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Guidelines to Prevent Mother to Child Transmission of HIV (PDF, 1.19 MB)


by Government of Lesotho


National Treatment Guideline, Lesotho



Lesotho's national prevention of mother to child transmission (PMTCT) guidelines document was published in 2004. This document presents a national approach that integrates the principles of ART for pregnant women and ARV prophylaxis for newborn care. The HIV counseling and testing is provided as a routine procedure in the context of provider-initiated approach. The treatment criteria for pregnant women include CD4 counts below 200 or clinical stage 3 or 4.  When CD4 counts are above 200, AZT twice daily from 28th week and single dose NVP at the onset of labor and AZT in postpartum are recommended. Single dose NVP though not recommended may be provided if facility is not able to offer the preferred regimen. Newborns should receive single NVP at birth followed by AZT twice daily for four weeks. In addition, these guidelines provide indication for infant feeding, management of the opportunistic infections for pregnant women and cotrimozaxole prophylaxis that is administered to the infant from 6 weeks of age. The guidelines also give an overview of maternal nutrition and infant feeding.