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CORRESPONDENCE
Year : 2007  |  Volume : 25  |  Issue : 4  |  Page : 425
 

Prevention of parent-to-child transmission of HIV: An experience in rural population


Department of Microbiology, NKP, Salve Institute of Medical Sciences, Hingna, Nagpur, Maharashtra - 440 019, India

Date of Submission07-Jan-2007
Date of Acceptance18-Apr-2007

Correspondence Address:
N Nagdeo
Department of Microbiology, NKP, Salve Institute of Medical Sciences, Hingna, Nagpur, Maharashtra - 440 019
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0255-0857.37358

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How to cite this article:
Nagdeo N, Thombare V R. Prevention of parent-to-child transmission of HIV: An experience in rural population. Indian J Med Microbiol 2007;25:425

How to cite this URL:
Nagdeo N, Thombare V R. Prevention of parent-to-child transmission of HIV: An experience in rural population. Indian J Med Microbiol [serial online] 2007 [cited 2019 Aug 19];25:425. Available from: http://www.ijmm.org/text.asp?2007/25/4/425/37358


Dear Editor,

To prevent the mother-to-child transmission of HIV, National AIDS Control Organization (NACO) has come forward with Prevention of Parent-to-Child Transmission of HIV (PPTCT) programme. In this programme, the women attending antenatal care programme are enrolled and HIV testing and reporting are done after proper pre-test and post-test counselling. Nevirapine therapy is administered to HIV positive women and their babies after delivery. [1] This programme to prevent mother-to-child transmission has already been extended to 225 antenatal clinics and is the largest national antenatal screening programme in the world. [2]

The data of PPTCT programme at NKPSIMS, Hingna, catering to rural population from February 2003 to June 2006 was analysed. Of the total 7897 antenatal care (ANC) patients, 7073 (89.56%) were enrolled for PPTCT and 51 (0.72%) of them were HIV positive. Out of these 51 HIV positive women, only 22 (43.13%) delivered in the hospital [Table - 1]. Of these 22 patients, 20 women and their babies received Nevirapine. Two women did not receive Nevirapine as they came in the last stage of labour. However, their babies received the therapy. None of the women reported for follow-up after delivery.

Studies have documented that HIV epidemic has reached the rural areas as well. [3] The analysis of our data [Table - 1] suggests that the majority of the pregnant women even from the rural areas are willing for HIV testing. The number attending ANC clinic, as well as the number coming for hospital deliveries is gradually increasing over the years. But the number is still very small and there is poor follow-up. There is need for efforts to induce faith, confidence and motivation among the women for the post-test counselling, accepting the verdict and availing the facilities that are beneficial not only for them but also for their unborn babies.

As on this date, the number of 20 women and 22 babies who were the beneficiaries of PPTCT programme in this hospital prima facie appears to be tiny, but the programme must have saved at least 20 families from total destruction. However, it is heartening to see that the system is ready; the message is gradually reaching the people helping in primary prevention. Nevertheless, continuous education and sustained efforts to monitor, follow-up and encourage institutional deliveries in rural population are needed.

 
 ~ References Top

1.NACO: Revised PPTCT Training Curriculum Trainer Manual (India). New Delhi, India; 2004.  Back to cited text no. 1    
2.Prasad Rao JV, Ganguly NK, Mehendale SM, Bollinger RC. India's response to the HIV epidemic. Lancet 2004; 364 :1296-7.  Back to cited text no. 2    
3.Kunte A, Misra V, Paranjape R, Mansukhani N, Padbidri V, Gonjari S, et al . HIV seroprevalence and awareness about AIDS among pregnant women in rural areas of Pune district, Maharashtra, India. Indian J Med Res 1999; 110 :115-22.  Back to cited text no. 3  [PUBMED]  



 
 
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  [Table - 1]

This article has been cited by
1 Systematic review of public health research on prevention of mother-to-child transmission of HIV in India with focus on provision and utilization of cascade of PMTCT services
Shrinivas Darak,Mayuri Panditrao,Ritu Parchure,Vinay Kulkarni,Sanjeevani Kulkarni,Fanny Janssen
BMC Public Health. 2012; 12(1): 320
[Pubmed] | [DOI]



 

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