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Status of prevention of parent to child transmission services among HIV-positive mothers from rural South India.

Subramaniyan A, Sarkar S, Roy G, Lakshminarayanan S - Indian J Sex Transm Dis (2014 Jul-Dec)

Bottom Line: During the study period, it was found that 61% of the mothers were not compliant to antiretroviral therapy (ART).Poor access to the ART centers was reflected in majority of the cases (79%).There is a pressing need to improve access to quality PPTCT services especially during the intranatal period.

View Article: PubMed Central - PubMed

Affiliation: Medical Officer, Sathyamangalam CHC, Tamil Nadu, India.

ABSTRACT

Background: Tamil Nadu comes under group I high-prevalence state, with <1% prevalence of HIV infection in ante-natal women but above 5% prevalence in high-risk group. One of the ways to control HIV/AIDS in India is through prevention of parent to child transmission (PPTCT), the success of which lies in the utilization of services.

Materials and methods: A descriptive qualitative study was conducted to explore the status of utilization of PPTCT services by rural HIV-positive mothers, in the Gingee Block of Villupuram district, Tamil Nadu. All the mothers who tested positive between June 2006 and May 2010 were interviewed in-depth using an interview guide.

Results: There were 21 HIV-positive mothers during this period, 19 of whom gave consent for the study. Thirteen out of 19 mothers (68%) received Nevirapine prophylaxis, while 15 out of 20 infants born to these mothers (75%) received Nevirapine syrup. During the study period, it was found that 61% of the mothers were not compliant to antiretroviral therapy (ART).

Conclusion: Poor access to the ART centers was reflected in majority of the cases (79%). There is a pressing need to improve access to quality PPTCT services especially during the intranatal period.

No MeSH data available.


Related in: MedlinePlus

Utilization of prevention of parent to child transmission services in HIV-positive mothers (n = 19) and newborns (n = 21) in the study
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Figure 1: Utilization of prevention of parent to child transmission services in HIV-positive mothers (n = 19) and newborns (n = 21) in the study

Mentions: Sixteen (76%) of them were advised to undergo delivery in their area PHCs, whereas 3 of them were referred to a higher institution that is, District Hospital because of their high-risk conditions like breech, short stature and twin pregnancy. In this study, 17 of 19 mothers had vaginal deliveries while 2 underwent caesarian section; 19 mothers delivered 21 infants (two delivered twins). Details of source of care and treatment are mentioned in Figure 1. Thirteen out of the 19 mothers (68%) received Nevirapine prophylaxis. Out of 6 mothers who had not received Nevirapine prophylaxis, five delivered in medical college hospitals (JIPMER, Puducherry and Chingelput Medical College), and one delivered at home. Among 21 infants born to these mothers, one infant was still-born (delivered by breech delivery). Among 20 eligible newborns, 15 (75%) received Nevirapine syrup. All three babies who had not received Nevirapine drops were delivered in medical college hospitals. Status of two newborns were not known [Figure 1].


Status of prevention of parent to child transmission services among HIV-positive mothers from rural South India.

Subramaniyan A, Sarkar S, Roy G, Lakshminarayanan S - Indian J Sex Transm Dis (2014 Jul-Dec)

Utilization of prevention of parent to child transmission services in HIV-positive mothers (n = 19) and newborns (n = 21) in the study
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4553836&req=5

Figure 1: Utilization of prevention of parent to child transmission services in HIV-positive mothers (n = 19) and newborns (n = 21) in the study
Mentions: Sixteen (76%) of them were advised to undergo delivery in their area PHCs, whereas 3 of them were referred to a higher institution that is, District Hospital because of their high-risk conditions like breech, short stature and twin pregnancy. In this study, 17 of 19 mothers had vaginal deliveries while 2 underwent caesarian section; 19 mothers delivered 21 infants (two delivered twins). Details of source of care and treatment are mentioned in Figure 1. Thirteen out of the 19 mothers (68%) received Nevirapine prophylaxis. Out of 6 mothers who had not received Nevirapine prophylaxis, five delivered in medical college hospitals (JIPMER, Puducherry and Chingelput Medical College), and one delivered at home. Among 21 infants born to these mothers, one infant was still-born (delivered by breech delivery). Among 20 eligible newborns, 15 (75%) received Nevirapine syrup. All three babies who had not received Nevirapine drops were delivered in medical college hospitals. Status of two newborns were not known [Figure 1].

Bottom Line: During the study period, it was found that 61% of the mothers were not compliant to antiretroviral therapy (ART).Poor access to the ART centers was reflected in majority of the cases (79%).There is a pressing need to improve access to quality PPTCT services especially during the intranatal period.

View Article: PubMed Central - PubMed

Affiliation: Medical Officer, Sathyamangalam CHC, Tamil Nadu, India.

ABSTRACT

Background: Tamil Nadu comes under group I high-prevalence state, with <1% prevalence of HIV infection in ante-natal women but above 5% prevalence in high-risk group. One of the ways to control HIV/AIDS in India is through prevention of parent to child transmission (PPTCT), the success of which lies in the utilization of services.

Materials and methods: A descriptive qualitative study was conducted to explore the status of utilization of PPTCT services by rural HIV-positive mothers, in the Gingee Block of Villupuram district, Tamil Nadu. All the mothers who tested positive between June 2006 and May 2010 were interviewed in-depth using an interview guide.

Results: There were 21 HIV-positive mothers during this period, 19 of whom gave consent for the study. Thirteen out of 19 mothers (68%) received Nevirapine prophylaxis, while 15 out of 20 infants born to these mothers (75%) received Nevirapine syrup. During the study period, it was found that 61% of the mothers were not compliant to antiretroviral therapy (ART).

Conclusion: Poor access to the ART centers was reflected in majority of the cases (79%). There is a pressing need to improve access to quality PPTCT services especially during the intranatal period.

No MeSH data available.


Related in: MedlinePlus