Fig 1. Optimal VL test sequences for HIV-positive pregnant women through 6 months postpartum.

According to Kenya’s 2016 guidelines, pregnant women diagnosed with HIV in ANC are scheduled for baseline VL testing after 6 months on ART. Patients previously initiated on ART before conception are scheduled for baseline VL testing at first ANC visit. For virally suppressed patients in either category, the guidelines recommend repeat VL testing at 6 month intervals.