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The epidemic of human Immunodeficiency virus (Retrovirus) that causes Acquired Immunodeficiency Syndrome has emerged as a serious public health problem in many parts of the World, which breaks down body's immune system leading to life threatening opportunistic infections and unusual malignancies. In which gender based difference in the health seeking behaviour has significantly precipitate to it. Rationale: Women's are much more vulnerable and likely to get discriminated with HIV infection, having so many reasons behind it than men, who plays dominant role in the society. So, there is need of gender based research to go through the health seeking behaviour of the HIV positive patients to understand the discrimination. This study also helps in policy making for National AIDS Control Program. Aims & Objectives: To study the health seeking behaviour of HIV positive case and impact ofgender discrimination over it. Methods: This study was based on qualitative data collection of 25 HIV positive patients conducted between the April 2012 to June 2012 at Rajendra Memorial Research Institute (ICMR) Patna Bihar. 25 HIV positive patients (More than 13 years of age) who visit the Rehabilitation centre during the study period. A semi-structured -interview topic guide was used for HIV positive patients with the help of the expert counsellors. In-depth interview of some randomly selected patients were arranged to collect the detailed information on health seeking behaviour at ART rehabilitation centre RMRI Patna with prior information, written and verbal consent. Prior permission will be taken from Ethical committee of Indian Institute of Public Health Delhi. Results: This study included 16 (64%) females and 9 (36%) males HIV positive cases who visited ART Rehabilitation RMRI Patna. Half of the patients (52%) were 31-40 years of age group among boththe genders. Majority of female patients (75%) were housewives. While majority of males were involvedin high risk occupations like Truck drivers (44.44%). Majority of female patients (68.75%) were illiterate. While majority of male patients (44.44%) were educated up to 7'th standard. 92% were of low incomegroup ranges Rs.2000-8000 per month. Health issues (60%) were the main issue of HIV positive patientto come at ART centre RMRI Patna . Females were more vulnerable (60%). Out of 25 patient 88%patients were referred by ICTC, doctors (private & government), NGO. First symptoms in HIVpositive patient noticed by them had history of single or multiple symptoms during initial phase, inwhich single symptom was 40% and with more than one complain was 60%. 77.8% patients initiallyhave been taking home remedies, from quacks, in which 33.33% were males and 43.75%, were females.Study shows that 60% patient contacted Government doctors, private doctors, NGO initially, in which20% were females as compared to 24% males.

To Understand the Health Care Seeking Pathways for the HIV Positive Patients attending Rehabilitation Centre