Prevention of Mother-to-Child Transmission of HIV National Guidelines (PDF, 2.94 MB)


by Ministry of Health and Social Welfare


National Treatment Guideline, Tanzania



Tanzania's national prevention of mother to child transmission (PMTCT) guidelines document was published in 2005. This document presents a national approach that integrates the principles of ART pregnant women and ARV prophylaxis for newborn care. The HIV counseling and testing is provided as a routine procedure in the context of provider-initiated approach. The treatment criteria for pregnant women include CD4 counts below 200, clinical stage 3 with CD4 counts. When CD4 counts are above 350, ZVD twice daily from 28th week and single dose NVP at the onset of and 3TC during labor are recommended. Newborns should receive single NVP at birth followed by AZT twice daily for four weeks. In addition, these guidelines provide indication for infant feeding, malaria prophylaxis for the mother and cotrimozaxole prophylaxis for the infant that is given from 4th week of age. The guidelines also discuss extensive infant feeding and baby hospital friend initiative, monitoring and evaluation of the program, post-exposure prophylaxis, universal precautions and waste healthcare management.