Progress towards triple elimination of mother-to-child transmission of HIV, hepatitis B and syphilis in Pacific Island Countries and Territories: a systematic review

Overview of Pregnant Women's Knowledge and Motivation in the Triple Elimination Examination at The Bintan District, Indonesia, 2023

“…The research sampling technique is accidental sampling, which means that the sample is all pregnant mothers who checked at the Sasah Tanjung Uban Community Health Center, North Bintan District, Bintan Regency, Indonesia, during 2022. Management of the data obtained through the stages of editing, coding, tabulating, and continued descriptive analysis using SPSS version 17 with a significance level of 95% (α < 0.05) to obtain a conclusion (Bell et al, 2023). Mothers who are pregnant and come for a check or examination are continued at the interview (Mihret et al, 2020).…”

“…The World Health Organization (WHO) in 2017 established each criteria indicator in efforts to eliminate infectious diseases from mother to child; (1) HIV indicators, namely pregnant women are required to have their HIV status checked ≥95%, coverage of antiretroviral drugs (ARV) in HIV positive pregnant women is ≥95% (Women taking drugs to suppress virus transmission during childbirth), HIV infection case rate ≤50 Pregnant Women's Knowledge and Motivation in the Triple Elimination Examination cases per 100,000 live births, and a case rate of HIV infection <5% in the breastfeeding population or <2% in the non-breastfeeding population; (2) syphilis indicators, namely coverage of syphilis status examination of pregnant women ≥95%, treatment of syphilis seropositive pregnant women ≥95%, and congenital syphilis case rate ≤50 cases per 100,000 live births; and (3) hepatitis B indicators, namely third dose hepatitis B virus vaccination (childhood vaccine coverage) ≥90%, birth dose hepatitis B virus vaccination coverage or other approaches to prevent mother-to-child transmission ≥90%, and HBsAg prevalence in children ≤ 0.1% (Visser et al, 2019;Azhali et al, 2023). Transmission of this infectious disease from mother to child during pregnancy can be suppressed by carrying out interventions such as (1) early antenatal testing (repeated testing), (2) timely treatment and management during pregnancy and beyond, and (3) hepatitis B vaccine in babies, including timely administration of hepatitis B doses at birth or without passive immunization with hepatitis B immunoglobulin (HBIG) (Bell et al, 2023;Elgalib et al, 2023). The principle of interventions that center on pregnant women and mothers-newborn babies in an integrated and coordinated manner can eliminate infectious diseases efficiently and sustainably (Zhang et al, 2019).…”

Advances for pediatricians in 2022: allergy, anesthesiology, cardiology, dermatology, endocrinology, gastroenterology, genetics, global health, infectious diseases, metabolism, neonatology, neurology, oncology, pulmonology

“…The authors conclude that Minister of Health and nongovernmental organizations should work on mobilization of the community and awareness creation on the important of exclusive breast feeding, drugs adherence, on benefits of health institutional delivery as well as the risk of homedelivery. Public health interventions are very important tools to reduce mother-child transmission of HIV [133][134][135].…”

Hepatitis B virus infection on Kwajalein Atoll, Marshall Islands: a seroprevalence, knowledge and attitudes study

“…Timely HBV birth dose vaccine coverage for the whole of the Marshall Islands in 2016 was 87%; third dose vaccine coverage was 76%. ( 18 ) However, immunization rates are known to differ between atolls, with the outer remote islands typically having lower coverage rates. ( 9 , 17 ) This may be due to a higher number of non-hospital births in the more remote islands, which often means the birth dose is delayed.…”