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In a groundbreaking achievement for public health, the Maldives has become the first country to successfully eliminate mother-to-child transmission (EMTCT) of HIV, syphilis, and hepatitis B. This milestone has been officially recognized by the World Health Organization (WHO), marking a historic moment in global health and offering a potential blueprint for other nations.
The success in the Maldives is the culmination of extensive efforts within its healthcare system, emphasizing the importance of leadership, universal healthcare access, and integrated maternal services. Over 95 percent of pregnant women in the Maldives receive comprehensive prenatal care, which includes routine screenings for HIV, syphilis, and hepatitis B. This proactive approach enables timely interventions, such as the immediate vaccination of newborns against hepatitis B within 24 hours of birth.
Data from the Maldives Ministry of Health highlights the effectiveness of this initiative. In both 2022 and 2023, no infants were born with HIV or syphilis. Additionally, a national survey conducted in 2023 confirmed that no child entering primary school had been infected with hepatitis B. These figures represent significant victories against preventable diseases, underscoring the impact of effective healthcare strategies.
The Maldives’ achievement is particularly notable in the context of Southeast Asia, where many countries continue to struggle with high rates of syphilis and other infections among pregnant women. In 2024, approximately 23,000 pregnant women in the region were diagnosed with syphilis, resulting in nearly 8,000 infants born with the disease. Furthermore, over 25,000 women required antiretroviral therapy to prevent HIV transmission, illustrating the urgent need for effective healthcare interventions.
Health experts cite the Maldives’ integrated approach to maternal and child healthcare as a critical factor in its success. By embedding testing and treatment for these diseases within routine healthcare services, the Maldives has effectively reduced care gaps and stigma associated with testing. Universal health coverage has also played a vital role, as all prenatal services, diagnostic tests, and vaccinations are provided at no cost to expectant mothers.
While the recognition from WHO is a significant achievement, it comes with the responsibility for the Maldives to maintain its progress. Continued vigilance is necessary, with a focus on improving digital health systems, reaching underserved communities, integrating private healthcare providers, and ensuring high standards in laboratory testing.
The Maldives’ accomplishment serves as a beacon of hope for other nations aiming to protect the health of future generations. With strategic investment and inclusive healthcare practices, the success of the Maldives may pave the way for similar achievements globally.
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