Nacp

NATIONAL AIDS CONTROL PROGRAMME FOR COMMUNITY HEALTH NURSING.

1. RANKING SOUTH AFRICA NIGERIA IN D IA KENYA TANZANIA

2. NATIONAL AIDS CONTROL PROGRAMME (1987) GOALS: 80% coverage of high risk groups 90% coverage of schools and colleges by education 80% awareness among rural population Reduction of transmission through blood to less than 1% Establishment of at least 1 voluntary testing counseling centre for every district Reduction of mother to child transmission Achieving zero level increase of HIV/AIDS new infections by the year 2007.

3. PROGRAMME DETAILS: NACP PHASE I (1992-1999)

4. THE GOVERNMENT OF INDIA LAUNCHED A HIV/AIDS CONTROL PROJECT ( PHASE I ) FROM 1992 – 1999. 100% CENTRALLY SPONSORED PROJECT FOR ALL STATES.

5. PROJECT OBJECTIVES : INVOLVE ALL STATES IN PREVENTION ACTIVITIES. ATTAIN SATISFACTORY LEVEL OF PUBLIC AWARENESS. DEVELOP HEALTH PROMOTION INTERVENTIONS AMONG RISK BEHAVIOUR GROUPS. BLOOD SCREENING. DECREASE THE PRACTICE OF PROFESSIONAL BLOOD DONATIONS.

6. IN 1992 THE MINISTRY OF HEALTH AND FAMILY WELFARE SETUP A “ NATIONAL AIDS CONTROL ORGANIZATION (NACO) “. A SEPARATE WING TO IMPLEMENT AND MONITOR THE VARIOUS ACTIVITIES OF THE AIDS CONTROL PROGRAMME.

7. ACTIVITIES OF NACO : PROMOTION OF CONDOM TREATMENT FOR STD PREVENTION OF MOTHER TO CHILD TRANSMISSION. VCTC SERVICES. ACCESS OF SAFE BLOOD. TREATMENT OF OPPURTUNISTIC INFECTIONS . ART.

8. BLOOD SAFETY POLICY

9. OBJECTIVES TO ENSURE ORGANIZED BLOOD BANKING SERVICES TO EDUCATE AND MOTIVATE PEOPLE ABOUT VOLUNTARY BLOOD DONATION TO ENFORCE QUALITY CONTROL OF BLOOD BEFORE INFUSION

10. BLOOD TRANSFUSION COUNCILS SET UP AT NATIONAL AND STATE LEVEL. ONLY LICENSED BLOOD BANKS ARE PERMITTED TO OPERATE. ENSURE SAFE BLOOD COLLECTION AND STORAGE. TESTING OF EVERY UNIT OF BLOOD IS MANDATORY FOR DETECTING INFECTIONS.

11. ESTABLISHED BLOOD STORAGE CENTRES AT FRU’S. VOLUNTRY BLOOD DONATION IS ENCOURAGED. ZONAL BLOOD TESTING CENTRES HAVE BEEN ESTABLISHED. HIV TEST KITS ARE SUPPLIED UPTO DISTRICT LEVEL BLOOD BANKS.

12. ACHIEVEMENT OF PHASE I AWARENESS LEVEL INSIGNIFICANT IN URBAN AND RURAL AREAS. URBAN : 70 – 80% RURAL 30%

13. NACP PHASE II (1999-2006)

14. AIMS OF PHASE II (1999-2006): TO SHIFT THE FOCUS FROM RAISING AWRENESS TO CHANGING BEHAVIOUR THROUGH INTERVENTIONS. PROGRAMME DELIVERY SHOULD BE FLEXIBLE, EVIDENCE BASED AND PARTICIPATORY. SUPPORT DECENTRALIZATION. ENCOURAGING VOLUNTRY COUNCELLING AND TESTING INSTEAD OF MANDATORY TO ENCOURAGE MANAGEMENT REFORMS (DRUGS AND EQUIPMENTS)

15. OBJECTIVES TO PREVENT FURTHER TRANSMISSION OF HIV TO DECREASE THE MORBIDITY AND MORTALITY ASSOCIATED WITH HIV INFECTION. TO MINIMIZE THE SOCIO-ECONOMIC IMPACT RESULTING FROM HIV INFECTION.

16. PROGRAMME STRATEGIES

17. 1. NATIONAL AIDS PREVENTION & CONTROL POLICY IN APRIL 2002 GOVT.OF.INDIA APPROVED THE NATIONAL AIDS PREVENTION AND CONTROL POLICY. OBJECTIVES ZERO TRANSMISSION RATE PREVENT FURTHER SPREAD OF THE DISEASE. IMPROVE SERVICES FOR PLWA.

