THE REPUBLIC OF THE GAMBIA’S COMBINED REPORT ON THE AFRICAN CHARTER ON HUMAN & PEOPLES’ RIGHTS &
INITIAL REPORT ON THE PROTOCOL TO THE AFRICAN CHARTER ON THE RIGHTS OF WOMEN IN AFRICA
Number of infants born to HIV positive mothers tested positive for HIV
Number of infants born to HIV positive mothers aged 2 months who
received Cotrimoxazole prophylaxis this month
25
464
Prevalence of HIV in The Gambia as of 2013
Programmes to support women living and affected with HIV are not stand-alone but integrated in the
comprehensive HIV interventions and in Sexual and Reproductive Health Services. NAS has updated both
the National HIV Policy and National Strategic Plan (NSP) for the period 2015-2019, with an overall goal:
To achieve zero new HIV infections, zero AIDS-related deaths and zero stigma and discrimination in The
Gambia.
One of the objectives is to reduce mother to child transmission of HIV at 6 weeks from 10 per cent in 2013
to 3 per cent by 2019. The NSP intends to promote and strengthen PMTCT services and its integration into
Reproductive, Maternal, New-born and Child Health (RMNCH) services and also aims to reduce the rate of
HIV transmission from mother to child to 3.9 per cent by end of 2017.
Priority interventions for PMTCT in the 2015-2019 NSP include –
(i)
Increase public, NGO, and private health facilities offering integrated RMNCH, ANC and elimination
of mother to child transmission (e-MTCT) services: Scaling up of e-MTCT to ensure all antenatal
clinic (ANC) sites provide HCT services. PMTCT sites increased from 32 in 2014 sites to 57 sites
by 2017 and maintained to 2019. E-MTCT integrated with RMNCH, staff trained on HCT and test
kits supplied to enable these sites provide the service. Monitoring of the sites intensified to ensure
quality service. Certain PMTCT sites with the required capacity will be converted into ART sites to
implement the option B+ policy. Task shifting and the use of point of care equipment incorporated
into the scale up strategy to the decentralized levels;
(ii)
Sensitization of women and men on e-MTCT: Civil society organizations, community health
workers and community leaders engaged to sensitize women and men on e-MTCT and mobilize
pregnant women to visit ANC sites;
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