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PPTCT
In
2001, during the UN General Assembly Special Session ( UNGASS)
on HIV/AIDS, the member states committed themselves to reducing
the proportion of children infected through mother to child
transmission (MTCT) by
20% and 50% by 2005 and 2010 respectively. Since then , globally, a large number of countries including
India have launched Prevention of
Mother to Child Transmission (PMTCT) programs . However,
by the end of 2003, only 8% of women globally had access to
PMTCT services and two thirds of all countries implementing
PMTCT programs had not passed the 20% coverage mark.
In
India, feasibility of implementing Prevention of Parent to Child
Transmission Services (PPTCT) services was studied in 5 states.
Then, PPTCT interventions were launched in six high prevalence
states including Maharashtra in November 2002 through the
existing MCH services. Scaling up of these services has been
planned in a gradual manner starting from medical colleges in
high prevalence states and going to district hospitals in these
states ; followed by medical colleges in low prevalence (
vulnerable) states and district hospitals in these states. The
ultimate goal is to provide PPTCT services to the populations at
the village level.
As
of May 2006, Mumbai has scaled up the PPTCT services in 45 centers:
1
Government Medical college,
3
Municipal Medical colleges ,
1
Private Medical college,
13
Peripheral Hospitals,
20
Municipal Maternity Homes.
2
Urban Health Centres
5
ESIS Hospitals
As
of date, the services are provided only through the health
facilities. The HIV sero-prevalence in pregnant women antenatal
clinics is estimated to be 1.1 % in 2006,
The
PPTCT Services include:
Pre
– Test counseling of registered ANCs.
Testing
for HIV, with consent.
Post
- Test counseling & handing over the report.
Follow
up & care of HIV Positive mothers.
Administration
of Nevirapine* to HIV positive mother during first stage of
labour.
Administration
of Nevirapine* to Baby of HIV positive mother, after birth
within 2 days.
Follow
up & continuing care & support to mother & baby.
Testing
of the Baby of HIV Positive Mother at 18 months of age.
· Spouse counseling & testing is also encouraged.
*
Anti-retroviral drug used in PPTCT programme.
Activities
of MDACS in the PPTCT programme :
Trainings
of various cadres of Medical & Paramedical Personnel have
been conducted.
I.E.C.
material for PPTCT has been developed.
Regular
supply of Testing Kits to these centers is ensured.
Regular
supply of Nevirapine to these centers is ensured.
Monitoring
& Evaluation of these centers regularly.
Scaling
up the services & maintaining quality of services.
Establishing
linkages with various services to strengthen the care &
support.
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