[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-404248-105":59,"doc-detail-404248-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","pangaea-zimbabwe-hiv-prevention-manual-for-pregnant-and-breastfeeding-populations","Pangaea Zimbabwe HIV Prevention Manual for Pregnant and Breastfeeding Populations","","HIV Prevention Manual for Pregnant and Breastfeeding Populations provides facilitator- and community-oriented guidance to increase awareness of HIV risk during pregnancy and breastfeeding and to strengthen demand for prevention options. It explains why pregnant and breastfeeding populations face higher vulnerability, outlines foundational knowledge on HIV and related factors such as STIs and gender inequality, and introduces biomedical prevention approaches including PrEP. The manual includes objectives, session structure, and facilitator instructions to support interactive learning.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/pangaea-zimbabwe-hiv-prevention-manual-for-pregnant-and-breastfeeding-populations/404248/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/pangaea-zimbabwe-hiv-prevention-manual-for-pregnant-and-breastfeeding-populations/404248.png","ImageObject",300,407,{"name":92,"@type":93},"asda1da","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-02","2026-09-27",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Why are pregnant and breastfeeding populations at higher risk of HIV infection?","Question",{"text":113,"@type":114},"Globally, women have higher vulnerability, and in Sub-Saharan Africa this is heightened during pregnancy and breastfeeding. Factors include socio-economic conditions, limited access to healthcare, biological changes, and more frequent condomless sex with partners living with HIV or unknown status.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What is the purpose of initiating PrEP for mothers?",{"text":118,"@type":114},"Initiation of pre-exposure prophylaxis (PrEP) helps protect mothers from acquiring HIV and contributes to reducing vertical transmission to infants. The manual notes evidence that tenofovir disoproxil fumarate oral PrEP is safe during pregnancy and breastfeeding.",{"name":120,"@type":111,"acceptedAnswer":121},"What does the manual ask facilitators and participants to do in the initial session?",{"text":122,"@type":114},"The initial session focuses on introductions and familiarizing participants and facilitators with each other. Facilitators and participants introduce themselves, share what they like or do, and follow discussion norms such as respectful interaction and asking questions through the chair.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},404248,1790713949,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146,"preview_page_count":4},3985747861852,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","HIV Prevention Manual  \nfor Pregnant and Breastfeeding Populations  \nACKNOWLEDGEMENTS  \nThis manual was developed by Pangaea Zimbabwe, in partnership with the Ministry of Health and Child Care Zimbabwe. This work was supported by the Coalition to Accelerate and Support Prevention Research (CASPR), (AID-OAA-A-16-00031), made possible by the generous support of the American people through the US President’s Emergency Plan for AIDS Relief (PEPFAR) and the US Agency for International Development (USAID) . The contents do not necessarily reflect the views of PEPFAR, USAID or the United  \nStates Government.  \nSTRUCTURE OF THE MANUAL  \nFoundational Knowledge  \nSession 1 – Get to know our bodies Session 2-HIV and AIDS  \nCombination HIV Prevention  \nSession 1-HIV prevention strategies and STIs Session 2-Gender inequality and violence  \nIntroduction to PrEP  \nSession 1 – PrEP Methods  \nOral PrEP  \nSession 1 – About Oral PrEP  \nSession 2 – Taking and Staying on Oral PrEP Session 3 – Myths and Misconceptions  \nDapivirine Ring  \nSession 1 – Ring Basics  \nSession 2 – How to insert and remove the Ring Session 3 Myths and Misconceptions  \nLong-Acting Injectable  \nSession 1 – About CAB-LA  \nClosing  \nKey Terms  \n4  \nWhy Pregnant  \nand Breastfeeding Populations are at risk of HIV infection  \nIntroduction  \nGlobally, more than half of all the people living with HIV are women. In Sub-Saharan Africa, women are particularly vulnerable, more so, during pregnancy and Breastfeeding periods, when they are two to three times more likely to acquire HIV. This vulnerability is primarily heightened by socio-economic determinants such as poverty, poor standards of living, compromised quality of life, as well as limited access to public healthcare services. Biological and behavioral factors drive high HIV incidence during pregnancy and Breastfeeding periods such as hormonal changes that alter genital mucosal surfaces, and frequent condomless sex with partners living with HIV or partners of unknown serostatus.  \n1  \nBackground  \nPregnant and Breastfeeding populations (PBFP) have since been left behind in HIV prevention research and rolling out of new HIV prevention options resulting in increased mother-to-child transmission rates. HIV acquired during pregnancy or Breastfeeding period is associated with an increased risk of HIV transmission to the infant. Globally, an estimated 1.3 million women and girls living with HIV become pregnant each year. In the absence of interventions, the rate of transmission of HIV from a mother living with HIV to her child during pregnancy, labor, delivery, or breastfeeding ranges from 15% to 45% according to World Health Organization (WHO) . Initiation of pre-exposure prophylaxis (PrEP) protects mothers from acquiring HIV and contributes to the reduction of vertical transmission. An increasing body of evidence has demonstrated that Tenofovir Disoproxil Fumarate containing oral PrEP is safe during pregnancy and Breastfeeding periods.  \nZimbabwe has made strides in identifying and treating pregnant populations living with HIV. The government of Zimbabwe has committed to the elimination of mother-to-child HIV transmission by initially developing and implementing the Plan for the Elimination of HIV and Syphilis 2018-2022 and now shifting to the triple Elimination of HIV, Syphilis and Hepatitis B. Priority issues for the elimination of the motherto-child transmission (MTCT) Plan includes preventing incident infection in PBFP. The strategy has significantly reduced HIV MTCT rates from 24. 1% in 2010 to 8. 1% in 2022. This translates to an estimated 4,785 infants who were vertically infected, accounting for 21% of all new HIV infections in the country in 2021. An analysis of the MTCT HIV infections in 2022 revealed that initiating all the PBFPs living with HIV on ART, retaining them in care with Viral suppression, and offering PrEP to those that are HIV-negative to reduce incident infections will lead to the reduction of the MTCT.  \n2  ","cbCaild88Bb5ehjw","https://ap.wps.com/l/cbCaild88Bb5ehjw","pdf",11833771,67,"English","# Acknowledgements\n# Structure of the Manual\n# Why Pregnant and Breastfeeding Populations are at risk of HIV infection\n## Background\n# Rationale and Objectives\n# Instructions to Facilitators\n## Session overview\n## Session instructions\n## Facilitation Tips","[{\"question\":\"Why are pregnant and breastfeeding populations at higher risk of HIV infection?\",\"answer\":\"Globally, women have higher vulnerability, and in Sub-Saharan Africa this is heightened during pregnancy and breastfeeding. Factors include socio-economic conditions, limited access to healthcare, biological changes, and more frequent condomless sex with partners living with HIV or unknown status.\"},{\"question\":\"What is the purpose of initiating PrEP for mothers?\",\"answer\":\"Initiation of pre-exposure prophylaxis (PrEP) helps protect mothers from acquiring HIV and contributes to reducing vertical transmission to infants. The manual notes evidence that tenofovir disoproxil fumarate oral PrEP is safe during pregnancy and breastfeeding.\"},{\"question\":\"What does the manual ask facilitators and participants to do in the initial session?\",\"answer\":\"The initial session focuses on introductions and familiarizing participants and facilitators with each other. Facilitators and participants introduce themselves, share what they like or do, and follow discussion norms such as respectful interaction and asking questions through the chair.\"}]","Pangaea Zimbabwe HIV Prevention Manual for Pregnant and Breastfeeding Populations | PDF",1790546547,169]