RBHraCaNacRkkm<úCa

KINGDOM OF CAMBODIA

Cati sasna RBHmhakSRt

r)aykarN_ skmµPaBRbyuTæ nwgCMgWeGds_¼kameraK

ANNUAL REPORT 2009

HIV/AIDS & STI PREVENTION AND CARE PROGRAMME

RksYgsuxaPi)al

MINISTRY OF HEALTH

mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraK

NATIONAL CENTER FOR HIV/AIDS, DERMATOLOGY AND STD

RBHraCaNacRkkm<úCa

KINGDOM OF CAMBODIA

Cati sasna RBHmhakSRt

Nation Religion King

r)aykarN_ skmµPaBRbyuTæ nwgCMgWeGds_¼kameraK

RbcaMqñaM 2010

ANNUAL REPORT 2010

HIV/AIDS & STI PREVENTION AND CARE PROGRAMME

RksYgsuxaPi)al

MINISTRY OF HEALTH

mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraK

NATIONAL CENTER FOR HIV/AIDS, DERMATOLOGY AND STD

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rutfl~H2 t~rutrlBfiln~tbGm~nl tBlmHU~lH.l~-mtlBlBl UlBig~trlBmrllmtUngjtl~rfiS!1G

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matika

k> r)aykarN_TUeTA

1> savta 1>1 esckþIepþIm

1>2 sßanPaBeGBIedmIk énemeraKeGds_ CMgWeGds_ enARbeTskm<úCa

2> RbB½n§RKb;RKg énmCÄmNÐlCati

2>1 vdþénkareFVIEpnkar nigkartamdan rbs;mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nig

kameraK

2>2 karcuHhtßelxaelIkic©RbmeRBog

2>3 eKalkarN_ENnaM nig niyamEbbbTRbtibtþi

2>4 karRKb;RKgKMeragmUlniFisklCMuTI 7

2>5 karGegáttamdan

x> smiT§plénkarpþl;esva

1> skmµPaBbgáar énemeraKeGds_ ¼CMgWeGds_ sMrab;RbCaCnTUeTA nigRkumRbQmmux

2> esvaEfTaMGñkpÞúkemeraKeGds_ nigGñkCMgWeGds_

2>1 esvaeFVIetsþQamrkemeraKeGds_ edaysµR½Kcitþ nigrkSakarsMgat;

2>2 esvaEfTaM nigBüa)alCMgW»kasniym nigkarBüa)aleday»sfRbqaMgnwg

emeraKeGds_

2>2>1 karKaMRTEpñkmnÞIrBiesaFn_

2>2>2 karcl½tGñkCMgWtamesvaepSg²

2>2>3 karKaMRTEpñk»sf nigsMPar³brikça

2>2>4 kareFVIetsþRsavRCav rkCMgWrebgelIGñkCMgWeGds_fµI

2>2>5 karGnuvtþn_yuT§saRsþ Three "I" karBüa)albgáarCMgWrebgeday»sf

Isoniazid (IPT)

2>2>6 karmanépÞeBaH nigkarrMlUt

2>2>7 karrs;ran manCIviteRkaykarBüa)aleday»sfRbqaMgemeraKeGds_

2>3 r)aykarN_kmµviFIeqøIytbrYmKña

2>4 esvaEfTaMGñkCMgWeGds_tampÞH nigtamshKmn_

- esvaEfTaMGñkCMgWeGds_tampÞH (HBC)

K> r)aykarN_fvika

X> karlM)ak nig]bsKÁ

g> emeron bTBiesaFn_

c> esckþIsnñidæan

q> ]bsm<½n§ ³

1> sUcnakrsMrab;kartamdan nigvaytMélkmµviFI

2> r)aykarN_RbcaMqñaM 2010 énKMeragmUlniFisklCMuTI7

r)aykarN_skmµPaBRbyuT§nwgCm¶WeGds_-kameraK

RbcaMqñaM 2010

k> r)aykarN_TUeTA ³

1> savta ³ 1>1 esckIþepþIm

r)aykarN_enH BiBN’naBIsmiT§plEdl)anmkBIkarGnuvtþn_kmµviFIbgáar EfTaMnigBüa)alCMgW

eGds_-CMgWkameraK enAkñúgKMeragEpnkarRbcaM qñaM 2010. r)aykarN_enH KW)anbBa©ÚlnUvTinñn½y nig

Bt’manmkBIRKb;esvaTaMgGs; dUcCaesvaEfTaMnigBüa)alCMgW OI/ART mNÐleFVIetsþQamrkemeraK

eGds_edaysµRK½citþ nigrkSakarsMgat; KøIniksuxPaBRKYsar RkumEfTaMGñkCMgWeGds_tampÞH nig esvabgáar

karcMlgemeraKeGds_BImþayeTAkUn enATUTaMgRbeTs EdlcgRkgCar)aykarN_RKb;RCugeRCaymYyénkar

eqøIytbeTAnwgkarrIkraldalénCMgWeGds_-kameraKkñ úgvis½ysuxaPi)alenAkñúgRbeTskm<úCa. karBiBN’na

tamEpñkCabnþbnÞab;énr)aykarN_enH KWepþatelIskmµPaBsMxan;² énkarGnuvtþn_kmµviFIkñúgqñaMenHKW³ k¦

r)aykarN_TUeTATak;TgnwgskmµPaBsMxan;²énkarRKb;RKgnigsmiT§plénkarGnuvtþn_kmµviFI x¦ lT§pl

EdlTTYl)anBIkarpþl;esvasuxaPi)al K¦ r)aykarN_énkarcMNayEpñkhirBaØvtßúeRbobeFobnwg KMeragnwg

KMeragfvika Edl)anelIkeLIgkñúgqñaMenH X¦ kareFVIlT§kmµén»sfCMgW»kasniym nig»sfRbqaMgemeraK

eGds_ g¦]bsKÁnanaEdl)anCYbRbTH CaedIm.l.

1>2 sßanPaBeGBIedmIk énemeraKeGds_ CMgWeGds_ enARbeTskm<úCa

RbeTskm<úCaCaRbeTsmYykñúgcMeNamRbeTs xøHEdlmankarFøak;cuHnUvGRtaeRbv:aLg;emeraK

eGds_. GRtaeRbv:aLg;énemeraKeGds_ enAkñúgcMeNamRbCaCnTUeTA )anFøak;cuH BI1>2° enAqñaM 2003

mkenARtwm 0>9° enAqñaM 2006 ¬sUmemIlrUbPaBTI1¦.

- 6 -

rUbPaBTI1³ GRtaeRbv:aLg;emeraKeGds_ kñúgcMeNamRbCaCnTUeTA GayuBI15-49qñaM

edayEp¥ktamry³kareRbIR)as;Tinñn½yGegátrkGRta eRbv:aLg;emeraKeGds_qñaM2006 nigeyag

tamkarTsSn_TayedayeRbIR)as;m:UEdleGBIedmIsaRsþenAGasIu (Asian Epidemic Model) )anbgðaj[

dwgGRtaeRbv:aLg;emeraKeGds_ kñúgcMeNamRbCaCnTUeTA)anbnþFøak;cuHCabnþeTotBI 0>9° kñúgqñaM2006

mkenA Rtwm 0>8° kñúgqñaM2007 nig 0>7° enAkñúg qñaM2010enH nigmanGñkpÞúkemeraKeGds_cMnYn

56/200 nak; enAqñaM 2010 ¬EdlkñúgenaHman 29/500nak;CaRsþI nig 26/700 nak;Caburs¦ ehIyenA

kñuúgqñaM2012 GñkpÞúkemeraKeGds_nwgmancMnYn 51/200nak; ¬EdlkñúgenaHman 26/800nak;CaRsþI nig

24/400 nak;Caburs¦ ¬rUbPaBTI2 nigTI3¦.

rUbPaBTI2³ karTsSn_TayBIGRtapÞúk¬eRbv:aLg;¦emeraKeGds_kñúgcMeNam RbCaCnTUeTAEdlmanGayuBI 15-49qñaM

BIqñaM 2006 dl;qñaM2012 ¬ebIman»sfRbqaMgemeraKeGds_¦

0.9

0.8

0.7 0.7 0.7

0.6 0.6

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1

2006 2007 2008 2009 2010 2011 2012

Perc

en

t en

t

Years

- 7 -

rUbPaBTI3³karTsSn_TayBIcMnYnGñkpÞúkemeraKeGds_EdlmanGayuelIs BI15qñaMenAkm<úCaBIqñaM 2006-2012

2> RbB½n§RKb;RKg énmCÄmNÐlCati

2>1 vdþénkareFVIEpnkarnigkartamdanrbs;mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nig kameraK³

EpnkarRbtibtþiRKb;RCugeRCayqaM 2010³

vKÁsikçasalasþIBIkarerobcMeFVIEpnkarRKb;RCugeRCaysMrab; qñaM 2010 sMrab;extþ-raCFanI

TaMg24 EdlCaEpñkmYynkic©RbCMusMrbsMrYl Edl)anerobcMkalBIExtulaqñaM2009 edIm,IBinitüemIl

nUvlT§plEdl)anGnuvtþkñúg3RtImasdMbUg/ pþl;nUvBt’manGMBI eKalkarN_ENnaM b¤yuT§saRsþfµI²

mYycMnYnEdl)aneFVIkarEksMrYlehIy nigBinitüemIleLIgvij EdrnUvKMerag EpnkarskmµPaBsMrab;

qñaM2010. CamYyKñaenHEdr vKÁsikçasalak¾)anerobcMeKaledA ¬ targets) RbcaMqñaMsMrab;fñak;Cati

nigfñak;extþ sMrab;qñaM2010 ehIylT§plénvKÁsikçasalaenHKW sMerc)anKMeragEpnkarqñaM 2010

ehIyEdlmanbBa©ÚlnUv inputs and expected outputs rbs;GgÁkarédKUkargarCamYykmµviFI

RbyuT§nwgCMgWeGds_-kameraK enAfñak;extþ-raCFanI. KMeragEpnkarenH nwgRtUvykeTAbBa©ÚleTAkñúg

KMeragEpnkarRbtibtþiRbcaMqñaM2010 rbs;RksYgsuxaPi)al sMrab;KaMRTRbB½n§RTRTg;vis½ysuxaPi

)al. CacugeRkay KMeragEpnkarRKb;RCugeRCayRBmTaMgKMeragfvikalMGit EdlmanTaMgR)ak;

]btßmÖelIkTwkcitþ dl;mRnþIsMrab;qñaM 2010 RtUv)anGnum½t. fvikasrub Edl)anGnum½tsMrab;qñaM

67200

6140058700 57900 56200

5310051200.0

35000 32200 3080030300 29500

27800 26800

3220029200 27900 27600 26700 25300 24400

0

10000

20000

30000

40000

50000

60000

70000

80000

2006 2007 2008 2009 2010 2011 2012

Total Women Men

- 8 -

2010 enH rab;Ba©ÚlTaMgR)ak;]btßmÖ (Incentices)pgenaH manfvikarsrubTaMgGs; cMnYn

21/083/836 duløa EdlkñúgenaHmanRbPBfvikacMnYn 15RbePT epSgKñasMrab;karGnuvtþn_

skmµPaBRbyuT§nwgCMgWeGds_ kameraK enAfñak;Cati nig fñak;extþ. CasrubfvikaenH)anEbgEck

RbEhl 64°sMrab; skmµPaBBüa)alnigEfTaMbnþ ¬rab;bBa©ÚlTaMg»sf OI/ARV, reagent and

consumable pg¦ 5°sMrab;Bt’manyuT§saRsþ ¬kargarGegáttamdan-RsavRCav nigRKb;RKg

Tinñn½y¦ nig 31°sMrab;kargar RKb;RKgkmµviFI ¬Epnkar tamdan nigr)aykarN_ kargarrdæ)al

nighirBaØvtßú nigR)ak;]btßmÖelIkTwkcitþ¦ nigsMrab;skmµPaBbgáarepSg²eTot enAfñak;Cati nig

enAfñak;extþ.

