Preventing mother to child transmission

To commemorate this year’s Mother’s Day, UNICEF and the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) released a new video and special website featuring mothers who are HIV-positive.

In 2013 and 2014, UNICEF and the Global Fund asked six women in South Africa and Malawi to share their reflections, hopes and fears as they went through their pregnancies and the delivery of their babies, and in the months after their children were born.

A Journey of Motherhood acknowledges the particular challenges HIV-positive mothers experience to give birth to healthy HIV-negative children, and to remain healthy themselves. The initiative also stresses the progress made in providing HIV medicines to prevent new HIV infections among children worldwide.

Each year, approximately 1.5 million women living with HIV give birth. With no medical intervention, the risk of passing on the virus to their babies during pregnancy, delivery and the breastfeeding period can be as high as 45%. But today, medicine to prevent mother-to-child transmission of HIV—a single, daily pill—reduces that risk to 5% or less.

JOHANNESBURG, 13 April 2015—The Champions for an AIDS-Free Generation gathered together today to announce new efforts to ensure that all children in Africa are born free from HIV and that children living with HIV have access to life-saving treatment. Since young people continue to be deeply affected by the epidemic, the Champions also announced that they will add adolescents and HIV to their portfolio of work. 

“The Champions are determined to keep HIV high on the continental agenda,” said Festus Mogae, Chairperson of the Champions. “We will leave no one behind and we will not rest until Africa has reached the goal of an AIDS-free generation.”

During their three-day meeting, the Champions are scheduled to hold high-level discussions with the President of South Africa, Jacob Zuma, the Deputy President of South Africa, Cyril Ramaphosa, and leading figures from the private sector.

The Champions for an AIDS-Free Generation was launched in 2008 by Mr Mogae, the former President of Botswana. The Champions transcend political partisanship to speak freely and independently about the issues that need solutions, both publically and behind the scenes. Since November, five new leaders have joined their distinguished ranks: Kgalema Motlanthe, former President of South Africa; Joyce Banda, former President of Malawi; Alpha Oumar Konaré, former President of Mali; Olusegun Obasanjo, former President of Nigeria; and Hifikepunye Pohamba, former President of Namibia.

“Today, we come together as a strengthened group of Champions to reaffirm our commitment to ending mother-to-child transmission of HIV and to ensuring that mothers and children already living with HIV stay healthy,” said Ms Banda. “I am proud to be involved in the Champions for an AIDS-Free Generation.”

As the Champions reaffirmed their commitment to an AIDS-free generation, they were joined by partners that include UNAIDS, the United States President’s Emergency Plan for AIDS Relief (PEPFAR) and private sector representatives.

“The Champions have been steadfast in calling for improved HIV prevention and treatment options, and there has been progress,” said UNAIDS Executive Director, Michel Sidibé. “Now, with their ranks strengthened, the Champions will be even stronger advocates to fast-track the AIDS response in Africa to ensure that every baby is born free from HIV and that their mothers stay healthy.”     

“An AIDS-free generation is within our grasp if we use the scientific knowledge, data and tools at our disposal,” said Ambassador Deborah Birx, United States Global AIDS Coordinator and United States Special Representative for Global Health Diplomacy. “I am inspired today by this committed group of leaders, who are using their wisdom and influence to move towards an AIDS-free generation in Africa.”  

“We need leaders like the Champions who are unafraid to speak out and put AIDS at the very top of Africa’s health agenda,” said Mark Dybul, Executive Director of the Global Fund to Fight AIDS, Tuberculosis and Malaria.

Other partners of the Champions for an AIDS-Free Generation include UNICEF, the World Bank, the South African Development Community (SADC), the SADC Parliamentary Forum, the Economic Community of West African States and the South African Broadcasting Corporation.    

The risk of a mother living with HIV passing the virus to her child can be reduced to 5% or less if she has access to antiretroviral medicines during pregnancy, delivery and breastfeeding. 

“Women need strong partners like the Champions so they receive access to proper HIV counselling, treatment and prevention services,” said Lorraine Mashishi, a mother living with HIV. “Women living with HIV can avoid passing the virus on to their children if they get the support they need.”

