Open Access
Subscription Access
Open Access
Subscription Access
A Profile of HIV Positive Antenatal Women at PPTCT Centre, Kadapa
Subscribe/Renew Journal
Introduction
According to HIV surveillance by national AIDS control organization (NACO) in India, percentage of mother to child transmission cases among total AIDS cases is increasing year by year. HIV can be transmitted from mother to infant in 3 ways - Infection may occur in utero, the virus can be transmitted to the infant at the time of delivery or it can be transmitted through breast milk. Many social factors play a key role for increased incidence and prevalence of HIV to antenatal women.
Objectives
1. To know the prevalence of HIV in antenatal women 2. To find the outcome of HIV positive pregnancies. 3 To identify the various social factors in HIV positive women.
Methodology
A Hospital based cohort study at Rajiv Gandhi Institute of Medical Sciences, Kadapa, among PPTCT Centre attendees during the period of One year extends from October 2007 to September 2008. A total numbers of 4112 antenatal women were participated in this study and Oral interview with partially closed ended proforma was applied. The data thus obtained was subjected to analysis and results are presented.
Results
About 4112 ANC are tested, out of which 56 (1.36%) were found to be positive. 51.78% of HIV positive ANC were observed in between age group of 15-24 years. 85.71% of HIV ANC were housewives. 96.42% of HIV+ ANC women were married. 75 % of HIV ANC delivered normally. Pregnancy wastage and IMR for HIV ANC is as high as 30%.27.5%of children delivered to HIV+ women are of low birth weight.
Conclusions
Low birth weight is an observed complication in HIV positive Antenatal case. A negative pregnancy outcome in the form of Pregnancy wastage and IMR is very high. This can be reduced some extent by Peer education, counseling, Proper antenatal checkups and good quality of delivery practices.
Keywords
- UNAIDS REPORT-2005
- National AIDS Control Programme – India Country Scenario an update 1996, page 30. NACO,Ministry of Health and Family Welfare, Government of India.
- NACO, Training module on HIV Infection and AIDS for Medical Officers:Page No 112 to 115.
- WHO (2004), World Health Report 2004, Changing history.
- Abrams EJ, Myer L, Rosenfield A, El Sadr WM. Prevention of mother-to-child transmission services as a gateway to family-based human immunodeficiency virus care and treatment in resource-limited settings: rationale and international experiences. American Journal of Obstetrics and Gynecology 2007;197 (3) Suppl. 1:S101-S106.
- Govt.of India (1999), The National Response to HIV/ AIDS in India, National AIDS control Project phase –II, NACO, Ministry of Health and family welfare.
- Little K, Newell ML, Luo C, Ngongo N, Borja MC, McDermott P. Estimating the number of vertically HIVinfected children eligible for antiretroviral treatment in resource-limited settings. International Journal of Epidemiology 2007;36(3):679-687.
- Becquet R, Leroy V. The challenges of preventing mother-to-child transmission of HIV in Africa. Presse Medicale 2007;36 (12) Part 3:1947-1957.
- Sinha G, Dyalchand A, Khale M, Kulkarni G, Vasudevan S, Bollinger RC. Low utilization of HIV testing during pregnancy - What are the barriers to HIV testing for women in rural India? Journal of Acquired Immune Deficiency Syndromes 2008;47(2):248-252.
- WHO (2008), HIV situation in south east Asia, HIV Unit Department of Communicable Diseases, Regional office for south east asia.
- CROI. Update on HIV infection and breastfeeding: Overview of the CROI 2008, Boston. 2008. Postnatal HIV transmission, infant outcomes and infant feeding practices.
- Internet website: www.naco.nic.in/vsnaco/indiascene/ update.
Abstract Views: 344
PDF Views: 0