2>2 karcuHhtßelxaelIkic©RBmeRBog

enAkñúgqñaMenH mCÄmNÐlCati )ancuHkic©RBmeRBogCamYynigédKUkargardUcCa ³

1> GgÁkar esvasgÁmsuxPaBburs edIm,IGnuvtþKMeragskmµPaBénkarbgáarkarraldalemeraKeGds_¼

CMgWeGds_ nigkareRbIR)as;eRKOgejon BIEx sIha qñaM 2009 rhUtdl; Ex kkdáa qñaM 2012.

GgÁkaresvasgÁmsuxPaBburs )anTTYlCMnYyhirBaØvtßúBIGgÁkarxaNa (KHANA), GgÁkarsuxPaB

RKYsarGnþrCati ( FHI ), nigGgÁkarPIeGsGay ( PSI ) edIm,IGnuvtþkargarbgáar nigkarTb;sáat;

karrIkraldalénemeraKeGds_nigkat;bnßyplb:HBal;kareRbIR)as;eRKOgejon nigeFIVTIpSareRsam

Gnam½y kñúgcMeNamRkumRbQmmuxx<s;¬bursRsT,aj;burs GñkeRbIR)as;eRKOgejon nigRsIþbMerI

esvakMsanþsb,ay¦ cMnYn09 extþ-raCFanI kñúgenaHrYmman raCFanIPñMeBj )at;dMbg bnÞaymanC½y

kMBg;FM eBaF×sat; éRBEvg kMBg;qñaMg kMBg;s<W nig éb:lin BIEx sIha qñaM 2009 rhUtdl; Ex kkdáa qñaM

2012.

2> GgÁkar suxPaBRKYsarGnþrCati (FHI), BIEx mkra dl;ExFñÚ qñaM 2010 sMrab;karGnuvtþn_kmµviFI

eFVIetsþQamrkemeraKeGds_ bgáar nigEfTaM Büa)al karbgáeraKtamkarrYmePT nigRbdab;bnþBUC

enA KøIniksuxPaBRKYsar cMnYn 10 enAkñúgextþ-RkugcMnYn6 EdlkñúgenaH man extþkMBg;cam/

esomrab/ bnÞaymanC½y/ )at;dMbg/ éb:lin/ nigraCFanIPñMeBj.

3> Bnüabnþkic©RBmeRBógelIkTI2 rhUt dl;dMNac;qñaM 2010 rvagmUlniFiKøIntun nig RksYgsuxaPi)al

elIkarpþl;»sfRbqaMgemeraKeGds_CYrTI2 sMrab;karBüa)aldl;GñkCMgWeGds_kñúgqñaM 2010.

- 9 -

4> GgÁkarTIPñak;garCMnYy sMrab;kic©shRbtibtþikarbec©keTs nigGPivDÆn_ »sfkarIKµanRBMEdn

(ATCTED-PSF), BIEx tula qñaM 2010 dl;ExkBaØa qñaM 2012 edIm,IGnuvtþkarbgáarCMgWqøgtam

karrYmePT¼emeraKeGds_ nigEfTaM sMrab;RkumRbCaCnEdlgayrgeRKaH tamry³KMerag SMART

girl nig M-Style enAraCFanIPñMeBj.

5> GgÁkar GaehVsIub-km<úCa (AFESIP-CAMBODIA), BIEx mkra qñaM 2010 dl;ExFñÚ qñaM 2014

edIm,IGnuvtþkmµviFIbgáarTb;sáat;karrIkraldalemeraKeGds_ CMgWkameraK dlRkumRsþIbMerIesvakMsanþ

enAkñúgxN½ÐTaMg8 enAraCFanI nigenAextþcMnYn7eTot ¬ekaHkug/ rtnKIrI/ sÞwgERtg/ esomrab/

]tþrmanC½y/ bnÞaymanC½y nigenAéb:lin¦.

2>3 eKalkarN_ENnaM/ ÉksarbNþúHbNþal nigniyamEbbbTRbtibtþi

enAkñúgqñaMenH mCÄmNÐlCati )anerobcMBinitüEksMrYlnUv eKalkarN_ENnaM nig ÉksarbNþúHbNþal

mYycMnYn dUcCa³

1> KMeragEpnkaryuT§saRsþedIm,IbgáarCMgWeGds_-CMgWkameraKnigkarEfTaMBüa)alGñkCMgWeGds_¼CMgWkam

eraKkñúgvis½ysuxaPi)al enARBHraCaNacRkkm<úCaqñaM 2011- 2015 RtUv)anBinitünigerobcMeLIg

vij edayRkumkargarbec©keTseTAtamsmasPaKnimYy² . BRgagcugeRkayénKMeragEpnkarenH

RtUv)anelIkykmkBiPakSa enAkñúgkic©RbCMuedIm,IEsVgrkPaBÉkPaBKña CamYyédKUGnuvtþCati nig

GnþrCati kalBIcugqñaM 2010 ehIyKMeragEpnkarenH nwgbBa©b;ehIydak;CUneTAfñak;dwknaMRksYg

edIm,IGnum½t.

2> niyamEbbTRbtibtþi sMrab;karbgáarCaviC¢mancMeBaH GñkpÞúkemeraKeGds_ enARbeTskm<úCa Edl

)anerobcMedayRkumkargarbec©keTs RBmTaMg)anBiPakSaBieRKaHeyabl; CamYyédKUGPivDÆn_TaMg

Gs; nigGñkGnuvtþpÞal; tamry³karRbCMuMBiPakSaCaeRcInelIk . enHKWCalT§plénkarxMRbwgERbg

cUlrYmcMENkkñúgkarbegáInKuNPaB esvaEfTaM Büa)al KaMRTdl;GñkpÞúkemeraKeGds_ nigGñkCMgW

eGds_ nigCYydl;BYkKat; eGayEsVgyl; GMBIbBaðab:HBal;dl;suxPaBEfmeTot. esckþIENnaMenH

¬TaMgPasaGg;eKøs nigPasaExµr¦ RtUv)ane)aHBum< nigeFVIkarEckcay nigk¾mandak;enAkñúgeKhTMB½r

rbs;mCÄmNÐlCatipgEdr .

3> kaviPaKParkic© nigmuxgarrbs; kmµviFIRbyuT§nwgCMgWeGds_ nigCMgWkameraK enAfñak;extþ nigraCFanI

kñúgRbeTskm<úCa RtUv)anBinitü nigEksMrYleLIgvij edIm,IeqøIytbeTAkarGnuvtþn_ nUvviFIsaRsþ nig

- 10 -

CMgWkameraK EdlmandUcCa kmµviFIbgáarnigEfTaM Büa)albnþ yuT§saRsþ karbgáarCaviC¢man cMeBaH

GñkpÞúkemeraKeGds_ nigviFIsaRsþeqøIytbrYmKña nigedIm,IKaMRTdl;ebskkmµrbs;kmµviFI kñúgkarsMerc

)andl;eKaledA Edl)ankMNt;kñúgEpnkaryuT§saRsþ qñaM 2011-2015 . karviPaK Parkic© nig

muxgarenH ¬TaMgPasaGg;eKøs nigPasaExµr¦ RtUv)ane)aHBum< nigeFVIkarEckcay nigk¾mandak;

enAkñúgeKhTMB½rrbs;mCÄmNÐlCatipgEdr .

4> niyamEbbTRbtibtþi sMrab;GnuvtþkarbegáInkarRsavRCavrkkrNICMgwrebg karBüa)albgáarCMgWrebg

edayeRbI»sf Isoniazid nigkarbgáarkarcMlgemeraKrebg ¬yuT§saRsþ Three I’s ¦ enAtambNþa

esvaEfTaM nigBüa)albnþsMrab;GñkpÞúkemeraKeGds_ nigGñkCMgWeGds_ RtUv)anerobcMeLIgedayRkum

kargarbec©keTsrebg¼eGds_. niyamEbbTRbtibtþienH ¬TaMgPasaGg;eKøs nigPasaExµr¦ RtUv

)ane)aHBum< nigeFVIkarEckcay nigk¾mandak;enAkñúgeKhTMB½r rbs;mCÄmNÐlCatipgEdr. eRkayBI

niyamEbbbTenHRtUv)anpSBVpSayehIy mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ shkarCamYy

mCÄmNÐlCatikMcat;eraKrebg)an erobcMkic©RbCMutMrg;Tis nigdak;eGayGnuvtþnUvniyamEbbT

RbtibtþisMrab;GnuvtþkarbegáInkarRsavRCav rkkrNICMgwrebgkarBüa)albgáarCMgWrebgedayeRbI»sf

Isoniazid nigkarbgáarkarcMlgemeraKrebg ¬yuT§saRsþ Three I’s ¦ enAtambNþaesvaEfTaM nig

Büa)albnþsMrab;GñkpÞúkemeraKeGds_ nigGñkCMgWeGds_ cMnYn 20RsukRbtibtþi cab;BIRtImasTI 3 qñaM

2010mk.

5> eKalkarN_ENnaMCati sIþBIkarbgáar nigEfTaMBüa)alkarbgáeraKtamkarrYmePT nig Rbdab;bnþBUC

Edl)anerobcMedayRkumkargarbec©keTs RBmTaMg)anBiPakSaBieRKaHeyabl;CamYyédKUGPivDÆn_

TaMgGs;. eKalkarN_ENnaMenH¬TaMgPasaGg;eKøsnigPasaExµr¦RtUv)ane)aHBum< nigeFVIkarEckcay

nigk¾mandak;enAkñúgeKhTMB½rrbs;mCÄmNÐlCatipgEdr .

2>4 karRKb;RKg KMeragmUlniFisklCMuTI 7³

kic©RBmeRBogelIKMeragBRgIkGnþraKmn_ sMrab;bgáar Büa)alEfTaM nigkat;bnßyplb:HBal;

edaysaremeraKeGds_ nigCMgWeGds_ dl;CnrgeRKaH nigRkumRbQmmuxnwgeRKaHfñak;x<s; enAkñúg

RbeTskm<úCa rbs;KMeragmUlniFIsklCMuTI7 dMNak;kalTI1 EdlRtUv)anGnuvtþcab;BI éf¶TI1 Ex FñÚ

qñaM 2008 ehIyRtUv)anbBa©b;enAéf¶TI 31Ex FñÚqñaM 2010 EdlmanPñak;garTTYlCMnYybnþ cMnYn

- 11 -

18 )anGnuvtþeRkameKalbMNgcMnYn6 nikmµvtßúcMnYn15. enAkñúgry³eBlénkarGnuvtþkñúgdMNak;

kalTI1 enH KMeragenHRtUv)ansMercnUvlT§plKYrCaTIemaTn³ CaBiesskñúgqñaMcugeRkay BIExmkra-

FñÚ qñaM 2010 enH. tamkarcgRkgbUksrubénr)aykarN_ Edl)anmkBI Pñak;gaTTYlCMnYybnþ

(SRs) TaMgGs; mansUcnakr impact nig outcome cMnYn7 nig sUcnakr programmatic cMnYn16

Edl)aneRCIserIssMrab;raykarN_ enaH)anbgðajnUvlT§pldUcteTA³

- kúñgcMeNamsUcnakr impact cMnYn4 manEtsUcnakr2eT EdlmanTinñn½ysMrab;raykarN_

cMENksUcnakr2eTot minTan;manTinñn½yeT edaysar³

- sUcnakr : PaKryénGñkcak;eRKOgejon Gayu15 eTA 24 qñaM EdlmanpÞúkemeraK

eGds_ : . karGegátenH nwgeFVIenAkñúgqaMñ2011.

