Abstract of Dissertation

Keyword : PPTCT; HIV; CHCs; PLHIV; Screening; Pregnant Women

Objective : ï‚· To study the availability and utilization of PPTCT services in Nagaur district. ï‚· To conduct a situational analysis in terms of logistic and training of staff for PPTCT services in Nagaur district. ï‚· To identify the gaps and problems in delivery of PPTCT services and suggest solution for them.

Background : The Prevention of Parent to Child Transmission of HIV/AIDS (PPTCT) programme was launched in the country in the year 2002. Mother to child transmission is the main cause of HIV infection in children. HIV counselling and testing for pregnant women is therefore considered a key factor for successful prevention of PPTCT.HIV counselling and testing is usually integrated with antenatal care at different levels of the health care system. However, the quality and uptake of the service varies, and it has been documented that even when HIV testing is offered as a part of ante natal care, many women are still tested for the first time only as they go into labor and thus do not get the full benefit from the PPTCT program. In the absence of any intervention, the risk of transmission of HIV from infected pregnant women to her child is estimated to be around 20-45%.

Methodology : It is a descriptive study which was carried out in Nagaur district, Rajasthan for a period of 3 months from February to April 2016.The district is selected for study having ANC load and low HIV screening. 28 CHCs have been covered for the study and the study respondents were Medical Officers, ANMs, LHVs, Lab technicians, PPTCT Counsellor. Secondary data from records and registers of HIV screening of pregnant women and primary data about logistic and supply collected by field visit of 28 CHCs. Situational need assessment tool (checklist) and other formats were used for data collection.

Findings : After doing a thorough analysis of all CHCs (in term of manpower, HIV screening kit, training and infrastructure) it is revealed that most of the beneficiaries (Pregnant women) are not able to avail the HIV screening at these CHCs due to shortfall of one of the components (testing kit, trained manpower, lack of awareness). It is very alarming when we are trying to achieve zero infection in children, how it will be possible when we are not able to screen the pregnant women for this HIV infection. Less than 50% CHCs are having kit for screening, only 10% manpower is trained for this screening test, then what should be our expectation. The whole system should work together to correct the situation and to make India HIV free. The condition is very demanding for achieving the target that is all pregnant women should be screened for HIV.