Gupta R S, Hegde Asha, Mulik Tejas, Yewale Kiran, Babu P K Amarnath, Pardeshi Kushalsinh, Balkrishnan Sudha, Seguy Nicole, Reddy D C S
aNACO, New Delhi bWHO, New Delhi cMaharashtra State AIDS Control Society, Mumbai dUNICEF, New Delhi.
Curr Opin HIV AIDS. 2016 Mar;11 Suppl 1(Suppl 1):S30-6. doi: 10.1097/COH.0000000000000261.
The objective is to describe the utility of prevention of parent-to-child transmission tracking tool in terms of the in-depth information that it provides for better decision making to improve the services.
The excel-based tracking tool is initiated by 578 Integrated Counselling and Testing Centre (ICTC) Counsellor and shared with 70 antiretroviral treatment (ART) centres. Between April and September 2014, total of 1118 HIV-infected pregnant women were registered in the tool. The secondary data for this period that is captured in the prevention of parent-to-child transmission tracking tool has been analyzed and presented in this descriptive study.
Of the total 1118 HIV-positive pregnant women, registered in the tool, 760 (68%) were newly detected with HIV infection and 358 (32%) had already been detected before their current pregnancy. In total, 1095 (98%) pregnant women were registered at ART centre out of which 1007 (91%) were initiated on lifelong ART. The average time delay between HIV detection and registration at ART centre was 12 days (n = 844). In this cohort of 1118 pregnant women, 45% delivered live babies, 7% underwent medical termination of pregnancy, 2% were stillbirths and abortions, and 46% were yet to deliver. Only 29 infants were tested for HIV at 6 weeks of age and six were found reactive.
The tracking tool provides in-depth information regarding the pregnant women registered in the program and in the tracking tool. The information throws more light on the characteristics of the registered women and the various services provided to them and highlight key areas where the program has to be improved. The tool is effective for assessing the treatment status of HIV-positive pregnant woman, retention in care and early infant diagnosis of the baby. The tool has identified programmatic bottlenecks component wise such as the need to focus on earlier detection of HIV-positive women during pregnancy, decreasing the time delay between detection and ART registration, and improving the early infant diagnosis.
描述预防母婴传播追踪工具的效用，即它为改善服务的更好决策提供的深入信息。
基于Excel的追踪工具由578名综合咨询与检测中心（ICTC）的咨询师启动，并与70个抗逆转录病毒治疗（ART）中心共享。2014年4月至9月期间，共有1118名感染HIV的孕妇登记在该工具中。在这项描述性研究中，对预防母婴传播追踪工具在此期间捕获的二手数据进行了分析和呈现。
在该工具中登记的1118名HIV阳性孕妇中，760名（68%）是新检测出感染HIV的，358名（32%）在本次怀孕前就已被检测出。总共有1095名（98%）孕妇在ART中心登记，其中1007名（91%）开始接受终身抗逆转录病毒治疗。HIV检测与在ART中心登记之间的平均时间延迟为12天（n = 844）。在这1118名孕妇队列中，45%分娩活婴，7%接受了人工流产，2%为死产和流产，46%尚未分娩。只有29名婴儿在6周龄时接受了HIV检测，其中6名呈反应性。
追踪工具提供了有关该项目及追踪工具中登记孕妇的深入信息。这些信息更清楚地揭示了登记女性的特征以及为她们提供的各种服务，并突出了该项目需要改进的关键领域。该工具对于评估HIV阳性孕妇的治疗状况、坚持治疗情况以及婴儿的早期诊断是有效的。该工具已按组成部分确定了项目瓶颈，例如需要在孕期更早期地检测HIV阳性女性、减少检测与ART登记之间的时间延迟以及改善婴儿早期诊断。
