Accelerating the Elimination of Mother-to-Child Transmission of HIV Using a Community Tool, “Pregnant Women’s Monitoring Booklet”: <i>The Nurses and Midwives’ Role in Sponsoring Mother-Child Pairs in the Goudomp Health District, Senegal</i>

Abstract HIV infection feminization threatens maternal and child health, particularly in high-prevalence areas like southern Senegal, where Goudomp is located. Indeed, the latter recorded the highest number of people living with HIV (PLHIV) in the Sedhiou region, as well as being one of the hottest spots in this border zone. Yet the WHO recommends a cascade of care packages for both the mother during antenatal consultations (ANCs) and the child until he/she is weaned. With this in mind, the district’s top management team co-designed with the community and implemented a strategy using a community tool: “Pregnant women monitoring booklet”, while sponsoring pregnant women by Health District’s midwives and nurses. This has significantly improved the prevention of mother-to-child transmission by increasing ANC services use and their completion from respectively 71 to 99% and 22 to 54.1%. It has also led to an increase not only in the initiation of antiretroviral treatment (from 52% to 96%) but above all in screening for both pregnant women (from 79 to 88%) and children (from 6 to 48%). Nevertheless, this community-based strategy would benefit from a better ANCs’ opportunity use while reinforcing the fight against other diseases, in order to contribute to the synchronous achievement of the SDGs by 2030. Information © The Authors 2025