Five years of parent-to-child transmission of HIV-AIDS program in a rural-based teaching hospital

Abstract

Objectives: To reduce the perinatal transmission of HIV AIDS in antenatal women-a need-based project with NACO protocols, with a series of interventions. Methods: Prospective and retrospective study, data collected from Parent-to-Child Transmission of HIV-AIDS records and case sheets. Women registered for pretest counseling in antenatal OP tested for HIV, posttest counseling given, single drug NVP administered to mother and neonate, exclusive breast feeding advised for first 6 months, and infant testing for HIV done at 18 months of age by ELISA. Results: Seroprevalence in antenatal women was 1.2%. Majority (95%) of mother-child pairs were administered single drug NVP. Institutional delivery rate for seropositive women was 70% and the perinatal transmission of HIV AIDS was 8%. Conclusion: Improve universal counseling and testing, more number of mother-baby pairs to be administered single drug NVP, increase institutional delivery rates for seropositive women, improve follow-up services with the help of outreach workers to reduce perinatal transmission of HIV AIDS.

Utilization of the prevention of parent-to-child transmission of HIV (PPTCT) services in a tertiary care hospital, Odisha, India

“…Twenty one exposed babies could be traced at the age of 18 months and among them only 3 (14.29%) were confirmed HIV-seropositive infants. Joshi et al in Gujarat, Parameswari et al in Tamil Nadu and Achanta et al in Andhra Pradesh had reported HIV-seropositivity among exposed infants at 18 months of age was 3.6%, 4.35% and 8% respectively, lower values in comparison our study 8,10,22 . All three HIV-seropositive infants were delivered vaginally, received sdNVP and were on exclusive breast feeding for 6 months.…”

Seroprevalence of HIV in women attending antenatal clinic at KIMS hospital, Narketpally

“…In our hospital the seroprevalence of HIV was 1.12%, 1.4% in 2006 and 1.01% in 2007 and 0.93% in 2008 amongst the antenatal women. This was similar to a study done in Andhra Pradesh by Achanta et al 4 Seroprevalence in urban setup in Kolkata was 0.63% 5 and in West Bengal as a whole was 0.16%. 6 In India it ranges from <1% to 5.9%.…”

“…9 Evidence shows that performing a caesarean section prior to the onset of labor can reduce the risk of infection up to fourfold because it minimizes the exposure of the child to maternal body fluids. 10 In our study, 83.73% babies were born at term whereas one study 4 showed that 92% infants of the HIV positive mothers were born at term and another study 5 showed 77.3% babies of the HIV positive mothers were born preterm.…”

“…An increasing number of women in the childbearing age, throughout the world are becoming infected with HIV and their children are also getting infected during delivery or breast feeding. 4 Definitive cure for HIV is still far from reach but prevention of further spread of disease is in our hands.…”

Seroprevalence of human immunodeficiency virus among antenatal patients and incidence of mother- to- child transmission using single dose nevirapine: a cohort study in Maharashtra

“…The seroprevalence rate among ANC attendees in our study was found to be 0.23%. In studies by Mehrotra R in Allahabad 6 and Achanta V et al in Warangal, Andhra Pradesh, 7 the seroprevalence was 0.4% and 1.12% respectively. The spouses of 74% HIV +ve patients were detected seropositive and 26% were HIVve.…”