Pediatric HIV in India: Current scenario and the way forward.
Pediatric HIV in India: Current scenario and the way forward.
复制标题
DOI：
10.4103/ijph.ijph_314_15
复制
发表时间：
2017-04-01
影响因子：
1.7
通讯作者：
Nath, Anita
中科院分区：
文献类型：
--
作者：
Nath, Anita
在印度，近年来迅速扩大了预防父母将艾滋病毒传染给子女和为感染艾滋病毒的母亲和儿童提供抗逆转录病毒治疗服务的规模。尽管取得了这些进展，但每年仍有大量感染艾滋病毒的儿童出生。通过检索相关研究（自2000年以来出版），使用Medline搜索和从国家艾滋病控制组织，UNAIDS，UNICEF和世界卫生组织的官方网站上提取最新研究结果，进行了全面的文献综述。为控制儿童艾滋病毒所做的努力受到一系列因素的挑战，如卫生服务利用率低、药物依从性差、婴儿诊断延迟、卫生服务提供者的歧视性态度、随访损失以及管理连续护理的协调性差。可以通过采取创新和有效的战略以及加强现有的卫生系统来应对这些挑战。这将大大降低儿童艾滋病毒的发病率，并改善艾滋病毒感染儿童的结局。
In India, the prevention of parent-to-child transmission and antiretroviral therapy services for HIV-infected mothers and children have been rapidly scaled up over the recent years. Despite these advances, a large number of HIV-infected children are born in every year. A thorough literature review has been done by retrieving related studies (published from the year 2000 onward); using a Medline search and by extracting recent findings from the official websites of the National AIDS Control Organization, UNAIDS, UNICEF, and World Health Organization. The efforts that are made to control pediatric HIV are challenged by a large range of factors such as low health service utilization, poor drug adherence, delayed infant diagnosis, discriminatory attitude of health providers, loss to follow-up, and poor coordination in managing continuum of care. These challenges may be addressed by adopting innovative and effective strategies and strengthening the existing health system. This would bring about a significant reduction in pediatric HIV incidence and improve the outcomes in children who are HIV infected.