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REVIEW ARTICLE
Year : 2011  |  Volume : 134  |  Issue : 6  |  Page : 904-911

HIV serodiscordant relationships in India: Translating science to practice


1 Johns Hopkins University School of Medicine, Baltimore, USA; YR Gaitonde Centre for AIDS Research & Education, Chennai, India
2 YR Gaitonde Centre for AIDS Research & Education, Chennai, India

Correspondence Address:
Suniti Solomon
Director, YR Gaitonde Centre for AIDS Research & Education, VHS Campus, Rajiv Gandhi Salai, Chennai 600 113, India

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-5916.92635

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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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