- sUcnakr : PaKryénRsþIbMerIkargarenAesvakMsanþ EdlmanGayuticCag 20 qñaM Edl

manpÞúkemeraKeGds_ : . edaysamankaryWty:av kñúgkarpÁt;pÁg;sMPar³Rbtikr sMrab;

karGegátrkGRtaeRbv:aLg;rkemeraKeGds_ sMrab;qñaM2010enH lT§plénkarGegát

enH nwgpSBVpSayenAkñúgRtImasTI3qaMñ2011.

- kúñgcMeNamsUcnakr Outcome cMnYn3 manEtsUcnakr2eT EdlmanTinñn½ysMrab;raykarN_

cMENksUcnakr1eTot minTan;manTinñn½yeT sUcnakr : PaKryénGñkcak;eRKOgejon Edl)an

raykarN_fa)aneRbIm¢úl sWraMug Edl)ansMlab;emeraK enAeBlcak;elIkcugeRkay :. karGegát

enH nwgeFVIenAkñúgqaMñ2011.

- kñúgcMeNam sUcnakr Programmatic cMnYn16 Edl)aneRCIserIssMrab;raykarN_enaH man

sUcnakrcMnYn 8 sMerc)anelIsBIeKaledAEdlelIkeLIg ¬KWBI 101° eTA 140°¦/ sUcnakr 2

EdlsMerc)antamEpnkar ¬KWBI 95° eTA 100°¦ nig mansUcnakrcMnYn 6 eTot Edlmin)an

sMerceTAtameKaledAEdlelIkeLIg ehIykñúgenaH mansUcnakrcMnYn 2EdlsMerc)anlT§plTab

EmnETn. sUcnakrEdlmanlT§plTabTaMg2enaH KW ³

- sUcnakr : cMnYnGñkcak;eRKOgejonEdl)ancUlkñúgkmµviFImú¢l sWuraMg : EdlsMerc)an 39°

eFobeTAnwgeKaledAEdl)anelIk edaysarmanEt SSR cMnYn1 kñúgcMeNam SRs TaMg3

EdlmanGCaJb½NÑpþl;edayGCJaFrCatikMcat;eRKOgejon edIm,IGnuvtþkmµviFIenH .

- 12 -

- sUcnakr : cMnYneRbIR)as;eRKogejonEdl)anmkBüa)alenA Methadone clinic” Edl

sMerc)an 24° eFobeTAnwgeKaledAEdl)anelIk eRBaHkmµviFIBüa)aledayemtadUn enAmnÞIreBTü

mitþPaBExµrsUevot eTIbnwgcab;epIþmdMeNIrkarenAdMNac;Exmifuna qñaM 2010 ¬sUmemIlr)aykarN_

lMGitEdlmanP¢ab;enAkñúg ]bsm<n½§TI2 ¦.

enAkñúgqñaMenHEdr Rkumkargarrbs; PR/NCHADS )aneFVIkarsMrbsMrYlCamYyPñak;garTTYlCMnYybnþ

TaMgGs;EdlnwgbnþeTAdMNakk;kalTI2 énKMeragmUUlniFIsklCMuTI7 nig Pñak;garTTYlCMnYybnþdéT

eTotEdlenAeRkamKMeragmUUlniFIsklCMuTI9 dMNakk;kalTI1 ehIyEdlRtUvbBa©ÚleTACaKMerag HIV

SSF Grant . KMeragenH nwgmanry³eBl3qñaM Edlnwgcab;epþIm BIéf¶ TI1 Ex mkra qñaM 2011 nig

bBa©b;enAéf¶TI31 ExFñÚ qñaM 2013. enAeRkamKMeragenH manPñak;garTTYlCMnYybnþsrubTaMgGs;

cMnYn 23 kñúgenaHman SRs cMnYn 14 bnþBIKMeragmUUlniFIsklCMuTI7 dMNakk;kalTI2 nig SRs cMnYn

9 enAeRkamKMeragmUUlniFIsklCMuTI9 dMNakk;kalTI1. mkdl;cugqñaM 2010enH ÉksarsMrab;KMerag

enH dUcCaKMeragEpnkarfvika/ sUcnakr nigeKaledA nig bBaðaTak;TgnwgEpnkarlT§kmµRtUv)an

bBa©b;. r)aykarN_fvikaEdlenAsl; BIKMeragmUUlniFIsklCMuTI7 dMNakk;kalTI1 RtUv)anerobcMepJI

CUneTA Pñak;garemIlCMnYyKMeragmUlniFiskl (LFA) nigmUlniFiskl edIm,IBinitü. enAeBlEdl

KMerag HIV SSF Grant enH)ancuHkic©RBmeRBogCapøÚvkarrvagmUlniFIskl KN³kmµkarsMrbsMrYl

KMeragkñúgRbeTs (CCC), PR/NCHADS nigtMNagsgÁmsIuvilrYc PR/NCHADS nwgerobcMcuHkic©

RBmeRBogCamYyPñak;garTTYlCMnYybnþeTot.

2>6 karGegáttamdan (Surveillance)

1> karGegátrkGRtaeRbvaLg;emeraKeGds_ CMuTI10 ³

karRbmUlTinñn½ysMrab;karGegátrkGRtaeRbvaLg;emeraKeGds_CMuTI10 RtUv)anbBa©b; ehIysMNak

Qam nigkMrgsMnYrTaMgGs;RtUv)andwkbBa¢ÚnmkTukenAmCÄmNÐlCatiedIm,IeFVIkarRKb;RKgTinñn½y.

2> karGegátkarRbRBwtþpøÚvePT CMuTI8 ³ lT§plénkarGegátkarRbRBwtþpøÚvePTCMuTI8 RtUv)anpSBVpSay

CasaFarN³ dl;édKUGñkGnuvtþnig kmµviFIeGds_extþ-Rkug edayelIkyknUvrbkKMehIjsMxan;²

RBmTaMgpþl;CUnnUvGnusasn_sMxan;²dl;fñak;dwknaM nigGñkGnuvtþkmµviFI sMrab;karerobcMEpnkar b¤

yuT§saRsþsMrab;karGnuvtþeTAGnaKt.

- 13 -

3> karGegáttamdan rkkarcMlgEdlmanPaBs‘Maén»sfRbqaMgemeraKeGds_³

enAkñúgqñaM 2006 RbeTskm<úuCa)ancab;epþImGnuvtþnUvyuT§saRsþedIm,Ikat;bnßykarekIteLIgnUvPaB

s‘Maén»sfRbqaMgemeraKeGds_ EdlkñúgenaHman³

- bnþkarpÁt;pÁg;»sfRbqaMgemeraKeGds_ eTAtam WHO pre-qualified

- pþl;karBüa)aleday»sfRbqaMgemeraKeGds_ edayeRbI evidence-based standard highly

active ART

- pþl;karKaMRTedIm,IeGaykareRbIR)as;»sfRbqaMgemeraKeGds_eGay)anx¢ab;x¢Ün

- lb;bM)at;nUv]bsKÁTaMgLayEdlraMgsÞHkñúgkarmkTTYlkarBüa)aleday»sfRbqaMg

emeraKeGds_

- kmµviFIbgáaredIm,Ikat;bnßykarqøgemeraKeGds_ BIGñkCMgWEdlkMBugTTYlkarBüa)aleday

»sfRbqaMgemeraKeGds_

karGegáttamdan rkkarcMlgEdlmanPaBs‘Maén»sfRbqaMgemeraKeGds_enH man3smasPaK³

k> karGegáttamdan rkkarcMlgEdlmanPaBs‘Maén»sfRbqaMgemeraKeGds_bzm tamry³ threshold

survey elIGñkEdleTIbnwgqøgfµI. karGegáttamdanenHmaneKalbMNg edIm,IvaytMél smamaRt

énGñkCMgWeGds_EdlmanPaBs‘aM CamYy»sfRbqaMgemeraKeGds_ kñúgrUbmnþBüa)alCYrTI1 nig

edIm,IvaytMélBIRbsiT§PaBén»sfRbqaMgemeraKeGds_tamrUbmnþBüa)alCYrTI1.

eRbv:aLg;énkarqøgEdlmanPaBs‘aMCamYy »sfRbqaMgemeraKeGds _ kñúgrUbmnþBüa)alCYrTI1 RtUv

)ancat;fñak;dUcxageRkamenH ³

- kMritTab RbsinebIticCag5° ³GñkEdl)anqøgemeraKeGds_ ehIymanPaBs‘aMeTARKb;»sf

EdlBak;B½n§nwg»sfRbqaMgemeraKeGds_.

- kMritmFüm RbsinebI BI5eTA15°³ tMrUv[eFVIkarBRgwgkmµvIFI niogBinitüemIleLIgvijBIkar

Büa)aleday»sfRbqaMgemeraKeGds_ tamry³kartamdan énsUcnakrRbkasGasnñ.

- kMritx<s; ebIelIsBI15° ³ tMrUveGayeFVIkarbþÚrnUvrUbmnþBüa)alCUrTI1 .

cab;taMBIkarsikSaenH)ancab;epþImmksMNakQamRtUv)anRbmUlBImNÐleFVIetsþQamrkemeraK

eGds_ cMnYn5kEnøg enATIRkugPñMeBj ¬enAKøInik CatiesIEs,knigkameraK mNÐlsuxPaB7mkra

KøInikr:ak;Twkføa KøInikr:ak;TYleKak nigenAmNÐlsuxPaBcMkarmn. mkdl;cugqñaMenH mansMNak

- 14 -

QamcMnYn 62 EdlmanlT§pl HIV viC¢man kñúgcMeNamsMNakQamcMnYn70 EdlRtUvkar

sMrab;karsikSaenH ehIymansMNakQamcMnYn55 EdlmanlT§plviC¢man RtUv)anbBa¢ÚneTA

eFVIetsþrkPaBsuaMenH enAmnÞIrBiesaFn_énRbeTskaNada.

x> kartamdanemIlPaBs ‘Maén»sfRbqaMgemeraKeGds_ GaMgDIkaT½rsMrab;RbkasGasnñ ³

edIm,Itamdan emIlPaBs‘Maén»sfRbqaMgemeraKeGds _ karGegáttamdanGaMgDIkaT½rsMrab;Rbkas

Gasnñ RtUv)anerobcMeLIgtaMgBIcugqñaM 2006. karGegáttamdanGaMgDIkaT½rsMrab;RbkasGasnñ

cMnYn 3CMu EdlRtUv)anerobcMeLIg edayRbmUlTinñn½yBIesvaEfTaM nigBüa)alCMgW»kasniym

nigeday»sfRbqaMgemeraKeGds_ EdlkñúgenaHmankarRbmUlTinñn½y BIbBa¢IcuHeQµaHGñkCMgW»sf

RbqaMgemeraKeGds_ sMrg;bBa¢IGñkCMgW ARV Tinñn½yenAkñúgkMuBüúT½r ¬RbsinebIman¦ bBa¢I»sf nig

eFVIkarBinitüemIlelIkarTukdak;»sf ARV enA»sfsßan nigeFVIkarsMPasn_CamYyRKUeBTü CamYy

GñkCMgW EdlkMBugTTYlkarBüa)aleday»sfRbqaMgemeraKeGds_CaedIm. manGaMgDIkaT½rcMnYn 7

EdlRtUvRbmUlBt’man sMrab;karGegátGaMgDIkaT½rRbkasGasnñ Ed;lkñúgenaHman³

1> PaKryénRtImas Edlmandac;sþúknUv»sfRbqaMgemeraKeGds_

2> PaKryénRtImasEdlman»sfRbqaMgemeraKeGds_hYseBlkMNt;kareRbIR)as;

Edl)anrk eXIjenA kEnøgBüa)aleday»sfRbqaMgemeraKeGds_

3> PaKryén»sfRbqaMgemeraKeGds_Edl)anTukdak;RtwmRtUv (Storage conditions )

4> PaKryénGñkCMgWEdl)ancab;epþImpþl;karBüa)aledayrUbmnþBüa)alCYrTI1

5> PaKryénGñkCMgWEdlenAeRbIkarBüa)aledayrUbmnþBüa)alCYrTI1

eRkayBIcab;epþImBüa)aleday»sf RbqaMgemeraKeGds_ ry³eBl12Ex

6> PaKryénGñkCMgWEdl)ane)aHbg;karBüa)alenA12ExeRkayBüa)aleday»sfRbqaMg

emeraKeGds_

7> smamaRténGñkCMgWEdlenAmktamkarNat;CYb GacykmkeRbIedIm,IrkPaBx¢ab;x¢Ün)an

rbkKMehIjénkarGegáttamdanGaMgDIkaT½rsMrab;RbkasGasnñenH RtUv)anykmkpSBVpSaynigpþl;

Bt’manRtlb;dl;Rkum OI/ART kmµviFIeGds_ mnÞIrsuxaPi)alextþ nigédKUGPivDÆn_ edIm,IerobcM

- 15 -

EpnkarskmµPaB kñúgkarelIkkMBs;nUvKuNPaBesva nigkarrs;ranmanCIvitrbs;GñkCMgWeGds_ .

lT§plTaMgenH mandak;enAkñúgeKhTMB½rrbs;mCÄmNÐlCati .

