HIV seroprevalence among the pregnant population and utilisation of integrated counselling and training centre facilities at a teaching hospital in Rural Maharashtra

Kwatra, A.; Bangal, Vidyadhar B; Shinde, Kunaal K; Padaliya, Keyur

doi:10.4066/amj.2011.714

Cited by 13 publications

(17 citation statements)

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“…Kwatra et al . [19] also reported declined trend of HIV seropositivity from 3.9% to 0.5% over a period of 7 years. However, a rise in trend of HIV seropositivity was reported by Gupta et al .…”

Section: Discussionmentioning

confidence: 99%

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Performance of the prevention of parent to child transmission program: A decadal trend from rural Maharashtra, India

Mohite²

2016

Indian J Sex Transm Dis

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Background:Human immunodeficiency virus (HIV) infection is widely spread across the state of Maharashtra with high prevalence among antenatal women.Aims:To assess the effectiveness of prevention of parent to child transmission (PPTCT) services in rural Tertiary Health Care Centre of Western Maharashtra, India and to address the weaknesses in functioning of PPTCT services.Materials and Methods:A cross-sectional study was conducted at Integrated Counselling and Testing Centre (ICTC) of a rural tertiary health center located in rural area of Western Maharashtra over a period of 10 years from 2003 to 2012. A total of 32,575 pregnant women were included as study subjects and data were collected as per the indicators of PPTCT by viewing the retrospective PPTCT records. The data were analyzed over the period of 10 years for the outcome of PPTCT services. The trend of PPTCT indicators over a decade were analyzed by using Chi-square test.Results:The seroprevalence of HIV infection among pregnant women was 2% in 2003 which decreased to 0.2% by 2012. The proportions of women counseled and HIV tested were 88.9% and 100%, respectively in 2003 and pretest counseling trend was steadily increased to 100% by 2012; however; HIV testing trend remained 100% throughout 10 years. Posttest counseling trend ranges from 89.6% to 99.9% whereas trend of HIV testing among partners has been fluctuating from 25% to 100%. The proportional trend of HIV-positive mothers delivered in a tertiary care hospital ranges from 60% to 100%. The proportions of pair receiving prophylaxis Nevirapine has been increased from 83.8% to 100% by 2009, but thereafter decreased to 83.3% by 2012. The overall HIV positivity among babies after 18 months of follow-up was 21%.Conclusion:HIV seroprevalence among the pregnant population is steadily declining. More and more women are availing the facilities of ICTC centers. Intensive health education and availability of diagnostic and therapeutic services in rural health center have reduced the burden of HIV/AIDS problem in the rural community.

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Section: Discussionmentioning

confidence: 99%

“…[18] However, the delivery rate of the HIV-positive mother in a tertiary care hospital reported by Kwatra et al . [19] was 87.5%.…”

Section: Discussionmentioning

confidence: 99%

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Performance of the prevention of parent to child transmission program: A decadal trend from rural Maharashtra, India

Mohite²

2016

Indian J Sex Transm Dis

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“…20 We observed that majority of seropositive women were primigravida, belonging to rural area, illiterate, housewives without any addiction, similar to the observations made by Kaur G et al and Kwatra et al in their studies. 18,21 In the present study majority of seropositive women were in 18-25 year of age group, being the sexually active age group. Ukey et al and Hussain T et al also made similar observation.…”

Section: Discussionmentioning

confidence: 99%

Seroprevalence of HIV in ANC clinic attendees and utilization of PPTCT services at a tertiary care hospital of western Rajasthan, India

