SEROPREVALENCE OF HIV AMONG ANTENATAL WOMEN AND IMPACT OF PREVENTION OF PARENT TO CHILD TRANSMISSION-AN EXPERIENCE OF 16 YEARS AT A TERTIARY CARE HOSPITAL IN DELHI.

Dr Jharna Behura; Dr Sangeeta Nangia; Dr Suman Lata Mendiratta; Dr Mohini Paul

Volume : IX, Issue : II, February - 2020

SEROPREVALENCE OF HIV AMONG ANTENATAL WOMEN AND IMPACT OF PREVENTION OF PARENT TO CHILD TRANSMISSION-AN EXPERIENCE OF 16 YEARS AT A TERTIARY CARE HOSPITAL IN DELHI.

Dr Jharna Behura, Dr Sangeeta Nangia, Dr Suman Lata Mendiratta, Dr Mohini Paul

Abstract :

Introduction: Estimating the seroprevalence of HIV in pregnant women assists efforts to scale up coverage of HIV testing and making interventions to minimize the risk of mother to child transmission .The rate of HIV transmission during pregnancy, labour or delivery in a seropositive women is 15%-45% with no interventions, but can be reduced to < 2 % with appropriate interventions.The aim of this study was to know the seroprevalence of HIV among antenatal women over 16 years (June 2003-May 2019) and the impact of PPTCT services in reducing disease transmission in newborn and infants. Materials and Methods: This retrospective study was conducted at Department of Obstetrics and Gynaecology in a tertiary care hospital of Delhi from June 2003 to May 2019.The data was collected from the antenatal records of women registered at the PPTCT Clinic as well as the list of infants undergoing Early Infant Diagnosis (EID) as per National AIDS Control Organization guidelines. Results: New ANC registrations recorded from June 2003 to May 2019 was 2,99, 985.Overall 34.2% of antenatal mothers received pretest counselling of which 98 % were tested. Among these 146 women tested HIV positive. The seroprevalence rate varied from 0.07% to 0.28 %. Among HIV positive women, partners were positive in 50%, 30.8% of partners tested negative and 19.1% were not available for testing. A total of (61.5%) of the babies were available for followup, of which (93.3%) were HIV negative. The lost to follow up rate was very high (36.5%). Only 3 (6.7%) babies were HIV positive . Conclusion: The average seroprevalence rate of HIV infection amongst antenatal women was of 0.14%, which is lower than the national average of (0. 28%).However Pretest counselling and HIV testing needs to increase to cover every antenatal woman to strengthen PPTCT program.