Journal of Global Infectious Diseases

PUBLIC HEALTH RESEARCH
Year
: 2011  |  Volume : 3  |  Issue : 4  |  Page : 371--377

Studying PPTCT services, interventions, coverage and utilization in India


Urvish Joshi1, Shilpa Patel2, Kartik Shah3, Umesh Oza3, Heena Modi3 
1 Department of Community Medicine, AMC MET Medical College & LG Hospital, Maninagar, Ahmedabad, India
2 Integrated Counseling and Testing Center - PPTCT, VS General Hospital, Ahmedabad, India
3 Ahmedabad Municipal Corporation AIDS Control Society, Ahmedabad, Gujarat, India

Correspondence Address:
Urvish Joshi
Department of Community Medicine, AMC MET Medical College & LG Hospital, Maninagar, Ahmedabad
India

Background and Objectives: Risk of vertical transmission (largest source of HIV in children) reduces from 33% to 3% with effective PPTCT interventions. NACP III has got an objective of testing all pregnant women for earliest linkage with PMTCT. Study was carried out to find out PPTCT service coverage, drop-outs, interventions efficacy with other determinants. Materials and Methods: At ICTCs, registered ANCs are counseled and tested for HIV. HIV+ve ANCs are linked to services and followed-up for institutional delivery, sdNVP, nutrition and children testing. HIV+ve ANCs since 2004 subsequently delivered till December 2009 and their exposed children in PPTCT-VSGH constituted study cohort. Results: 29281 ANCs registered, 69.7% were counseled pre-test, 100% of them tested, 94.9% were counseled post-test. 60.5% were detected in 3 rd trimester. CD4 testing was carried out in 71.6% HIV+ve ANCs. 81 ANCs were detected HIV+ve inclusive of 11 unregistered cases. 72 pregnancy outcomes reported institutionally, 77.6% were caesarian sections. Out of 59 live births, 56 sdNVP-MB-Pair were given. 88.1% children were traced till 18 months, 76.3% of live births were alive, 40.7% of live births were tested. 1 was found HIV+ve with history of adherence to all prescribed PPTCT guidelines. Conclusions: PMTCT services - counseling and testing should be provided to all ANCs. EDD-based tracking, institutional deliveries, postnatal counseling to be encouraged along with complete MB pair coverage, capacity building of concerned staff regarding delivery of HIV+ve ANCs and exposed children tracking.


How to cite this article:
Joshi U, Patel S, Shah K, Oza U, Modi H. Studying PPTCT services, interventions, coverage and utilization in India.J Global Infect Dis 2011;3:371-377


How to cite this URL:
Joshi U, Patel S, Shah K, Oza U, Modi H. Studying PPTCT services, interventions, coverage and utilization in India. J Global Infect Dis [serial online] 2011 [cited 2020 Sep 25 ];3:371-377
Available from: http://www.jgid.org/article.asp?issn=0974-777X;year=2011;volume=3;issue=4;spage=371;epage=377;aulast=Joshi;type=0