The Global Plan towards the elimination of new HIV infections among children by 2015 and keeping their mothers alive has two bold targets: reduce the number of new HIV infections among children by 90%; and reduce the number of AIDS-related maternal deaths by 50%. These targets cannot be achieved without delivering the full range related interventions integrated with SRH, particularly addressing maternal, new-born, and child health, family planning, sexual transmitted infections and gender based violence.
Thus dealing with HIV within the context of pregnancy must be an important focus of HIV prevention efforts. However, to date the focus has been primarily on preventing vertical transmission of HIV from a pregnant woman living with HIV to her infant. By 2004 only an estimated 8 per cent of all pregnant women in middle-and low-income countries were offered these services. UNFPA, along with the rest of the international community, recognizes that an effective response requires a much more comprehensive, four-pronged approach:
Prevent HIV infection among girls and women
Prevent unintended pregnancies among women living with HIV
Reduce mother-to-child transmission through antiretroviral drugs, safer deliveries and infant feeding counselling
Provide care, treatment and support to women living with HIV and their families.
From 2001 to 2012, there was a 52 per cent decline in new HIV infections among children. Expanded access to services to prevent mother to-child transmission prevented more than 670 000 children from acquiring HIV from 2009 to 2012.