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Table 1 PMTCT policies in Tanzania

From: Program synergies and social relations: implications of integrating HIV testing and counselling into maternal health care on care seeking

Year Source Policy content
2000-2002 Pilot PMTCT Program • Short course regimen for preventing mother-to-child transmission in four referral hospitals and one regional hospital
• Use of AZT short course from 36 weeks to delivery
2004 First national PMTCT guidelines for scale up • Scale up from 5 pilot testing sites to the whole country (1347 sites across the country by 2006)
• sdNVP during labor and delivery
2007 Second national PMTCT guidelines for scale up • Provider initiated testing and counselling in antenatal visits in an “opt out” system
• PMTCT remained in parallel to Care and Treatment Centers (CTC), where eligible mothers received care
• Change of regimen from sdNVP to AZT from 28 weeks of pregnancy until labor and delivery for PMTCT
2011 Third national PMTCT guidelines for scale up • Tanzania adopts option A of 2010 WHO guidelines (use of ARV drugs for treating pregnant women and preventing mother-to-child transmission of HIV)
• Engagement with, testing of, and counselling partners at health facilities
• PMTCT program expanded to 3420 sites in the country
2013 Fourth national PMTCT guidelines Option B/B+ • All HIV-infected pregnant and lactating mothers, regardless of CD4 count, eligible for lifelong treatment with antiretroviral drugs
• Care and treatment integrated into RCH wards