GuidelinesOther guideline
Overview of the Structure of this Guideline
The guideline is divided into four parts: 1 Part One: Introduction provides an introduction and background to this guideline. 2 Part Two: Prevention gives guidance around the universal measures to prevent transmission of infections during pregnancy and breastfeeding, prevent HIV, prevent unintended pregnancies, as well as safe conception. 3 Part Three: Charts per Service Delivery Area
The guideline is divided into four parts:
| 1 | Part One: Introduction provides an introduction and background to this guideline. |
| 2 | Part Two: Prevention gives guidance around the universal measures to prevent transmission of infections during pregnancy and breastfeeding, prevent HIV, prevent unintended pregnancies, as well as safe conception. |
| 3 | Part Three: Charts per Service Delivery Area is structured by service delivery point across the continuum of care. It deals with the care and treatment of the woman living with HIV, her partner and children, and preventing mother-to-child-transmission (MTCT) to her exposed infant. For each service delivery point in the facility the following components of care are outlined: 1. HIV testing, 2. Antiretroviral therapy (ART) as treatment or prophylaxis, 3. HIV Viral load (HIV VL) monitoring and management, 4. Tuberculosis (TB) screening, TB Preventative Therapy (TPT), and opportunistic infection (OI) prophylaxis, 5. Prevention of vertical transmission of syphilis, hepatitis B virus (HBV) and other infections, and 6. Other care required, e.g. basic antenatal care (BANC) services, immunization services (EPI), growth monitoring and nutrition. For care provided by the community health worker (CHW) at home the following components of care are outlined: 7. Care of the non-pregnant woman of child bearing potential (CBP) at home, 8. Home-based care during the antenatal period, and 9. Home-based care after delivery for the mother and infant Where additional information is needed you will be redirected to the relevant sections in Part Four. |
| 4 | Part Four: Algorithms and Decision Tools provides algorithms and decision tools that may apply to any service point, e.g. how to manage an elevated HIV VL, how to screen for TB and initiate TPT, important adherence messages, etc. |
South African National Department of Health, Guideline for Vertical Transmission Prevention of Communicable Infections, Version 2_August 2023
Overview of the Structure of this Guideline