Skip to main content

Zero new HIV infections among children can be a reality

By Jeffrey Sachs and Michel Sidibé, Special to CNN
updated 11:32 AM EDT, Mon September 16, 2013
STORY HIGHLIGHTS
  • Jeffrey Sachs, Michel Sidibé: The world has made big gains in reducing new HIV infections
  • Sachs, Sidibé: In upcoming U.N. meetings, leaders should take step toward a critical goal
  • Let's aim to reduce new HIV infections among children to zero by the end of 2015, they say
  • Sachs, Sidibé: We can join forces with African leaders to deploy health workers to reach the goal

Editor's note: Jeffrey Sachs is director of Columbia University's Earth Institute and a special adviser to the United Nations on the Millennium Development Goals. Michel Sidibé is executive director of UNAIDS.

(CNN) -- Since the U.N. Millennium Development Goals were launched in 2000, the world has made tremendous gains in reducing new HIV infections and helping people with HIV to live longer and healthier lives.

For a long time, efforts to ensure that a pregnant woman living with HIV would not pass the virus to her child -- during pregnancy, at childbirth, or during breastfeeding -- have lagged behind the promise of technology. But now we can say confidently that with the right efforts, we can reduce new HIV infections among children to zero, even within the short time remaining until the Millennium Development Goals are concluded at the end of 2015.

During the upcoming meeting of leaders at the U.N. General Assembly, the world's governments, NGOs and the private sector should take an important step toward reaching the goal of zero new HIV infections among children.

Jeffrey D. Sachs
Jeffrey D. Sachs
Michel Sidibé
Michel Sidibé

This can be achieved by deploying a new generation of community health workers (CHWs) who will not only help to fight AIDS but also bring other kinds of health care to the communities they are serving. UNAIDS, Columbia University's Earth Institute, many businesses and NGOs have joined forces with African governments in the 1 Million Community Health Workers Campaign to deploy this large number of CHWs across Africa by the end of 2015.

Although we've known for more than a decade that transmission of HIV from a pregnant woman to her child can be stopped through appropriate interventions -- including timely access to antiretroviral medicines -- the practical challenges to eliminating new infections are substantial. Most women in low-income countries give birth at home, without medical assistance, and usually without the benefit of prenatal care.

One key to overcoming these challenges is to ensure that trained health care professionals are on hand to provide prenatal and delivery support, even in the poorest villages. The Millennium Villages Project and UNAIDS are doing just that by building a network of health workers, supported with training, new technology, a supply chain of antiretrovirals and other key inputs, and professional supervision at the level of clinics and hospitals.

Today, teams of trained health workers across the Millennium Villages complement the nurses and midwives in a structured health care system that is providing pregnant women with not only services to prevent HIV transmission, but comprehensive services including prenatal care, counseling for HIV-positive women, access to antiretrovirals and professional follow-up care for newborns.

Nigeria is second in people with AIDS
Charlize Theron fights HIV devastation

The telecoms industry is also playing a new and historic role. In the Millennium Villages system, the health workers are equipped with smartphones. With better technology, community health workers are now accessing real-time emergency guidance, making calls for ambulances in emergencies, maintaining digital health records for each household and more.

With community-based care, the CHWs are able to expand services to reach more women and newborns. For example, in the Millennium Village of Sauri in Kenya, nearly all pregnant women are receiving HIV counseling and testing, compared with fewer than half in 2008. Children who do become infected with HIV are diagnosed earlier and given timely access to HIV treatment, care and support. The community health workers are also playing a growing role in identifying bottlenecks and implementing solutions by engaging decision makers from local to national levels. Challenges such as low acceptance of HIV counseling and testing, commodity stock-outs and infant feeding issues are being identified and addressed with local responses.

Next week as heads of state and global leaders gather at the United Nations, UNAIDS, the Millennium Villages Project and partners in the telecoms industry and beyond will seize the opportunity to make a push for zero new HIV infections among children, and for the 1 Million CHWs in Africa who can help make the goal a reality.

On September 28, we will also join 60,000 people on the Great Lawn of New York's Central Park for Global Citizen Festival -- along with many millions more watching from around the world -- to issue a global appeal for these historic objectives. We believe that the world will rise to the occasion.

Follow us on Twitter @CNNOpinion.

Join us on Facebook/CNNOpinion.

The opinions expressed in this commentary are solely those of Jeffrey Sachs and Michel Sidibé.

ADVERTISEMENT
Part of complete coverage on
updated 2:25 PM EST, Fri November 21, 2014
Maria Cardona says Republicans should appreciate President Obama's executive action on immigration.
updated 7:44 AM EST, Fri November 21, 2014
Van Jones says the Hunger Games is a more sweeping critique of wealth inequality than Elizabeth Warren's speech.
updated 6:29 PM EST, Thu November 20, 2014
obama immigration
David Gergen: It's deeply troubling to grant legal safe haven to unauthorized immigrants by executive order.
updated 8:34 PM EST, Thu November 20, 2014
Charles Kaiser recalls a four-hour lunch that offered insight into the famed director's genius.
updated 3:12 PM EST, Thu November 20, 2014
The plan by President Obama to provide legal status to millions of undocumented adults living in the U.S. leaves Republicans in a political quandary.
updated 10:13 PM EST, Thu November 20, 2014
Despite criticism from those on the right, Obama's expected immigration plans won't make much difference to deportation numbers, says Ruben Navarette.
updated 8:21 PM EST, Thu November 20, 2014
As new information and accusers against Bill Cosby are brought to light, we are reminded of an unshakable feature of American life: rape culture.
updated 5:56 PM EST, Thu November 20, 2014
When black people protest against police violence in Ferguson, Missouri, they're thought of as a "mob."
updated 3:11 PM EST, Wed November 19, 2014
Lost in much of the coverage of ISIS brutality is how successful the group has been at attracting other groups, says Peter Bergen.
updated 8:45 AM EST, Wed November 19, 2014
Do recent developments mean that full legalization of pot is inevitable? Not necessarily, but one would hope so, says Jeffrey Miron.
updated 8:19 AM EST, Wed November 19, 2014
We don't know what Bill Cosby did or did not do, but these allegations should not be easily dismissed, says Leslie Morgan Steiner.
updated 10:19 AM EST, Wed November 19, 2014
Does Palestinian leader Mahmoud Abbas have the influence to bring stability to Jerusalem?
updated 12:59 PM EST, Wed November 19, 2014
Even though there are far fewer people being stopped, does continued use of "broken windows" strategy mean minorities are still the target of undue police enforcement?
updated 9:58 PM EST, Mon November 17, 2014
The truth is, we ran away from the best progressive persuasion voice in our times because the ghost of our country's original sin still haunts us, writes Cornell Belcher.
updated 4:41 PM EST, Tue November 18, 2014
Children living in the Syrian city of Aleppo watch the sky. Not for signs of winter's approach, although the cold winds are already blowing, but for barrel bombs.
updated 8:21 AM EST, Mon November 17, 2014
We're stuck in a kind of Middle East Bermuda Triangle where messy outcomes are more likely than neat solutions, says Aaron David Miller.
updated 7:16 AM EST, Mon November 17, 2014
In the midst of the fight against Islamist rebels seeking to turn the clock back, a Kurdish region in Syria has approved a law ordering equality for women. Take that, ISIS!
updated 11:07 PM EST, Sun November 16, 2014
Ruben Navarrette says President Obama would be justified in acting on his own to limit deportations
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT