PMID- 21716800
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20110714
LR  - 20211020
IS  - 2589-0565 (Electronic)
IS  - 2589-0557 (Print)
IS  - 2589-0557 (Linking)
VI  - 31
IP  - 2
DP  - 2010 Jul
TI  - Prevention of parent to child transmission services and interventions - coverage 
      and utilization: A cohort analysis in Gujarat, India.
PG  - 92-8
LID - 10.4103/0253-7184.74983 [doi]
AB  - BACKGROUND AND OBJECTIVES: Risk of vertical transmission (largest source of HIV 
      in children) reduces from 33% to 3% with effective prevention of mother to child 
      transmission (PMTCT) interventions. NACP-III has got an objective of testing all 
      pregnant women for earliest linkage with PMTCT. Study was carried out to find out 
      PPTCT service coverage, dropouts, intervention efficacy with other determinants. 
      MATERIALS AND METHODS: At ICTCs, registered ANCs are counseled and tested for 
      HIV. HIV +ve ANCs are additionally linked to services and followed-up for 
      institutional delivery, sdNVP, nutrition and children testing. HIV +ve ANCs since 
      2005 subsequently delivered till June 2008 and their exposed children in 
      Gujarat's category A, B districts constituted study cohort. RESULTS: 259622 
      pregnant women registered, 72.1% were counseled pre-test, 83.4% of them tested, 
      74.4% received post-test counseling. 541 ANCs were detected HIV+ve. 45.5% 
      delivered institutionally, 12.8% were unregistered. 12.1% were cesarian section 
      and 66% delivered vaginally. 96.8% were live births, 92.13% mother-baby pair 
      received sdNVP. 35% children could be traced till 18 months, 89% were alive. 90% 
      were tested, 3 were found HIV +ve. Of them, none received MB Pair. Two were 
      delivered vaginally, two received mixed feeding, two children's mothers were not 
      linked with ART. CONCLUSIONS: PMTCT services - counseling and testing should be 
      provided to all ANCs. EDD-based tracking, institutional deliveries, postnatal 
      counseling to be encouraged along with complete MB pair coverage, capacity 
      building of concerned staff regarding delivery of HIV+ve ANCs and exposed 
      children tracking.
FAU - Joshi, Urvish
AU  - Joshi U
AD  - Department of Community Medicine, Smt. NHL Municipal Medical College, Ahmedabad, 
      Gujarat, India.
FAU - Kadri, Amimuddin
AU  - Kadri A
FAU - Bhojiya, Sudeshna
AU  - Bhojiya S
LA  - eng
PT  - Journal Article
PL  - India
TA  - Indian J Sex Transm Dis AIDS
JT  - Indian journal of sexually transmitted diseases and AIDS
JID - 101730896
PMC - PMC3122599
OTO - NOTNLM
OT  - HIV in exposed children
OT  - HIV testing of pregnant women
OT  - MB pair
OT  - prevention of mother to child transmission
COIS- Conflict of Interest: None declared
EDAT- 2011/07/01 06:00
MHDA- 2011/07/01 06:01
PMCR- 2010/07/01
CRDT- 2011/07/01 06:00
PHST- 2011/07/01 06:00 [entrez]
PHST- 2011/07/01 06:00 [pubmed]
PHST- 2011/07/01 06:01 [medline]
PHST- 2010/07/01 00:00 [pmc-release]
AID - IJSTD-31-92 [pii]
AID - 10.4103/0253-7184.74983 [doi]
PST - ppublish
SO  - Indian J Sex Transm Dis AIDS. 2010 Jul;31(2):92-8. doi: 10.4103/0253-7184.74983.