Hiv Seroprevalence in Antenatal Attendees and Utilization of Integrated Counseling and Testing Centre (Ictc) Services – A Study in a Tertiary Medical Institute of Rural Area

Abstract

Introduction: Integrated counseling and testing centers (ICTC) provide an excellent opportunity for activities to prevent parent to child transmission of HIV/AIDs. This study was carried out to find the HIV seroprevalence among antenatal clinic attendees and to analyze the utilization of ICTC services in a rural institute of India. Method: A retrospective analysis of utilization of ICTC services by pregnant women over 8 years at a tertiary care medical institute of central Maharashtra was done. Pre-test counseling, HIV testing and Post-test counseling was done by trained staff of ICTC centre . Single dose oral Nevirapine (200 mg) was given to seropositive women during active labour. Nevirapine syrup 200 mg/ kg body weight was administered to newborn. Analysis of outcome of seropositive pregnancies and exposed babies was done. Results: Out of new antenatal attendees 26,487 pregnant accepted pre-test counseling and 25,740 (97.17%) were tested for HIV. 144 women were found positive with seroprevalence rate of 0.44 %, 3.5% opted for pregnancy termination, 15.73 % delivered vaginally and 85.39 % underwent caesarean section. All the mother-baby pairs received nevirapine prophylaxis. 27 exposed babies were tested at 18 months of age and 2 were found to be positive. Conclusion: PPTCT centers act as excellent venues to impart information, education and counseling to expectant mothers and 100 % counseling rates and excellent testing rates can be achieved. With proper sensitization of health care providers almost all mother baby pairs can be administered the antiretroviral drug at the appropriate time.

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

“…Tayade et al reported 78.07% institutional delivery in their study. 25 In our study only 16.13% patients were delivered by caesarean section. Joshi reported 41.66%, Ukey 21.33 % and Choudhary et al reported 42.86 % cesarean rates.…”