Manzoor Ahmed, Tahira Gul, Sharaf Ali Shah.
Case Study; Low HIV transmission of HIV infected men to their spouses in male dominating society.
Pak J Public Health Jan ;5(2):15-6.

Background: A substantial number HIV infection occur in the stable discordant relationship. Men invariably remain index cases. One of the objectives of the community home-based care (CHBC) program at Karachi Pakistan is to prevent HIV transmission from HIV infected men to uninfected wives. Methods: This project is implemented by the Bridge Consultants Foundation under the grant of Global Fund to ght AIDS, Tuberculosis, and Malaria (GFATM) since May 2012. Under this project, 339 HIV infected individuals (men and women) were registered from 22nd May 2012 to 30th June 2014. Results: 110 discordant couples were identied wherein men were the index cases. The wives of index cases underwent periodic voluntary counseling and testing (VCT) every three months, condom distribution, risk reduction counseling, and ART treatment to index cases. After follow up of two years, only two wives were found HIV seropositive and the remaining (108) remained seronegative. As a result of VCT, around 98% of the wives of index men were prevented from acquiring HIV infection. Keywords: HIV, male, case study, transmission. (Pak J Public Health 2015;5(2): 7-8)

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