James McIntyre and Glenda Gray at the University of Witwatersrand in Johannesburg examine strategies for preventing mother to child transmission of HIV involving the use of antiretroviral drugs and infant feeding, particularly from an African perspective.

The authors compare evidence (both published and unpublished) and personal communications, and conclude that measures are cost effective, but that implementation has been slow in the worst affected areas in Africa. This, they conclude, is due to a combination of real and perceived barriers such as cost, lack of infrastructure and stigma, as well as divergent political agendas.


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