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EMTCT Preliminary Assessment Checklist

Medium 16 items · 30 min
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testuser Published 4 weeks ago
Health

This checklist helps national program teams quickly assess readiness and gaps on eliminating mother-to-child transmission of HIV, syphilis and hepatitis B. It’s written for health program managers, epidemiologists, lab leads, and partner organizations preparing a preliminary assessment. Inspired by World Health Organization guidelines. Always consult a qualified healthcare professional.

Inspired by World Health Organization (WHO) guidelines. Always consult a qualified healthcare professional where applicable.

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  1. Assemble a national assessment team — Include program managers, epidemiologists, maternal health, lab and data leads.
  2. Review national policies and guidelines on EMTCT — Check current HIV, syphilis and HBV strategies, and alignment with elimination criteria.
  3. Collect antenatal screening coverage data (last 2 years) — Gather percent of pregnant women screened for HIV, syphilis and HBV each year.
  4. Collect treatment coverage data for pregnant women — Record ART for HIV, timely penicillin for syphilis, and HBV antiviral use when indicated.
  5. Verify timely hepatitis B birth-dose vaccine coverage — Confirm percentage of newborns receiving birth dose within 24 hours of birth.
  6. Assess diagnostic capacity and laboratory systems — Identify test availability, turnaround, and lab network capacity for mothers and infants.
  7. Confirm facility-level testing availability — Check which clinics and hospitals can perform antenatal and infant tests.
  8. Check laboratory quality assurance programs — Verify participation in external quality assessment and standard operating procedures.
  9. Calculate key elimination indicators — Compute transmission rates and case counts using standard indicator definitions.
  10. Evaluate data quality and reporting completeness — Assess missing data, reporting delays, and consistency across sources.
  11. Map service delivery gaps and access barriers — Identify geographic areas and populations with low screening or treatment coverage.
  12. Confirm case notification and infant follow-up protocols — Ensure procedures for notifying and tracking exposed infants through testing and care.
  13. Engage stakeholders and partners — Consult ministries, labs, clinicians, civil society and funders for inputs and buy-in.
  14. Develop recommendations and an improvement action plan — Draft targeted actions addressing weak indicators and responsible parties.
  15. Set SMART targets and timelines toward elimination criteria — Define measurable goals for coverage and transmission reduction over 1–5 years.
  16. Document findings and prepare a preliminary assessment report — Summarize methods, data sources, gaps, and the proposed path to elimination.
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