Jamaica achieved and sustained validation for the elimination of mother-to-child transmission (EMTCT) of HIV and syphilis, representing a landmark achievement in the elimination of communicable diseases as well as maternal and child health services that was two decades in the making.  

PAHO played a pivotal role by providing technical guidance to strengthen surveillance systems, laboratory networks, service delivery standards, and quality assurance processes required to meet and maintain EMTCT criteria. Technical cooperation supported the integration of HIV and syphilis testing into routine antenatal care, reinforced follow-up systems for exposed infants, and strengthened data quality and use for decision-making. These efforts ensured that elimination was not a one-time milestone but an embedded system capacity. The certification means that Jamaican mothers can give birth without fear of transmitting HIV or syphilis to their children when recommended procedures are followed.

The achievement directly contributes to improved pregnancy outcomes, prevention of avoidable infant morbidity and mortality, and the protection of women’s and children’s rights to health. It also advances Jamaica’s progress toward the PAHO Disease Elimination Initiative and national and regional commitments to end AIDS and congenital syphilis as public health threats. Jamaica has shown that disease elimination is possible and strengthens health, well-being, and resilience across the Region. 

Photo caption: Health workers celebrate Jamaica’s EMTCT certification with the Minister of Health and Wellness.

Credit: PAHO David Spitz.