PREVALENCE OF HIV INFECTION IN THE ICTC CENTRE OF SILCHAR MEDICAL COLLEGE, ASSAM
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 12
Abstract
BACKGROUND Silchar, in south eastern region of Assam is the gateway of many north eastern states like Manipur, Mizoram and Tripura. Therefore, ICTC, Silchar Medical College and Hospital, Silchar is attended by patients from Assam and neighbouring states. This study was taken considering the geographical location and high prevalence of HIV here. Objective- To study the prevalence of sero-positivity rate of HIV infection among clients reporting to ICTC SMCH, Silchar from January 2012 to December 2014. MATERIALS AND METHODS The clients were attendees of both OPD and indoor patients of SMCH or came voluntarily to know their HIV status. After counselling and consent, antibody testing was done using rapid kits and reactivity declared as per NACO guidelines. The data was assessed by age, sex, occupation, educational level, marital status, behavioural patterns and source of exposure. Data was collected, compiled and analysed using standard statistical methods. Study Design- Retrospective cross-sectional study. RESULTS Of the 18,763 clients tested in the span of this 3 years, 774 (4.12%) were positive for HIV. The sero-positivity rate varied from 3.61% in 2012, 4.61% in 2013 and 4.36% in 2014. Prevalence in male clients amounted to 2.8% and in female clients was 1.3%. Majority of the sero-positive clients fell in the age group of 30 - 45 years (51.8%). The predominant occupation were drivers (19.76%) and housewives (23%). 88.5% of them exhibited heterosexual behaviour, parent to child transmission was 5.42% and 3.48% were IDU. Most of the clients had only primary level education (70%) or were illiterate (18.63%). CONCLUSION ICTCs are important for prevention, detection and care of HIV infection. The findings from their clients indicate a high seropositivity among both genders. Multiple heterosexual contact, especially in migrants are main route of transmission of HIV causing spread also to spouses. Awareness program following similar studies hence may reduce further spread of HIV.
Authors and Affiliations
Debadatta Dhar Chanda, Atanu Chakravarty, Kabita Choudhury, Chirasree Deb, Arnabjyoti Bhagawati
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