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. Author manuscript; available in PMC: 2012 Oct 1.
Published in final edited form as: J Acquir Immune Defic Syndr. 2012 Apr 1;59(4):417–425. doi: 10.1097/QAI.0b013e3182432f27

Table 2.

Mother-to-child transmission assumptions

Parameter Value
(mean)
Standard
deviation*
Source
% of pregnant HIV+ women with
 CD4 >500 36.6% - Meta-analysis of
 CD4 350-500 24.5% - published studies42
 CD4 200-349 24.9% -
 CD4 <200 14.0% -
Transmission rate at/before birth, from chronically-
 infected women with no ARV prophylaxis, with
 CD4 >500 13.4% - Meta-analysis of
 CD4 350-500 15.2% - published studies42
 CD4 200-349 25.8% -
 CD4 <200 35.0% -
Transmission rate at/before birth, from acutely-
 infected women with no ARV prophylaxis
35.0% 8.0% Table 1, Rollins et al20, 21
% of HIV-diagnosed women who receive
 single-dose nevirapine, if not starting ART
75.0% 10.0% Stringer et al,43 Sherman et al,44
 Nkonki et al45
% reduction in perinatal MTCT if mother
 receives single-dose nevirapine
40.0% - Leroy et al46
% reduction in perinatal MTCT if mother
 receives short-course zidovudine
65.0% - Sperling et al1
% reduction in perinatal MTCT if mother receives
 single-dose nevirapine + short-course zidovudine
80.0% - Dabis et al,47 Lallemant et al48
Transmission rate at/before birth, from chronically-
 infected women starting long-term ART
2.0% - Tonwe-Gold et al,49 Peltier et al,50
 Palombi et al,51 Hoffman et al52
Probability of MTCT from chronically-
 infected mothers, per year of mixed feeding
14.0% 2.5% Meta-analysis,53 adjusted to
reflect effect of excluding EBF
Probability of MTCT from acutely-
 infected mothers, per month of mixed feeding
16.0% 3.0% Derived from Table 1 using
equation 1
Ratio of postnatal transmission risk per month
 of EBF to postnatal transmission risk per month
 of mixed feeding
50.0% 15.0% Coovadia et al,54 Becquet et al55
% reduction in monthly postnatal MTCT risk
 if child receives extended nevirapine prophylaxis
60.0% - Kumwenda et al,56 Chasela et al,57
 SWEN Study Team58
% reduction in monthly postnatal MTCT risk
 if mother receives long-term ART
80.0% - Taha et al59
*

Standard deviations are shown only for those parameters that are included in the uncertainty analysis.