Author:
Kamble Suchit,Gawde Nilesh,Goel Noopur,Thorwat Mohan,Nikhare Kalyani,Bembalkar Shilpa,Kamble Sushmita,Brahme Radhika,Pawar Swapna,Sahoo Rakesh,Rana Manish,Singh Manishkumar,Mohiuddin Syed Ahmed,Hatnoor Shivappa,Narapureddy Bayapa Reddy,Saleem M.,Shekhawat Kirti,Verma Vinita,Kapoor Neha,Das Chinmoyee,Gangakhedkar Raman
Abstract
AbstractEarly Infant Diagnosis of HIV infection services are crucial for managing the perinatally acquired HIV infection. Assessing the performance of the EID services and its underlying determinants is important for the National AIDS Control Program, India. The objectives of this study were to find out access to HIV testing, the timeliness of the testing cascade, and the proportion of HIV exposed infants who are followed up to 18 months for a definitive diagnosis of HIV. The study design was a mixed method. A total of 11 states accounting for 80% of HIV-positive pregnant women were selected. Program records from a total of 62 Integrated counselling and testing centres (ICTCs) served as the source of information. The qualitative component included interviews of program managers at the state and district level, service providers at the ICTC level, and caregivers of HIV exposed infants. In the sampled 62 ICTCs, 78% of the HIV exposed infants had at least one HIV test. Of the infants who had HIV tests, 50% had at first sample collected by 8 weeks of age. The median turnaround time from sample collection to DNA PCR testing was 36 (IQR 19–70) days and that to next sample collection in case of detection of virus in the first sample was 66 (IQR 55–116) days. At 18 months of age, 544 (62%) HIV exposed infants were retained in the EID testing cascade. A total of 30 infants were diagnosed with HIV at a median age of 421 (IQR 149–650) days. More than three fourth of the HIV exposed infants had access to early infant diagnosis (EID) services. Both demand and supply-side factors contribute to access, timeliness and retention and there is a need to address these factors.
Funder
National AIDS Control Organisation
Publisher
Springer Science and Business Media LLC
Cited by
2 articles.
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