Currently 21 of the 22 countries that are part of the Global Plan to eliminate new HIV infections among children by 2015 and keeping their mothers alive are in Africa. Since 2009, there has been a 43% decline in new HIV infections among children in these countries, but there were still 210 000 (180 000–250 000) new HIV infections among children in sub-Saharan Africa in 2013. Only 42% of children exposed to HIV were tested for the virus within the recommended two months. Without treatment, half of all children living with HIV will die by the age of two and the majority will die by the age of five.

Sub-Saharan Africa remains the region most affected by the AIDS epidemic—in 2013, there were 24.7 million (23.5 million—26.1 million) people living with HIV in the region.

The Champions are:

• Festus Mogae, former President of Botswana and Chairperson of the Champions.
• Joyce Banda, former President of Malawi.
• Joaquim Chissano, former President of Mozambique.
• Kenneth Kaunda, former President of Zambia.
• Alpha Oumar Konaré, former President of Mali. 
• Benjamin William Mkapa, former President of the United Republic of Tanzania.
• Kgalema Motlanthe, former President of South Africa.
• Olusegun Obasanjo, former President of Nigeria.
• Hifikepunye Pohamba, former President of Namibia.
• Desmond Tutu, Archbishop Emeritus of Cape Town and Nobel Peace Prize Laureate.
• Speciosa Wandira-Kazibwe, former Vice-President of Uganda. 
• Edwin Cameron, Justice of the Constitutional Court of South Africa.
• Miriam Were, former Chairperson of the Kenya National AIDS Control Council.

Champions for an AIDS-Free Generation

The Champions for an AIDS-Free Generation is a distinguished group of former presidents and influential African leaders committed to an AIDS-free generation. Individually and collectively, the Champions rally and support regional leaders towards ending the AIDS epidemic as a public health threat. The Champions transcend political partisanship to speak freely and independently about the issues that need solutions, both publically and behind the scenes. www.aidsfreechampions.org

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030. Learn more at unaids.org and connect with us on Facebook and Twitter.

GENEVA, 19 March 2015—UNAIDS, in partnership with the hotel InterContinental Genève, Cartier and Etihad Airways, is holding its first fundraising gala, in Geneva, Switzerland. The event is part of UNAIDS’ efforts to ensure that children everywhere are free from HIV and that mothers have access to antiretroviral medicines to ensure that they stay alive and well.

The gala is being held under the patronage of Caroline Rupert, Kweku Mandela and Ndaba Mandela, and is being attended by personalities from both Switzerland and abroad.

The Executive Director of UNAIDS, Michel Sidibé opened the event, emphasizing the importance of stopping new HIV infections among children. “The science and medicines exist to ensure that no child becomes infected with HIV. Mobilizing innovative partnerships and increased resources will be vital to reaching all women and children in need of life-saving HIV prevention and treatment services.”

Florence Ngobeni-Allen, Global Ambassador for the Elizabeth Glaser Pediatric AIDS Foundation, from South Africa, and Ashley Rose Murphy, from Canada, spoke about their experiences of living with HIV. “I was born in 1998, when Canada had the medications and the ability to ensure that almost zero babies were born with HIV. I should not have HIV. But I do,” said Ms Murphy. “Now these life-saving medications can be available everywhere. If we work hard, we can make sure that no one, no matter where they live, is born with HIV.”

The musical highlight of the evening will be the Norwegian duo Nico & Vinz performing their hit songs Am I Wrong and My Melody, a song dedicated to people living with HIV.

A live auction will be curated by David Bennett from Sotheby’s, for which Maison Cartier has provided a set of high jewellry earrings and a lady’s watch. Further items include pieces from Victoria Beckham’s collection, Christian Louboutin custom-made shoes, a watch from Piaget and a Nelson Mandela limited edition print donated by Annie Leibovitz.

The theme of the gala is “Cities around the world”. Cities’ responses to HIV have been at the forefront since the start of the epidemic. Fast-Tracking the response to HIV in cities will be essential to ending the AIDS epidemic by 2030.

The partnership between UNAIDS and the hotel InterContinental Genève began in December 2013 with the launch of the Where History is Made campaign, a joint initiative to raise funds to support the Global Plan towards the elimination of new HIV infections among children by 2015 and keeping their mothers alive (Global Plan).

