Each year 27 million births take place in India. A conservative estimate of HIV prevalence of 1 percent among antenatal women translates to about 80,000 HIV-infected children being born annually. The latest figures from the National AIDS Control Organisation show that there are about 5,600 documented HIV-positive children (0–14 years), but a very small number are receiving antiretroviral therapy. The Population Council and partners conducted a qualitative study in three high-prevalence states of India to explore the facilitators and barriers to accessing care for HIV-positive children and assessed the current level of adherence to ART among children receiving treatment. A cross-sectional study design was used. In-depth interviews were conducted with caregivers of HIV-positive children (<12 years) and HIV-positive adolescents (12–16 years). A semistructured questionnaire with open-ended questions was used. Study participants were recruited from a convenience sample of community-based health facilities providing services for HIV-positive persons and positive networks in the three states. This brief focuses on findings from caregivers of HIV-infected children less than 12 years of age.
Sarna, Avina, Jaleel Ahmad, Glory Alexander, Vaishali Sharma Mahendra, Ashok Rau, Arjun Singh, and Naomi Rutenberg. 2007. "Exploring the barriers to accessing care and treatment for HIV-infected children in India: A diagnostic study," Research update. New Delhi: Population Council.