Mother-Infant Health Cards

Health care workers providing care and follow-up to the mother or the infant can use health cards that specify infection status and HIV exposure. Health cards can contain the following information:

• HIV status of the mother and interventions given
• Postnatal recording of delivery interventions given
• Feeding option initiated
• Interventions given to baby, including feeding, cotrimoxazole, early diagnostic testing, and ARV prophylaxis
• Antiretroviral drugs provided to the mother and/or infant
• HIV testing status for the infant

The graphics and photos displayed on the cards promote healthy practices; for example, a photo of a man and a woman can encourage male support for the feeding and care of mother and child.

Below are several sample mother-infant health cards.


Mother/Parent/Caregiver: Feeding option and follow-up from birth to 24M; NVP/other ARVs given at birth and follow-up from 6W to 5M; Parent/Caregiver pre-test (and post-test) counselled for child test (and result). Infant: Cotrimoxazole (supplied) and follow-up; child tested; child’s result. Graphic shows colourful illustration of mother, father, and baby


Proposed ANC coding for HIV counseling and testing; NVP for mother and infant; and infant feeding choice


Mother: date/results of test; for how long (in weeks) was mother give ZDV; NVP during labor; duration of HAART; infant feeding counseling and option. Infant: duration of ZDV (in days) if given; was NVP given in the first 3 days; cotrimoxazole; referral for PCR at 6 weeks recording status; HAART given and date started


Mother: Counselling to Mother/Caregiver: HIV Prevention; infant feeding, complementary feeding; infant feeding choice. Infant: Cotrimoxazole indicated at 1st contact with infant; PCR; serology; follow-up of from 6W to 18M


Mother: administration of ARV prophylaxis to mother; infant feeding practice and promotion of exclusive breastfeeding until 6 months of age. Infant: exposure status of child; administration of ARV prophylaxis to infant; cotrimoxazole administration; HIV testing for child; ART regimen for HIV infected children


Mother: "RVD" test accepted or refused ("RVD” = retroviral DISEASE or AIDS); ART accepted or refused; infant feeding option; booking assessment of risk appointment for infant


Mother: Asks if the baby is bottle fed. Infant: no content on care or follow-up to the exposed HIV infant


Infant: no content on care or follow-up to the exposed HIV infant.

Graphic shows colourful illustration of mother, father and baby, and other illustrations of father during feeding and playing times with young child.


PMTCT confidential code, date of next appointment, and remarks


Infant: no content on care or follow-up to the exposed HIV infant


Mother: care entry point; HIV care; prior ART; follow-up education, support and preparation for ARV therapy; infant feeding practice; Infant: HIV-exposed infant follow-up and final status at 18 months; codes for CTX/ART adherence; Family: status of family members


Card is not in English


PMTCT section includes: CE = Child Exposed; MSU = Mother's Status Unknown; CNE = Child Not Exposed. For the PCR test at 6, 12 and 18 months, 3 results are noted: R = Reactive; NR = Non-reactive; I = Indeterminate. Treatment is shown with the codes: MGA = Mother Given ARVs; IGA = Infant Given ARV. Follow-up, cotrimoxazole and infant feeding option are also noted.