Elimination of Parent–to–Child transmission of syphilis (e-PTCT)
Government of India is committed to Eliminating of Parent–to–Child Transmission of Syphilis & HIV among children by 2020. As per 2010-11, HIV sentinel surveillance Sero prevalence of Syphilis in India among ANC women was .38%. Considering the low prevalence of the infection, elimination of parent to child transmission of syphilis is a feasible strategy. Syphilis infection in pregnant women and unborn infants can be cured by early diagnosis and treatment given.
Goal of the Strategy:-
To eliminate Parent to Child Transmission of Syphilis by reducing the incidence of congenital syphilis to less than 0.3 cases / 1000 live births.
- ANC coverage of ≥ 95%
- Syphilis testing in ANC attendees ≥ 95%
- Treatment of Syphilis reactive in ANC attendees ≥ 95%
National implementation Strategy
- To ensure universal registration of pregnant women at first ANC visit in first trimester
- To ensure screening of pregnant women for syphilis & HIV through single prick test at ICTC
- All sero positive pregnant mother should be given prompt treatment
- To ensure treatment of all infant born to sero positive women
- Treatment of partners of all sero positive pregnant women, promoting of condom use, Education and Counselling on risk reduction and safer sex practices to prevent infection/reinfection
Sexually Transmitted Infection
Sexually transmitted infections and reproductive tract infections (STI/RTI) are an important public problem in India.
A community based STI/RTI prevalence study conducted during 2002-03 (ICMR) has shown that 6 % of the adult population in India has one or more STI/RTI. This amounts to occurrence of about 30-35 million episodes of STI/RTI every year in the country.
Controlling STI/RTI helps to decrease HIV infection rates and provides a window of opportunity for counselling on HIV prevention and improving sexual and reproductive health.
The STI/RTI management services are a key programme strategy for prevention of HIV. The syndromic case management of STI/RTI is adopted as a universal strategy, and ensures access to a package of sta ndardized STI/RTI
|Service||No. Of Center||Designated STI/ RTI Doctor||Counsellor/ Lab. Tech|
|Designated STI/RTI Clinic (DSRC) in all the 11 district hospitals including police referral hospital, Chumukedima||12||12||Counselors-12|
|State Reference Center (SRC) department of microbiology, NHAK||1||1||Nil|
|Public Private Partnership (PPP) on STI at CIHSR Dimapur||1||1||Counselor-1|
|STI/RTI clinic attached with various NGO (TI) across the state||43||43||ANM /Counsellor|