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Seroprevalence of human immunodeficiency virus in pregnant women: A hospital based study from North Delhi.

Arya V, Sharma Y, Mathur A - Indian J Sex Transm Dis (2015 Jul-Dec)

View Article: PubMed Central - PubMed

Affiliation: Department of Microbiology and Pathology, Kasturba Hospital, New Delhi, India.

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Sir, India launched its Prevention of Parent to Child Transmission (PPTCT) programme in 2002 and it has considerably scaled up since 2007... HIV prevalence among antenatal care (ANC) clinic attendees is estimated to be 0.40% in Delhi according to the National AIDS Control Organization (NACO) 2010-2011... HIV prevalence among ANC clinic attendees is low at 0.40%... Very few studies are available from North India showing the current trend in HIV prevalence in the antenatal population, in fact none from this area, which led us to carry out the present study at a government hospital in North India... Data were collected and analyzed from a total of 15,727 pregnant women tested during 3 years from January 2011 to December 2013 [Table 1]... The mean age was found to be 26 years (coefficient of variation = 11.65: Standard deviation ± 3.03 years)... Age group most commonly involved was of 20-30 years (28/33:84.84%) followed by those ≥31 years (12.12%)... None was found to be seroreactive for HIV-2 antibodies... Of the total 61% were primigravida and 33% were multigravida, whereas status was unknown for 4 patients... HIV seroprevalence from the present center was found to be 0.2%, on an average, from 2011 to 2013... HIV prevalence among ANC clinic attendees was about 0.2% in 2003... Besides the data from NACO, there is no other study reported from this part of India for comparison of our findings... This slight dip in prevalence could be a result of effective awareness programs and education regarding HIV, especially in young adults after the implementation of National AIDS control programme (NACP II, 1999-2006)... Percentage prevalence of HIV in a population dictates the percentage of perinatal transmission which in turn projects the pediatric AIDS population... Pediatric HIV infection can be minimized using a multipronged approach inclusive of antenatal screening followed by perinatal antiretroviral therapy, safe delivery practices, and modified infant feeding.

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Graph showing prevalence of human immunodeficiency virus positivity from year 2003 to 2013
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Figure 1: Graph showing prevalence of human immunodeficiency virus positivity from year 2003 to 2013

Mentions: HIV seroprevalence from the present center was found to be 0.2%, on an average, from 2011 to 2013. HIV prevalence among ANC clinic attendees was about 0.2% in 2003. Heterosexual contact remains the major mode of transmission.[3] The present study, even though not representing the general population, provides clear insight of a decreasing trend of HIV seroprevalence at the rate of 0.2% among pregnant women in India. As per the official data from India's NACO,[3] Delhi, and the adjoining North Indian states are categorized as low prevalence areas for HIV. The NACO sentinel surveillance data for the state of Delhi reported HIV prevalence of 0.25% in 2003, 0.38% in 2004,[1234] and 0.25% in 2005 and a continuous decline was reported till 2008.[567] There was a sharp rise in HIV positive cases from 2007 to 2010[8] [Figure 1]. Average seroprevalence was documented to be 0.4% in 2011. Little data is available for trends after 2011. Besides the data from NACO, there is no other study reported from this part of India for comparison of our findings. This slight dip in prevalence could be a result of effective awareness programs and education regarding HIV, especially in young adults after the implementation of National AIDS control programme (NACP II, 1999-2006). The NACP II sought to shift focus from raising awareness to changing behavior through interventions in high-risk groups. Intervention programs such as HIV awareness and safe sex education are usually focused on young adults and our data show a favorable impact of such programs. Limitation of the present study includes the limited sample size in a single hospital study.


Seroprevalence of human immunodeficiency virus in pregnant women: A hospital based study from North Delhi.

Arya V, Sharma Y, Mathur A - Indian J Sex Transm Dis (2015 Jul-Dec)

Graph showing prevalence of human immunodeficiency virus positivity from year 2003 to 2013
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4660573&req=5

Figure 1: Graph showing prevalence of human immunodeficiency virus positivity from year 2003 to 2013
Mentions: HIV seroprevalence from the present center was found to be 0.2%, on an average, from 2011 to 2013. HIV prevalence among ANC clinic attendees was about 0.2% in 2003. Heterosexual contact remains the major mode of transmission.[3] The present study, even though not representing the general population, provides clear insight of a decreasing trend of HIV seroprevalence at the rate of 0.2% among pregnant women in India. As per the official data from India's NACO,[3] Delhi, and the adjoining North Indian states are categorized as low prevalence areas for HIV. The NACO sentinel surveillance data for the state of Delhi reported HIV prevalence of 0.25% in 2003, 0.38% in 2004,[1234] and 0.25% in 2005 and a continuous decline was reported till 2008.[567] There was a sharp rise in HIV positive cases from 2007 to 2010[8] [Figure 1]. Average seroprevalence was documented to be 0.4% in 2011. Little data is available for trends after 2011. Besides the data from NACO, there is no other study reported from this part of India for comparison of our findings. This slight dip in prevalence could be a result of effective awareness programs and education regarding HIV, especially in young adults after the implementation of National AIDS control programme (NACP II, 1999-2006). The NACP II sought to shift focus from raising awareness to changing behavior through interventions in high-risk groups. Intervention programs such as HIV awareness and safe sex education are usually focused on young adults and our data show a favorable impact of such programs. Limitation of the present study includes the limited sample size in a single hospital study.

View Article: PubMed Central - PubMed

Affiliation: Department of Microbiology and Pathology, Kasturba Hospital, New Delhi, India.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Sir, India launched its Prevention of Parent to Child Transmission (PPTCT) programme in 2002 and it has considerably scaled up since 2007... HIV prevalence among antenatal care (ANC) clinic attendees is estimated to be 0.40% in Delhi according to the National AIDS Control Organization (NACO) 2010-2011... HIV prevalence among ANC clinic attendees is low at 0.40%... Very few studies are available from North India showing the current trend in HIV prevalence in the antenatal population, in fact none from this area, which led us to carry out the present study at a government hospital in North India... Data were collected and analyzed from a total of 15,727 pregnant women tested during 3 years from January 2011 to December 2013 [Table 1]... The mean age was found to be 26 years (coefficient of variation = 11.65: Standard deviation ± 3.03 years)... Age group most commonly involved was of 20-30 years (28/33:84.84%) followed by those ≥31 years (12.12%)... None was found to be seroreactive for HIV-2 antibodies... Of the total 61% were primigravida and 33% were multigravida, whereas status was unknown for 4 patients... HIV seroprevalence from the present center was found to be 0.2%, on an average, from 2011 to 2013... HIV prevalence among ANC clinic attendees was about 0.2% in 2003... Besides the data from NACO, there is no other study reported from this part of India for comparison of our findings... This slight dip in prevalence could be a result of effective awareness programs and education regarding HIV, especially in young adults after the implementation of National AIDS control programme (NACP II, 1999-2006)... Percentage prevalence of HIV in a population dictates the percentage of perinatal transmission which in turn projects the pediatric AIDS population... Pediatric HIV infection can be minimized using a multipronged approach inclusive of antenatal screening followed by perinatal antiretroviral therapy, safe delivery practices, and modified infant feeding.

No MeSH data available.


Related in: MedlinePlus