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Impressed by the article and the very hard, dedicated work going before it. But can't understand that there is not one word about family planning. A very efficient way to prevent vertical transmissions is to prevent unintended pregnancies (nearly 50% of the pregnancies in Africa and worldwide). Especially during pregnancy one should inquire (as FIGO advises for all pregnancies HIV infection or not) if perhaps the family is (over) complete and if perhaps the woman would like a sterilisation in case the pregnancy ends in a caesarean section or perhaps she would like a sterilisation post vaginal delivery.