- karGegátCMuTI1 enAqñaM 2008 ³ Tinñn½yRtUv)anRbmUlBIesva OI/ART sMrab;mnusScas;

cMnYn16 kEnøg nigesva OI/ART sMrab;kumarcMnYn 10 kEnøg.

- karGegátCMuTI2 enAqñaM 2009 ³ Tinñn½yRtUv)anRbmUlBIesva OI/ART sMrab;mnusScas;

cMnYn 42 kEnøg nig esva OI/ART sMrab;kumarcMnYn 25 kEnøg.

- karGegátCMuTI3 enAqñaM 2010 ³ Tinñn½yRtUv)anRbmUlBIesva OI/ART sMrab;mnusScas;

cMnYn 35kEnøg nig esva OI/ART sMrab;kumarcMnYn 24 kEnøg.

K> karGegáttamdanrkPaBs‘aMén»sfRbqaMgemeraKeGds_dMNak;kalTI2 EdlekItmaneLIgenA

kñúgcMeNamGñkCMgWEdlkMBugBüa)aleday»sfRbqaMgemeraKeGds_ enAesvaEdl)aneRCIserIs

eFVIkarGegát. karGegáttamdanrkPaBs‘aMén»sfRbqaMgemeraKeGds_dMNak;kalTI2 EdlekIt

maneLIgenAkñúgcMeNamGñkCMgWEdlkMBugBüa)aleday»sfRbqaMgemeraKeGds_ enAesvaEdl

)aneRCIserIseFVIkarGegát. karGegátRsavRCavenH KWmaneKalbMNgedIm,IvaytMélénPaBs‘aM

nwg»sfRbqaMgemeraKeGds_ kñúgry³eBlBüa)aleday»sfRbqaMgemeraKeGds_qñaMTI1 tam

rUbmnþBüa)alCYrTI1 nigedIm,IvaytMélBIktþaEdleFVI[manPaBs‘aMén»sfRbqaMgemeraKeGds_

enH.

cab;taMBIkarsikSaenH)ancab;epþImmk sMNakQamRtUv)anRbmUlBI esva OI/ART cMnYn 2kEnøg

KW enAKøIniksuxPaBsgÁm enAraCFanIPñMeBj nigmYykEnøgeTot enAmnÞIreBTüC½yCMnH extþ

kNþal. mkdl;cugqñaMenH mansMNakQamcMnYn 150 enAKøIniksuxPaBsgÁm nig cMnYn 105

enAmnÞIreBTüC½yCMnH nigerobcMeFVIkarbBa¢ÚneTAeFVIetsþrkPaBsuaMenH enAmnÞIrBiesaFn_énRbeTs

kaNada.

- 16 -

x> smiT§plénkarpþl;esva

1> skmµPaBénkarTb;sáat;CMgWeGds_

enAkñúgqñaM2010 enH manmanKøInikkameraK (Specialized ST1I clinic) TaMgGs;cMnYn 60kEnøg ¬33kEnøg

RKbdNþb;elI 21 kñúgcMeNam 24extþ-Rkug TUTaMgRbeTskm<úCa ¬elIkElgextþkNþal/ mNÐlKIrI nig

RkugEkb¦. kñúgenaH man 27 KøInikCarbs;GgÁkareRkArd§aPi)al NGO (RHAC=18 KøInik, Marie Stopes=6

KøInik,MEC=1 KøInik / PSF=1 KøInik nigQUksrKøInik = 1 KøInik) .

kñúgcMeNam 33 KøInikkameraKEdlCarbs;rdæaPi)al man 32 KøInik ¬100°¦Edl)anbMBak;nUv]bkrN_

bEnßmsMrab; mnÞIrBiesaFn_ EdlGaceFVIetsþ RPR nig Basic microscopy. kúñugcMeNamenH man KøInikcMnYn 30

EdlmnÞIrBiesaFn_GacdMeNIrkar)an ¬]bsm<½n§ ³ STI GaMgDIkaT½r 2 ¦. mnÞIrBiesaFn_TaMgenH GacCYyeGay

eGayKøInikkameraK EdlminGacGaceRbIR)as;nUvKMnUsbMRBYjsMrab;karRKb;RKgEfTaM nigBüa)alCMgWkameraK

edayBwgEp¥keTAelIcegáameraKsBaØa sMrab;RkumRbCaCn EdlmankarRbQmmuxx<s; [kan;EtRbesIreLIg.

CabEnßmeTAelIkargarrbs;KøIniksuxPaBRKYsar mNÐlsuxPaBcMnYn 210 kEnøgenAkñúgRsukRbtibtþcMnYn 71

kñúg 21 extþ-Rkúg )anpþl;esvaBinitüCMgWkameraKedayBwgEp¥keTAelIcegáameraKsBaØa. kñúgqñaM 2010enH

mNÐlsuxPaBEdlpþl;esvaBinitüCMgWkameraKedayBwgEp¥keTAelIcegáameraKsBaØakñúgenaHrYmmankarBieRKaH

CMgWcMnYn 5/851 nak; Caburs nig 43/934 nak; CaRsþI )anraykarN_mkkan;EpñkRKb;RKgTinñn½yén

mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraK . kñúgcMeNamGñkCMgWburs Edl)anraykarN_

BIcegáameraKsBaØaCMgWkameraK cMnYn 5/021 krNI kñúgenaHman 4/797 krNI ¬95/5°¦ mankarhUrxÞúH

tambgðÜrenam/ man 210 krNI ¬4/2°¦mandMe)AelIRbdab;bnþBUC nig 14krNI ¬0/3°¦ sirman;elI

Rbdab;bnþBUC. karBinitüCMgWkameraK edayBwgEp¥kelIcegáameraKsBaØacMeBaHRsþIcMnYn 40/547 krNI; man

21/909 krNI ¬54°¦manCMgWrlakTVarmasnig)anBüa)al/ 16/744krNI ¬41/3°¦ manCMgWrlak

TVamasnigmat;s,Ún/ 1/696 krNI ¬4/2°¦ manCMgWrlakEb:lvIs nig 118 krNI ¬0/3°¦ dMe)AelI

Rbdab;bnþBUCnig sirman; 80krNI ¬0/2°¦. kñúgenaHman édKUEdl)ankMNt; GtþsBaØaNfamaneraKsBaØa

nig )anBüa)al edayBwgEp¥kelIcegáameraKsBaØa enaHman 4/207 nak;Caburs nig 9/038 nak;CaRsþI.

- 17 -

karBieRKaHCMgWenAtamKIønikkameraKTaMg 60kEnøg EdlmanKøInikcMnYn 33 kEnøg Carbs;rdæaPi)al nigKøInik

GgÁkareRkArdæaPi)alcMnYn 27 rYmmankarBieRKaHCMgWTaMgGs; 226/003 elIk kñúgenaHman 19/295 nak;

Caburs nig 9/276 CaRkum MSM/ 151/237 nak; CaRsþIEdlmankarRbQmmuxTab nig 46/195 nak;

Ca®sþIeFVIkarenAesvakMsanþpÞHbn (DSWs) nigeFVIkarenAesvakMsanþ (EWs) ¬6/562nak; CaRsþIeFVIkarenA

esvakMsanþpÞHbn 39/633nak; CaRsþIeFVIkarenAesvakMsanþ¦ nigmancMnYn 23>558 nak; mkeFVIkarBinitü

tamdan bnþCaerogral;Ex ¬rUbPaB TI 4 ¦.

rUbPaBTI 4: RsþIeFVIkarenAesvakMsanþpÞHbn nigbMerIesvakMsanþ Edl)aneTABinitüsuxPaBenA KøInikkameraK/BIRtImasTI 1 qñaM

2008 dl; RtImasTI 4 qñaM 2010

KøIniksmaKmEfTaMsuxPaBRKYsarkm<úCa (RHAC) CaKøInikmYyEdlTTYlkarcab;GarmµrN_ nig)anTTYl

GtifiCn PaKeRcInCaRsþIempÞH rWRsþIEdrmankarRbQmmuxTab cMENkÉKøInikTaMg 33 rbs;rdæaPi)al)anpþl;

esva PaKeRcIn cMeBaHRsþIbMerIesvakMsanþ. KøInikGgÁkar MEC )anTTYlGtifiCnEdr )anmkeFVIkarBinitü

PaKeRcInCa bursrYmePTCamYyburs MSM enATIRkugPñMeBj.

kñúgqñaM 2010 enHKøInikTaMg 53 kEnøg kñúgenaHcegáameraKsBaØaCMgWkameraKEdl)anraykarN_ manGñkCMgW

burscMnYn 13/038 krNI EdlmkeFVIkarBinitüCMgW bBa¢ak;fa 11/386 krNI ¬87/3°¦ mankarhUrxÞúH

38143240 3290 3577

2980 2885 2730 2643 22651770 1476 1051

63755830

7135

5867 62375609

7652

8952 90528450

1161610515

0

2000

4000

6000

8000

10000

12000

14000

Q1-08Q2-08Q3-08Q4-08Q1-09Q2-09Q3-09Q4-09Q1-10Q2-10Q3-10Q4-10

Total visit of BEW Total visit of NBEW

- 18 -

tambgðÜrenam/ 59 krNI ¬0/5°¦ hUrxÞúHtamrn§KUf/ 871 krNI ¬6/7°¦ dMe)AelIRbdab;bnþBUC ¼rn§KUf/

356 krNI ¬2/7°¦ sirman;elIRbdab;bnþBUC¼rn§KUf/ 321 krNI; ¬2/5°¦ehImRkelon . cegáameraK

sBaØaCMgWkameraK Edl)anraykarN_kñúgcMeNam MSM cMnYn 1/603 krNI man 1/095 krNI ¬68/3°¦

mankarhUrxÞúHtambgðÜrenam/ 80 krNI ¬5°¦ hUrxÞúHtamrn§KUf nig 244 krNI ¬15/2°¦ dMe)AelIRbdab;

bnþBUC ¼rn§KUf.

