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AIDS and Behavior
Published in: AIDS and Behavior 2/2013

01-02-2013 | Substantive Review

Externalities of Prevention of Mother-to-Child Transmission Programs: A Systematic Review

Authors: Sarah Nutman, Douglas McKee, Kaveh Khoshnood

Published in: AIDS and Behavior | Issue 2/2013

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Abstract

There has been considerable debate about the effects of targeted global health assistance in low- and middle-income countries on health systems, specifically HIV/AIDS funding. Recently, a handful of studies have emerged that describe the implementation of PMTCT programs, which have many theoretical links to maternal and child health. Through a systematic review of research published between January 2000 and March 2011, this paper synthesizes evidence evaluating the impact of these programs. We assessed 5,855 papers, reviewed 154, and included 21 articles. They offer evidence of beneficial synergies between PMTCT programs and both STI prevention and early childhood immunization. Other data, including information about antenatal and delivery care, family planning, and nutrition supplementation varied considerably across studies demonstrating both positive and negative effects of PMTCT. More research is needed to allow countries and funders to make informed decisions regarding allocation of limited funds to targeted versus broad categories of health care.
Footnotes
1
While we screened articles through March 2011 and included articles published through that date, no study discussed goes beyond 2009, likely due to the lag between the end of a study and publication of an article.
 
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Metadata
Title
Externalities of Prevention of Mother-to-Child Transmission Programs: A Systematic Review
Authors
Sarah Nutman
Douglas McKee
Kaveh Khoshnood
Publication date
01-02-2013
Publisher
Springer US
Published in
AIDS and Behavior / Issue 2/2013
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-012-0228-8

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