The Youngest Victims Mother-to-Child HIV Transmission by pas31212

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									Version B




                                                                                                                                                                                                              Now
                                                                                                                                “...Just as you did it to one of the least of these who are members of my family, you did it to me.” Matthew 25:40 (NRSV) From ERD’s Mandate—Matthew 25:37-40




   What Your Parish Can Do                                 Episcopal Relief and Development’s
   World AIDS Day is December 1, 2007. This                HIV/AIDS Programs: Working to
   year’s theme—“Leadership”—celebrates people             Achieve Millennium Development
   around the world who have led the fight against
   HIV/AIDS.                                               Goals
   Effective leadership has been a proven factor in        The Millennium Development Goals call for                                         A PUBLICATION OF EPISCOPAL RELIEF AND DEVELOPMENT — Volume 4, Number 5 — November 2007
   the success of HIV/AIDS initiatives and efforts.        combating preventable diseases including
   Leaders are not just those at the highest level         HIV/AIDS and malaria (MDG #6) and reducing by
   of influence in the international sphere, though        two-thirds the number of children who die before                       40 children
                                                           their fifth birthday (MDG #4) from these and
                                                                                                                                                                “For I was sick, and you visited me…”                                   Matthew 25:36
   such individuals are vitally needed. To stop                                                                                       die every
   AIDS, leaders must step forth from all levels:
   in families, communities, faith institutions and
                                                           other illnesses.
                                                           Preventing Mother-to-Child Transmission is a key
                                                                                                                                  60 minutes
                                                                                                                                  from HIV/AIDS
                                                                                                                                                                The Youngest Victims:
   countries around the world.
   The World AIDS Day Campaign suggests that:
                                                           weapon in Episcopal Relief and Development’s
                                                           fight against HIV/AIDS and child mortality.
                                                                                                                                  2.3 million
                                                                                                                                                                Mother-to-Child HIV Transmission
     “Leaders are distinguished by their action,
     innovation and vision; their personal example
     and engagement of others; and their
                                                           Episcopal Relief and Development’s
                                                           comprehensive HIV/AIDS programs use a three-
                                                           pronged approach to stop the spread of the
                                                                                                                                 children are living
                                                                                                                                      with HIV
                                                                                                                                                                O     ver half a million children were
                                                                                                                                                                      infected with HIV/AIDS in 2006.
                                                                                                                                                                It’s estimated that 90 percent of those
                                                                                                                                                                                                                                    No child should start life with the
                                                                                                                                                                                                                                    death sentence of HIV/AIDS. This issue
                                                                                                                                                                                                                                    highlights a pilot program funded by the
     perseverance in the face of obstacles and             disease and care for those affected:                                                                 children acquired the virus from their                              M•A•C AIDS Fund whereby Episcopal
     challenges.”                                            ■ Prevention education—such as Preventing                            9 out of 10                   mothers during pregnancy, birth or                                  Relief and Development is saving
   We agree. Episcopal Relief and Development                  Mother-to-Child Transmission programs—                             children with HIV             breastfeeding.                                                      young lives through a partnership with
   has been privileged to support and nurture such             that increase awareness and use of                               live in sub-Saharan             Sub-Saharan Africa is home to the vast                              the Zambian Anglican Council and the
                                                               prevention methods.                                                      Africa                                                                                      Livingstone Anglican Children’s Project.
   individuals and groups in communities around                                                                                                                 majority of children infected through
   the world. We have seen firsthand how effective           ■   Church-and community-based care and                                                            mother-to-child transmission. The
   grassroots leadership and compassionate                       treatment for people suffering from                            20-45 percent                   subsequent rise of child mortality rates
   action transforms lives. Our new Preventing                   the disease.                                                                                   from HIV/AIDS is reversing decades of
                                                                                                                                    of HIV-positive
   Mother-to-Child Transmission program in                   ■   Support—including food, education,                             pregnant women will
                                                                                                                                                                improved child survival rates throughout
   Zambia is a wonderful example.                                counseling, job training and micro-enterprise                                                  the continent.
                                                                                                                                  pass on the virus
   Here are some ways your parish can take the                   opportunities—for HIV-positive women,                                                          We can help protect many of these
                                                                                                                                  to their newborns
   lead in your sphere of influence:                             children orphaned by AIDS, extended families                                                   children. Mother-to-child HIV transmission
                                                                 and communities affected by the disease.                        without preventive
     ■ On World AIDS Day, remember those who                                                                                          measures
                                                                                                                                                                has been nearly eliminated in developed
       are leading HIV/AIDS programs, both                 Episcopal Relief and Development works in                                                            countries through basic interventions
       locally and around the world.                       partnership with the worldwide church and                                                            that can be applied in remote and
                                                           ecumenical organizations to go “the last                                                             impoverished regions of the world:
     ■   Pray for pregnant HIV-positive women and
         their newborns.                                   mile”—reaching the most vulnerable people and                                                          ■ Increasing awareness and
                                                           communities whom others have forgotten.                                                                   preventive education.
     ■   Spread awareness about the impact of
         Preventing Mother-to-Child Transmission           Your gift to Episcopal Relief and Development’s                                                         ■   Providing counseling and testing
         and how supporting Episcopal Relief               HIV/AIDS programs will help us protect and save lives.                                                      to pregnant women.
         and Development’s program will save                                                                                                                       ■   Administering antiretroviral
         children’s lives.                                                                                                                                             drugs (ARVs) to mothers during
     ■   Take a special offering for Episcopal Relief                                                                                                                  pregnancy and to infants
         and Development’s HIV/AIDS programs.                                                                                                                          at birth.