KøInikTaMg 53 kEnøg cMeBaHRsþIEdlmankarRbQmmuxTab kñúgenaHcegáameraKsBaØaCMgWkameraKEdl)an

raykarN_ cMnYn 156/247 krNI;/ man 126/184 krNI; ¬80/8°¦ manCMgWrlakTVamas 27/870krNI;

¬17/8°¦ manCMgWrlakTVamas nigmat;s,Ún/ 663 krNI ¬0/4°¦manCMgWrlakEb:lvIs/ 1/133 krNI

¬0/7°¦ dMe)AelIRbdab;bnþBUC ¼rn§KUf nig 397 krNI ¬0/2°¦ sirman;elIRbdab;bnþBUC¼rn§KUf.

kñúgqñaM2010 kñúgcMeNamRsþIrksuIpøÚvePTedaypÞal;cMnYn 2/530 nak; )anmkeFVIkarBinitüelIkdMbUg enAKøInik

kameraK mancMnYn 2/391 krNI; ¬94/5°¦ RtUv)anvinicä½yfamanCMgWkameraK EdlkñúgenaHman 964 krNI

¬38/1°¦ manCMgWrlakmat;s,Ún. cMnYnRsþIrksuIpøÚvePTedaypÞal; 4/032 nak; )anmkBinitütamdanbnþ

enAKøInikkameraKCaRbcaMEx kñúgenaHman 1/646 krNI ¬40/8°¦ RtUv)anvinicä½yfa manCMgWkameraK/

EdlkñúgenaHman 832 nak; ¬20/6°¦ manCMgWrlakmat;s,Ún¬]bsm<½n§ ³ STI GaMgDIkaT½r1 ¦. kñúgqñaM

2010 RsþIbMerIesvakMsanþcMnYn 20/107nak; )anmkeFVIkarBinitüelIkdMbUgenAKøInikkameraK mancMnYn

13/947 krNI ¬69/4°¦ RtUv)anvinicä½yfa manCMgWkameraK EdlkñúgenaHman 6/530 krNI; ¬32/5°¦

manCMgWrlakmat;s,Ún. cMnYnRsþIbMerIesvakMsanþ 19/526 nak; )anmkBinitütamdanbnþ enAKøInikkameraK

CaRbcaMExkñúgenaHman 8/638 krNI¬44/2°¦ RtUv)anvinicä½yfa manCMgWkameraK/ EdlkñúgenaHman

6/327 krNI ¬32/4°¦ man CMgWrlakmat;s,Ún .

cMnYnlT§pl RPR etsþ TaMgGs; 7/331 etsþEdl)aneFVIkñúgqñaM 2010 enAmnÞIrBiesaFn_rbs;KøInikTaMg

33 rbs;rdæaPi)al nig cMnYn 2 eTotCarbs;GgÁkareRkArdæaPi)al PSF nig MEC kñúgenaHmanEt 75

¬1°¦)anrkeXIjman RPR viC¢man.

enAkñúgqñaM 2010/ KøIniksuxPaBRKYsar )anbBaöÜnGtifiCneTAkan;esva VCCT cMnYn 11/613 nak;/

GñkpÞúkemeraKeGds_ nigGñkCMgWeGds_ cMnYn76nak; eTAkan;mNÐl OI/ART/ 229nak; eTAkan;esvaBinitü

épÞeBaHmuneBlsMralnig 568 nak; eTAkan;esvaBnüarkMeNIt. kñúgenaHEdr KøIniksuxPaBRKYsar k¾)anTTYl

- 19 -

GtifiCnBIesvaepSg²pgEdrdUcCa³)anTTYlGtifiCncMnYn 853 nak; BIesva VCCT/ 408 nak; mkBIesva

OI/ART / 190 nak;mkBIesvaBinitüépÞeBaHmuneBlsMral nig 110nak; mkBIesvaBnüarkMeNIt.

2> esvaEfTaMdl;GñkpÞúkemeraKeGds_ nigGñkCMgWeGds_

2>1> esvapþl;RbwkSa nigeFVIetsþQam edaysµR½KcitþnigrkSakarsMgat; (VCCT)

cMnYnmNÐlpþl;esva VCCT mankarekIneLIgy:agxøaMgkñúgry³eBl 10qñaMcugeRkayenH /KWBI 12 kEnøg enA

qñaM 2000 dl; 246 kEnøg dl;cugqñaM 2010 ¬]bsm<½n§³ VCCT GaMgDIkaT½r 1¦¬rUbPaBTI5¦ .

rUbPaBTI 5³ ninñakarénesvaeFVIetsþQamrkemeraKeGds_BI qñaM 1995 dl;cug qñaM 2010

kñúgcMeNammNÐl VCCT TaMg 246/ man 220 kEnøg Edl)anTTYlkar]btßmÖ edaypÞal;BIraCrdæaPi)al/

26 kEnøg Carbs; GgÁkareRkArdæaPi)al ¬GgÁkarr:ak; RHAC, GgÁkar Marie Stopes, GgÁkar MEC, GgÁkar

Center of Hope nig KøInikQUksr ¦.

kñúgqñaM 2010 enH/ GtifiCn VCCT TaMgGs;cMnYn 541/080 nak; ¬edayrab;bBa©ÚlcMnYn 187/912 nak;

mkBIesvakarBarkarcMlgemeraKeGds_BImþayeTAkUn (PMTCT) énmCÄmNÐlCatiKaMBarmatanigTark¦/ man

234/905 nak; ¬43/4°¦ )ans½µRKcitþmkedayxøÜnÉg/ 202/802nak; ¬37>5°¦ RtUv)anbBa¢Únmk

1 6 712

36

51

74

109

140

197212

233

246

0

50

100

150

200

250

300

1995 1996 1997 2000 2002 2003 2004 2005 2006 2007 2008 2009 2010

Nu

mb

er

of

VC

CT

sit

es

Years

- 20 -

edaykmµviFIBinitüépÞeBaHmunsMral (ANC)/ 8/547nak; ¬1/6°¦RtUv)anBa¢ÚnmkedayKIønikkameraK/

20/538nak;¬3/8°¦RtUv)anbBa¢ÚnmkedaykmµviFIkMcat;eraKrebg/ 26/804nak; ¬5°¦ RtUv)anbBa¢Únmk

edayRkumEfTaMtampÞH(HBC/NGO)/ 21/819nak; ¬4°¦RtUv)anbBa¢ÚnmkedayesvaBinitüCMgWTUeTA/

1/651nak; ¬0/3°¦ RtUv)anbBa¢ÚnmkedayesvaEfTaMkumar/ 5/688nak; ¬1/1°¦ RtUv)anbBa¢Únmk

edayesvasmÖB/ 1/670nak; ¬0>3°¦RtUv)anbBa¢Únmkeday kmµviFIEpnkarRKYsar nig 14/475nak;

¬3/1°¦ RtUv)anbBa¢ÚnmkedayesvaepSg²eTot ¬rUbPaBTI 6¦.

rUbPaBTI 6³ ninñakaréncMnYnGtifiCnEdl)aneFVIetsþQamenAmNÐl VCCT EdlbBa¢ÚnBIesvaepSg² kñúgqñaM2010

cMnYnsrubénGtifiCnEdl)anmkeFVIetsþrkemeraKeGds_kñúgqñaM2010man 534/298 nak; kñúgenaHman

350/763 nak; CaGtifiCnmkBIesva VCCT, 19/605 nak;CaGñkCMgWrebg/ 161/880 nak; CaRsþI

manépÞeBaH ¬150/070nak; BIsßabn½rdæ nig 11/810 mkBIKøInik RHAC¦ nig 34/268 nak; CabursEdl

CaédKUrbs;RsþImanépÞeBaH ¬33/645 BIsßabn½rdæ nig 803 nak; mkBIKøInik RHAC¦.

enAkñúgrUbTI6 taragelx1 bgðajBIninñakar niglkçN³énGtifiCn VCCT nigGñkCMgWrebg Edl)aneFVIetsþ

QamrkemeraKeGds_enAmNÐl VCCT / tYelxenHKWminrab;bBa©ÚlCamYynigRsþImanépÞeBaHeT. cMnYnsrub

VCCT Pre-Test Clients in 2010

Maternity Service,1.1%

Pediatric Care Service,

0.3%General Medicine, 4.0% HBC/NGO, 5.0%

BS/FP, 0.3%

STD Clinic, 1.6%

TB Services, 3.8%

Self Referred, 43.4%

Others, 3.1%

ANC, 37.5%

- 21 -

énGtifiCnBI VCCT nigGñkCMgWebg Edl)aneFVIetsþQamrkemeraKeGds_enAesva VCCT kñúgqñaM 2010

mancMnYn 350/763 nak; ¬rUbPaBTI7¦.

rUbPaBTI 7³ ninñakaréncMnYnRbCaCnEdl)aneFVIetsþQamrkemeraKeGds_enAesva VCCT BIqñaM 2006 dl; qñaM 2010

cMnYnsrubénGtifiCn VCCT nigGñkCMgWrebgEdl)aneFIVetsþrkemrkemeraKeGds_ kñúgqñaM 2010 enH man

196/174nak; ¬55/9°¦CaRsIþ nig 319/767nak; ¬91/2°¦ manGayucab;BI 15-49qñaM ¬]bsm<½n§³

VCCT GaMgDIkaT½r 2¦ ¬taragTI1¦.

GtifiCnEdlmkeFVIetsþQamrkemeraKeGds_

People tested for HIV N= 350,763

No. (%)

GtifiCnEdlmanlT§plQamviC¢man

People tested HIV positive N= 8,639 No. (%)

Gayu (Age)

≤14 qñaM 11,422 (3.3%) 755 (8.7%)

15-49 qñaM 319,767 (91.2%) 7,304 (84.5%)

> 49 qñaM 9,535 (2.7%) 580 (6.7%)

ePT (Sex)

Rbus 154,589 (44.1%) 4,041 (46.8%)

RsI 196,174 (55.9%) 4,598 (53.2%)

taragTI 1³ lkçN³énGtifiCnEdl)aneFVIetsþQamrkemeraKeGds_enAesva VCCT / kñúgqñaM 2010

212,789

259,883

299,368

363,799 350,763

0

50,000

100,000

150,000

200,000

250,000

300,000

350,000

400,000

2006 2007 2008 2009 2010

Year

Nu

mb

er o

f p

eop

le t

este

d f

or

HIV

- 22 -

enAqñaM 2010enH/ 99>6° ¬cenøaH BI 85/8°-100° enARKb;esva VCCT TaMgGs; ¦ énGtifiCnEdleFIV

etsþrYc)anTTYlyklT§plrbs;BYkeKeday)anqøgkat;karpþl;RbwkSaeRkayeBleFIVetsþ ¬]bsm<½n ³ VCCT

GaMgDIkaT½r 3¦.

enAkñúgqñaM 2010 enHEdr kñúgcMeNamGtifiCn VCCT cMnYn 541/080nak; man 20/538 nak; ¬3/8°¦

RtUv)anbBa¢ÚnmkBIkmµviFIrebg ¬rUbPaBTI 8¦.

rUbPaBTI 8³ ninñakaréncMnYnGtifiCnEdl)aneFVIetsþQamenAmNÐl VCCT EdlbBa¢ÚnBIkmµviFIrebg

cab;BIqñaM 2006 dl; qñaM2010

kñúgqñaM 2010/ RbCaCncMnYn 350/763nak; énGtifiCn VCCT nigGñkCMgWrebgTaMgGs;man 8/639nak;

¬2/5°¦ RtUv)anrkeXIjmanqøgemeraKeGds_viC¢manenAtammNÐl VCCT TUTaMgRbeTs ¬rUbPaBTI 9¦.

