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Infant Feeding in the Context of HIV
FACILITATOR’S MANUAL

TOSOUTH

SOUTH

THE SOUTH TO SOUTH PARTNERSHIP FOR COMPREHENSIVE FAMILY HIV CARE AND TREATMENT PROGRAM (S2S)
South Africa has the largest HIV burden of any country in the world, with an estimated 5.7 million people living with the virus. Women and children remain at the centre of the pandemic in terms of transmission, vulnerability and potential for impact. To continue to build on the existing successes of South Africa’s antiretroviral (ARV) program, the capacity for HIV disease management must be enhanced. It is essential that HIV disease management transition from an individual case management to a family-centred and chronic-care approach targeting and prioritising pregnant women and children. Enrolling pregnant women and children into HIV care and treatment early and regularly can prevent new HIV infections and reduce morbidity and mortality, effectively sustaining the quality of life of mothers, their children, and their families. The scale up of effective prevention of mother-to-child transmission (PMTCT) and paediatric ARV care and treatment programs are crucial in the fight against HIV but are challenged by many factors including perceived complexity of treating pregnant women and children, inadequate paediatric and PMTCT knowledge and clinical skills, lack of psychosocial and adherence support, delays in integrating PMTCT services with antenatal and child health management systems, and gaps in referral systems. The South to South Partnership for Comprehensive Family HIV Care and Treatment Program (S2S), a collaboration between the Department of Paediatrics and Child Health, Stellenbosch University, Cape Town, and the International Centre for AIDS Care and Treatment Programs (ICAP), Mailman School of Public Health, Columbia University, New York, aims to address these gaps in support of quality

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