Barker PM, Mate KS. Eliminating mother-to-child HIV transmission will require major improvements in maternal and child health services. Health Affairs. 2012 July;31(7):1489-1497.
Researchers modeled how two factors — access to maternal and child health services, and the effective delivery of anti-HIV-transmission interventions — impact efforts to eliminate HIV transmission during pregnancy and after childbirth in low- and middle-income countries. Focusing on the 10 countries with the highest HIV burden in the world, the model suggests that, under current conditions, poor access to routine antenatal and postnatal health services contributes three times more to overall mother-to-child HIV transmission than do current suboptimal levels of delivery of anti-HIV-transmission interventions.