Trend of clients attending an integrated councelling and testing centre of a tertiary care hospital in North Karnataka: a record based study
Keywords:ICTC, HIV, Client trend
Background: The prevalence of HIV among the adult population has continued a steady decline at the national level from an estimated peak of 0.4% in 2000 down to 0.26% in 2015. The data generated by ICTC may provide important clues to understand the epidemiology of the disease in a specific area, as well as pattern of risk behavior of the population.
Methods: The present retrospective record based cross sectional study was carried out at the ICTC Centre of SDM College of Medical Sciences and Hospital, Dharwad. Retrospective data for the past six years (2012-13 to 2017-18) on clients visiting the ICTC was collected from the ICTC registers.
Results: A total of 45,066 clients attended the ICTC over a period of 6 years, among which 61.6% were females and 38.4% were males. Among the total females, 55% were antenatal mothers. Out of the total clients tested, 99.75% of clients underwent post-test counseling. Among the total clients, 669 were HIV sero-positive clients out of which majority (61.7%) were males. The total positivity rate was 1.48% among the ICTC attendees. 47 clients had co-infections with TB.
Conclusions: The challenge is to increase access to and uptake of HIV testing priority. Intense IEC activities for behaviour change at grass root level populations should be encouraged.
HCTS) Guidelines, December 2016. Available at: http://naco.gov.in/sites/default/files/National%20HIV%20Counselling%20&%20Testing%20Services%20Guideline,%20Dec%202016_0.pdf. Accessed on 18 March 2019.
National AIDS Control Organisation. Available at: http://naco.gov.in/integrated-counselling-and-testing-centre.Accessed on 18 March 2019.
Kiran A, Kujur M, Kumar M, Haider S, Kashyap V, Sundaram S. Profile of the patients attending in ICTC, RIMS, Ranchi. Journal of Community Medicine and Health Education 2015;5(2):1-4.
Quarterly CMIS Bulletin Gujarat Strategic Information and management Unit, Gujarat State AIDS Control Society. Meghaninagar, Ahmedabad, India, 2008.
Gupta M. Profile of Clients Tested HIV Positive in Voluntary Counseling and Testing Centre of a District Hospital, Udupi. Indian J. Community Med. 2009;34:223-6.
Kumari A. Prevalence rate of AIDS has dropped in state: UNICEF, TNN, 2012.
Sinha T, Bansal AK, Mohan RS, Rathi HB, Shrivastava PK, et al. Profiles of attendees in integrated counseling and testing centre at Maharani Hospital, Government Medical College, Bastar (Chhattisgarh), India. J AIDS HIV Res. 2013;5:4.
Ahuja S, Pandey A, Vishkarma R, Madan M. Profile of HIV Positive Clients Attending an Integrated Counselling and Testing Centre of a Tertiary care Hospital in Meerut, Uttar Pradesh, India. Int J Current Microbiol Applied Sci. 2016;5(6):384-91.
Kommula VM, Mishra AK, Kusneniwar GN, Chappa SN, Rao KV. Profile of HIV positive clients in an ICTC of a private medical college, Andhra Pradesh: A situational analysis. NJIRM. 2012;3:36- 40.
Ade A, Yamasani B, Deekala R, Kondagunta N, Dnyaneshwar T. Katyarmal. Profile of HIV sero-positive attendees: an integrated counselling and testing centre record based retrospective study. Int J Community Med Public Health. 2018;5(12):5069-76.
Dutta R, Choudhuri S, Goswami S. Profile of HIV positive clients: an ICTC record based retrospective study. Int J Community Med Public Health. 2017;4:3018-21.
Vyas N, Hooja A, Sinha P, Mathur A, Singhal A, Vyas L. Prevalence of HIV/AIDS and prediction of future trends in north-west region of India: A sixyear ICTC based study. Indian J Community Med. 2009;34:3:212-7.
Chougale R, Shinde P. Profile of HIV seropositive attendees of integrated counselling and testing center of a tertiary care teaching hospital in Kolhapur, India. Int J Contemporary Med Res. 2017;4(6):1330-6.
Ingole N, Paranjpe S, Sarkate P. Demographic profile of HIV seropositive clients attending Integrated Counselling and Testing Centre, Mumbai, India. J AIDS Clin Res. 2014;5:369.