18. CARE OF PLWA Protection of their rights Proper care and support in the hospitals and community Keeping confidentiality Formation of self help groups Encouragement for the participation of NGO Sensitization of medical and Para medical people Proper counseling of HIV positive mothers Clinical management of HIV/AIDS

19. 2. STI TREATMENT The objective is to reduce STI s and there by control HIV transmission and to prevent morbidity and mortality due to STIs Development of adequate and effective management Promoting IEC activities Comprehensive care management Increasing access to health care by creating new structures

20. 2. COUNCILLING AND TESTING

21. Early detection of HIV by rapid diagnostic tests. Providing basic information on modes of transmission and prevention of HIV/AIDS Linking people with other HIV prevention , care and treatment services.

22. 4. CONDOM PROMOTION

23. Sensitizing the clients and CSW to use condoms Availability of low cost and good quality GOAL: QUALITY CONTROL OF CONDOMS SOCIAL MARKETING OF CONDOMS INVOLVEMENT OF NGO’S AND PRIVATE ORGANIZATIONS.

24. 5. HIV SURVEILLANCE DIFFERENT TYPE OF SURVEILLANCE ACTIVITIES ARE CARRIED OUT TO IDENTIFY THE CASES. HIV SENTINEL SURVEILLANCE, STD SURVEILLANCE, AIDS CASE SURVEILLANCE etc…

25. SENTINEL SURVEILLANCE MONITOR THE TRENDS OF HIV INFECTION. REGULAR SURVEILLANCE IN 1200 SENTINEL SITES. TARGET POPULATION 15-45 YEARS, ANC MOTHERS, C.S.W ETC…

26. 6. TARGET INTERVENTIONS

27. 7. SCHOOL AIDS AWARNESS PROGRAMME

28. 8. IEC ACTIVITIES

29. RED RIBBON EXPRESS RED RIBBON CLUB IN SCHOOLS AND COLLEGES. ADOLESCENT HEALTH EDUCATION PROGRAMME. BEHAVIOUR CHANGE COMMUNICATION (BCC) MASS MEDIA INVOLVEMENT.

30. 9. FAMILY HEALTH AWARENESS CAMPAIGN ( FHAC ) PERIOD OF CAMPAIGN IS OF 15 DAYS AND DAYS ARE DECIDED BY THE STATES AS PER THEIR CONVENIENCE. MAINLY ADDRESSING THE REPRODUCTIVE HEALTH .

31. 10. PREVENTION OF MOTHER TO CHILD TRANSMISSION (PMTCT)

32. Among 100 HIV positive women: 5 to 10 infants will be infected during pregnancy 10 to 20 infants will be infected during labor and delivery 20 to 30 infants will be infected during breast feeding

33. NEVIRAPINE SINGLE DOSE TO MOTHER AND CHILD HAS BEEN STARTED FROM OCTOBER 2001 . REFERAL TO PPTCT CENTRES. MODIFIED MIDWIFERY PRACTICES. SAFE INFANT FEEDING. FAMILY PLANNING SERVICES .

34. 11.POST EXPOSURE PROPHYLAXSIS

35. POST-EXPOSURE PROPHYLAXIS SHOULD BE GIVEN WITHIN FOUR HOURS. THE COMBINATION OF ANTIRETROVIRAL DRUGS, ZIDOVUDINE (AZT), LAMIVUDINE (3TC), AND INDINAVIR. FOLLOW-UP OF AN HIV EXPOSED FOR 1 YEAR FOR SEROLOGICAL INVESTIGATIONS .

36. 12. NATIONAL AIDS HELPLINE

37. TOLL FREE NO 1097 INFORMATION AND COUNSELLING SERVICES.

38. PHASE III (2007 – 2012) GOAL: HALT AND REVERSE THE EPIDEMICS OF HIV IN INDIA OVER THE NEXT FIVE YEARS BY INTEGRATING PROGRAMMES FOR PREVENTION CARE, SUPPORT AND TREATMENT.

39. PROGRAMME STRATEGY Prevention of new infections in high risk groups Prophylactic treatment for HIV infected people to prevent opportunistic infections Providing greater care and support PLWHA Strengthening infrastructure development Nation wide HMIS

40. PHASE IV (2012 – 2017) Funded by global fund fight against HIV/AIDS and world bank. Main focus on: transgender Prevention of new infections PPTCT Reducing social stigma

41. PROGRAMME STRATEGIES Promotion of female condoms Scaling up of second line drugs in ART Social protection for ending discrimination

42. ANTI RETROVIRAL TREATMENT HAART: CD4 CELL COUNT< 350 ZIDOVUDINE 500 mg TENOFOVIR 300 mg RITONAVIR 600 mg NEVIRAPINE 200 mg

43. PROGRAMME ACHIEVEMENT Annual HIV infection rate reduced up to 57% In 2000 HIV infection rate : 2,74,000 In 2011 HIV Infection rate : 1,16,000 Prevalence rate of HIV in 2000 : 0.41% Prevalence rate of HIV in 2011 : 0.27%

44. WORLD AIDS DAY THEME (DEC.1) “GETTING TO ZERO” ZERO NEW HIV INFECTIONS ZERO DISCRIMINATION ZERO AIDS RELATED DEATHS

45. Organizational pattern: NACO STATE AIDS CONTROL SOCIETY DISTRICT SOCIETY ICTC

46. ROLE OF NURSE