scholarly journals Awareness and knowledge about mother to child transmission of HIV/AIDS among antenatal women attending tertiary care hospital

Author(s):  
Dr D. Indira ◽  
Author(s):  
Dr. Shilpa Karir ◽  
Dr. Smita Kumari Panda ◽  
Dr. Sadhu Charan Panda

Globally, around 34 million people are living with HIV in 2010, and 35% of the pregnant women are tested for HIV in the low and middle income countries. HIV infection in pregnancy has become a complication of pregnancy in some developing countries. This has major implications for the management of pregnancy and birth. A cross sectional study was conducted from December 2018 – February 2019 in tertiary care hospital, VIMSAR Burla . The present study was conducted to assess the knowledge about HIV/AIDS and mother to child transmission issues among women seeking antenatal care and visiting ICTC. A sample of 150 pregnant females was used to accomplish the study. A pre- tested semi-structured questionnaire was used to gather information on the study variables. The questionnaire included variables related socio-demographics e.g., age, education status, occupation, residence, awareness about HIV/AIDS. The study reflected that 83.4% of the women had heard of the term HIV/AIDS which reflects a relatively high level of awareness about the term but subsequently dropping levels of awareness about the routes of transmission, laboratory diagnosis and the availability of drugs. Only 45.3% of the respondents were aware of ICTC. 42.7% were aware about mother to child transmission of HIV and only 32% were aware of anti-retro viral therapy for newborn. Keywords: HIV, ICTC, Antenatal


2014 ◽  
Vol 13 (2) ◽  
pp. 163-169
Author(s):  
Muktikesh Dash ◽  
Pooja Misra ◽  
Khetrabasi Subudhi

Aims: To assess seroprevalence of HIV among antenatal women and the extent of utilization of interventions to minimize the risk of mother-to-child transmission. Study Design: Descriptive cross-sectional study was carried out among antenatal women who attended integrated counseling and testing center (ICTC) of HIV. Sample sizes were determined from the number of pregnant women that attended ICTC. Place and Duration of Study: Data and samples were collected from a tertiary care hospital, Odisha, India during January 2009 to December 2012. Methodology: All pregnant women were counseled and tested for HIV by rapid test. All HIV-seropositive antenatal women (ANW) were linked to services and followed up for institutional delivery, single-dose nevirapine (sdNVP) prophylaxis, infant feeding options and testing of children at 18 months. Results: Out of 11,508 ANW registered and pretest counseled, 11,390 (98.97%) accepted HIV testing. Sixty women were found to be seropositive, thus showed seroprevalence rate of 0.53% (60/11,390). CD4 testing was carried out in all ANW and five (8.33%) were eligible for antiretroviral therapy (ART). Seven (11.67%) had opted for medical termination of pregnancy (MTP). All 48 ANW delivered institutionally, only 7 (14.58%) received cesarean delivery. Out of 46 live births, 5 (10.87%) ANW were on ART, 35/41 (85.37%) received sdNVP mother baby-pair prophylaxis and only 8/46 (17.39%) mother opted for replacement feeding. Twenty one children have reached 18 months till date and among them three (14.29%) were HIV-seropositive. All three were delivered vaginally, received sdNVP prophylaxis and were exclusively breast fed for 6 months. Conclusion: The HIV-seroprevalence rate among antenatal women was 0.53% and mother-to-child transmission (MTCT) rate was 14.29%. Reduction in MTCT rate needs pre or early antenatal HIV testing, prenatal antiretroviral medication, preference for cesarean delivery, 100% antiretroviral prophylaxis coverage and education on avoidance of breast-feeding. DOI: http://dx.doi.org/10.3329/bjms.v13i2.18300 Bangladesh Journal of Medical Science Vol.13(2) 2014 p.163-169


2017 ◽  
Vol 13 (1) ◽  
pp. 32-38
Author(s):  
D Verma ◽  
Anita Shankar Acharya ◽  
D Bachani ◽  
A Seth

Introduction: This study was undertaken to assess the clinical profile of children living with HIV at the time of their enrolment in an ART centre in Delhi. The study also attempts to understand association between clinical staging and immunological profile (CD4 count/percentage) in HIV infected children. The findings of this study may help policy makers to plan better health care of CLHIV in resource constrained country like India. The Objectives of the study were to assess the baseline clinico-social and immunological profile of HIV positive children before the start of Antiretroviral Therapy, to study clinicosocial and morbidity profile of HIV positive children at the time of their enrolment in ART centre and to study the association between immunodeficiency and clinical staging of CLHIV.Methodology: The present study, conducted between December 2012 and March 2013, is a retrospective case review of 83 antiretroviral naïve Children living with HIV aged 8 months to 13 years and attending paediatric ART clinic of a tertiary care hospital of Delhi. After the infection was established on serological grounds, information on socio-demographic, clinical and immunological profile was studied.Results: Majority (62.7%) of CLHIV were boys. Both parents of CLHIV were found to be positive in 63.9% while mother was found to be positive in 69.9%. The most common route of HIV infection was mother-to-child transmission (69.9%), followed by transmission though blood/blood products (12.0%). Every three out of four children (71.1%) were in WHO clinical stage III or IV. Three out of four (74.7%) children presented with fever, one in two with cough (56.6%). Diarrhoea (56.6%), pneumonia (41.0%), popular pruritic eruptions (18.1%), candidiasis (16.9%) and tuberculosis (14.5%) were the most common opportunistic infections in these children. The most common signs present were hepatomegaly (81.9%), anaemia (78.3%) and lymphadenopathy (72.3%).Conclusion: Mother to child transmission is the most common route of transmission in CLHIV. At enrolment more than half of the children were in clinical stage III&IV. Fever, cough, diarrhoea, weight loss, rashes were common morbidities of the children. Majority of the children had hepatomegaly, anaemia and lymphadenopathy.SAARC J TUBER LUNG DIS HIV/AIDS, 2016; XIII(1) p.32-38