   For more information about Episcopal Relief                                                                                                                     ■   Avoiding risks associated with
   and Development’s programs, visit our Web site:                                                                                                                     delivery and breastfeeding.
                                                           TO MAKE A LIFE-SAVING DONATION, make your checks
   www.er-d.org.                                           payable to Episcopal Relief and Development - c/o EN07-5
                                                                                                                                                                 INSIDE:
                                                           Mail your donation to Episcopal Relief and Development,
                                                                                                                                                                 Preventing
                                                           PO Box 7058, Merrifield, VA 22116-7058.
                                                                                                                                                                 Mother-to-Child
                                                           IF YOU WOULD LIKE TO MAKE A CREDIT CARD DONATION,
                                                                                                                                                                 Transmission in
                                                           call 1.800.334.7626, ext. 5129, or visit www.er-d.org.
                                                                                                                                                                 Zambia.


                    815 Second Avenue New York, NY 10017 1.800.334.7626, ext. 5129 www.er-d.org                       60-0711
Version A & B




   Preventing Mother-to-Child Transmission in Zambia
                                                                                        The need to prevent mother-to-child     methods during sexual contact
       ZAMBIA: Key Statistics                                                                                                   and the critical need for pregnant
                                                                                                                                                                             Preventing Mother-to-Child Transmission:
                                                                                        transmission in Zambia is critical:
                                                                                                                                                                             Making a Difference in Zambia




                                                                                                                                                                                                                                                         Zambian Anglican Council, Zambia HIV/AIDS Profile 2004
                                                                                          ■ Zambia has a very high fertility    women to know their HIV status.
       Population: 11.7 million                                                              rate: on average, women            Pregnant women are encouraged to               Total Population in Target Area                                197,000
                                                                                             bear 5.3 children during their     utilize prenatal services and deliver          Community Members Sensitized to PMTCT                          37,263
       Number of people                                                                                                         their babies at health centers so
                                                                                             lifetimes.                                                                        Women Who Received Pre-Test Counseling                         6,962
       with HIV/AIDS:                                                                                                           they can receive nevirapine, an
       1.1 million                                                                        ■   Young women ages 15–19 are                                                       Pregnant Women Tested                                          300
                                                                                              contracting HIV at six times      antiretroviral drug that reduces HIV
                                                                                                                                transmission between mothers and               Pregnant Women Who Tested Positive                             60
       Number of children                                                                     the rate of men in their same
                                                                                              age group.                        infants. Traditional birth attendants are      Mothers and Infants Who Received Nevirapine During Delivery    57
       with HIV/AIDS:
                                                                                                                                trained to promote testing and clinic          Mothers Put on ARVs Following Delivery                         23
       120,000                                                                            ■   Women of childbearing age

