Maldives becomes the first country to achieve ‘triple elimination’ of mother-to-child transmission of HIV, syphilis and hepatitis B

Maldives is the first country globally to achieve triple elimination of mother-to-child transmission (EMTCT) of hepatitis B, HIV, and syphilis.

Key Points:

• Validation: Recognized by the World Health Organization (WHO) for eliminating mother-to-child transmission of hepatitis B.
• Global Context:
  • Mother-to-child transmission affects millions worldwide.
  • In the WHO South-East Asia Region (2024 estimates):
    • Over 23,000 pregnant women had syphilis, with 8,000+ infants born with congenital syphilis.
    • About 25,000 HIV-positive pregnant women required treatment to prevent vertical transmission.
    • Hepatitis B continues to affect 42 million people in the region.
• Maldives’ Approach:
  • Developed an integrated maternal and child health system.
  • Antenatal care coverage: Over 95% of pregnant women receive care.
  • Testing: Nearly universal testing for HIV, syphilis, and hepatitis B during pregnancy.
  • Immunization:
    • Over 95% of newborns receive a timely hepatitis B birth dose.
    • Full vaccination coverage ensures protection from lifelong infection.
• Outcomes:
  • No babies were born with HIV or syphilis in 2022 and 2023.
  • 2023 national survey confirmed zero hepatitis B among young children (first grade), surpassing WHO elimination targets.
• Significance:
  • Sets a global benchmark for maternal and child health.
  • Demonstrates the impact of comprehensive antenatal care, vaccination, and testing programs on preventing infectious diseases in newborns.

(Source: WHO)