Utilization and Uptake of Health Care Facilities by HIV Positive Antenatal Women Registered at PPTCT Centres of Surat City
Keywords:
HIV positive, Antenatal Women, Utilization, PPTCT servicesAbstract
Background: HIV transmission from mother to child continues to be the major source of HIV infection in young children. This study assessed utilization and uptake of PPTCT services among HIV positive antenatal women registered at PPTCT centres of the Surat city.
Materials and Methods: This Retro-prospective Cohort study en- rolled a sample of 282 HIV positive antenatal women registered for HIV testing and counseling during January 2007 to Dec 2008 in 5 PPTCT centres of Surat city and conducted from Dec 2008 to Nov 2010. Of these 127 (45%) antenatal women who came to collect their reports were included in the study and given post test coun- seling.
Result: There was 55% loss to follow up among the HIV positive antenatal women and out of 127 (45%) women, 98(77%) had been registered in ART centres, from which only 45% started ART, 9% opted for abortion,105 (91%) were institutional delivery, among them only 38% underwent caesarean section,.101 (91%) mother- baby pairs received nevirapine prophylaxis at the time of labour and out of these, only 84 exposed babies were tested at 18 months of age and 5 (5.95%) were found to be positive among them.
Conclusion: Utilization and uptake of PPTCT services among the HIV positive antenatal women has remained low even after avail- abilities of 5 PPTCT centres in the study area. Just like mothers, drop out in service utilization was observed among exposed children also.
References
WHO-HIV/AIDS [Internet]. WHO. [cited 2018 May 18]. Available from: http://www.who.int/features/qa/71/en/
Saroj Singh, Shikha Singh, Ruchika Garg et al. Experience of HIV voluntary counseling and testing in antenatal women at a Tertiary Health Centre of North India. Journal of HIV & Human Reproduction 2015;3(1)
K Park. Park’s Textbook of Preventive and Social Medicine, 18th ed. Jabalpur: Bhanot Publishers; 2007. p 358.
Prevention of Mother to Child Transmission (PMTCT) [In- ternet]. UNICEF. [cited 2018 May 18]. Available from: https://www.unicef.org/supply/index_42855.html
National AIDS Control Organization.[Internet]. [cited 2018 May 18]. Available from: http://naco.gov.in/
Jodie Dionne Odom, Courtney Massaro, Kristen M et al. Retention in Care among HIV Infected Pregnant Women in Haiti with PMTCT Option B. AIDS Research and Treatment 2016
Kasenga F, Hurtig AK, Emmelin M.Home deliveries: impli- cations for adherence to nevirapine in a PMTCT programme in rural Malawi, AIDS Care. 2007;19(5):646-52.
Guidelines for the Prevention of Mother-to Child Transmis- sion of HIV [cited 2011 4 November]; Available from: www.ilo.org/wcmsp5/groups/.../--ed.../wcms_140601.pd.
Mukherjee K. Cost-effectiveness of Childbirth Strategies for Prevention of Mother-to-child Transmission of HIV Among Mothers Receiving Nevirapine in India. Indian Journal of Community Medicine : Official Publication of Indian As- sociation of Preventive & Social Medicine. 2010;35(1):29-33.
Onah HE, Ibeziako N, Nkwo PO, Obi SN, Nwankwo TO:Voluntary counselling and testing (VCT) uptake, nevi- rapine use and infant feeding options at the University of Nigeria Teaching Hospital, Department of Obstetrics and Gynaecology, Nigeria, J Obstet Gynaecol. 2008;28(3):276-9
Yogev R, Chadwick EG.Acquired Immunodeficiency Syn- drome (Human Immunodeficiency Virus).Nelson Behrman RE, Kliegman RM, Jenson HB.Textbook of Pediatrics. 17th Edition. Philadelphia: Saunders; 2004. p. 1118.
Bal Runa, Talukdar Arunansu, Roy Krishnendu. Prevention of parent to child transmission of HIV-scenario of West Bengal. J Obstet Gynecol India 2008;58(3).
Moth IA, Ayayo AB, Kaseje DO. Assessment of utilisation of PMTCT services at Nyanza Provincial Hospital, Kenya. Journal of Social Aspects of HIV/AIDS 2005 Jul;2(2):244-50.
National AIDS Control Organization. [Internet]. [cited 2018 May 18]. Available from: http://naco.gov.in/
Manzi M, Zachariah R, Teck R, Buhendwa L, Kazima J, Bakali E, Firmenich P, Humblet P: High acceptability of voluntary counselling and HIV-testing but unacceptable loss to follow up in a prevention of mother-to-child HIV transmission programme in rural Malawi: scaling-up re- quires a different way of acting, Trop Med Int Health. 2005 Dec;10(12):1242-50.
National AIDS Control Society. Guidelines for HIV care and Treatment in Infants and Children [Internet]. Indian Aca- demics of Pediatrics; 2006 [cited 2018 Jun 29]. Available from: http://apps.who.int/medicinedocs/documents/ s18022en/s18022en.pdf
Naniche D, Bardají A, Lahuerta M, Berenguera A, Mando- mando I, Sanz S, Aponte JJ, Sigauque B, Alonso PL, Mené- ndez C: Impact of maternal human immunodeficiency virus infection on birth outcomes and infant survival in rural Mo- zambique, Barcelona, Spain.Am J Trop Med Hyg? 2009 May; 80(5):870-6.
Taha TE, Dallabetta GA, Canner JK, Chiphangwi JD, Liomba G, Hoover DR, Miotti PG:The effect of human im- munodeficiency virus infection on birthweight, and infant and child mortality in urban Malawi. Int J Epidemiol. 1995 Oct; 24(5):1022-9
Surekha Tayade, Poonam V Shivkumar, Mandar Karambel- kar: HIV seroprevalence in antenatal attendees and utiliza- tion of integrated counseling and testing centre (ictc) servic- es – a study in a tertiary medical institute of rural area. IJBR 2012; 3 (4):214-20
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The authors retain the copyright of their article, with first publication rights granted to Medsci Publications.
