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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

Reasons for nonadherence to antiretroviral therapy (ART) among HIV-positive mothers* (n = 11)
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Figure 2: Reasons for nonadherence to antiretroviral therapy (ART) among HIV-positive mothers* (n = 11)

Mentions: Regarding the utilization of ART services, 11 out of 18 mothers (61%) were not compliant to the antiretroviral treatment regimen during the period of the study. The Counselor counseled all mothers at ICTC, about the disease progress. The reasons for nonadherence to ART were explored during the interviews [Figure 2]. Poor access to the ART centers was reflected in majority of the cases (79%) due to lack of transport facilities, travel expenses and long distance to the ART center. Other reasons cited were nonacceptance of HIV result, lack of motivation and stigma to visit the ART center. On further analysis of sociodemographic features of the mothers, it was found that illiteracy or socioeconomic status was not significantly associated with utilization of ART services. Out of 11 subjects who were noncompliant, five subjects preferred availability of ART services in their area PHC itself.


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)

Reasons for nonadherence to antiretroviral therapy (ART) among HIV-positive mothers* (n = 11)
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 2: Reasons for nonadherence to antiretroviral therapy (ART) among HIV-positive mothers* (n = 11)
Mentions: Regarding the utilization of ART services, 11 out of 18 mothers (61%) were not compliant to the antiretroviral treatment regimen during the period of the study. The Counselor counseled all mothers at ICTC, about the disease progress. The reasons for nonadherence to ART were explored during the interviews [Figure 2]. Poor access to the ART centers was reflected in majority of the cases (79%) due to lack of transport facilities, travel expenses and long distance to the ART center. Other reasons cited were nonacceptance of HIV result, lack of motivation and stigma to visit the ART center. On further analysis of sociodemographic features of the mothers, it was found that illiteracy or socioeconomic status was not significantly associated with utilization of ART services. Out of 11 subjects who were noncompliant, five subjects preferred availability of ART services in their area PHC itself.

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