11,424

14,463

19,608

25,064

20,538

0

5,000

10,000

15,000

20,000

25,000

30,000

2006 2007 2008 2009 2010

Year

Nu

mb

er

of

VC

CT

clien

ts w

ho

were

refe

rred

by t

he T

B p

rog

ram

- 23 -

rUbPaBTI 9³ ninñakarénGRtakarqøgemerakeGds_sMrab;GtifiCnEdl)aneFVIetsþQamenAesva VCCT

BIqñaM 2005 dl;qñaM 2010

2>2- esvaBinitü nigBüa)alCMgWeGds_ (OI and ART Services)

bc©úb,nñenHman 51 kEnøgEdl)anpþl;esvakarBüa)alCMgW»kasniym (OI) nigkarBüa)aleday»sf

RbqaMgemeraKeGds_ (ART) enAkñúgRsukRbtibtþicMnYn44 enAkñúg 21 extþ-Rkug ¬]bsm<½n§³ CoC GaMgDIkaT½r

1¦. kEnøgpþl;esva karBüa)alCMgW»kasniym (OI) nigkarBüa)aleday»sfRbqaMgemeraKeGds _(ART)

TaMg51 kEnøgenaH RtUv)anTTYlkar]btßmÖedayrdæaPi)al nigGgÁkarminEmnrdæaPi)alCaédKUmYycMnYntUc

¬]bsm<½n§³ CoC GaMgDIkaT½r 2¦. kñúgcMeNamesvaBüa)alTaMg 51 kEnøgenaH man 32 kEnøg)anTTYlBinitü

nigBüa)alCMgWCUnkumarpÞúkemeraKeGds_ enAkñúgRsukRbtibtþicMnYn 29.

11.7

2.53.0

3.9

5.7

8.1

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

2005 2006 2007 2008 2009 2010

Year

HIV

pre

vallen

ce (

%)

- 24 -

rUbPaBTI 10³ TItaMgénmNÐlsuxPaBEdlBinitünigBüa)alCMgW OI/ART Kitmkdl;ExFñÚ qñaM2010

2>2>1 karKaMRTEpñkmnÞIrBiesaFn_

karrab;cMnYnekasika CD4 man 65/634 krNI enAkñúgqñaM2010 EdleFVIeLIg 7 kEnøg KWenA extþtaEkv

extþkMBg;cam/ extþ)at;dMbg/ extþéRBEvg ¬mnÞIreBTübEg¥k GñkelOg¦/ extþbnÞaymanC½y enAmCÄmNÐl

CatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraK nigenAviTüasßanCatiRsavRCavsuxPaBsaFarN³ (NIPH)

¬PñMeBj¦ ¬rUbPaBTI11¦. karrab;cMnYnekasika CD4 k¾manpgEdr enAviTüasßan)a:sÞ½r ¬PñMeBj¦ mancMnYn

2/251krNI. kareFVIetsþPaKryén CD4 sMrab;kumar RtUv)aneFVIenAviTüasßan)a:sÞ½r nigenAviTüasßan

CatiRsavRCavsuxPaBsaFarN³(NIPH)RkugPñMeBj .

- 25 -

rUbPaBTI 11³ ninñakaréncMnYnkrNIeFIVetsþrab;ekasika CD4 Edl)aneFIVeLIgenA 7 kEnøg cab;BIqñaM2006

rhUtdl;qñaM2010

enAkñúgqñaM2010enH man HIV RNA viral load cMnYn 5/499krNI )aneFVIetsþenAviTüasßan)a:sÞ½rkm<úCa

(IPC).

rUbPaBTI 12³ ninñakaréncMnYnkrNIeFIVetsþ RNA viral load Edl)aneFIVeLIgenAviTüasßanCatiiRsavRCavsuxPaBsaFarN³ nig

enAviTüasßan)a:sÞ½r cab;BIqñaM2008 rhUtdl; qñaM2010

44,851

63,53571,159 67,740 65,634

5,080

3,5022,546 1,986

2,251

0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

80,000

2006 2007 2008 2009 2010

CD4 tested at 5 Sites Government CD4 tested at IPC

410 0 0

7,258

5,232 5,499

0

1000

2000

3000

4000

5000

6000

7000

8000

9000

2008 2009 2010

HIV RNA Viral Load tested at NIPH HIV RNA Viral Load tested at IPC

- 26 -

enAkñúgqñaMenH kareFVIetsþ DNA PCR kñúgkareFVIeraKvinicä½yeGay)anqab;rh½ssMrab;kumar man

793 krNI )aneFVIeLIgenAviTüasßanCatiiRsavRCavsuxPaBsaFarN³ EdlkñúgenaHman 54krNI Edlman

lT§plviC¢man nigenAviTüasßan)a:sÞ½rman DNA PCR cMnYn 1/227krNI nigman 59krNI manlT§pl

viC¢man. cMnYnTarkEdl)anRsavRCav DNA PCR elIkTI1 (excluding DBS for confirmation) edIm,I

bBa¢ak;mancMnYn 462 krNI EdlkñúgenaHman TarkcMnYn 33EdlmanlT§plviC¢man enAeBlRsavRCav

DNA PCR elIkTI1enH nigman HIV DR tested srubcMnYn283 krNI. (Sources: report from NIPH and IPC)

mkdl;cugqñaM2010enH GñkCMgWskmµsrubcMnYn 42/799nak; EdlkñúgenaHman 38/697nak; Ca

mnusSeBjv½ynig 4/102 nak;Cakumar)anTTYl ART ¬rUbPaBTI 13/ 14¦¬]bsm<½n§³ HFBC GaMgDIkaT½r 3¦.

edayEp¥kelIkarbegáInnUvcMnYn ekasikaCD4 esµIb¤ticCag 350/mm3 kñúgkarcab;epþImkarBüa)aleday»sf

RbqaMgemeraKeGds_ )an)a:n;sµanfamancMnYnGñkCMgWeGds_RbEhlCa 44/280nak; ¬mnusScas; nig kumar¦

EdlRtUvkarkarBüa)aleday»sfRbqaMgemeraKeGds_kñúgqñaM2010enH KWRbEhlCa 96° ebIeRbobeFob

eTAGñkCMgWEdlkMBugTTYlkarBüa)aleday»sfRbqaMgemeraKeGds_ Kitmkdl;cugExFñÚenH .

rUbPaBTI 13³ ninñakaréncMnYnesvaBüa)alCMgW nig GñkCMgWskmµTTYl)ankarBüa)aleday»sfRbqaMgemeraKeGds_ BIqñaM 2001 dl;RtImasTI4 qñaM2010

1 2 4

11

32

44

49

51 52

5252 51 51

71 392

2,230

5,974

12,355

20,131

26,664

31,999

37,31538,522

40,03941,669

42,799

0

5000

10000

15000

20000

25000

30000

35000

40000

45000

0

10

20

30

40

50

60

2001 2002 2003 2004 2005 2006 2007 2008 2009 Q1-10 Q2-10 Q3-10 Q4-10

Number of site Number of Active Patients on ART

- 27 -

rUbPaBTI 14³ ninñakaréncMnYnGñkCMgWskmµCamnusSeBjv½y nigkumar BIRtImasTI4qñaM2008 dl;RtImasTI4 qñaM2010

mkdl;cugqñaM2010 enH kñúgcMeNamGñkCMgWskmµEdlTTYl)ankarBüa)aleday»sfRbqaMgemeraKeGds_

(ART) manRsþIcMnYn 53/2° ¬20/603¦. enAtammNÐlpþl;esvaBüa)alCMgWTaMgGs; manGñkCMgWfµIcMnYn

1/530nak; ¬rab;bBa©ÚlTaMgkumar 157nak;¦ )anTTYlkarBinitünigBüa)alCMgW»kasniym nigmanGñkCMgW

fµIcMnYn1/438nak; ¬rab;bBa©ÚlTaMgkumar 138nak;¦)ancab;epþImTTYlkarBüa)aleday»sfRbqaMgemeraK

eGds_(ART) kñúgRtImasTI4 qñaM2010 ¬rUbPaB TI15¦. cMnYnGñkCMgW»kasniymfµImankarfycuHbnþic

ebIeRboeFobeTARtImasTI3 qñaM2010 . edayELk cMnYnGñkCMgWTTYlkarBüa)aleday»sfRbqaMgemeraK

eGds_(ART) k¾mankarfycuHbnþicEdr ehIymanGñkCMgWcMnYn 2/249nak; )ane)aHbg;karBüa)al nig

70nak;)an søab; kñúgkMLúgeBlBüa)alCMgW»kasniym.

28,93230,080

31,01832,578

33,67734,784 36,158

37,66638,697

3,067 3,207 3,366 3,499 3,638 3,738 3,881 4,003 4,102

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

45,000

Q4-08 Q1-09 Q2-09 Q3-09 Q4-09 Q1-10 Q2-10 Q3-10 Q4-10

Adult Child

- 28 -

rUbPaBTI 15³ ninñakaréncMnYnGñkCMgW»kasniym nigGñkCMgWBüa)aleday»sfRbqaMgemeraKeGds_fµI

BIRtImasTI4 qñaM2008 dl; RtImasTI4 qñaM2010

manCMgW»kasniymskmµcMnYn 6/236nak; CamnusSeBjv½ynig 1/529nak; CakumarEdlminTan;man

lkçN³smRsbsMrab;TTYlkarBüa)aleday»sfRbqaMgemeraKeGds_enAeLIyeT rhUtmkdl;cugRtImas

TI4 qñaM2010 enH. kñúgcMeNamGñkCMgWTaMgGs;man 3/956nak; ¬63/4°¦ CaRsþIEdlPaKeRcInbþI rWédKU

rbs;BYkeK)anTTYlkarBüa)alCMg W OI/ ART eRcInqñaMmkehIy.

cMnYnsrubénGñkCMgW»kasniymCamnusSeBjv½ycMnYn 1/091nak; nigkumarcMnYn 205nak; manlkçN³

smRsbnwgTTYl)ankarBüa)aleday»sfRbqaMgemeraKeGds_ EtBMuTan;)anTTYlenAcugRtImasTI4 qñaM

2010 enH .

2>2>2 karcl½tGñkCMgW tamesvaepSg² e)aHbg;karBüa)al nigsøab;

enAkñúg qñaM2010enH/ manGñkCMgWcMnYn 987 nak; EdlTTYl)ankarBüa)aleday»sfRbqaMgemeraKeGds_

(ART) RtUv)anbBa¢ÚnecjeTAkan;esva ART fIµ EdlsißtenACitpÞHb¤kEnøgrs;enArbs;BYkeK ehIynig

manGñkCMgWEdlkMBugBüa)aleday»sfRbqaMgemeraKeGds_ cMnYn 969nak; )ane)aHkarBüa)al nig

626nak;epSgeTot)ansøab; enAkñúgqñaMenH. mkdl;cugqñaM2010enH manesvapþl;karBüa)aleday

2,437

2,265 2,2692,388

2,136

1,847

2,0521,962

1,5301,603 1,634 1,584

1,861

1,607 1,625

1,802

2,124

1,438

0

500

1,000

1,500

2,000

2,500

3,000

Q4-08 Q1-09 Q2-09 Q3-09 Q4-09 Q1-10 Q2-10 Q3-10 Q4-10

New Patients on OI Care New Patitents on ART

- 29 -

»sfRbqaMgemeraKeGds_cMnYn 10 EdlmanGñkCMgWskmµTTYl)an karBüa)aleday»sfRbqaMgemeraK

eGds_eRcInCag1/000nak; kñúgenaHman enAmnÞIreBTümitþPaBExµr-sUevot¬PñMeBj¦ manGñkCMgWskmµkMBug

TTYl)ankarBüa)aleday»sfRbqaMgemeraKeGds_cMnYn 3/669 nak;.

