We Start by Ending HIV Select 2019 Impact Insights August 2020 At mothers2mothers, we focus on delivering health, hope, and an HIV-free future. This work starts with ending HIV—preventing mother-to-child transmission of HIV and stopping new infections in their tracks, using our lifecycle approach. This factsheet contains the first available results from our 2019 Annual Programme Review,1 (the full evaluation will be released in September 2020). OUR SCALE AND REACH CONTINUES TO GROW IN 2019: Our strategic focus on creating an HIV-free We enrolled generation is reflected in our shifting client composition: 932,431 new clients, an increase of 4% from 2018. WE REACHED: This included over 30,000 clients enrolled through technical assistance support to governments and other Non- Governmental Organisations (NGOs). 27% 20% more adolescents more children Our prevention of mother-to-child transmission project in (aged 10-19) in 2019, (aged 3-9) in 2019, Eswatini ended in mid-2019, and we started new country compared to 2018. compared to 2018. programmes in Angola and Ghana. OUR WORK TO ENSURE A NEW GENERATION IS BORN HIV-FREE CONTINUES TO BE A REMARKABLE SUCCESS UN benchmark for virtual For the sixth year in a elimination of HIV is < 5% 3.7% MTCT rate among enrolled row, we have achieved m2m clients virtual elimination 2.1% 1.6% 1.6% 1.9% of mother-to-child 1.3% transmission of HIV for our enrolled clients. 2014 2015 2016 2017 2018 2019 We recorded a rate of 1.9% in 2019; a slight increase from 2018 (1.3%), but not a statistically significant difference. WE CONTINUE TO DO AN EXCELLENT JOB AT KEEPING OUR HIV-NEGATIVE CLIENTS HIV-FREE Only 0.08% of m2m’s HIV-negative pregnant or breastfeeding mothers newly- acquired HIV in 2019. This is 45 times lower than the 2020 rate across sub-Saharan Africa (3.6%).2 OUR PEER MENTORS ARE DRIVING AND REINFORCING BEHAVIOURS AND ACTIONS THAT CREATE OUR SUCCESS IN PREVENTING NEW ADULT AND CHILDHOOD INFECTIONS In 2019, key quality indicators demonstrated the consistent or improved performance of our Model. For example: 97% 84% of infants born to mothers of children born to mothers living living with HIV received with HIV received a final HIV antiretroviral medication, test between 18-24 months, a significantly up from significant increase from 75% 90% in 2018. in 2018. 95% of our clients reported consistent condom use, up significantly from 68% in 2018. 1. This analysis was performed using data generated by m2m. The reach and scale analyses includes all countries where m2m m2m.org implemented programmes in 2019 (i.e., Eswatini, Kenya, Lesotho, Malawi, Mozambique, South Africa, Uganda, and Zambia). @mothers2mothersintl Outcome analysis was based on sites utilising digital health systems and sufficient digital health data (Eswatini, for primary prevention analysis; Lesotho, South Africa, and Uganda). @mothers2mothers 2. https://journals.lww.com/aidsonline/Abstract/2020/04010/Incident_HIV_among_pregnant_and_breast_feeding.12.aspx) @m2mtweets.