Abstract

Dr. Shivani Badal* and Prof. L. Ranjit Singh

ABSTRACT

Introduction: Prevention of parent-to-child transmission (PPTCT) services is an integral part of National AIDS Control Programme and their critical appraisal is necessary for improving quality care. This retrospective study was conducted to evaluate the performance of PPTCT services in Regional Institute of Medical Sciences, Imphal, Manipur during 2003 - 2016 and identify gaps in service delivery for making suitable recommendations. Methods: Data were collected, validated and evaluated from records at Regional Institute of Medical Sciences, Imphal, Manipur retrospectively. It was analysed with reference to that available for India as a whole and abroad. Results: The proportion of antenatal women tested has increased from 2003-2016 except for 2008 where the percentage decreased. Proportions of counselled cases also showed the same trend except for a decreased trend in 2004 and 2008. HIV positivity rates among those tested was 0.48%. Proportion of mother-baby pairs receiving nevirapine prophylaxis was almost 100%. Interpretation & Conclusions: Gaps were identified at each step of service delivery for which capacity building, improvement of infrastructure including laboratory services and ensuring emergency labour room testing were imperative. Outsourcing follow up services to other community based organizations may also be considered.