Mehta¹,

Bhati²,

Mehta³

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Human immunodeficiency virus (HIV) infection in pregnant women has an important role in its spread to paediatric population by means of vertical transmission. Effective utilization of PPTCT services can reduce this spread. This study aims to determine seroprevalence of HIV in antenatal women, demographic factors of seropositive women and utilization of PPTCT services to minimize the risk of mother to child transmission.Methods: A retrospective study was done among pregnant women attending antenatal clinic of a tertiary care hospital within a period of two years from November 2013 to October 2015. Pre-test counselling, HIV testing, and post-test counselling were done as per NACO guidelines. Antiretroviral prophylaxis was given to seropositive women and their children. Analysis of demographic data of seropositive women and assessment of utilization of PPTCT services was done.Results: Out of 40,913 new antenatal registrations 26,803 (65.58%) women attended pre test counselling and 24716(60.41%) of them accepted HIV testing. Thirty-eight women were found to be seropositive with a seroprevalence rate of 0.16%. Majority of seropositve women were young primigravida, illiterate housewives belonging to rural area. Eight out of 33 partners of seropositive women tested, were found to be seronegative. Out of the 38 seropositive women, 4(10.52%) opted for pregnancy termination, and 31(81.57%) had delivery in our institution. All mother and baby pairs received antiretroviral prophylaxis.Conclusions: Seroprevalence of HIV infection in antenatal women is relatively low in this region than the national average and acceptance of therapeutic interventions to reduce the mother to child transmission is high. There is scope to improve acceptance of counselling and testing of HIV.

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“…[3] However, only 53% of pregnant women use skilled child care, and the total estimated proportion of coverage of the pregnant women who have been tested for HIV was 23% in 2010. [34] Even though, there has been an improvement in women availing the Integrated Counselling and Testing Centres,[5] studies have identified certain shortcomings such as low coverage of the PPTCT program, poor follow-up of the mother and baby, low proportion of institutional deliveries, inadequate counseling services, poor laboratory facilities, and resistance to medications. [678910]…”

Section: Introductionmentioning

confidence: 99%

Is it time to bring the “Parent” into the prevention of parent to child transmission programs in India? A study of trends over a 10-year period in a prevention of parent to child transmission clinic in India

Shiradkar

Mande

Bapat

et al. 2016

Indian J Sex Transm Dis

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Objectives:The present study evaluated the changes in serology and human immunodeficiency virus (HIV) testing behaviors over a 10-year period in a center in India.Methods:We used clinical data collected at the antenatal clinic from 2002 to 2011. The key outcomes were: (1) Proportion of women who opted for HIV test and those who tested positive; (2) proportion of male partners who came in for HIV test and those who tested positive; and (3) proportion of women who opted for continuation of pregnancy or for medical termination of pregnancy.Results:We tested 11,452 women for HIV over the 10-year period from 2002 to 2011. The proportion of women who opted for HIV testing was 72.0% (95% confidence interval [CI]: 70.7–73.4%). The acceptance of test increased from 35.9% (95% CI: 31.7–40.4%) in 2002 to the peak of 82.6% (95% CI: 78.6–86.8%) in 2009 (P < 0.001). The overall HIV prevalence over the decade was 0.70% (95% CI: 0.55–0.87%). The prevalence high at 1.11% (95% CI: 0.23–3.24%) in 2002 and reduced to 0.37% (95% CI: 0.12–0.87%) in 2011 (P < 0.001). Only 0.57% of male partners tested for HIV over this time period.Conclusion:Strategies to improve acceptance of testing in pregnant women should be included in the Indian guidelines. The male partners do not get tested. Thus, this component needs to be strengthened - by targeted interventions for male spouses - to make the program more effective.

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HIV seroprevalence among the pregnant population and utilisation of integrated counselling and training centre facilities at a teaching hospital in Rural Maharashtra

Cited by 13 publications

References 2 publications

Performance of the prevention of parent to child transmission program: A decadal trend from rural Maharashtra, India

Performance of the prevention of parent to child transmission program: A decadal trend from rural Maharashtra, India

Seroprevalence of HIV in ANC clinic attendees and utilization of PPTCT services at a tertiary care hospital of western Rajasthan, India

Is it time to bring the “Parent” into the prevention of parent to child transmission programs in India? A study of trends over a 10-year period in a prevention of parent to child transmission clinic in India

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