What is this intervention?

• The second prong in PMTCT is to prevent unintended pregnancies among women who are living with HIV. MCHIP will strengthen FP choices for women living with HIV by offering the full spectrum of methods inclusive of dual protection.
• PPFP is key in PMTCT to promote healthy spacing of pregnancies through FP. 

Why is it needed?

• Many women living with HIV are only offered condoms as health workers may believe this is the only safe option. However, because people living with HIV may not use condoms all of the time, providers need to be up-to-date on other methods and promote dual use. 
• Providers have out-dated information regarding breastfeeding and may advise clients to offer replacement feeding, which can lead to diarrheal disease.
• At the national level, countries should decide to promote breastfeeding and continue prophylactic ARVs, or promote replacement feedings. ⁵

Key MCHIP activities:  Malawi, Tanzania, Ghana and Kenya 

⁵Reference WHO statement on breast-feeding and women living with HIV released in November 2009.