Enhanced Perinatal HIV Surveillance was performed in Georgia between 2006-2011. It targeted and tracked the reduction of perinatal (mother-to-child) transmission of HIV. Its main activities included:
- Conducting medical record review and follow-up of mother/infant pairs to determine knowledge of maternal HIV infection status before birth, new HIV cases, new AIDS cases, AIDS-related deaths, and use of antiretrovirals and their efficacy in preventing HIV transmission.
- Assessing potential adverse outcomes of antiretroviral exposure among infected and uninfected children in the short and long term.
- Publishing the Perinatal Supplementary Surveillance Report (EPS Supplementary Report)
Key findings from the EPS Supplementary Report included:
- Approximately 90% of pregnant women living with HIV in Georgia during these years received prenatal care
- Two-thirds of women had been diagnosed with HIV before pregnancy; almost one third were diagnosed during pregnancy
- Only one woman was diagnosed with HIV at delivery and one after delivery
- Almost all women received ART prenatally and/or intrapartum (during labor and delivery)
- All perinatally exposed babies were discharged with HIV prophylaxis
- Of 698 pregnancies with 710 live births,there was a 2.5% mother to child HIV transmission rate compared to 2% nationally
- Of the 18 cases of mother to child HIV transmission, half were associated with challenging social circumstances (e.g., drug use, incarceration, homelessness, poverty, language barrier)
Current Perinatal Surveillance
Although additional funding for EPS ended December 2011, perinatal surveillance activities are continued as part of Core HIV Surveillance.