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Hiv Testing Among Pregnant Women Living With Hiv In India: Are Private Healthcare Providers Routinely Violating Women’S Human Rights?, Purnima Madhivanan, Karl Krupp, Vinay Kulkarni, Sanjeevani Kulkarni, Neha Vaidya, Reshma Shaheen, Sean Philpott, Celia Fisher
Hiv Testing Among Pregnant Women Living With Hiv In India: Are Private Healthcare Providers Routinely Violating Women’S Human Rights?, Purnima Madhivanan, Karl Krupp, Vinay Kulkarni, Sanjeevani Kulkarni, Neha Vaidya, Reshma Shaheen, Sean Philpott, Celia Fisher
Department of Epidemiology
Background
In India, approximately 49,000 women living with HIV become pregnant and deliver each year. While the government of India has made progress increasing the availability of prevention of mother-to-child transmission of HIV (PMTCT) services, only about one quarter of pregnant women received an HIV test in 2010, and about one-in-five that were found positive for HIV received interventions to prevent vertical transmission of HIV.
Methods
Between February 2012 to March 2013, 14 HIV-positive women who had recently delivered a baby were recruited from HIV positive women support groups, Government of India Integrated Counseling and Testing Centers, and nongovernmental organizations …
Performance Of Bvblue Rapid Test In Detecting Bacterial Vaginosis Among Women In Mysore, India, Purnima Madhivanan, Karl Krupp, Tan Li, Kavitha Ravi, Julia Selezneva, Vijaya Srinivas, Anjali Arun, Jeffrey D. Klausner
Performance Of Bvblue Rapid Test In Detecting Bacterial Vaginosis Among Women In Mysore, India, Purnima Madhivanan, Karl Krupp, Tan Li, Kavitha Ravi, Julia Selezneva, Vijaya Srinivas, Anjali Arun, Jeffrey D. Klausner
Department of Epidemiology
Bacterial vaginosis (BV) is the most common cause of abnormal vaginal discharge in reproductive age women. It is associated with increased susceptibility to HIV/STI and adverse birth outcomes. Diagnosis of BV in resource-poor settings like India is challenging. With little laboratory infrastructure there is a need for objective point-of-care diagnostic tests. Vaginal swabs were collected from women 18 years and older, with a vaginal pH > 4.5 attending a reproductive health clinic. BV was diagnosed with Amsel’s criteria, Nugent scores, and the OSOM BVBlue test. Study personnel were blinded to test results. There were 347 participants enrolled between August 2009 and …