HIV Testing and Counselling in Rural India

S Z Quazi, Sanjay Nimbarte, Deepak Selokar, Abhay Gaidhane, Abhay Mudey, Vasant Wagh

Abstract

Background
The human immunodeficiency virus (HIV) infection is a global pandemic and has grown into a public health problem of unprecedented magnitude. Integrated counselling and testing centre’s (ICTCs) have established as a cost-effective intervention to reverse this epidemic. The objective of this study was to find out the profile of clients attending the ICTC.

Method 
Data was collected over six months at an ICTC in a rural-private tertiary care hospital in Wardha district. 650 study participants attended the ICTC either by self referral or following referral by a health care provider. Data was collected by the counsellor and it was retrospective data.

Results
Seropositivity rate among ICTC clients was 12.5% (n=81), out of these, 70.5% were male. The majority (41.1%) of ICTC attendee belonged to the 16-30 years age group. Many attendees (31.5%) were skilled workers and 29.7% had completed their education up to high school level. Sero prevalence decreased with higher educational status and improved job type. 79.5% individuals were heterosexual and had a history of multiple sexual partners. All HIV positive clients were referred to a care and support programme but only 32% visited within on week and around 60.2% within one month.
  
Conclusion
ICTC centres at private rural hospitals should be encouraged so that people from such areas can access services to establish their HIV status. Seropositive clients can then be referred in a timely fashion to appropriate care and support programmes.

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