Amravati district aids prevention and control unit copy (2)

Presentation to the District Collector Amravati

1. AMRAVATI DISTRICT AIDS PREVENTION AND CONTROL UNIT Response to the challenge of HIV /AIDS and Responsibility of DAPCU.

2. PRESENTED BY DAPCU Amravati 2

3. WHAT IS DAPCU? AND THE ROLE OF DAPCU. The third phase of the National AIDS Control Program (NACP) aims to decentralize program implementation from the state to the district level. This is envisaged to be done through setting up District AIDS Prevention and Control Units (DAPCUs). The DAPCUs are to be institutionalized with the District Health Society and will share the administrative and financial structures of the National Rural Health Mission (NRHM). The DAPCU in each district will be responsible for implementation of district AIDS control and prevention strategies; which includes implementing NACP strategies, facilitating convergence with NRHM activities, and building synergies with other related departments in the district. Convergence with NRHM is a crucial strategy to ensure optimum utilization of resources under NACP and NRHM and the construction of a strong monitoring and evaluation system through public health infrastructure in the district.

4. & ART Center 5

5. District Specific Issue In the 24*7 PHC level the coverage of ANC and the General Client are included in the Target of ICTC. For the coverage of 24*7 PHC the Human Resource is vary important to cover the ANC. SOE/UC of district is almost cover. No stand alone ICTC in Bhatkuli Block. Major population (1,50,000) of Achalpur City is in Paratwada town and there is no ICTC. Badnera is far away (13 km) from Amravati City and population is near about 1,25000 and there is no facility for HIV testing. District need of one Mobile ICTC for cover tribal area and those block where no facility Gap Between the PLHIV numbers and the social scheme beneficiary.

6. Infrastructure Amravati ICTC 16 24x7 PHC ICTC 19 + 1 (out of 28) PPP ICTC 17 STI /RTI 2 ARTC 1 LAC 3 CCC 1 Blood Bank 6 DIC 1 Link Worker Scheme 1 TI Projects (MSACS) Migrant – 1 (10000) FSW – 1 (1000)

7. Achievement 2011-12 Existing ‘Stand Alone’ ICTC as on 29th FEB-12 ICTC in Medical Colleges ICTC in District Hospital ICTCs in CHC/Sub District Hospital ICTC in PHCs ICTCs in Private/Trust Hospitals/Maternity Homes etc Mobile ICTC/ TB HOSPITAL ICTC Total No of ICTCs 1 2 4 (S.D.H.) 9 (R.H.) 19 17 1 No of ICTC functional (Functional means that the ICTC are reporting as per CMIS) 1 2 4 (S.D.H.) 9 (R.H.) 19 17 1 M&E 8

8. F-ICTC 24 X 7 PHCs No. PHC in the District No. of 24 X 7 PHCs 28 No. ANM Trained 28 No. of LT Trained 22 Both ANM &LT Trained 22 No. of ICTC Functional 19 No. of ICTC Reporting 17

9. F-ICTC PPP No. of Hospital/Maternity Home, Where ANC Deliveries > 25 in a month 26 No. of Maternity Home signed MOU with MSACS 18 No. of PPP Functional 17 No. of PPP Reporting 17

10. General Client ICTC Wise Target VS. Achievements

11. General Client Target VS. Achievements

12. DPO 13 Dist. Amravati   Performance of all ICTC , 24 by 7 PHCs & PPP ICTC ( General Client) April 2011 to February 2012 Annual Target Target up to Jan.11 Pre – test Tested Positive % of Positivity Post-test % of Post-test % of Achievement Referral to ART Register in ART 56313 51620 55018 54187 661 1.21 53259 98.28 105 664 747

13. HIV/TB

14. TB/HIV Report for the Period of April 2011 to Jan.2012 DIST :- AMRAVATI Sr. No. Name of Reporting Unit I. TOTAL NUMBER OF CLIENTS ATTENDING ICTC in the month (Excluding PPTCT Client) II. REFERRAL OF SUSPECTED TUBERCULOSIS CASES FROM ICTC TO RNTCP III. REFERRAL OF DIAGNOSED TB PATIENTS FROM RNTCP TO ICTC (a) (b) (c) (a) (b) (c) No of persons suspected to have TB referred to RNTCP Of the above persons referred to RNTCP, number diagnosed as Out of above (b), diagnosed TB patients, number receiving DOTS No of RNTCP registered TB patients tested for HIV at ICTC Out of above (a), No. detected to be HIV Positive Passivity Rate Sputum positive TB Sputum negative TB Extra-pulmonary TB Total % HIV Pos HIV Neg Total % HIV Pos HIV Neg HIV Pos HIV Neg HIV Pos HIV Neg HIV Pos HIV Neg Total % % 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 Up to Jan. 12 42684 434 3862 4296 10.1 11 194 11 54 07 17 294 6.8 30 249 202 94.9% 1386 32 2.3 15

15. ANC ICTC Wise Target VS. Achievements

16. DPO 17 Dist. Amravati  Performance of all ICTC (Pregnant Women) April 2011 to February 2012 Annual Target Target up to Jan.11 No. of ANC Registration No. of Regular antenatal woman given pretest counseling No. of pregnant women tested Positive % of Positive Post-test counseling % of Post-test Counseling Achievement No. of + ve Women blood sample was sent to ART for CD4 count Mother Baby pairs Given single dose NVP 18 months follow-up 41169 37738 41796 40952 42110 59 0.13% 41533 98.63% 112% 55 56 49

17. DSRC OF AMRAVATI DISTRICT

18. Target & Achievement in 2011-12 (up to Feb.) 19 For 2011-12 Target Achievement on 29 th feb . 12 % of Achievement Achievement with the help Remark General clients 51620 54187 105 % Through the channel of out reach activity, IEC & Advocacy General clients Positive 924 661 72 % Selection of client Pregnant women 37738 42110 112 % Through Health Supervisor, MPW, Anganwadi Sevika , ASHA, SHG & Private Nursing Home No of HIV positive pregnant women to be detected 72 59 82 % Through the channel of PPTCT NGO, TI NGO, other Lab. Etc. MB Pairs 59 56 95% Through the channel of PPTCT NGO, ICTC, Etc. Delivery’s remaining of financial year Referral of clients from ICTC- RNTCP (Up to Jan 12) 4268 4296 101 % Through the ICTC

19. ACHIVEMENT IN ART CENTER in up to DECEMBER 2011

20. ACHIVEMENT IN ART CENTER in up to DECEMBER 2011

21. ACHIVEMENT IN ART CENTER in up to February 2012 MALE FEMALE TRANSE GENDER MALE CHILD FEMALE CHILD TOTAL PRE ART 1241 896 101 88 2353 ON ART 870 512 51 26 1459 ALIVE ON ART 581 377 43 21 1022 ANC PRE ART 102 ANC ON ART 16 LFU 35 22 57 MISS 27 29 1 1 78 DEATH 120 36 5 1 162 ON CPT 250

22. THANK YOU 48, 49 OPD Building, Civil Hospital (IRVIN), Irvin Square, Camp Road, Amravati-444603 (M.S.) Phone No. 0721-2551965, 2663337.39. Extn . 153 Fax No. 07212552110, 2663338 E-mail:- [email protected] , [email protected] , [email protected] ,