Background The reproductive health and Prevention of Mother-to-Child Transmission (PMTCT) of HIV programs in Iran were integrated as a pilot project in September 2014. This study aims to provide a comprehensive evaluation and analysis of the PMTCT of HIV program in Iran. Methods The pilot phase of PMTCT of HIV was launched in early September 2014 in selected centers including 170 health centers and 40 hospitals affiliated to medical universities of 16 provinces of Iran. In each medical university, a researcher-made checklist was administered to all newly-diagnosed HIV-positive pregnant women by an AIDS expert. Data was analyzed using SPSS 19. Results Overall, 69.4% of eligible pregnant women were enrolled in the pilot phase. From 134 reactive cases, 76 (56.7%) were confirmed as HIV positive. ARV consumption was irregular in 10 (13.2%) of HIV positive pregnant women. Also, 82.5% had CD4 count more than 350 after treatment, with an average of 55.5% increase in the number of CD4 in comparison to the baseline, and 84.8% had viral load suppression (< 200 copies/ml). Counseling and testing was done for the husbands of 75% of the women that resulted in the identification of 15 (39.5%) new HIV cases among husbands. Among the tested individuals, 23 (60.5%) males already knew their HIV status and were registered as HIV patients. HIV was diagnosed in one (1.5%) newborn. Conclusion Implementation of rapid HIV testing and PMTCT in Iran is one of the strengths of the national HIV control program. To eliminate MTCT, it is necessary to understand and overcome the barriers and challenges to the program in the pilot phase.

Introduction: Human immunodeficiency virus infection / acquired immune deficiency syndrome (HIV/AIDS) and tuberculosis are the most important communicable diseases in vulnerable populations. Objectives: The aim of this study was to determine the prevalence of HIV/AIDS and tuberculosis among homeless individuals in Shiraz, Iran. Patients and Methods: This is a cross-sectional study which was carried out on 589 homeless men and women in Shiraz city in 2014. The data collection tool was a structurally standard questionnaire. After filling questionnaire, ELISA test was taken each person. If the results of the ELISA test were positive, then, a complementary Western blot test was conducted for HIV. Accordingly a PPD was conducted for individuals suspected to tuberculosis. Data were analyzed by ANOVA and student t test. Results: HIV prevalence in this population was 7.6%. Around 8.88% of HIV positive cases were men. Around 2.37% of the cases had an experience of drug injection. The difference between cases with positive test of HIV in drug users and those who did not use drugs was statically significant (P < 0.05). Around 34.7% of men had experienced of sex with other mes (MSM). Conclusion: In this study, prevalence of HIV in participants was 7.6%, therefore much more attention needs to be paid to the health of homeless people.

Background The reproductive health and Prevention of Mother-to-Child Transmission of HIV (PMTCT) programs in Iran were integrated as a pilot project in September 2014.This study aims to provide a comprehensive evaluation and situation analysis of the PMTCT programme in Iran.Methods Pilot phase of PMTCT was launched in early September 2014 in selected centers including 170 health centers and 40 hospitals affiliated to medical universities of 16 provinces of Iran. In each medical university, a researcher-made checklist was administered to all newly-diagnosed HIV-positive pregnant women by the AIDS expert. Data was analyzed using SPSS 19 software.Results Overall, 69.4% of eligible pregnant women were enrolled in the pilot phase. From 134 reactive cases, 76 (56.7%) were confirmed as HIV positive. In 10 (13.2%) of HIV positive pregnant women, consumption of ARV was irregular. Also, 82.5% had CD4 count more than 350 after treatment with an average of 55.5% increase in the number of CD4 in comparison to the baseline, and 84.8% had viral load suppression (<200 copies/ml). Counseling and testing was done for the husbands of 75% of the women, and resulted in the identification of 15 (39.5%) new HIV cases among husbands. of tested individuals, 23 (60.5%) males already knew their HIV status and were registered HIV patients. HIV was diagnosed in one (1.5%) newborn.Conclusion Implementation of rapid HIV testing and PMTCT in Iran is strength in the national HIV control program. To eliminate MTCT, it is necessary to understand and overcome barriers and challenges the program faced in the pilot phase.

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