In 2013, some 240 000 children became newly infected with HIV and 190 000 children died of AIDS-related illnesses. Without HIV treatment, half of all children born with HIV die by the age of two and most die before their fifth birthday.

The Global Plan aims to reduce the number of new HIV infections among children by 90% and AIDS-related deaths among pregnant women and children by 50%. It focuses on all countries, but particularly on the 22 countries where 90% of new HIV infections among children occur.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

The First Lady of Kenya, Margaret Kenyatta, and UNAIDS Deputy Executive Director Luiz Loures visited a Beyond Zero mobile health clinic in Kibera, an unofficial settlement in Nairobi that is home to more than a million people.

The mobile clinic is one of 18 around the country opened as part of Ms Kenyatta’s Beyond Zero campaign, which aims to boost efforts to eliminate new HIV infections among children and improve maternal survival rates by the end of 2015 among some of Kenya’s most vulnerable communities. Beyond Zero provides comprehensive medical services to residents, complementing care received at other facilities.

The clinic was established with the support of National Youth Service workers and young volunteers from the community itself. Half of Kibera’s residents are under 15 years old and youth unemployment rates are extremely high. Most residents of the settlement earn less than a dollar a day.

In the 14th General Assembly of the Organization of Africa First Ladies Against HIV/AIDS (OAFLA), held on 31 January on the sidelines of the 24th African Union Summit in Addis Ababa, Ethiopia, African First Ladies reaffirmed their commitment to the elimination of mother-to-child transmission of HIV and to ending the AIDS epidemic by 2030. The First Ladies also highlighted the importance of paediatric care, strengthening of partnerships and ensuring that AIDS is a strong component in the post-2015 development agenda.

The OAFLA General Assembly was addressed by Yoo (Ban) Soon-taek, who emphasized that women, including young women, adolescent girls, women of child-bearing age, sex workers and transgender women, are a key population in the continental AIDS response and require focused and strategic interventions if we are to end the AIDS epidemic by 2030. She also called for a reinvigorated campaign against new infections among children.

Since the establishment of OAFLA in 2002, African First Ladies have advocated for and raised awareness on AIDS, championing many campaigns on eliminating mother-to-child transmission of HIV, underlining the burden of HIV on women and strengthening networks of people living with HIV. 

The telecommunication company Etisalat Nigeria is partnering with UNAIDS to help disseminate information about the elimination of mother-to-child transmission of HIV in Nigeria.

Under the arrangement, Etisalat Nigeria’s 21 million subscribers will receive regular information through SMS text messaging on how to prevent mother-to-child transmission of HIV and where to seek relevant health-care services.

The two-year initiative will support the efforts of Nigeria’s National Agency for the Control of AIDS to increase the number of pregnant women seeking prevention of mother-to-child transmission of HIV services in the country.

In 2013, Nigeria accounted for 22% of mother-to-child transmission of HIV cases globally. In November 2014, Nigeria unveiled its national operational plan for the elimination of mother-to-child transmission of HIV for 2015–2016, which bolsters efforts to stop new infections among children and keep their mothers alive. The plan will help Nigeria to end mother-to-child transmission of HIV by 2020.

Ahead of the African Union Summit, former Presidents of Malawi, Mali, Nigeria and South Africa are among the new Champions committing to Fast-Tracking access to HIV prevention and treatment services in sub-Saharan Africa.

JOHANNESBURG/GABORONE, Botswana, 23 January 2015—Today, the Champions for an AIDS-Free Generation (Champions) announced that four leaders are joining their distinguished ranks.

The new Champions are: Kgalema Motlanthe, former President of South Africa; Joyce Banda, former President of Malawi; Alpha Oumar Konaré, former President of Mali; and Olusegun Obasanjo, former President of Nigeria.

“We are thrilled to welcome these respected leaders, who have championed the AIDS response in their countries and on the continent,” said Festus Mogae, Chairperson of the Champions. “Now, more than ever, Africa must Fast-Track the AIDS response if we are to end the epidemic by 2030.”

