1. Craig McClure Chief, HIV and AIDS section NYHQ Workshop on ART in Pregnancy, Breastfeeding and Beyond Johannesburg, South Africa, June 18-20, 2012 Planning for transition to Option B/B+

2. Estimated number of children newly infected with HIV in low- and middle-income countries, 2000-2015 Eliminating Mother-To-Child Transmission

3. Transition to A Single Drug Regimen (Option B/B+): the Benefits! Operational Programmatic Clinical Option B/B+

4. Adoption of WHO 2010 Guidelines: ARVs for PMTCT 20 Complete, 2 Partial adoptions Source: WHO and UNICEF regional focal points Status of adoption of 2010 WHO guidelines on ARVs PMTCT (April 2012) Priority Countries Option A. Adoption completeCameroon, Cote d’Ivoire, Ethiopia, Ghana, Kenya, South Africa, Tanzania, Zambia, Lesotho, Mozambique, Namibia, Swaziland, Uganda, Zimbabwe Option A and B. Adoption completeNigeria (mixed approach) Option B. Adoption completeBotswana, Burundi, Chad, DRC (some zones) Option B+Malawi IncompleteAngola (?) India (shifting to Option B) Considering shift to B/B+Cote d’Ivoire, Kenya, South Africa, Uganda, Zambia……????

5. At the country level PMTCT Treatment We have to overcome a number of bottlenecks to make it successful!

6. Monitor for impact, not just for coverage Expand community- involvement Increase evidence on the operational advantages Moving forward

7. They thank you! Craig McClure Chief, HIV and AIDS section NYHQ Workshop on ART in Pregnancy, Breastfeeding and Beyond Johannesburg, South Africa, June 18-20, 2012