Abstract
A declining prevalence of HIV among young women has been reported by the public sector implementing prevention of mother-to-child transmission (PMTCT) programmes, sentinel surveillance sites and research institutions ill India. However, there are no reports evaluating such trends from the private healthcare sector. This study is a retrospective analysis of data collected by PRAYAS as a part of the PMTCT programme at Sane Guruji Hospital (SGH), a secondary care hospital in Pune, India. Women attending the antenatal clinic at SGH were screened for HIV following a group counselling session, with an option to opt out. Between January 2003 and March 2008, the overall HIV prevalence was 111/17 578 (0.6%, 95% CI 0.5-0.7%). The HIV prevalence among antenatal women was 1.1% in 2003 and 0.2% in 2008 (i.e. 82% decline in HIV prevalence over the 5-year period) and the odds ratio (OR) of HIV prevalence declined by 0.24 per year from 2003 to March 2008 (OR = 0.76, 95% CI 0.69-0.87; P <0.001). The risk of having HIV infection was significantly higher in women aged >= 24 years and those who were uneducated. To our knowledge, this is the first report from any private sector health system in India documenting a declining HIV prevalence among antenatal women. Characterising the risk profile of this small percentage of at-risk women will help in planning prevention strategies. (C) 2011 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.
Original language | English |
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Pages (from-to) | 315-319 |
Number of pages | 5 |
Journal | Transactions of the Royal Society of Tropical Medicine and Hygiene |
Volume | 105 |
Issue number | 6 |
DOIs | |
Publication status | Published - Jun-2011 |
Keywords
- HIV
- Prevalence
- Pregnant women
- PMTCT
- Risk factors
- India
- INFECTION
- SETTINGS
- EPIDEMIC
- CLINICS