HIV Treatment and Prevention in Women 
In sub-Saharan Africa, women represent 58% of the infected population.
In 2011, over 90% of the 330,000 children newly infected with HIV were living in sub-Saharan Africa.
The Challenge:
How would you ensure that HIV-infected pregnant women receive the appropriate medicines and continue through the entire course of HIV services to prevent the infection being passed on to their babies?
Problem:
Overall access to HIV testing and prevention services remains insufficient for pregnant women living with HIV and their male partners. Whereas 57% of pregnant women living with HIV in low- and middle‑income countries received antiretroviral drugs in 2011, only 30% of pregnant women who needed this life-saving treatment actually obtained it.
Bottlenecks:
- Gender inequality
- Female lack of decision-making power, lack of access to resources, fear of violence and abandonment
- Cultural attitudes towards sex, pregnancy and HIV
- Keeping pregnant women engaged through full course of services, from antenatal care through postpartum follow-up
Link to challenge: http://www.fulfillingthepromise.org/hiv/
