The disease can be spread during the course of pregnancy, delivery or post-partum in the course of breastfeeding. More than 5 million infants have been infected since the onset of the HIV/AIDS crisis, with 600,000 new infections last year alone. In seriously affected countries, the risk that an HIV-positive mother will infect her child is as high as 35%.
Antiretroviral drug therapies and provision of alternatives to breastfeeding have been shown to dramatically reduce the risk of mother-to-child transmission rates. In order to make these services available in places of greatest risk, there is a need to dramatically expand voluntary testing and counseling services for women, enhanced access to antiretroviral drugs, as well as prenatal and post-partum care services for HIV-positive women.
Preventing the incidence of mother-to-child transmission is a key priority for the UN Secretary-General and the international community. The international community has agreed to work to reduce the number of infants infected by HIV by 20 percent in 2005 and by 50% by 2010.
To achieve this ambitious goal, counseling and testing coverage for HIV-positive pregnant women will have to increase to 75% in 2010, drug coverage to 100% in 2010 and special efforts will have to be made to reduce infections in young women.
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