Champions for an AIDS-Free Generation was first launched in 2008 by Festus Mogae, the former President of Botswana. The Champions programme works to ensure that all children are born free from HIV in Africa and that all people have access to quality HIV prevention and treatment services. 

“We have seen tremendous progress in each of our countries and we will continue to work across Africa to ensure that all babies are born free from HIV and that their mothers can remain healthy,” said Speciosa Wandira-Kazibwe, former Vice-President of Uganda. “We welcome the new Champions into the programme, and together we shall support Africa to play its leadership role for an AIDS-free generation.”

“I am very happy to be joining the Champions for an AIDS-Free Generation,” said former President Motlanthe. “We are committed to accelerating our response to the epidemic so that we can end AIDS as a public health threat across the continent by 2030.”

The Champions is a distinguished group of former presidents and influential African leaders committed to an AIDS-free generation. Individually and collectively the Champions rally and support regional leaders towards ending the AIDS epidemic as a public health threat. The Champions transcend political partisanship to speak freely and independently about the issues that need solutions, both publically and behind the scenes.

“Through the Champions we can harness the wisdom and courage of great leaders who have changed countless lives by breaking the silence about AIDS,” said Michel Sidibé, Executive Director of UNAIDS.

Since 2009, there has been a 43% decline in new HIV infections among children in the 21 priority countries of the Global Plan towards the elimination of new HIV infections among children by 2015 and keeping their mothers alive in Africa. There were 210 000 [180 000–250 000] new HIV infections among children in sub-Saharan Africa in 2013.

Sub-Saharan Africa remains the region most affected by the AIDS epidemic. In 2013, there were 24.7 million [23.5 million–26.1 million] people living with HIV in sub-Saharan Africa.

The Champions are:

• Festus Mogae, former President of Botswana and Chairperson of the Champions.
• Joyce Banda, former President of Malawi.
• Joaquim Chissano, former President of Mozambique.
• Kenneth Kaunda, former President of Zambia.
• Alpha Oumar Konaré, former President of Mali. 
• Benjamin William Mkapa, former President of the United Republic of Tanzania.
• Kgalema Motlanthe, former President of South Africa.
• Olusegun Obasanjo, former President of Nigeria.
• Desmond Tutu, Archbishop Emeritus of Cape Town and Nobel Peace Prize Laureate.
• Speciosa Wandira-Kazibwe, former Vice-President of Uganda. 
• Edwin Cameron, Justice of the Constitutional Court of South Africa.
• Miriam Were, former Chairperson of the Kenya National AIDS Control Council.

Champions for an AIDS-Free Generation

The Champions for an AIDS-Free Generation is a distinguished group of former presidents and influential African leaders committed to an AIDS-free generation. Individually and collectively, the Champions rally and support regional leaders towards ending the AIDS epidemic as a public health threat. The Champions transcend political partisanship to speak freely and independently about the issues that need solutions, both publically and behind the scenes. www.aidsfreechampions.org

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

At a ceremony in Abidjan, UNAIDS Executive Director, Michel Sidibé has honoured the First Lady of Côte d’Ivoire, Dominique Ouattara, for her humanitarian work and her commitment to improving access to paediatric treatment for children living with HIV. 

“Ms. Ouattara’s personal involvement is the clearest sign of her commitment to the most disadvantaged and of her interest in the health of mothers and their children, not only in Côte d’Ivoire but in the whole of Africa,” said Mr Sidibé.

Ms Ouattara is to become a Special Advocate for UNAIDS, helping to raise awareness for programmes aimed at preventing new HIV infections among children and advocating for women and children living with HIV to access antiretroviral therapy.

“This distinction will be a catalyst for my commitment to the elimination of AIDS. From now on, every action to prevent mother-to-child transmission of HIV in Côte d’Ivoire, in Africa and in the world will find a favourable echo in me. I am fully engaged in this fight and I will remain committed until we reach an AIDS-free generation,” said Ms Ouattara.

Ms Ouattara has been involved in humanitarian issues for many years. In 1998, she created the Children of Africa Foundation, which has supported several projects in Côte d’Ivoire, including the construction of a school and a centre for unaccompanied children as well as the promotion of child immunization campaigns.