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##Dosificación de medicina antirretroviral a recién nacidos dentro del Programa de Prevención de Transmisión Materno Infantil de VIH de Fundación VIHDA y Hospital Maternidad Sotomayor Luego de estudios y comparaciones con otros métodos de administración de medicinas realizadas por Fundación VIHDA de Ecuador y Duke University de EEUU desde 2012 a 2015, el Pratt Pouch se muestra como una opción de gran exactitud y de mayor facilidad a la hora de dispensar los antirretrovirales líquidos a los niños recién nacidos en las dosis correctas y con una óptima conservación del contenido.
### How can severe malnutrition be determined locally? Severe malnutrition can readily be determined without scales, with minimal training and with objective accuracy. The mid-upper arm circumference (MUAC) has been endorsed and recommended as a reliable screening tool for acute malnutrition. It is an easy and objective measurement that can be followed over time. An important update to this MUAC approach is a recent study that proves even minimally trained persons can use the inexpensive color coded bands to measure a small child or infant’s arm circumference.
[Pratt Pouches]( have been in the development for over three years. This foilized pouch is a medical device designed to improve the delivery of antiretroviral therapy to newborns. #### Who developed these pouches? Robert Malkin and the engineers at the Developing World Healthcare Technology Laboratory at Duke University’s Pratt School of Engineering saw a need and sought to find a medically effective, simple and cost effective solution to an ongoing dilemma in the fight against HIV. Ironically, the class originally set out to look at failure (why ARV dosing devices were failing) and they ended up creating a solution #### What so difficult in giving ART to newborns?
## Introducing an exciting innovation in the effort to reduce HIV transmission to newborns The drugs aren’t new, but this new delivery system provides an innovative solution to on-going obstacles AND is amazingly simple. The Pratt Pouch is a small package resembling the ketchup that comes with your takeout, but the Pratt Pouch is filled with a precise dose of antiretroviral drugs. Studies have shown that immediate treatment of newborns with antiretrovirals significantly reduces HIV transmission from mother to baby. These drugs have been readily administered in the clinic setting but the challenge continues to be in areas where women deliver at home. The drugs, in a single dose Pratt Pouch, have a remarkable shelf life of 12 months. ## How is it distributed and administered?
It always inspires us to talk with people like Dr. Lowell Schnipper, an oncologist who is running a cervical cancer detection initiative out of St. Albert's Mission Hospital in Zimbabwe. The work of this team emphasizes prevention, ultra low-cost methods and an emphasis on building local capacity. Cervical cancer hits women of childbearing age and puts families at risk of losing their mothers. We interview Dr. Schnipper here: ## Can you set the stage for us? What was the standard of care for cervical cancer treatment and detection?
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