Socio-demographic factors associated with loss to follow-up of HIV-infected women attending a private sector PMTCT programme in Maharashtra, India.
Article Type: Brief article
Subject: Perinatal infection (Prevention)
Perinatal infection (Reports)
HIV infection (Prevention)
HIV infection (Demographic aspects)
HIV infection (Reports)
Patient compliance (Social aspects)
Patient compliance (Demographic aspects)
Patient compliance (Reports)
Pub Date: 11/01/2011
Publication: Name: Reproductive Health Matters Publisher: Elsevier Science Publishers Audience: General Format: Magazine/Journal Subject: Family and marriage; Health; Women's issues/gender studies Copyright: COPYRIGHT 2011 Reproductive Health Matters ISSN: 0968-8080
Issue: Date: Nov, 2011 Source Volume: 19 Source Issue: 38
Topic: Event Code: 290 Public affairs
Geographic: Geographic Scope: India Geographic Code: 9INDI India
Accession Number: 276275757
Full Text: 40% of HIV-positive women enrolled in the national prevention of mother-to-child transmission (PMTCT) of HIV programme in India are lost to follow-up before the infant can receive single dose nevirapine. This study examined the sociodemographic factors associated with loss to follow-up of HIV-positive women enrolled during 2002-2008 in a large-scale private sector PMTCT programme in Maharashtra. Data for 734 women enrolled during pregnancy and 770 women who reported live births were analysed for the factors involved before and after delivery.

One in ten women were lost to follow-up before delivery and 20% after delivery. Women with less than graduate level education, from a poor family, who were registered after 20 weeks of pregnancy, and whose partners were HIV negative or with unknown HW status were more likely to be lost to follow-up. The authors call for innovative and effective counselling for less educated women, economic empowerment of women, better strategies to increase uptake of HIV testing by male partners, and earlier registration of women in the PMTCT programme. The need for these interventions is even greater for PMTCT programmes in the public health sector as the women accessing care are likely to be even less educated and economically more deprived. (1)

(1.) Panditrao M, Darak S, Kulkarni V, et al. Socio-demographic factors associated with loss to follow-up of HW-infected women attending a private sector PMTCT program in Maharashira, India. AIDS Care 2011;23(5):593-600. (abstract only)

DOI: 10.1016/S0968-8080(11)38588-6
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