1. DEPARTMENT OF PAEDIATRICS, THE QUEEN ELIZABETH HOSPITAL,
Impact of the AIDS Prevention Programs on trends in prevalence and incidence of HIV infection among pregnant women in Barbados.
Alok Kumar, M A St. John
DEPARTMENT OF PAEDIATRICS,
THE QUEEN ELIZABETH HOSPITAL,
BARBADOS
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2. Background
Govt. since early 90’s accorded priority to HIV/AIDS programs.
General measures focused on public education & VCT
Targeted intervention such as PMTCT.
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3. Background National AIDS Prevention program 1991
Voluntary counseling and testing for HIV
1992
Provision for free perinatal prophylaxis
1996
National HIV/AIDS Expanded program
2001
Provision for free antiretroviral therapy
2002
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4. Background Surveillance program for monitoring MTCT.
Facilitated by antenatal VCT since 1992.
Since 1994, uptake of antenatal VCT over 50%.
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5. Background
Surveillance Program for MTCT provided opportunity to study the impact of various interventions on the HIV prevalence and incidence among the pregnant women.
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6. Objective This study describes
The HIV prevalence and incidence trend among pregnant women in Barbados
The trend in uptake of antenatal VCT.
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7. Design and Methods A population based descriptive study.
Data for this report was collected prospectively.
This report is based on observation during
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8. Design and Methods
Data on the HIV infected pregnancy is routinely collected form ANC at QEH.
HIV screening data is obtained form the lab at QEH.
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9. Design and Methods
Prevalence- dividing total no. of HIV pos. women with total no. of pregnant women screened.
Incidence- dividing total no. of newly detected HIV pos. women by total no. of pregnant women screened.
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10. Background population data (1994-2003)
Population variables
Nos.(%)
Total number of deliveries ( )
33034
Average annual deliveries
3303
Total nos. of un-booked pregnancy
Total number of women screened for HIV
388(1.2)
25436(77.1)
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11. Background population data (1994-2003)
Total number of HIV positive pregnancies
239 (0.7)
Average number of HIV positive pregnancies (annually) 23
Total number of HIV positive women who delivered
160
HIV positive women detected during antenatal screening
153 (95.6)
HIV positive women with one or more repeat pregnancies
56 (35.0)
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17. Conclusions
The prevalence and incidence of HIV among pregnant women have shown significant decline since 1999.
Uptake of antenatal VCT have been over eighty percent since 1997.
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18. Conclusions Repeated pregnancy in HIV pos. women remains a challenge.
Downward trend in the HIV incidence among the pregnant women may have been due to the impact of the HIV/AIDS prevention programs.
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19. THANK YOU
Thank you
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