title: Is it time to bring the "Parent" into the prevention of parent to child transmission programs in India? A study of trends over a 10-year period in a prevention of parent to child transmission clinic in India.
abstract: OBJECTIVE
  The present study evaluated the changes in serology and human immunodeficiency virus (HIV) testing behaviors over a 10-year period in a center in India.
  
  
  METHODS
  We used clinical data collected at the antenatal clinic from 2002 to 2011. The key outcomes were: (1) Proportion of women who opted for HIV test and those who tested positive; (2) proportion of male partners who came in for HIV test and those who tested positive; and (3) proportion of women who opted for continuation of pregnancy or for medical termination of pregnancy.
  
  
  RESULTS
  We tested 11,452 women for HIV over the 10-year period from 2002 to 2011. The proportion of women who opted for HIV testing was 72.0% (95% confidence interval [CI]: 70.7-73.4%). The acceptance of test increased from 35.9% (95% CI: 31.7-40.4%) in 2002 to the peak of 82.6% (95% CI: 78.6-86.8%) in 2009 (P < 0.001). The overall HIV prevalence over the decade was 0.70% (95% CI: 0.55-0.87%). The prevalence high at 1.11% (95% CI: 0.23-3.24%) in 2002 and reduced to 0.37% (95% CI: 0.12-0.87%) in 2011 (P < 0.001). Only 0.57% of male partners tested for HIV over this time period.
  
  
  CONCLUSIONS
  Strategies to improve acceptance of testing in pregnant women should be included in the Indian guidelines. The male partners do not get tested. Thus, this component needs to be strengthened - by targeted interventions for male spouses - to make the program more effective.
authors.affiliation: Department of Obstetrics and Gynaecology, MGM Medical College, Aurangabad, Maharashtra, India.
authors.forename: Swati
authors.initials: S
authors.lastname: Shiradkar
authors.affiliation: Department of Obstetrics and Gynaecology, MGM Medical College, Aurangabad, Maharashtra, India.
authors.forename: Shubhangi
authors.initials: S
authors.lastname: Mande
authors.affiliation: Department of Obstetrics and Gynaecology, MGM Medical College, Aurangabad, Maharashtra, India.
authors.forename: Gauri
authors.initials: G
authors.lastname: Bapat
authors.affiliation: Epidemiologist, MGM Institute of Health Sciences, Navi Mumbai, Maharashtra, India.
authors.forename: Maninder Singh
authors.initials: MS
authors.lastname: Setia
keywords: Human immunodeficiency virus; prevention of parent to child transmission; spouses; trends