Declining HIV prevalence among women attending antenatal care in Pune, India

Vinay Kulkarni, Smita Joshi, Nikhil Gupte, Ritu Parchure, Shrinivas Darak, Sanjeevani Kulkarni

Research output: Contribution to journalArticlepeer-review

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 in 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.

Original languageEnglish (US)
Pages (from-to)315-319
Number of pages5
JournalTransactions of the Royal Society of Tropical Medicine and Hygiene
Volume105
Issue number6
DOIs
StatePublished - Jun 1 2011
Externally publishedYes

Keywords

  • HIV
  • India
  • PMTCT
  • Pregnant women
  • Prevalence
  • Risk factors

ASJC Scopus subject areas

  • Parasitology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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