Prasad Rajnandini, Jaiswal Arpita, Prasad Roshan, Wanjari Mayur B, Sharma Dr Ranjana
Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, wardha, IND.
Cureus. 2023 May 8;15(5):e38704. doi: 10.7759/cureus.38704. eCollection 2023 May.
Perinatal HIV transmission remains a significant public health challenge, with an estimated 160,000 children newly infected with HIV each year. Public health nurses play a critical role in the prevention and elimination of perinatal HIV transmission through targeted interventions such as identification of pregnant women with HIV, referral and linkage to care, provision of antiretroviral therapy, and follow-up and retention in care for both mothers and infants. However, significant barriers to successful implementation exist, including stigma and discrimination, limited access to healthcare services, socioeconomic factors, and limited resources. Addressing these barriers will require a multifaceted approach that includes policy changes, community engagement, and targeted support and resources for affected families. In this review article, we provide an overview of the epidemiology of perinatal HIV transmission, current strategies for prevention and elimination, and the vital role of public health nurses in these efforts. We will also discuss the barriers to the successful implementation of public health nurse interventions and the future directions for research and practice in this field. Ultimately, the goal of perinatal HIV prevention and elimination can only be achieved through a sustained and collaborative effort across multiple sectors and stakeholders, with public health nurses playing a crucial role in this effort.
围产期艾滋病毒传播仍然是一项重大的公共卫生挑战,估计每年有16万名儿童新感染艾滋病毒。公共卫生护士在预防和消除围产期艾滋病毒传播方面发挥着关键作用,通过有针对性的干预措施,如识别感染艾滋病毒的孕妇、转诊并与护理机构建立联系、提供抗逆转录病毒疗法以及对母亲和婴儿进行随访并确保其持续接受护理。然而,成功实施这些措施存在重大障碍,包括耻辱感和歧视、获得医疗服务的机会有限、社会经济因素以及资源有限。解决这些障碍需要采取多方面的方法,包括政策变革、社区参与以及为受影响家庭提供有针对性的支持和资源。在这篇综述文章中,我们概述了围产期艾滋病毒传播的流行病学、当前的预防和消除策略以及公共卫生护士在这些工作中的重要作用。我们还将讨论公共卫生护士干预措施成功实施的障碍以及该领域未来的研究和实践方向。最终,围产期艾滋病毒预防和消除的目标只能通过多个部门和利益相关者的持续协作努力来实现,公共卫生护士在这项工作中发挥着至关重要的作用。