Author(s):  
Suman Bala

Background: As HIV infection in women occur primarily during reproductive years hence incidence of HIV infection specially in sexually active women is most sensitive marker to track course of HIV epidemics. It is easy to measure prevalence in pregnant women. This study was done to determine the seroprevalence of HIV in pregnant women in Medical College, Kota, India.Methods: The study was conducted over the year January2016 to April 2017 and included women either attending ANC or unbooked and referred cases came for delivery.Results: Only 5 out of 15250 ANC were found positive while total 13 cases were positive including unbooked and referred cases. Majority of women53.84% were in age group24-29 years and 61.54% were primigravida and 38.46% were multigravida. Seroprevalence of HIV infection was only 0.00055% in my study during 16months period.Conclusions: Appropriate antenatal screening, interventions during pregnancy, delivery and breastfeeding will bring down the mother to child transmission of HIV.


Author(s):  
Seema Dwivedi ◽  
Uruj Jahan ◽  
Roli Srivastava ◽  
Anshu Agnihotri

Background: Human Immunodeficiency virus (HIV)/Acquired immunodeficiency syndrome (AIDS) is spreading worldwide at an alarming rate and India has third largest number of estimated people living with HIV/AIDS in the world. Estimating the HIV seroprevalence in a low risk population such as pregnant women provide essential information for monitoring trend of HIV in general population and assist in prevention from mother to child transmission (PMTCT) of HIV infection. Only few studies are available from this part of northern India. So we carried out this study to find out seroprevalence of HIV in pregnant women at tertiary care hospital of Uttar Pradesh, India.Methods: Blood samples were collected from pregnant women attending antenatal clinic of GSVM Medical college, Kanpur, U.P, India. after pretest counseling and inform consent from September 2005 to July 2016. The samples are tested as per National AIDS Control Organization (NACO) guidelines.Results: Among 38794 pregnant women counseled, 34924(90.02%) accepted HIV testing. 102 women out of 34924 were found HIV seropositive with prevalence rate of 0.3%. Among seropositive women, majority were Hindu (88.2%), housewife (89.2%), multigravida (62.7%), studied up to primary or secondary (78.4%), of low socio-economic status (74.5%) and belongs to rural area (67.6%). Majority of HIV seropositive (34.3%) women were in age group of 25-30 years followed by 21-25years (25.4%). HIV seroprevalence rates showed an increasing trend from 0.14% in 2006 to 0.49% in 2016 (till July).Conclusions: Seroprevalence of HIV infection amongst antenatal women was 0.3%in past 11 years which is in increasing trend in contrast to other studies and slightly higher than national projection (0.29%). It concludes that it is right time to strengthen prevention of mother to child transmission (PMTCT) services by joint efforts of the private and public sectors.


Author(s):  
Chandrashekhara Chandrashekhara ◽  
Sandeepkumar O

Children are innocent victims of HIV infection through vertical transmission. Children who are HIV positive, either through mother-to-child transmission or following sexual abuse, are often not told what could happen to them, and they will certainly be frightened when they experience symptoms.


Curationis ◽  
2003 ◽  
Vol 26 (3) ◽  
Author(s):  
L Roets

The transmission of HIV/AIDS from mother to child is the main cause of HIV/AIDS in children and child mortality. Two-thirds of children with HIV/AIDS are infected in the intrapartum period (Farley, 2000:1-2). Midwives, through effective practices, can lower the transmission of HIV/AIDS from mother to child in the intrapartum period. The aim of the study was to determine which preventive practices registered midwives in provincial labour wards in Bloemfontein, implement to lower the risk of mother to child transmission of HIV/AIDS and in doing so to lower child mortality.


Author(s):  
Atul Agrawal ◽  
Ankita Agrawal

Background: Human Immunodeficiency Virus (HIV) has become one of the most serious challenges to public health due to its high morbidity, mortality and economic impacts. Good Knowledge, positive attitudes and practices are important aspects of providing nursing care for people living with HIV/AIDS. Aim: This study aimed to assess knowledge, attitudes and practices of nurses working with HIV/AIDS patients. Methods: This study was descriptive, performed on 200 nurses working with HIV/AIDS patients at a tertiary care Hospital, Amroha. Data was collected using pretested, validated, self administered questionnaire consisting of knowledge, attitude and practice based questions related to HIV/Aids and infected patients along with demographic variables of nursing staff under study.  Results: The result of this study showed that majority of nurses (81%) working with HIV/AIDS patients possess adequate level of knowledge. Most of the nurses under study showed high level of empathic attitude toward people living with HIV/AIDS (above 80%) but at the same time high level of avoidance was observed among some nurses. Practice of nurses working with HIV/AIDS patients was found good. Conclusions: There was satisfactory knowledge, positive attitudes and good practice level among nurses under study. Recommendations: Training should focus on Preventive methods and modes of HIV transmission, care and support of all patients no matter what the disease, emphasizing confidentiality as a patient right that should not be ignored and should train nurses and monitor nursing skills. Keywords: Public health, Nurses, HIV, Knowledge, Attitude, Practices


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