                                                Zambia
                                                                                                                                deliveries for HIV-positive mothers.
                                                                                              account for 57 percent of the                                                    Infants Put on ARVs After Birth                                7
                                                                                              HIV-positive population.          Promoting voluntary counseling and
                                                                                                                                testing to determine HIV status             Providing antiretroviral treatment and      the best start in life. Doctors also
                                                                                          ■   The majority of women do not
                                                                                              know their HIV status—it’s                                                    follow-up care to mothers                   recognize that breastfeeding has
                                                                                                                                Volunteer motivators stress the
   I   t’s hard to imagine a more
       heartbreaking scenario than this:
                                            women receive any type of PMTCT.
                                            In 2007, Episcopal Relief and
                                                                                              estimated only 9.4 percent
                                                                                              have been tested. Many fear
                                                                                              testing will lead to stigma and
                                                                                                                                need for both men and women to
                                                                                                                                be tested, and provide preliminary
                                                                                                                                                                            and infants
                                                                                                                                                                            A single dose of Nevirapine has been
                                                                                                                                                                                                                        the potential to transmit the virus
                                                                                                                                                                                                                        to the infant. However, a mixed
                                                                                                                                                                                                                        diet can result in cereal or bread
        An estimated 30,000 infants         Development launched a pilot                                                        counseling to address fears and             shown to reduce the transmission of
        contract HIV each year in                                                             discrimination.                                                                                                           scratching the baby’s delicate
                                            Preventing Mother-to-Child                                                          encourage testing. They identify            HIV from mother to newborn by up to
        Zambia through mother-to-child                                                                                                                                                                                  digestive system allowing the
                                            Transmission program in Zambia                                                      and refer pregnant women at risk            50%. Midwives at local health centers
        transmission. One in three of                                                   Saving Lives by Preventing                                                                                                      virus present in the milk to pass
                                            with funding from the M•A•C                                                         to the local health centers, where          are trained to administer the drug
        these newborns will die before                                                  Mother-to-Child Transmission                                                                                                    into the blood stream. To ensure
                                            AIDS Fund. The Zambian Anglican                                                     trained psychosocial counselors             to women during labor, and give the
        the age of one. Over half die                                                   (PMTCT)                                                                                                                         the risk is eliminated, exclusive
                                            Council and the Livingstone Anglican                                                conduct tests and provide follow-           baby a pediatric dose after delivery.
        before reaching their second                                                    Episcopal Relief and Development’s                                                                                              breastfeeding must be maintained
                                            Children’s Project—Episcopal Relief                                                 up counseling for women, their              Mothers and newborns who require
        birthday. And many children die                                                 program focuses on the proven                                                                                                   for the first six months. Once the
                                            and Development’s on-the-ground                                                     partners and families.                      ongoing ARV therapy are monitored
        before they are five years old.                                                 components of effective Preventing                                                                                              infant is six months old, they are
                                            partners—are implementing the                                                       Through this program, prenatal              by home-based caregivers who treat
                                                                                        Mother-to-Child Transmission efforts.                                                                                           fully weaned.
   Sadder yet is the fact that              project in the regions of Ngwena,                                                   clinics and health centers are              opportunistic infections and ensure
   Mother-to-Child Transmission             Maramba, Namatama, Libuya,                                                                                                      proper nutrition for mothers and babies.    “Preventing Mother-to-Child
                                                                                        Building community awareness            stocked with HIV test kits, and
   can be prevented, even in the            and nearby compounds around                                                                                                                                                 Transmission is not complicated—
                                                                                                                                midwives are trained to conduct on-         HIV-positive mothers are strongly
   most impoverished communities.           Livingstone. An estimated 40 percent        With the support of leaders and                                                                                                 and it has profound impact,” says
                                                                                                                                the-spot tests for women in labor           encouraged to breastfeed. This
   With proper care during                  of pregnant women in this area are          key stakeholders, community                                                                                                     Robert W. Radtke, Episcopal Relief
                                                                                                                                whose HIV status is unknown.                provides infants with the nutrition for
   pregnancy, a single dose of the          HIV-positive—one of the highest rates       sensitization activities are held to                                                                                            and Development’s President.
   antiretroviral drug nevirapine           in the country.                             build awareness and communicate                                                                                                 “With a few simple interventions,
   during delivery, and consistent                                                      key facts. Trained volunteer             How HIV/AIDS Is Transmitted from Mother to Child                                       we are saving children’s lives.”
                                            Nancy Mahon, Vice President,                motivators from the community
   follow-up treatment, the number                                                                                               During Pregnancy                                                                       “There is such affirmation for the
                                            M•A•C Cosmetics and Executive               perform dramatic presentations,
   of newborns who acquire HIV can          Director, M•A•C AIDS Fund, has great                                                   ■ In most cases, HIV does not cross the placenta from mother to fetus                women in this program,” reports
   be dramatically reduced. These                                                       conduct focus group discussions            ■ If the mother has a high viral load due to advanced HIV, the risk of               Janette O’Neill, Senior Director
                                            hope for the project. “Evidence from        and door-to-door visits to explain
   interventions are collectively                                                                                                     transmission is much greater                                                      for Africa Programs for Episcopal
                                            North America and Europe shows that         how HIV/AIDS is transmitted from
   known as Preventing Mother-to-           providing a mother with a full range                                                 At Delivery                                                                            Relief and Development. “These
   Child Transmission (PMTCT).                                                          pregnant women to infants.                                                                                                      are mothers finding a way to live
                                            of PMTCT services can reduce the risk                                                  ■ High risk of transmission if the infant is exposed to infected blood
   Because HIV-positive pregnant            of transmission to less than                Because involving men is a                    and fluids                                                                        with HIV. They are determined to
   women in developed countries             2 percent. Despite the current              proven factor in ensuring positive                                                                                              give their new babies the best
                                                                                                                                   ■ Through breastfeeding
   have access to the best care, less       statistics in Zambia, by partnering         outcomes in preventing Mother-to-                                                                                               possible start in life.”
                                                                                                                                   ■ Breastfeeding by an HIV-positive mother increases the risk of transmission
   than 2 percent of infants contract       with Episcopal Relief and Development       Child Transmission, these sessions            from 10 percent to 20 percent                                                     Please consider how you can help
   the virus. In many countries             and supporting its work, we are             include both women and their               ■ Risk is reduced when mothers exclusively breastfeed their babies until they        Episcopal Relief and Development
   throughout sub-Saharan Africa, it’s      hoping to reduce mother-to-child            male partners. Motivators convey              are six months old and then switch to infant formula                              ensure an AIDS-free life for
   estimated less than 10 percent of        transmission in the region to zero.”        the importance of HIV prevention                                                                                                newborn babies.



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