The World Health Organization (WHO) has officially validated Brazil for the elimination of mother-to-child transmission (EMTCT) of HIV, making it the most populous country in the Americas to achieve this milestone. This reflects Brazil’s long-term commitment to universal, free healthcare through its Unified Health System (SUS), strong primary care, and respect for human rights. Brazil met all of WHO’s criteria for EMTCT, including reducing vertical HIV transmission below 2% and achieving over 95% coverage in prenatal care, HIV testing, and timely treatment for pregnant women. The country used a progressive, subnational approach, certifying states and municipalities first, and demonstrated high-quality maternal and infant health services, robust data systems, and strong community engagement. The validation, supported by PAHO and independent experts, is part of the broader EMTCT Plus Initiative, aiming to eliminate mother-to-child transmission of HIV, syphilis, hepatitis B, and congenital Chagas. Over the past decade, more than 50,000 pediatric HIV infections were averted in the Americas due to these efforts. Globally, Brazil joins 19 countries validated by WHO for EMTCT of HIV, including 12 in the Americas. Brazil’s achievement underscores that elimination is possible with universal healthcare, political commitment, human rights protection, and equitable access to treatment.
