WHO updates guidance on validation of elimination of mother-to-child transmission of HIV, syphilis and hepatitis B virus

The World Health Organization (WHO) has published updated guidance on validation of elimination of mother-to-child transmission (EMTCT) of HIV, syphilis and hepatitis B virus (HBV). This third version of global guidance incorporates EMTCT of HBV towards validation of triple elimination and provides standardized processes and criteria to both validate EMTCT of HIV, syphilis and HBV, and to recognize high burden countries that have made significant progress toward elimination.

The guidance strongly emphasizes country-led accountability, rigorous analysis, intensive programme assessment and multilevel collaboration, including the involvement of communities of women living with HIV or HBV, or affected by syphilis. A harmonised approach to triple elimination is encouraged within a public health, rights-based and person-centred approach but depending on readiness, countries may choose to pursue validation of single, dual or triple EMTCT. Mother-to-child transmission, or vertical transmission, is a significant contributor to the HIV pandemic, accounting for 9% of new infections globally in 2017.

Source: WHO, 26 November 2021