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
(iii)
Engage political leadership for comprehensive e-MTCT of HIV at all levels: Meetings held with
National Assembly Members to build the advocacy for e-MTCT at their constituency level; and
funding for e-MTCT from the Government budget;
(iv)
Develop national and regional capacity for coordination, organization, quality assurance and
management of e-MTCT utilizing RCH platform;
(v)
Establish community involvement initiatives and linkage mechanism to health facilities aiming at
creating demand and increase service utilization for RCH and e-MTCT of HIV;
(vi)
Strengthen logistics management system and commodity security for e-MTCT;
(vii)
Support women led PLHIV support groups for skills acquisition and development coupled with
income generating activities.
The main intervention area is the Prevention of Mother to Child transmission of HIV (PMTCT); these are
intended services to address a wide range of prevention, treatment care and support services along a
continuum of care from pregnancy through childhood. The PMTCT of HIV covers a package of
interventions as recommended by WHO as 4 prongs which should be implemented simultaneously1. Primary prevention of HIV infection among women of childbearing age;
2. Preventing unintended pregnancies among women living with HIV;
3. Preventing HIV transmission from a woman living with HIV to her infant; and
4. Providing appropriate treatment, care and support to mothers living with HIV and their children and
families.
The care package for women living with HIV includes• Assessment and diagnosis of clinical and immunological status;
•Treatment and prevention of opportunistic infection and Vitamin supplements;
• Sexually Transmitted Infection (STI) management;
• Counselling on infant feeding;
• Ongoing psychological counselling and support;
• ARV prophylaxis or antiretroviral therapy;
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