Download - Orissa State AIDS Control Society
Orissa State AIDS Control Society
Dr Alekh Chandra Padhiary Project Director
HIV Scenario in OrissaHIV Scenario in Orissa
UpUp to Dec.09to Dec.09 Persons Counselled - 1372166Persons Counselled - 1372166 Persons tested for HIV - 791430Persons tested for HIV - 791430 HIV +Ve- 15801HIV +Ve- 15801 Total AIDS Cases -1330Total AIDS Cases -1330 Total Deaths due to AIDS - 1102Total Deaths due to AIDS - 1102 Highest No of cases Highest No of cases Ganjam (6310)Ganjam (6310) High Prevalent Districts - 7High Prevalent Districts - 7Cat A – Ganjam, Angul, Bolangir, BhadrakCat A – Ganjam, Angul, Bolangir, Bhadrak
Cat B – Koraput, Khurdha, BalasoreCat B – Koraput, Khurdha, Balasore
Nawrangpur
Boudh
Kan
dh
amal
Sonepur An
gul
Jharsuguda
SambalpurBargarh
Sundargarh
Kendrapara
Jagatsinghpur
Jajpur
Khurda
Puri
Cuttack
Ganjam
BhadrakDhenk
anal
Keonjhar Balaso
re
Koraput
Malkangiri
Nuapara
Gajapati
Rayagada
Mayurbhanj
Deogarh
Bolangir
Nayagarh
Kalahandi
Category A
Category B
Category –C
Category D
Service Delivery PointsService Delivery Points
ICTC – 184ICTC – 184 ICTC under PPP – 6ICTC under PPP – 6 ART Centers – 6 ART Centers – 6 ((2 more under Process )2 more under Process ) TI – 64TI – 64 STD Clinics – 36STD Clinics – 36 NACO supported NACO supported Blood Banks – 60Blood Banks – 60 CCC – 5 ( BRM, BBSR, CTK, KPT, BLS)CCC – 5 ( BRM, BBSR, CTK, KPT, BLS) DIC – 5 ( CTK, BBSR, Aska, BRM, SBP)DIC – 5 ( CTK, BBSR, Aska, BRM, SBP)
PD with CM-Inauguration ART Center Balasore
What we have achieved so What we have achieved so far ?far ?
HIV Positivity in Orissa (ICTC - General Client)
15.62
11.1
7.336.2
2.6 2.49 2.09
0
2
4
6
8
10
12
14
16
18
2003 2004 2005 2006 2007 2008 2009 (TillSept)
HIV care comparison to positive detection in Orissa
3138
3635
1802
2588
3966
3658
0
500
1000
1500
2000
2500
3000
3500
4000
4500
2007 2008 2009year
in n
umbe
r
Positive detectedPre ART Registration
0.5
0.25
0.5
0.25 0.25
0
0.1
0.2
0.3
0.4
0.5
0.6
"2004" "2005" "2006" "2007" "2008"
Years
Pre
vale
nce
Positive Case Detection has gone up with increased testing Pre ART registration has gone up
HIV Positivity rate is declining in general cases HIV Positivity rate is static in ANC Cases
Issues need InterventionIssues need Intervention
InfrastructureInfrastructure– Most of the ICTC do Most of the ICTC do
not have minimum not have minimum required two roomsrequired two rooms
Provision of ICTC Provision of ICTC FacilityFacility– 75 LT posts are 75 LT posts are
vacantvacant– Facility integrated Facility integrated
ICTC in 24*7 CHCs ICTC in 24*7 CHCs (53) (53)
Provision of 2/3 rooms Provision of 2/3 rooms for smooth functioning for smooth functioning of ICTC Centerof ICTC Center
Deployment of Deployment of RNTCP/Govt. LT for RNTCP/Govt. LT for HIV testing with extra HIV testing with extra remunerationremuneration
Provision of Space & Provision of Space & EquipmentsEquipments
(Staff training &Consumables by (Staff training &Consumables by OSACS)OSACS)
Issues need InterventionIssues need Intervention PPTCTPPTCT
– 73% of all ANC cases 73% of all ANC cases registered in Hospitals registered in Hospitals where ICTC is functioning, where ICTC is functioning, are Counselled and 63% are Counselled and 63% are tested for HIVare tested for HIV
– 55% of total HIV +ve 55% of total HIV +ve mothers are being mothers are being delivered in Institutionsdelivered in Institutions
Cross referralCross referral– ALL TB cases need to be ALL TB cases need to be
tested for HIV and vise tested for HIV and vise versa. versa.
Instruction to all MOs to Instruction to all MOs to refer ANC Cases for HIV refer ANC Cases for HIV testingtesting
ANM/ASHA should be asked ANM/ASHA should be asked to counsel each ANC mother to counsel each ANC mother for HIV testing and ASHA for HIV testing and ASHA should accompany HIV +Ve should accompany HIV +Ve mother to Hospital for mother to Hospital for delivery delivery
Inclusion of HIV test column Inclusion of HIV test column in JSY cardin JSY card
Special incentive for ASHA Special incentive for ASHA and +ve mother for Hospital and +ve mother for Hospital DeliveryDelivery
Direction to health service Direction to health service providers to conduct providers to conduct delivery of HIV +ve mothersdelivery of HIV +ve mothers
Instruction to DTO/MO/ TB Instruction to DTO/MO/ TB Unit/MO ICTC for referral & Unit/MO ICTC for referral & Regular Monitoring of cross Regular Monitoring of cross referralreferral
Issues need InterventionIssues need Intervention
STDSTD– All STD cases with All STD cases with
high risk behavior high risk behavior need to be need to be Counselled and HIV Counselled and HIV testedtested
– Utilisation of funds Utilisation of funds placed for STD clinicsplaced for STD clinics
IECIEC– Converged IEC Converged IEC
Activity in VillagesActivity in Villages
Instruction to all MOs Instruction to all MOs to refer STD Cases to refer STD Cases with high risk behavior with high risk behavior for HIV testingfor HIV testing
Provision of MO in STD Provision of MO in STD Clinics at Clinics at
Utilise the fund if not Utilise the fund if not utilised. If utilised utilised. If utilised please submit SOEsplease submit SOEs
HIV messages in HIV messages in banners/ wall banners/ wall paintings done by GKSpaintings done by GKS
Issues need InterventionIssues need Intervention
CoordinationCoordination– HIV/AIDS HIV/AIDS
program need to program need to be reviewed be reviewed regularly in non regularly in non DAPCU districts.DAPCU districts.
– Review of TIs by Review of TIs by CDMOCDMO
HIV to be included in HIV to be included in district coordination district coordination meeting. TI partner meeting. TI partner and PO, TSU to be and PO, TSU to be directed to attend directed to attend the meeting.the meeting.
Review of TI Review of TI activities by CDMO activities by CDMO at regular intervalat regular interval
To Stop AIDSTo Stop AIDS
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