2>2>3 karKaMRTEpñk»sf nwg smÖar³brikça

enAqñaM 2010enH RKb;mNÐl ART TaMgGs; )aneFVIr)aykarN_cMnYnGñkCMgWtamrUbmnþ»sf ART nimYy².

evC¢bBa¢aeRbIR)as;rUbmnþ»sfPaKeRcIn KW d4t+3TC+NVP, d4t+3TC+EFV nig AZT+3TC+NVP edayman 3/8 ° énmnusSeBjv½y nig 7/2 ° énkumarRtUv)anTTYlrUbmnþ»sf PI-Based ¬taragTI2¦ .

rUbmnþénkareRbIR)as;»sf ARV ,

Q4. 2010

mnusSeBjv½y N= 40,011*

No. (%)

kumar N= 4,134*

No. (%)

d4t+3TC+NVP 16,700 41.7 % 3,065 75.4 %

d4t+3TC+EFV 5,262 13.2 % 423 10.2 %

AZT+3TC+NVP 10,353 25.9 % 222 5.4 %

AZT+3TC+EFV 3,759 9.4 % 65 1.6 %

PI-based regimens 1,512 3.8 % 299 7.2 %

Other regimens 2,425 6.1 % 60 1.5 %

*Tinñn½yrUbmnþénkareRbIR)as;»sf min)anRtwmRtUvBitR)akdCak;EsþgeTAnwgcMnUntYrelxrbs;GñkCMgW ART eT .

taragTI 2 ³ evC¢bBaa¢sþIBIkareRbIR)as; nwgkarEckcayrUbmnþ»sfRbqaMgemeraKsMrab;GñkpÞúkemeraK HIV enAkm<úCa

kñúgRtImasTI 4qñaM 2010

2>2>4 kareFVIetsþRsavRCav rkCMgWrebgelIGñkCMgWeGds_fµI

enAkñúgqñaMM2010enH manGñkCMgWeGds_fµIEdl)ancuHeQµaHenAkEnøgEdlpþl;esvaBüa)alCMgW »kasniym

nigTTYlkarBüa)aleday»sfRbqMagemeraKeGsd_mancMnYn 7/399nak; EdlkñúgenaHmanGñkCMgW»kas

niymcMnYn 4/778nak; ¬64/5 ° ¦)aneFVIetsþRsavRCavrkCMgWrebg. CalT§pl kñúgcMeNamGñkCMgW

4/778nak; Edl)anRsavRCavrkCMgWrebgenH manGñkCMgWcMnYn 689nak; manlT§plCMgWrebgsYt (BK+/-),

426nak;manlT§plCMgWrebgeRkAsYt (EPTB), 3/278nak; manlT§plGviC¢man nig 126nak;eTot

minTan;)anTTYllT§plenAeLIy .

- 30 -

karRsavRCavrkCMgWrebgenAkñúgcMeNamGñkCMgWeGds_fµIenHenAmankMritTab ¬64/5°¦ edaysarmanesva

OI/ART cMnYn4kEnøg Edlmin)anepJIrr)aykarN_mkEpñkRKb;RKgTinñn½yénmCÄmNÐlCati .

2>2>5 karGnuvtþn_yuT§saRsþ Three "I" karBüa)albgáarCMgWrebgeday»sf Isoniazid (IPT)

enAkñúgRtImasTI3 nigTI4 qñaM2010enH manGñkCMgWeGds_fµI cMnYn 1/340 nak; Edl)ancuHeQµaH enAesva

OI/ART TaMg20kEnøg Edl)ancab;epþImGnuvtþn_nUvyuT§saRsþ Three "I" enH kñúgcMeNamGñkCMgWTaMgGs;

enH manGñkCMgWcMnYn 491nak; )ancab;epþImBüa)albgáareday»sf Isoniazid ¬cMnYn6kEnøgEdleFVIetsþ

TuyEb‘KuylInelIEs,k manGñkCMgW 43nak; nig cMnYn14kEnøgepSgeTot EdlminmankareFVIetsþ

TuyEb‘KuylInelIEs,k manGñkCMgW 448nak;¦.

muncab;epþImkarBüa)aleday»sfRbqaMgemeraKeGds_

enAkñúgRtImasTI4 qñaM2010enH manGñkCMgWeGds_fµI cMnYn 1/373nak; Edl)ancuHeQµaHenAesvaBüa)al

CMgW»kasniym nigkarBüa)aleday»sfRbqMagemeraKeGsd_. kñúgcMeNamGñkCMgW 843nak; Edl

)aneFVIkarBinitüsuxPaBrkeraKsBaØaCMgWrebg manGñkCMgWcMnYn 415nak; Edly:agehacNas;maneraKsBaØa

mYykñúgcMeNameraKsBaØaTaMg3 kñúgry³eBl4s)aþh_knøgmk ¬manRKunekþA k¥k nigEbkejIseCaKxøÜnenA

eBlyb; ry³eBl2s)aþh_knøgmk¦. kñúgcMeNamGñkCMgWEdlmaneraKsBaØaCMgWrebgviC¢manTMag 415nak;

enH man193nak;Edl)aneFVIeraKvinicä½yfamanCMgWrebg (BK+/-) b¤manrebgeRkAsYt ehIymanGñkCMgW

159nak;)ancab;epþImkarBüa)alCMgWrebg cMENk162nak;Edl)ancab;epþImkarBüa)albgáarCMgWrebgeday

»sf Isoniazid (IPT) enaHRtUvbnþ edayGñkCMgWTaMgenaHminTan;maneraKsBaØaCMgWrebg. manGñkCMgWEdl

kMBugBüa)alCMgW»kasniymcMnYn237nak; )aneFVIeraKvinicä½yfamanCMgWrebg (BK+/-) b¤manrebgeRkAsYt

kñúgenaHmanGñkCMgW187nak;)ancab;epþImBüa)alCMgWrebg ehIymanGñkCMgWrebg-eGds_118nak;eTot

)anTTYlkarBüa)albgáareday»sf cotrimoxazole.

karBüa)aleday»sfRbqaMgemeraKeGds_

enAkñúgRtImasTI4 qñaM2010enH manGñkCMgWeGds_;cMnYn 1/300nak; Edl)anTTYlkarBüa)aleday»sf

RbqMagemeraKeGsd_fµI. kñúgcMeNamenH manGñkCMgWcMnYn71nak; Edl)aneFVIeraKvinicä½yfamanCMgWrebg b¤

rebgeRkAsYt ehIykñúgenaHmanGñkCMgW68nak;Edl)ancab;epþImBüa)alCMgWrebg. manGñkCMgWEdlkMBug

- 31 -

Büa)al»sfRbqaMgemeraKeGds_ cMnYn155nak; )aneFVIeraKvinicä½yfamanCMgWrebg (BK+/-) b¤manrebg

eRkAsYt kñúgenaHmanGñkCMgW128nak;)ancab;epþImBüa)alCMgWrebg ehIymanGñkCMgWrebg-eGds_cMnYn

75nak; eTot )anTTYlkarBüa)albgáareday»sf cotrimoxazole.

2>2>6 karmanépÞeBaH nigkarrMlUt ³

enAkñúgRtImasTI4 qñaM2010enH manGñkCMgWeGds_fµICaRsþI cMnYn763nak; Edl)ancuHeQµaHenAesvaBüa)al

CMgW»kasniym nigBüa)aleday»sfRbqMagemeraKeGsd_ ehIykñúgenaHmanGñkCMgWeGds_CaRsþIcMnYn

45nak; manépÞeBaH. mkdl;cugRtImasenH kñúgcMeNamGñkCMgWCaRsþIcMnYn4/583nak; EdlkMBugBüa)al

CMgW»kasniym manRsþI 47nak;manépÞeBaH nigkúñgenaHman42nak; )anTTYl»sf ARV sMrab;karbgáar

karcMlgemeraKeGds_BImþayeTAkUn . manGñkCMgW4nak; )anraykarN_fa )anrlUtkUnedayÉkÉg nig

1nak;eTot)aneFVIkarrMlUt.

enAkñúgRtImasTI4 qñaM2010enH manGñkCMgWeGds_CaRsþI cMnYn711nak; Edl)anTTYlkarBüa)aleday

»sfRbqMagemeraKeGsd_fµI ehIykñúgenaHmanGñkCMgWeGds_CaRsþIcMnYn 46nak; manépÞeBaH. mkdl;cug

RtImasenH kñúgcMeNamGñkCMgWCaRsþIcMnYn 20/603nak; EdlkMBugTTYlkarBüa)aleday»sfRbqaMg

emeraKeGds_ manRsþI 58nak;manépÞeBaH . manGñkCMgW5nak; )anraykarN_fa )anrlUtkUnedayÉkÉg nig

2nak;eTot)aneFVIkarrMlUt.

2>2>7 karrs;ran manCIviteRkaykarBüa)aleday»sfRbqaMgemeraKeGds_ ³

Tinñn½yénkarrs;ranmanCIvitEdl)anykmkeFVIkarviPaKenH KW)anBIesvapþl;karBüa)aleday»sfRbqaMg

emeraKeGds_sMrab;mnusScas; cMnYn30 kEnøg enAqñaM 2009 nig 2008 nig 24 kEnøg enAqñaM 2005.

Tinñn½yénkarrs;ranenH enAelIesvaBüa)aleday»sfRbqaMgemeraKeGds_sMrab;kumar minGacykmkeFVI

karviPaK)aneTenAkñúgqñaMenH.

Indicators mnusSeBjv½yGayu

cab;BI15qñaM eLIg

12 month survival

PaKryénGñkCMgWeGds_mnusSeBjv½y EdlenArs; eRkay

karBüa)aleday»sf ARV kñúgry³eBl 12Ex

86/4°

- 32 -

cMnYnGñkCMgWeGds_mnusSeBjv½y EdlenArs; eRkay

karBüa)aleday »sf ARV kñúgry³eBl 12Ex

3 076

cMnYnGñkCMgWeGds_mnusSeBjv½y Edl)ancab;epþIm

karBüa)aleday»sf ARV kñúgqñaM 2008 rYmTaMgGñksøab;

nigGñke)aHbg;karBüa)al

3 559

24 month survival

PaKryénGñkCMgWeGds_ mnusSeBjv½y EdlenArs;

eRkaykarBüa)aleday»sf ARV kñúgry³eBl 24Ex

83/6°

cMnYnGñkCMgWeGds_ mnusSeBjv½y EdlenArs;eRkay

karBüa)al eday»sf ARV kñúgry³eBl 24 Ex

2 922

cMnYnsrubénGñkCMgWeGds_ mnusSeBjv½y Edl)ancab;epþImkar

Büa)aleday»sf ARV kñúgqñaM 2007

3 494

60 month survival

PaKryénGñkCMgWeGds_ mnusSeBjv½y EdlenArs;eRkaykar

Büa)aleday »sf ARV kñúgry³eBl 60Ex

77/9°

cMnYnGñkCMgWeGds_ mnusSeBjv½y EdlenArs;eRkaykarBüa)al

eday»sf ARV kñúgry³eBl 60 Ex

2 765

cMnYnsrubénGñkCMgWeGds_ mnusSeBjv½y Edl)ancab;epþImkar

Büa)aleday»sf ARV kñúgqñaM 2005

3 545

taragTI 3³ GRtars;ranmanCIviténGñkCMgWeGds _ eRkaykarBüa)aleday»sf ARV kñúgry³eBl 12Ex/ 24Ex nig 60Ex

sMrab;karBüa)al ART enAqñaM 2009/ 2008 nig 2005

2>3 kmµviFIeqøIytbrYmKña

mkdl;cugqñaM2010 manRsukRbtibtþicMnY60 Edl)anGnuvtþkmµviFIeqøIytbrYmKñaenH KWmanRbB½n§

r)aykarN_TaMgGs; EdlBIExmkra dl;ExFñÚqñaM 2010enH manRsþImanépÞeBaH srubcMnYn 168/826nak;

Edl)anmkTTYlesvaEfTaMépÞeBaHelIkTI1 enAesvaEdlmankmµviFIeqøIytbrYmKña nigtamry³karcuHGb;rM

kñúgenaHmanRsþIcMnYn 134/377nak; ¬79/59°¦)aneFVIetsþQamrkemeraKeGds_ nig manbþIb¤édKUcMnYn

27/340nak; EdlsµRK½citþeFVIetsþQamrkemeraKeGds_Edr ¬16/19°énRsþImanépÞeBaH)aneFVIetsþQam

- 33 -

rkemeraKeGds_CamYybþIb¤édKUrbs;BYkeK¦. kñúgcMeNamRsþIcMnYn 168/826nak; Edl)aneFVIetsþQam

rkemeraKeGds_enaH manRsþI263nak; ¬0>15°¦ EdlmanpÞúkemeraKeGds_ nigRsþImanépÞeBaH cMnYn

85nak; Edl)andwgBIlT§plrbs;xøÜnfa manpÞúkemeraKeGds_enaH ehIy)ancUlrYmenAkñúgkmµviFIeqøIytb

rYmKña.

