Every mother’s dream is to have a healthy baby. NSACP provide services for antenatal mothers to deliver a baby free of any mother-to-child transmitted STD in collaboration with the Family Health Bureau and Maternal and Childcare Services of the Ministry of Health.

NSACP provide services for Antenatal women for prevention, testing and treatment of sexually transmitted infections. With the implementation of the Prevention of Mother to Child Transmission program island wide service provision and testing of pregnant mothers are integrated into the maternal and child health care package through the local medical officer of health.

Services provided

  • Prevention information for adolescents, premarital counselling, and antenatal mothers.
  • Providing IEC material to all antenatal mothers at the clinic and mothers who attend STD clinics.
  • Screening every pregnant mother who attends the antenatal clinics with HIV and syphilis testing.
  • Providing treatment and care services and follow-up to antenatal mothers who are diagnosed with syphilis, HIV, and other Sexually transmitted infections.

Elimination of Mother to Child Transmission (EMTCT) of HIV and syphilis in Sri Lanka

emtct web photo 1

The elimination of MTCT of HIV and syphilis will help to improve a broad range of maternal and child health (MCH) outcomes and also directly contribute to the Millennium Development Goals (MDGs), specifically MDGs 4 and 5, which aim to reduce child mortality and improve maternal health, and MDG 6, which aims to reduce the spread of HIV, malaria, and other diseases.

The Prevention of mother-to-child transmission of HIV programme was launched in the year 2002. In 2013 this programme was improved as an EMTCT programme and measures were taken to scale up testing services among pregnant women throughout the country aiming at reaching >95% testing of pregnant women for HIV by the end of 2016. Most of the provinces of the country have already initiated the programme. Sri Lanka has satisfactory MCH services with more than 99% of the antenatal population receiving antenatal care and delivering in health care institutions. The term “validation” is used to attest that a country has successfully met the criteria for EMTCT of HIV and/or syphilis at a specific point in time. “Validation of EMTCT of HIV and/or syphilis” implies that countries will also need to maintain ongoing, routine, effective programme interventions and quality surveillance systems to monitor EMTCT of HIV and/or syphilis.

Global indicators for validation for the elimination of MTCT of HIV and syphilis.

Impact indicators:

  • <50 new paediatric HIV infections per 100,000 live births
  • <50 new congenital syphilis cases per 100,000 live births
  • Mother-to-child HIV transmission rate <5%

    Process indicators:

  • ANC coverage at least one visit >95%
  • Coverage of HIV and syphilis testing of pregnant women >95%
  • ARV coverage of HIV-positive pregnant women of >95%
  • Treatment of syphilis seropositive pregnant women >95%

According to the available statistics Sri Lanka has already achieved the impact indicators and is ready for application for the WHO validation certificate.

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Published Year Title Circular Number
2017 Management of healthcare workers following occupational exposure to blood and other body fluids and post-exposure prophylaxis for HIV No. 01 - 19/ 2017
2016 The Programme for Elimination of Mother to Child transmission of syphilis and HIV (EMTCT of syphilis and HIV ) in Sri Lanka No. 01 - 59/ 2016
2016 Programme for Ending AIDS by 2025 in Sri Lanka No. 01 - 51/ 2016
2014 The Programme for Elimination of Mother to child transmission of syphilis and HIV (EMTCT of syphilis and HIV) in Sri Lanka No. 02 - 02/ 2014

 

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EMTCT Programme Guidelines

Published Year Title
2020 Guide for Management of Female prison inmates to eliminate mother to child transmission of HIV and Syphilis
2016 Guidelines for Management of Pregnant women with Syphilis
2016 Guidelines for Management of Pregnant women with HIV
2011 Guidelines for the Management of Maternal Syphilis & Congenital Syphilis

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EMTCT Programme Policies

Published Year Title
2011 National Maternal and Child Health Policy

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EMTCT Programme Health Talks

Title
Health talk on PMTCT of Syphilis & HIV
Health talk on prevention of HIV & STI among women prevention of HIV & STI among women

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EMTCT Programme Formats and Tools

Title
EMTCT HIV  case investigation form
EMTCT Syphilis case investigation form
EMTCT HIV - STD CLINIC SUPERVISION CHECKLIST EMTCT HV 11.2018
EMTCT SYPHILIS - STD CLINIC SUPERVISION CHECKLIST EMTCT SV 11.2018
STD clinic supervision report
Data-assessment-tool_ Global_amended  29 March 2018 (1) (1)
HR-GE-CE-assessment_tool
Laboratory-assessment program
Program-assessment-tool EMTCT 2018
Postnatal survey format

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EMTCT Programme Other Documents

Title

A Guide for Healthcare workers Guide for Healthcare Workers

Sample collection manual for antenatal clinics, Syphilis and HIV Testing, EMTCT Programme

The Strategy for the elimination of mother to child transmission of HIV and syphilis in Sri Lanka

The success story of managing Syphilis infection among pregnant women

Validation of Elimination of mother to child transmission of HIV and syphilis, Sri Lanka
The Strategy for Elimination of New Paediatric HIV infections and  Congenital Syphilis in Sri Lanka
Scaling up of elimination of mother to child transmission of HIV programming Sri Lanka
The launch of the process for Validation of Elimination of mother to child transmission of HIV and syphilis Programme, Sri Lanka


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Scaling up of elimination of mother to child transmission of HIV programming Sri Lanka