The key is to find and treat the relatively small population of pregnant, HIV-infected women, because those who receive ARVs rarely transmit the virus to their babies.
Nigeria’s central problem is that some 40% of women give birth at home or in makeshift clinics run by traditional birth attendants, where women are unlikely to get tested.
1 challenge” is for Nigeria to move “from a donor-dependent program to a country-owned program.” To give an example of the problem, Muktar Aliyu notes that foreign assistance often focuses on bolstering programs, including testing, at large treatment centers, not the 800 or so smaller clinics spread across the country.
In a study of the project in 40 churches, half of which received the intervention, Baby Shower increased HIV testing in pregnant women from 55% in the control churches to 92%, the researchers reported in the November 2015 issue of The Lancet Global Health.
One state has experimented with paying incentives to traditional birth attendants to bring pregnant women to formal health care settings.