Implementation of PPTCT programme in a rural tertiary referral centre an evaluation of three years
Bharat Talukdar, Karabi Barman, Hemkanta Dev Sarma
Objective: The main objective of the study was to evaluate the implementation of PPTCT programme along with the study of feto-maternal outcome of seropositive women. Method: All pregnant women attending antenatal clinic and those attending the labor room directly for delivery in the department of Obstetrics and Gynaecology of FAAMC from 1 st January 2011 to 31 st December 2013 were taken. The samples were processed by three rapid tests. In seropositive woman, post test counseling was done regarding the termination or continuation of pregnancy, methods of delivery. Results and Observations: The total number of 22384 patients attended and among them 17139 number of patient (76.56 %) were tested. A steep rise of acceptance of HIV testing from 65.36% in 2011 to 86. 27% in 2012 was seen but in 2013 again the acceptance decreased to 75.70%. In 2011, no seropositive case was detected but in 2012 and 2013, the numbers of seropositive women were 3 and 6, and so the prevalence of HIV was 0.04% and 0.08% respectively. Eight of the 9 seropositive women were chosen to institutional delivery, all of them were received Nevirapine prophylaxis. Conclusion: To achieve high success rate in implementation of PPTCT programme, it must be backed up by effective counselling and testing, good quality education about HIV specially among the young adult of reproductive age group.