35. 实现目标将需要投入更多资源，帮助在消除母婴传播方面落后的国家提高孕产妇、新生儿和儿童卫生系统的质量。其他挑战包括难以对孕妇和哺乳期妇女进行检测并发现病情（主要是由于服务整合不良所致），开始接受抗逆转录病毒疗法时间较晚，由于患者留治率较低导致抗逆转录病毒疗法依从性不足，以及婴儿艾滋病毒感染的早期诊断存在缺口。各国还需要出台实用指南来简化目前的消除母婴传播投资流程。人口基金、儿基会、世卫组织及其他共同赞助者和合作伙伴将最终制定一份关键考虑事项文件，以推动这些改进行动。
35. Achieving the elimination targets will require greater investments to improve the quality of maternal newborn and child health systems in countries where EMTCT progress lags. Remaining challenges include testing and case finding among pregnant and breastfeeding women (mainly due to poor integration of services), late initiation of ART, inadequate adherence to ART due to poor retention in care, and gaps in the early diagnosis of HIV infections in infants. Countries also need practical guidance to streamline their current EMTCT investments. UNFPA, UNICEF, WHO and other co-sponsors and partners will finalize a key considerations document to facilitate such improvements.