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Rapid Landscape Analysis of National Vertical Transmission Policies for Inclusion of PrEP for Pregnant and Breastfeeding People

19 September 2023

Elimination of vertical transmission of HIV will require expanded access to HIV prevention strategies, such as PrEP, for pregnant and breastfeeding people.

Guidance from the World Health Organization (WHO) supports provision of HIV pre-exposure prophylaxis (PrEP) to pregnant and breastfeeding people (PBFP) who are at continuing substantial risk of HIV infection. Evidence has shown that people have an increased need for HIV prevention during pregnancy and the postnatal period, and that people who become infected with HIV during pregnancy or the postnatal period have a higher chance of transmitting HIV to their infants as compared to people who became infected with HIV before becoming pregnant.

To better understand the extent to which PrEP has been included in national prevention strategies for vertical transmission in MOSAIC countries, MOSAIC reviewed the current status of PrEP inclusion for PBFP in national vertical transmission policies, including prevention of mother to child transmission (PMTCT) or elimination of mother to child transmission (eMTCT) policies, across eight MOSAIC-supported countries (Eswatini, Kenya, Lesotho, Namibia, South Africa, Uganda, Zambia, and Zimbabwe). Findings from this review are summarized in the brief titled “Rapid Landscape Analysis of National Vertical Transmission Policies for Inclusion of HIV Pre-exposure Prophylaxis for Pregnant and Breastfeeding People.”

Topic(s): Normative Guidance/Policies, Service Delivery

Product(s): Cabotegravir, Multipurpose Prevention Technologies, Oral PrEP

Population(s): Pregnant and Lactating Populations

Format(s): Report

Source(s): MOSAIC

Type: Document

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