Acceptance to Pre-test and Post-test Counselling of HIV in Pregnant Women and their Spouses in Bangalore Rural Hospital

Abstract

Objective: To analyse the response to implementation of PPTCT program in a peripheral hospital and to study the involvement of husbands for counselling and testing. Design: Prospective study Setting: PPTCT centre attached to rural medical college, MVJ Medical College & RH Study Population: All pregnant mothers attending the ante natal clinic at Dept of Obstetrics and Gynaecology at MVJ MC & RH Method: Data of 4372 women attending the antenatal clinic from April 2006 to December 2007 was analysed. Data of husband counselling and testing was also analysed. Results: Out of 4412 women, 4372 (99%) underwent pre test counselling, 2566 (58.6%) underwent post test counselling. Total number of spouse tested 290 (6.6%).Acceptability of the test after pretest counselling is 99%. Women attended post test counselling and collected reports in 58.6%. Sero prevalence of HIV was 0.73% of which 62.5% came for post test counselling and 46.8% patients got Nevirapine. Only 10% of the husbands of total antenatal cases came for counselling of which 65% got tested Conclusion: The acceptability of test after pretest counselling is satisfactory but the follow up for post test counselling and the proportion of sero positive women getting nevirapine is to be improved. There is need to enhance male involvement to make husband friendly antenatal clinic.