MAKING HELP TO WOMEN TO BE HIV FREE &
REHABILITATION OF ALREADY INFECTED
Actually all the days are Women‘s Day, I suppose Indian Culture teaches us.
But the particular day of any one month is Named as a special day for persons like
Teacher’s Day, Valentine’s Day, Children’s day, Mother’s Day, AIDS’s Day, etc.
The purpose of these days is to Emphasis that particular Group of our society.
That particular day Reminds us Particularly about That Special Group.
Now the 8 th MARCH is being celebrated as Women‘s Day. Before mentioning any thing about this We Indians Are Really Celebrating This Day Because We Got for the First Time in History of Indian Democracy “THE WOMAN PRESIDENT OF INDIA.”
What is this celebration factor ? To consider the problems of Women which have been solved, which are being solved, which should be solved, which must be solved and
The problems coming in between these tasks. Apart from Other Social, Economical,
Educational, Marital and Family, Today I want to let others know about Medical and among medical particularly the threatening Problem of the present days is about spread of HIV/AIDS in women among the Largest Group of our society i.e. THE MIDDLE & LOWER SOCIO-ECONOMICAL CLASS.
The most Despairing Part of this problem is Government’s Organizations, N.G.O.s, including Foreign N.G.O.s, Social worker’s union, MEDIA and Very Much Inspired Person’s like Elizabeth Taylor, Bill Clinton, Nelson Mandela,Richard Gere,etc All are trying to solve this problem at their Respective
Level; But Unfortunately there seems to be No Success Apparently.
At present India is No. 1 in terms of number of persons infected by HIV virus.
And among that almost half of them (Excluding Children) are women.
Though most of the people say new infection rate of HIV is reducing because of awareness But then Why the Data shows sustained rise in sero-positive patients.
Because at present the Infection no longer has its presence among High Risk Group, which was True 10 years back in India. But now it has been spreading among the mentioned groups above. And this time, considering the Largest Population of India in Rural area, THE WOMEN ARE REAL INNOCENT VICTIMS OF THIS threatening Problem.
Our Experience is, in rural area or most of the cities even, the commonest route of transmission is hetero sexual sex. We are mentioning now the Domestic Problem Of this Infection which accounts for maximum number of infected individuals.
Usually the Husband is already Infected 5 to 12 years back with sexual contact outside.Most of the time He himself doesn’t know his Infection Status unless checked before. Many Guys know that they are retrovirus +ve But they don’t tell this to their family members or friends. Many others had given information to Parents But still without showing the son to proper HIV SPECIALIST They just hide it from other relatives. And arrange the marriage of the son.
At the time of marriage, the Groom is apparently, clinically Normal as he is in the asymptomatic phase. After marriage, also he remains alright for almost 3 to 7 years as our observation. Till that time his wife would have conceived 2 to 3 times, So 2 to 3 kids are there with Parents. ( These are Approximate figures derived from our patients treated).
And then the whole Sequence begins like this——Person affected by the Infection
Enters into the Symptomatic Phase.Here pathological reports show T-Helper Lymphosites generally known as Absolute CD4 count goes below 200 count or 15 %.
Then the Resistance becomes so low that All others main plus opportunistic Infections attack on him. And Sign & Symptoms start appearing which are devided into Major & Minor Criteria. Most of the Patients & Relatives then Rush to Many Ayurvedic practitioners who claim to make them HIV-ve. Patient wastes Unnecessary money for purchasing them With No Results. And many Allopathic Post Graduate Practitioners Does not take care of every thing Like (1) Proper Anti Retro Viral Regimes, (2) Treatment of Opportunistic & Other common Infections,
(3)Proper Treatment of New Rising MDR tuberculosis, (4) Preventive Anti tuberculars, Antibiotics & Anti fungals, (5) Treatment of Symptoms and Signs,
(6) Treatment of Dehydration and Nutrition, (7) Screening Tests for wife.
These All Results END into Death of Patient.
But the New Problem for “The Woman” his wife Arrives.
(1)Uptill now she has suffered from taking care of Various Illnesses of her
Husband.
(2) During Her screening Test for Retro virus comes +ve many times among such
patients.
(3) Her Emotional Background collapses. And she goes into sever Depression.
(4) Many Times her In Laws blame Her for their Son’s Death if her screening for
Retro virus comes positive. And They Refuse for Her Treatment. And send Her
& her kids to her Parents.
(5) Many times such women are Not Independent Economically. This point Creates
Many Problems Later in Her Life.
(6) Duties to Nourish & Educate Her kids. And if any kid also also has derived
Infection from mother then all problems of Treatment of the kid where chances
Reaching upto AIDS are very Earlier.
(7) Her Dreams of happy Married Life with kids Education,etc are totally Collapsed
Some solutions to get rid of All These Problems-
(1) Mandatory HIV screening of both Groom and Bride Before marriage With
Identity proof on the report and if thumb Impression of the person who is
undergoing the test, then its very appropriate.This is because there are many
Loop Holes by which HIV infected can prove to be HIV-ve on Investigation report.
(2) To test by DNA-QUALITATIVE-PCR to avoid the False Negative test in
Window Period.
(3) Strict use of Condom if The Couple knows that Husband is +ve & Wife is
-ve. Then for purpose to conceive—The Technique of Sperm Washing.
(4) Strict use of Condom by persons going to Prostitutes. Prostitutes MUST
Insist for the male to Use Condom.
(5) If the woman is sero-positive and there is pregnancy, Before 5 months she
Should go for MTP & if in the third Trimester Then Taking Help of 3 things
Like (a) Using ARV in the Third Trimester (b) Delivery by Caesarian Section
Instead of normal vaginal delivery. (c) No Breast Feeding to the Newborn.
(d) ARV drops to the neonate in proper doses.
(6) Rehabilitation of woman for further Financial Needs.
We are much inspired by seeing during treatment such Devastated Families,
So We really want to do something in this regard for Women Which we can DO Upto Certain level.
THAT SHALL BE THE WAY OF CELEBRATING WOMAN’S DAY.
Dr. Sunita Dube
Consulting Radiologist & Sonologist.
Managing Director & Chairperson.
(ARYAN MEDICAL & EDUCATIONAL TRUST 80G Reg.)
Special Executive Officer of Maharastra Govt.
Contact for appointment at Aryan Hospital 25275999
Contact :Ms.Pratiksh.Jadhav Time :10.00 to 4.00 p.m