Abstract

A REVIEW OF EFFECTIVENESS OF FOLLOW-UP SYSTEM AMONG HIV SEROPOSITIVE ANTENATAL WOMEN

Kaushik Richa*, Kumar Ashwani, Nagar Oby, Singh Vineeta

ABSTRACT

Background: Better follow-up of HIV seropositive antenatal women can not only prevent transmission to their babies, but also break vicious cycle of transmission. Objectives: To review effectiveness of follow-up system among seropositive antenatal women by evaluating manpower at ICTC, CD4 counts, HIV status of husbands and babies, occurrence of high risk groups among both partners & ART given to both partners and babies. Search strategy: Retrospective evaluation of follow-up of HIV seropositive antenatal women. Selection criteria: 107 HIV seropositive antenatal women over 6 years period (July 2008-July 2014). Data collection and analysis: ICTC HIV follow-up register and antenatal clinic records. Main results: Majority of women was illiterate. No woman whereas 25% husbands were in high risk group. HIV status was unknown in 12.15% husbands and 31.78% newborns.CD4 counts were unknown in 13 women and 7 seropositive husbands. ART was not given to 12.15% women, 46.15% seropositive husbands and 14.95% newborns. All attrition was before the appointment of outreach worker in ICTC. Conclusion: Better follow-up can lead to a halt in HIV transmission at the very beginning, for which we need to lower down attrition by strengthening our follow-up system at grass root level and improving literacy status of women.

Keywords: Antenatal, Seropositive, Follow-up, ICTC.