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Enhanced Perinatal HIV/AIDS Surveillance (EPS)

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)

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Data


EPS 2005-2010, Slides


EPS 2005-2010, Report 


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Current Perinatal Surveillance


Although additional funding for EPS ended December 2011, perinatal surveillance activities are continued as part of Core HIV Surveillance.