DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20184874

HIV reactivity trends in a tertiary care teaching hospital in Himachal Pradesh: a ten-year ICTC based retrospective analysis

Isampreet Kaur, Kamlesh Thakur, Smriti Chauhan, Anuradha Sood, Piyush Sharma, Harshvardhan Singh, Pankaj Sharma

Abstract


Background: Despite being a low HIV prevalence nation, India has the third largest number of PLHAs in the world. The study aimed to explore the prevalence, pattern of socio-demographic and epidemiological distribution among HIV sero-positive patients in this part of Himachal Pradesh. Objective was to estimate the prevalence of HIV infection among the clients who had attended the ICTC for a period of ten years, i.e. from 2008 to 2017.

Methods: A retrospective descriptive analysis of secondary data from the National AIDS control program from the year 2008 through 2017 was done.

Results: Overall prevalence of HIV positivity amongst the clients attending the centre was observed to be 2.1%. Out of the total 55610 clients tested for HIV infection, 40.4% were male, 25.4% were female (excluding ANCs) and 34.2% were Ante-natal cases. Overall, seropositivity was higher among males (58%) than females (40%). However, amongst the groups, higher prevalence has been observed to be present in the females (3.3%) over males (3%) and Ante-natal cases (0.12%). Belonging to the female sex [OR 1.99 (95% CI: 1.77-2.24)] and male sex [OR 2.07 (95% CI: 1.84- 2.33)] had higher odds of having HIV sero-positivity than Ante-natal cases [OR 0.04 (95% CI: 0.02-0.05)]. Heterosexual route of transmission was the major route seen in 70.1%. Maximum HIV seropositivity was in the age group of 25 - 34 years (35.4%).

Conclusions: The trends over the last 10 years show no steady pattern. Hence, there is a need for scaled up and sustained efforts focused on the males of reproductive age group for the prevention and control of HIV infection.


Keywords


HIV, Heterosexual, ICTC, Seropositivity

Full Text:

PDF

References


UNAIDS. Together we will end AIDS, 2012. Available at: http://www.unaids.org/en/whoweare/ about. Accessed on 17 August 2018.

National AIDS Control Organization. Ministry of Health and family welfare, Government of India. Annual Report 2011-2012. Available at: http://naco.gov.in/documents/annual-reports. Accessed on 17 August 2018.

Himachal Pradesh State AIDS Control Society. HIV/AIDS in Brief. Available at: http://hpsacs.org/aids.asp. Accessed on 18 August 2018.

National AIDS Control Organization. Ministry of Health and family welfare, Government of India. Detection of HIV infection. In: Guidelines on HIV testing;2007:38-53.

Ganju SA, Bhagra S, Kanga AK, Singh DV, Chauhan R. Eleven year performance of an Integrated Counseling and Testing Center in a tertiary care hospital in Himachal Pradesh, India. CHRISMED J Health Res. 2014;1(3):134-9.

Sekar R, Amudhan M, Sivashankar M, Mythreyee M. Recent trends in HIV prevalence in a remote setting of southern India: Insights into arranging HIV control policies. J Infect Dev Ctries. 2013;7(11):838-43.

Sherwal BL, Gupta P, Nayak R, Gogoi S, Suri S, Dutta R. Prevalence of HIV in a tertiary care centre in Delhi: a five-year ICTC based study. World J AIDS. 2015(5):1-9.

Malhotra S, Sharma S, Hans C. Recent trend of HIV infection in a tertiary care hospital in North India. 2015;7(3):1-4.

National AIDS Control Organisation. Ministry of Health and Family Welfare, Government of India. HIV declining in India; New infections reduced by 50% from 2000-2009; Sustained focus on prevention required, 2010. Available at: http://naco.gov.in/sites/default/files/NACO%20Press%20Release%20on%20HIV%20Estimates_1.pdf.

Vyas N, Hooja S, Sinha P, Mathur A, Singhal A, Vyas L. Prevalence of HIV/AIDS and prediction of future trends in north-west region of India: A six-year ICTC-based study. Indian J Community Med. 2009;34:212-7

National AIDS Control Organization. Ministry of Health and family welfare, Govt. of India. Annual Report 2009-10. Available at: http://naco.gov.in/sites/default/files/NACO_AR_English%202009-10_NEW.pdf.

Gupta V, Singla N, Lehl SS, Chander J. Clinico-epidemiological profile of HIV infection over a period of six years in a North Indian tertiary care hospital. Indian J Med Microbiol. 2007;25:171.

Kommula VM, Mishra AK, Kusneniwar GN, Chappa SN, RaghavaRao KV. Profile of HIV positive clients in an ICTC of a private medical college, Andhra Pradesh: A situational analysis. NJIRM. 2012;3(2):36-40.

Ghosh S, Mukherjee S , Samanta A. Profile of HIV seropositive patients attending Integrated Counseling and Testing Centre (ICTC): an experience from a medical college in West Bengal, India. Global J Med Pub Heal. 2013;2(5):1-8

Laghawe A, Faujdar SS. Declining Trends in HIV Prevalence: A Tertiary Care Hospital Based 05 Years Retrospective Analysis. Int. J. Curr. Microbiol. App. Sci. 2015;4(6):927-36.

Pradhan BK, Sundar R. Gender Impact of HIV and AIDS in India. National AIDS Control Organisation (NACO), National Council of Applied Economic Research (NCAER), United Nations Development Programme (UNDP), 2006.

Gupta M. Profile of clients tested HIV positive in a voluntary counseling and testing center of a district hospital, Udupi. Indian J Community Med. 2009;34:223-26.

UNAIDS. Aids Epidemic Update: Special Report on HIV AIDS, 2006. Available at: http://data.unaids.org/pub/epireport/2006/2006_epiupdate_de.pdf. Accessed on 19 August 2018.