Bangladeshi researchers have professed to have accomplished an uncommon accomplishment by effectively treating more than 100 pregnant moms wiped out with the deadly HIV (human immunodeficiency infection), however they brought forth solid infants, saying the achievement rate was in excess of 98 percent.
"HIV positive moms numbering 109 were treated under the PMTCT program. Among them, 107 HIV positive moms brought forth solid infants free from HIV, while two were brought into the world with HIV positive as the pregnant moms arrived behind schedule for the treatment," Prof Dr. Md. Shamiul Islam, Line Director of AIDS/STD Program (ASP), told the day by day sun.
The wellbeing directorate official asserted that Bangladesh has accomplished in excess of 98 percent achievement in bringing forth safe infant by the HIV positive moms while the worldwide achievement rate is around 72 percent to 78 percent.
The Bangladesh government is giving treatment free of cost to the HIV positive moms under the program titled 'Aversion of Mother-To-Child Transmission (PMTCT)' which is being executed by AIDS/STD Program (ASP) of Directorate General of Health Services (DGHS) with the help of UNICEF (United Nations Children's Fund).
Islam said PMTCT focuses have been set up in Bangabandhu Sheik Mujib Medical University (BSMMU), Khulna Medical College, Sir Salimullah Medical College and Mitford Hospital, Sylhet MAG Osmani Medical College, Chattragram Medical College and Cox's Bazar Medical College," including that the treatment was being reached out to Infectious Diseases Hospital in Dhaka, Jashore Medical College and Moulvibazar Hospital to give medicinal services to the HIV positive moms.
Simultaneously, the administration likewise has set up 12 ART (Anti Retroviral Therapy) focuses in medical clinics the nation over to give the advising and antiretroviral (ARV) drugs for the HIV/AIDS (Acquired Immuno Deficiency Syndrome (AIDS) constructive individuals of the nation, the DGHS executive said.
Shamiul Islam said there are around 13,000 assessed HIV or AIDS constructive patients in Bangladesh till November 30 while 7,544 HIV constructive individuals have just been analyzed and among them 4,600 are taking treatment benefits under the ART focuses the nation over.
"I'm glad as my child is seven years now and he is concentrating in a nearby school. My child is free from HIV or AIDS. Prior, I could hardly imagine how I could bring forth a sheltered kid free from the HIV or AIDS as me and my better half both are HIV/AIDS positive," said Farida (nom de plume), of the primary moms to bring forth a solid kid subsequent to being treated at the PMTCT focus in BSMMU.
She told the day by day sun she got HIV from her better half who worked in a Middle-Eastern nation. "He has been taking ARV at the ART focus of the BSMMU," she said.
"The PMTCT focus was set up at the BSMMU in 2013 and the main HIV positive mother brought forth a solid youngster at the BSMMU that year, which involved incredible happiness for us," Dr. Marina Akhtar, Programe Manager of Strengthening of HIV Services in BSMMU told the day by day sun.
Talking about the procedure, she said numerous ladies went for ANC (Antenatal examination) at the PMTCT focal point of the BSMMU routinely from May 2013. "Among the analyzed moms, 91 pregnant ladies who were HIV positive were treated under the PMTCT focus at the medical clinic during the time."
"Of the aggregate, 75 HIV positive moms brought forth safe infants meaning the kids don't have AIDS. It was affirmed that they were spotless simply after the DNA Polymer Chain Reaction test, in the BSMMU. Some other HIV positive pregnant moms are trusting that conveyance will bring forth youngster. Presently the pregnant moms have been taking ARV at the ART focal point of the medical clinic routinely," Merina included.
Conversing with every day sun about the exercises of the PMTCT, Tanzina Rahman, Counselor cum Tester at PMTCT focus of the BSMMU said once a HIV positive mother goes to the middle she is taken promptly under the antiretroviral treatment that smothers HIV at the ART focus. "The PMTCT focus gives both indoor and open air administrations for the HIV positive moms and would be moms," she included.
The pregnant moms were likewise given fundamental directing about pregnancy and how to bring forth a sound infant, Tanzina Rahman said.
Prof Dr Saleha Begum Chowdhury, previous executive of Obstetrics and Gynecology division of the BSMMU, said after birth, babies, whose guardians have AIDS, were first given a wellbeing check to identify whether the infant was HIV positive or negative. "At that point the child is given Nevirapine syrup, additionally a suppressive medication, for about a month and a half."
She said at 42 years old days, the child will be taken under first PCR (DNA Polymer Chain Reaction) blood test to know whether the newborn child is free from HIV or not. "On the off chance that the infant is negative, at that point ARV profile overabundance will be halted following 42 days. On the off chance that the mother sustains the infant bosom milk, at that point babies are given co-trimoxazole from the 43rd long periods of age that will proceeded till thirteen and half months old while rests will be resolved based on age of the infant," she included.
Saleha Begum Chowdhury said when the infant is at one years old year at that point bosom milk sustaining should be halted for about a month and a half and later following a month and a half of halting the bosom milk, the infant will be taken under second PCR blood test. "On the off chance that the second PCR is negative, at that point HIV counter acting agent should be tried at 18 years old months old to affirm whether the child is free from HIV or not," she included.
All things considered, an infant experiences the test twice — at about a month and a half old and at thirteen and a half month old, affirming that the infant is free of HIV, she stated, including that "on the off chance that the infants are discovered HIV positive much following year and a half old, at that point the kids likewise will be taken under deep rooted treatment process."
Prof. Saleha Begum Chowdhury, likewise Secretary General of Obstetrical and Gynecological Society of Bangladesh (OGSB) said in Bangladesh, moms with HIV were not illegal to breastfeed their children.
"We enable them to sustain their children bosom milk, considering their financial condition and cleanliness issue to counteract maladies like pneumonia contamination and looseness of the bowels disease. In numerous pieces of the world HIV positive moms are not permitted to do as such as there is a danger of transmission," she said.
Depicting assessed hazard and timing of Mother-to-youngster transmission of HIV, Prof Dr. Saif Ullah Munshi, Chairman of Department of Virology of the BSMMU said without intercessions, around 33% of HIV positive moms will pass the infection to their newborn children through one of these three courses — during pregnancy and work, during conveyance and baby blues through breastfeeding.
Dr. Md. Ziya Uddin, HIV/AIDS Specialist of UNICEF Bangladesh said 62,000 pregnant ladies got HIV tests, while 48 HIV positive pregnant ladies were taken on the PMTCT focuses in Bangladesh till November 30 this year. "Somewhere in the range of 13 babies were proclaimed HIV free at 18 years old months after immune response testing this year," he included.
"During the most recent five years, there were patterns of more contaminations among transient populaces and ladies, despite the fact that they were not from the high hazard populaces. These were reflected in ID of positive pregnant ladies. To spare new contaminations among the infant and newborn children, it is critical to extend and incorporate PMTCT alongside MNCH in Bangladesh," he included.
As indicated by the UNICEF, end of new HIV diseases among kids can be accomplished through the Prevention of Mother To Child Transmission (PMTCT). PMTCT is an intercession to guarantee that no kid is brought into the world with HIV and it is a basic advance to guaranteeing an AIDS free age.
As indicated by the World Health Organization (WHO) without any intercession, mother to kid transmission of HIV rate ranges from 15 percent to 34 percent and this rate can be diminished to underneath 5 percent with successful mediations during the times of pregnancy, work, conveyance and breastfeeding.
It said new Sustainable Development Goals place elevated accentuation on avoidance of mother-to-kid transmission (PMTCT) with regards to better wellbeing for moms and their kids.
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