing training corps. Attracting, recruiting and helping place
volunteer medical professionals in these countries to develop
professional capacity at the local level. Recruiting and paying
African medical and graduate students to provide testing, treatment and
Supporting NGOs and governments to help expand existing
activities and create new public-private partnerships aimed at
significantly reducing MTCT and helping families.
The International Mother and Child HIV Prevention Initiative will
be funded at $500 million. The Administration is working with Congress
to direct $200 million in the supplemental bill to this effort, and
will request an additional $300 million in the FY 2004 budget. The
initial countries proposed for this Initiative are:
Africa -- Botswana, Cote d?Ivoire, Ethiopia, Kenya, Mozambique,
Rwanda, South Africa and Uganda. In FY 2004, the program expands to
Namibia, Nigeria, Tanzania, and Zambia
Caribbean -- Guyana, Haiti and
regional efforts though the Caribbean Regional Epidemiological Center
The Initiative is scaleable so that it could be expanded within
these countries or to additional countries globally at a future time.