Abstract

OBJECTIVE : to critically analyze the prevention of parent to child transmission (PPTCT) services offered by a teaching institute located in the Darjeeling district of West Bengal, since it started five years ago. METHOD : All the women registered in the antenatal clinic from 1st January 2004 to 31 st December 2008 were tested for HIV after counseling. Spouse counseling and testing of spouse and children was done where possible. Antiretroviral prophylaxis with Nevirapine was given to laboring mothers and their neonates. All data were compiled retrospectively and analyzed. RESULTS : A total 26319 women were offered counseling during the period. The acceptance of testing rose from 66.32% in 2004 to 90.7% in 2008. The highest seroprevalence was observed in 2007(0.84%) which had dropped in 2008(0.44%). The majority of the 112 seropositive women were rural residents, housewives, practicing no contraception, yet with some knowledge about HIV and its mode of transmission. There has been an increase in institutional delivery and cesarean section from 2004 to 2008. ARV prophylaxis with Nevirapine was given to all 35 women identified to be HIV positive before delivery. Out of 48 live born babies 46 received Nevirapine syrup. CONCLUSION : Seroprevalence has dropped with a greater awareness and acceptance of PPTCT program in the

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