Casrub manRsþImanépÞeBaHEdlmanpÞúkemeraKeGds_ cMnYn 256nak; Edl)anmksMralkUnrbs;BYkeK

enAEpñksmÖBEdlmankmµviFI PMTCT. kñúgcMeNamRsþICamþay cMnYn 232nak; ¬90/62°¦ )anTTYl»sf

ARV sMrab;karbgáarkarcMlgemeraKeGds_BImþayeTAkUn kñúgenaHman 173nak; ¬74/56°¦ )ankMBug

TTYlkarBüa)aleday»sfRbqaMgemeraKeGds_ (HAART) nigman 59nak; ¬25/43°¦ Edl)anTTYl

»sf ARV sMrab;bgáarEtenAeBlQWeBaHsMralEtmþg. kñúgcMeNamTark 250nak; EdlekItBImþayman

pÞúkemeraKeGds_ enAEpñksmÖBEdlmankmµviFI PMTCT enHmanTark 224nak; ¬89/6°¦ )anTTYl

karbgáareday»sfRbqaMgemeraKeGds_KW »sf NVP .

2>4 esvaEfTaMGñkCMgWeGds_enAtamshKmn_ (Community-based Services)

esvaEfTaMGñkCMgWeGds_tampÞH (HBC services)

RtImasTI4 qñaM 2010 man RkumEfTaMtampÞH cMnYn 356Rkum EdlRKbdNþb; 848 mNÐlsuxPaB

enAkñúgRsukRbtibtþicMnYn71 enAkñugextþcMnYn19 (]bsm<½n§³ HBC GaMgDIkaT½r1¦. enAkñúgRtImasenH extþ

RBHvihar BuMmanr)aykarN_rbs;RkumEfTaMeT eRBaHGgÁkarEdl)anGnuvtþelIkargarEfTaMenH )ancb;KMerag

kñúgkarRKbdNþb;nigEfTaMGñkpÞúkemeraKeGds_nigGñkCMgWeGds_ ehIynigkMBugrkGgÁkarfµImkCMnYs ¬rUbPaBTI

16¦.

- 34 -

rUbPaBTI 16³ ninñakarénRkumEfTaMtampÞH (HBC teams) BIRtImasTI 4 qñaM 2008 rhUt RtImasTI 4 qñaM 2010

RkumEfTaMtampÞH (HBC) TaMgGs;)anCYyEfTaM KaMRT]bßmÖdl;GñkpÞúkemeraK GñkCMgWeGds_skmµcMnYn

31/127 nak ; (]bsm<½n§³ HBC GaMgDIkaT½r 2) kñúgenaHGñkEdl)aneFVIkarcuHbBa¢ITTYlkarBüa)alCMgW»kas

niym(OI) mancMnYn 8/513 nak; nigGñkCMgW ART Edl)aneFVIkarcuHbBa¢Iman 22/614nak; .

K> r)aykarN_fvika

r)aykarN_enH bgðajTaMgBIrEpñkkarcMNay smamaRténkarEbgEckfvikaEdl)anGnum½tehIy

enAkñúgKMeragEpnkar nigsmiT§iplénskmµPBEdlmanenAkñúgEpnkar EdlCaGaMgDIkaT½rsMxan;sMrab;

smiT§iplEdlsMerc)an. r)aykarN_enHrYmbBa¢ÚlTaMgRbPBsMxan;² énkarpþl;CamUlniFisMrab;RKaMTkmµviFI

rbs;mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraK dUcCaKMeragmUlniskl¬CMuTI 7/ TI 4 nigTI5¦

US-CDC, ITMDGDC, CHAI, UNSW/CTAP, CIPRA nig AHF .

enAkñúgtaragénkarcMNay Edl)anelIkykmkenH manEtkarcMNayEdlmanenAkñúgRbB½n§

KNenyürbs;mCÄmNÐlCatib:ueNÑaH. TaMgenHrYmbBa©ÚlTaMgkarcMNayCak;EsþgEdlRtUv)ancay nig )an

kt;RtakñúgkMLúgeBlénqñaM.

343

375

337

323328

342 331

353356

675

706

716689

742761

786

841 848

400

450

500

550

600

650

700

750

800

850

900

290

300

310

320

330

340

350

360

370

380

Q4-08 Q1-09 Q2-09 Q3-09 Q4-09 Q1-10 Q2-10 Q3-10 Q4-10

Number of Teams Number of HC covered by HCB Teams

- 35 -

taragTI 4³ segçbkarcMNaytamRbPBfvika EdlRKb;RKgedaymCÄmNÐlCati kñúgqñaM 2010

Sources Annual Plan Annual

Expenditures A %

GFATM-R7 $ 9,643,775 $ 7,377,787 77%

GFATM-R4 $ 7,330,814 $ 1,092,705 15%

GFATM-R5 $ 581,488 $ 238,302 41%

US-CDC $ 800,587 $ 732,101 91%

UNSW/CTAP $ 100,000 $ 92,763 98%

CHAI $ 303,458 $ 154,693 51%

AHF $ 146,283 $ 143,731 98%

CIPRA $ 80,000 $ 67,289 84%

ITM- DGDC $ 58,654 $ 75,898 129%

Grand Total $ 19,045,269 $ 9,980,269 52%

X> karlM)ak nig]bsKÁ

- karBinitüQamrkemeraKeGds_ mankaryWty:av rhUtdl;dMNak;kalTI 3 nigTI4 Edlvivtþn_eTArk

CMgWeGds_enAEtbgáeGaymanbBaða CaBiessBak;B½n§eTAnwgRkumRbQmmuxx<s; (MARP) EdlRtUv

TTYlkarBüa)aleGay)ansmRsm.

- edaysarmankaryWty:avkñúgkarTMlak;fvika nigkarGnum½telIkaresñIsuMeFVIniy½tPaBfvika eFVIeGay

mankaryWty:avkñúgkarGnuvtþnUvskmµPaBcaM)ac;xøH² nigtMrUveGayeFVIkarpøas;bþÚrnUvKMeragEpnkar

CaeRcIndg nigCaehtueFVIeGaysl;fvika.

- EbbbTénkareFVIlT§kmµmanPaBsµúRKsµaj yWty:av CaehtueFVIeGaymankaryWty:avkñúgkarGnuvtþ

skmµPaBxøH dUcCakarRbmUlTinñn½y sMrab;karGegátrkGRtaeRbv:aLg;rkemeraKeGds_ sMrab;qñaM

2010 nigGaceGaymankarlM)akkñúgkarRKb;RKg»sfRbtikrnigsMPar³brikçar dUcCamankarxVHxat

nUvsMPar³Rbtikr HIV test enAkEnøgxøH .

- 36 -

- tMrUvkarkñúgCIvitrs;enArbs;GñkTTYlplenAkñúgshKmn_manTMhMFM minGacbMeBj[)anRKb;RKan;

eRBaH fvikarbs;KMeragmankMrit .

- karyWty:avkñúgkarGnum½telIkarpþl;R)ak;]btßmÖ (POC scheme) cab;BIExkkáda qñaM2010 mkTl;

eBlenH nWgGacCH\T§iBldl; staff performance CaBiessenAkEnøgpþl;esva.

g> emeron bTBiesaFn_

- karsMrbsMrYl nigkic©shkarl¥ CamYyRKb;édKUGPivDÆn_TaMgGs; GaCJaFrEdndI esvasuxaPi)alRKb;

lMdab;fñak; nigshKmn_ KWCaKnøWH énkarGnuvtþn_kmµviFI)aneCaKC½y.

- PaBCaédKUrvagmCÄmNÐlCatiRbyuTænwgCMgWeGds_ esIEs,k nigkameraK mCÄmNÐlCatiKaMBar

matanigTark nigmCÄmNÐlCatikMcat;eraKrebg nighg;sin KWCakargarrYm d ¾mansarsMxan;y:ag

xøaMg kñúgkarRbyuTæRbqaMgnwgCMgWeGds_ nigkarrYmshkarKñakñúgkarGnuvtþskmµPaBenAtamRsuk

Rbtibtiþ EdlnwgRtUvBRgwgbEnßm edIm,IQansMerc)annUveKaledAshsvtSenAqñaM 2015 xagmux .

- karGb;rM enAkñúgshKmn_ nigRkumeKaledAcMNuc Gac[BYkeKGacyl;dwgBIsuxaPaB Bt’man nig

esvasuxaPi)al nigGackat;bnßydl;karerIseGIg dl;RkumRbCaCnRbQmmuxx<s;.

- CMrujeGayRkumRbQmmuxx<s; mkeRbIR)as;esva eGds_ kameraK vaCakarcaM)ac; nigGacFana

eGayRkumenHGacmkTTYlesva)anCaskl.

c> esckþIsnñidæan

CarYmmCÄmNÐlCati nigédKUTaMgGs;)ansMercswgEtRKb;eKaledAEdl)anelIkeLIgkñúgqñaM2010

enH ehIyeyIgGacsnñidæanfakareFVIkargarCamYyédKU kñúgkarbgáar EfTaM nigBüa)alCMgWeGds_ enAkñúg

RbeTskm<úCa nwgQansMerc)aneCaKC½yeTAGnaKt. b:uEnþeTaHCay:agenHk¾eday KYrEtFana[)annUv

karKaMRTTaMgfvika nigneya)ay EdlGaceFVI[karRbyuT§Tb;sáat;nwgkarrIkraldalénCMgWeGds_ )aneCaK

C½y. RbsinebIédKUGPivDÆn_dkkarCYyKaMRTdl;kargarRbyuT§Tb;sáat;nwgkarrIkraldalénCMgWeGds_enH

elOneBk eFVIeGayRbeTskm<úCaCYbRbTH nwgkarlM)akkñúgkarxMRbwgERbgeFVIeGaymannirnþPaBelIkargarTb;

sáat;nwgkarrIkraldalénCMgWeGds_enH.

- 37 -

q> TisedAnaeBlxagmux ³

mCÄmNÐlCati nigédKUTaMgGs;nwgBinitüemIleLIgvijnUv viFIsaRsþfµI²enH edIm,IBRgwgkareRbIR)as;

eRsamGnam½yrbs;RkumRsþIbMerIesvakMsanþ CamYynigsgSarrbs;BYkeK. bc©úb,nñenH mCÄmNÐlCati rYmCa

mYynigédKUTaMg edIm,IerobcM concept note EdleFVIeGaymannUvesvaBnüarkMeNIt enAesva OI/ART,

enAKøInikkameraK edIm,ICMrujeGayGñkpÞúkemeraKeGds_ GñkCMgWeGds_ nigRsþIbMerIesvakMsanþ mkTTYlesva

BnüakMeNItenH.

bc©úb,nñenH RbeTskm<úCakMBugcab;epþImGnuvtþnUvyuT§saRsþ 5 Is (Intensify Case Finding,

Isoniazide Prophylaxis Treatment, Infection Control, Integration into health service delivery and

Initiate early of ART) edIm,IeFVIeGaykmµviFIrebg¼eGds_manPaBRbesIreLIg/ erobcMeFVIsmhrNkmµ

Tinñn½y (VCCT, STI and OI/ART) eTAkñúgRbB½n§Bt’mansuxaPi)al/ edaymankarCYyBI PEPFARE

nigédKUkñúgkarerobcMGtþsBaØaNEtmYy (unique Identified) GñkCMgWEdlkMBugTTYlkarBüa)aleday»sf

RbqaMgemeraKeGds_/ nigkMBugbegáInkarGnuvtþnUvviFIsaRsþeqøIytbrYmKña.