Abstract

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Highlights

  • Despite 95% coverage via the prevention-of-mother-to-child-transmission (PMTCT) programme, 14 000 children in South Africa became HIV-infected in 2012.1 There are many reasons for this gap in PMTCT efforts

  • A recent South African study documents that 76% of babies who would have tested HIV positive via polymerase chain reaction (PCR) by 6 weeks could have been diagnosed at birth.[5]

  • In March 2014, Médecins Sans Frontières, in collaboration with the University of Stellenbosch, started a pilot project in a community healthcare centre in Khayelitsha to establish the impact of very early infant diagnosis on antiretroviral therapy (ART) initiation and to establish the feasibility of implementation in a primary care setting

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Summary

Introduction

Despite 95% coverage via the prevention-of-mother-to-child-transmission (PMTCT) programme, 14 000 children in South Africa became HIV-infected in 2012.1 There are many reasons for this gap in PMTCT efforts. In March 2014, Médecins Sans Frontières, in collaboration with the University of Stellenbosch, started a pilot project in a community healthcare centre in Khayelitsha to establish the impact of very early infant diagnosis on ART initiation and to establish the feasibility of implementation in a primary care setting.

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Conclusion
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