Confronting Challenges in Monitoring and Evaluation: Innovation in the Context of the Global Plan Towards the Elimination of New HIV Infections Among Children by 2015 and Keeping Their Mothers Alive. (1st May 2017)

• Record Type: Journal Article
• Authors: Radin, Anna K.; Abutu, Andrew A.; Okwero, Margaret A.; Adler, Michelle R.; Anyaike, Chukwuma; Asiimwe, Hilda T.; Behumbiize, Prosper; Efuntoye, Timothy A.; King, Rachel L.; Kisaakye, Linda Nabitaka; Ogundehin, Dolapo T.; Phelps, Benjamin Ryan; Watts, Heather; Weissglas, Fitti
• Is Part Of: Journal of acquired immune deficiency syndromes. Volume 75(2017)Supplement 1
• Publication Date: 2017-05-01
• Subjects: prevention of mother-to-child transmission of HIV -- global plan towards eliminating new HIV infections among children by 2015 and keeping their mothers alive (global plan) -- data use -- monitoring & evaluation -- HIV/AIDS -- sub-Saharan Africa; AIDS (Disease) -- Periodicals; Acquired Immunodeficiency Syndrome -- Periodicals; AIDS (Disease); Periodicals; 616.9792005
• DOI: 10.1097/QAI.0000000000001313
• Languages: English
• ISSNs: 1525-4135

Abstract

Abstract : Abstract: The Global Plan Towards the Elimination of New HIV Infections Among Children by 2015 and Keeping Their Mothers Alive (Global Plan), which was launched in 2011, set a series of ambitious targets, including a reduction of new HIV infections among children by 90% by 2015 (from a baseline year of 2009) and AIDS-related maternal mortality by 50% by 2015. To reach these targets, the Global Plan called for unprecedented investments in the prevention of mother-to-child transmission of HIV (PMTCT), innovative new approaches to service delivery, immense collective effort on the programmatic and policy fronts, and importantly, a renewed focus on data collection and use. We provide an overview of major achievements in monitoring and evaluation across Global Plan countries and highlight key challenges and innovative country-driven solutions using PMTCT program data. Specifically, we describe the following: (1) Uganda's development and use of a weekly reporting system for PMTCT using short message service technology that facilitates real-time monitoring and programmatic adjustments throughout the transition to a "treat all" approach for pregnant and breastfeeding women living with HIV (Option B+); (2) Uganda's work to eliminate parallel reporting systems while strengthening the national electronic district health information system; and (3) how routine PMTCT program data in Nigeria can be used to estimate HIV prevalence at the local level and address a critical gap in local descriptive epidemiologic data to better target limited resources. We also identify several ongoing challenges in data collection, analysis, and use, and we suggest potential solutions.