HIV serodiscordant relationships in India: Translating science to practice.
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Date
2011-12
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Abstract
Over the past 30 years, several interventions have been identified to prevent HIV transmission from
HIV-infected persons to uninfected persons in discordant relationships. Yet, transmissions continue to
occur. Interventions such as voluntary counselling and testing, condom promotion and risk reduction
counselling are very effective in preventing transmission among serodiscordant couples but are
underutilized in India despite their widespread availability. New interventions such as pre-risk exposure
prophylaxis and universal antiretroviral therapy (irrespective of CD4 count) have been newly identified
but face several challenges that impede their widespread implementation in India. Discordant couples
in India also face certain unique socio-cultural issues such as marital and fertility pressure. We briefly
review the various interventions (existing and novel) available for persons in discordant relationships in
India and socio-cultural issues faced by these individuals and make recommendations to maximize their
implementation.
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Keywords
ART, CD4 counts, HIV, pre-risk exposure prophylaxis, risk reduction counselling, serodiscordant couples
Citation
Solomon Sunil Suhas, Solomon Suniti. HIV serodiscordant relationships in India: Translating science to practice. Indian Journal of Medical Research. 2011 Dec; 134(6): 904-911.