Fiji’s Fight Against Mother-to-Child HIV Transmission: A Pathway to Hope

In 2024, Fiji recorded over 20 cases of mother-to-child transmission of HIV, according to Dr. Rachel Devi, head of the Family Health Unit. Her statement aligns with the launch of the Asia-Pacific regional roadmap by WHO, UNICEF, and UNAIDS, aimed at eliminating mother-to-child transmission of HIV, syphilis, and hepatitis B by 2030.

Fiji is implementing measures to address these challenges by integrating prevention services for mother-to-child transmission (PMTCT) with maternal and child healthcare systems. Currently, PMTCT services are offered mainly in tertiary and select sub-district facilities. This response is part of the government’s National Triple Elimination Plan that matches global and regional frameworks.

Dr. Devi expressed optimism, noting that 99.8% of deliveries occur in hospitals, providing a solid foundation for the implementation of preventive services. She reinforced the importance of early testing and treatment for HIV-positive mothers, emphasizing that with appropriate antiretroviral therapy, the transmission risk to newborns can be minimized.

UNAIDS highlighted that each day, approximately 30 children in the Asia-Pacific region are diagnosed with HIV, urging the need for accessible prenatal care, timely treatments, and preventative measures. Since 2015, nearly 72,000 new infections among children have been averted in the region, though about 10,000 new infections were reported in 2023.

The roadmap outlines seven key strategic priorities to help countries like Fiji move closer to eliminating mother-to-child transmission of these diseases, including fostering policy leadership, ensuring universal access to services, and enhancing community engagement.

While the statistics remain concerning, there is hope as collaborative efforts and increased awareness present a pathway toward a healthier future for children in the Asia-Pacific region. The sustained focus on prevention and treatment can significantly improve health outcomes and support families in their journey toward maintaining an HIV-free future for new generations.