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HIV AIDS EPIDEMIC:2012 Where are we and where are we going? 12/10/2012 1 Rotary Club of Nigdi

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Samvad HIV Helpline is a telephonic helpline for getting up to date information, counselling and referal for services related to HIV, STDs and Tuberculosis. Maharashtra:020-26381234, Bihar 0612-2575757

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HIV AIDS EPIDEMIC:2012Where are we and where are we going?

12/10/2012Rotary Club of Nigdi

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30 years of HIV Epidemic1981 TO 2012

1981-Ist case of AIDS described in homosexuals in USA.

1983-Viral etiology determined , Montagnier in France, Gallo in USA.

1986-Ist case of AIDS in India ( Bombay) And in 2012........

12/10/2012

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2012: HIV IS STILL AN ISSUE

350 lakh people are infected with HIV worldwide

More than 96% are in low and middle income countries- in

Asia and Africa

India has 25 lakh people infected with HIV- stands third after

Sub Saharan Africa and Nigeria

Still 26 lakh new infections occur every year around the world

and 18 lakh deaths from HIV/AIDS.

6000 young people are dying of HIV every

day12/10/2012

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High Prevalence StatesAndhra PradeshKarnatakaMaharashtra TamilnaduManipur/ Nagaland

20% of HIV infected are in Maharashtra

12/10/2012

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High Prevalence Districts

Thane * MumbaiSangli * JalgaonPuneAurangabadChandrapurLaturRatnagiriThane

12/10/2012

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BASICS OF HIV/AIDS

12/10/2012

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WHAT IS HIV?

H HUMAN.I IMMUNODEFICIENCY.V VIRUS.

12/10/2012

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WHAT IS AIDS?

A ACQUIRED.I IMMUNED DEFICIENCYS SYNDROME.

12/10/2012

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How HIV Is Transmitted?

12/10/2012

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Waves in Spread of HIV Epidemic

Core Group

Bridge Population- mostly malesWomen & Children

12/10/2012

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How HIV Is Not Transmitted?

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How HIV Is Not Transmitted?

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Symptoms of AIDS.HIV infection remain silent for 8 to 10 years

Unexplained weight lossPersistent feverProlonged diarrheaPersistent coughSkin infectionsTuberculosisHerpes zoster

Diagnosis cannot be made on the basis of symptoms only.

HIV Blood Test Is Important12/10/2012

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HIV MEANS DEATH?

HIV is no more a fatal diseaseIt is a chronic manageable disease

like diabetes, hypertension and asthma

12/10/2012

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TEST AND TREAT

HIV AIDS

ART

Normal life span after HIV infection

A- ANTI (AGAINST)R- RETROVIRAL ( RETROVIRUS)

T –THERAPY (TREATMENT)

12/10/2012

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HIV IS A “SILENT” DISEASE.An Epidemic of “Silence”

◦ Social, cultural taboos prevent free

discussion on sexuality and therefore on HIV

◦ People don’t know how and where to access

help

◦ People don’t want to be seen asking

◦ Ignorance leads to panic or indifference

12/10/2012

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Breaking the silence…..

Phone is easy to use, its everywhere

Can get accurate information from experts

It’s anonymous

It’s there when you need it

There is cell phone with about 80% of the

population

Samvad HIV Helpline is a solution

12/10/2012

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What Does Samvad Helpline Do?1. Provides up-to-date and accurate

information,

2. Promotes safer behavior

3. Provide referrals to existing services for HIV

in the location of the caller

4. Crisis support: prevents suicides

5. Avenue for venting, provides psychological

support12/10/2012

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Sample of questions asked

◦ Am I at risk in my specific situation?

◦ What should I do to live longer?

◦ Where do I get tested?

◦ My daughter’s marriage – what can I do for her?

◦ How do I break the news to my spouse?

◦ How do I register for government schemes?

◦ Can I have children?

◦ How do I protect my wife?

12/10/2012

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How do we do this?

Anonymous, confidential service

Showing empathy and non judgmental

attitude

Understanding the life context of the caller

Counseling that provides actionable insight not

just for HIV but related life problems too

Getting to the story behind the story

Dealing with guilt, anxiety, phobia, anger,

frustration and fear12/10/2012

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Journey of Samvad HIV Helpline

2005-2012

12/10/2012

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2nd Oct 2005

1 Line

1 Counselor

1 City

1 Team

12/10/2012

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2012

10 Lines12

Counselors

4 States

120 calls per day

12/10/2012

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We Have Changed……………………..

1,10,6000

lives

12/10/2012

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Other Initiatives

AASHA SAMPARK

ANKURSMS

CBS

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Project “ AASHA”

NagpurAkolaPune

Bihar

12/10/2012

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“ SMS Reminder Project”

Reminder service

• ART medicine•CD4 Testing

12/10/2012

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Project “ SAMPARK”

•8 districts

•Maharashtra

•Gujarat

12/10/2012

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Project “ ANKUR”

•HIV Disclosure plan for children.

•Started in March 2012

•Support from AIDSOrphan, UK

12/10/2012

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Project “ CBS”

Call back service for desperate callers

12/10/2012

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Why work in the field of HIV at all?

12/10/2012

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Why work for HIV patients at all?

People get HIV because of their “wrong deeds”

12/10/2012

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We can throw stones at others if we have never committed a crime in our life

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Which disease is not “manmade”?Heart diseaseDiabetesCancerBlindnessCOPD………….

12/10/2012

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“There are lot of funds in HIV” Recession in US and Europe will

revert the tide of epidemicContinued funds will ensure that

we capitalize on the gains of 3 decades of efforts

“Hatti nikal gaya, ab punch rah gayi hai”

Learn from Leprosy. Its back.

12/10/2012

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Why spent money on a HIV helpline?Information is powerIt acts as a catalyst for uptake of

all other servicesOne rupee spent on prevention

will save Eight rupees on treatment

12/10/2012

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Thank youContact person

Muktaa Charitable Trust

020-26383456Web : http://www.mcf.org.in

E-mail : [email protected] Blog: blog.mcf.org.in

12/10/2012Rotary Club of Nigdi

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TuberculosisCancerInfant hearing screeningHelpline in other health related

issues

Beyond HIV……

12/10/2012

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◦ 1.8 million new cases occurring every year in India

◦ Every Day more than 5000 develop TB disease◦ 1000 people die of TB: the highest number in the

world .

2 deaths every 3 minutes

Tuberculosis is a treatable and preventable disease. What is needed is knowledge about the disease

Plan to start TB Helpline by this year end

Why helpline for tuberculosis?

12/10/2012

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India has the highest number of oral cancer cases in the

world.

Of 7-8 lakh registered cancer cases every year, 40% are of

oral cancer. Annually 130,000 people succumb to oral

cancer in India.

60 to 80 % present in advanced stage.

14 people, mostly young, die of oral cancer

every hour.

Diagnosed early, these premature deaths are

preventable

Initiative in oral cancer

12/10/2012

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First Lecture on oral cancer for doctors

140 doctors registered

TATA Memorial hospital on board

Plan to train 1000 doctors in one year

Oral cancer screening program for workers and slum areas 12/10/2012

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Approximately 1%-2% of newborns are born with hearing loss.

If diagnosed before age of 6 months, prevent permanent loss of speech, language, and learning skills

This project is just yet in idea stage

Infant hearing screening project

12/10/2012

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Thank U

12/10/2012