22.10.2014 Views

Government-funded programmes and services for vulnerable - Unicef

Government-funded programmes and services for vulnerable - Unicef

Government-funded programmes and services for vulnerable - Unicef

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

<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 />

breastfeeding stops. In<br />

addition, CTX is also<br />

continued until the<br />

breastfeeding stops<br />

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

negative.<br />

If the infant tests<br />

negative, the PCR HIV<br />

test is repeated six<br />

weeks after cessation<br />

of breastfeeding. If the<br />

PCR test is negative,<br />

the CTX is stopped<br />

<strong>and</strong> the Rapid HIV<br />

test is conducted at 18<br />

months.<br />

If the PCR test is<br />

positive, there must be<br />

a prompt referral <strong>for</strong><br />

ART. The infant’s status<br />

must be confirmed<br />

with a viral load test<br />

<strong>and</strong> breastfeeding must<br />

be continued <strong>for</strong> two<br />

years. The infant NVP<br />

is stopped, but the CTX<br />

continues;<br />

<br />

receives ongoing postnatal<br />

care <strong>and</strong> support,<br />

which includes family<br />

planning, feeding<br />

advice <strong>and</strong> support,<br />

TB screening <strong>and</strong><br />

other <strong>for</strong>ms of routine<br />

healthcare.<br />

If she is on lifelong ART,<br />

at her six-week postpartum<br />

visit she must<br />

be supported <strong>and</strong> her<br />

treatment adherence must<br />

be monitored. She must<br />

be referred to a primary<br />

healthcare facility <strong>for</strong><br />

ongoing ART.<br />

➔<br />

114

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!