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Government-funded programmes and services for vulnerable - Unicef

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<strong>Government</strong>-<strong>funded</strong> <strong>programmes</strong> <strong>and</strong> <strong>services</strong> <strong>for</strong> <strong>vulnerable</strong> children in SA<br />

➔<br />

<br />

of antiretroviral<br />

prophylaxis to infants.<br />

The exp<strong>and</strong>ed regime<br />

provides <strong>for</strong> the<br />

commencement of ARV<br />

prophylaxis (infant<br />

NVP) to all neonates<br />

born to HIV+ mothers<br />

immediately at birth;<br />

<br />

all HIV-exposed<br />

infants undergo an<br />

HIV PCR test, which<br />

is integrated into the<br />

Exp<strong>and</strong>ed Programme<br />

on Immunisations<br />

so it is done at the<br />

time of the six week<br />

immunisation visit to<br />

the primary healthcare<br />

facility. Depending<br />

on the feeding option<br />

practised by the HIV+<br />

mother, the HIV status<br />

of the infant <strong>and</strong><br />

the PCR test results,<br />

different treatment<br />

regimes are prescribed:<br />

If the infant is<br />

exclusively <strong>for</strong>mulafed,<br />

at the same time<br />

as the PCR test being<br />

administered, the<br />

infant NVP is stopped<br />

<strong>and</strong> the infant starts<br />

Cotrimoxazole (CTX)<br />

at age six weeks.<br />

If the PCR test is<br />

negative, the CTX is<br />

stopped <strong>and</strong> a further<br />

Rapid HIV test is<br />

conducted at<br />

18 months.<br />

➔<br />

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