National aids control programme

NACO AIDS national programme , social and preventive medicine , spm , psm

2. Started in 1987
Ministry of Health & Family Welfare set
up NACO
To prevent further transmission
To decrease morbidity & mortality
To minimize the socio-economic impact

5. 1986 – 1
st
case
AIDS task force by ICMR
National AIDS Committee
1990- medium term plan
1992- NACP-I
National AIDS control Board
NACO

6. 1999 – NACP II
State AIDS control Society
2002 – National AIDS Control policy
National blood policy
2004- Antiretroviral treatment

7. 2006 –National Council on AIDS
•National policy on paediatric ART

2007- NACP- III (2007-2012)
2014 – NACP IV (2012-2017)

8. Establishment of surveillance centers
Identify & screen high risk groups
Guidelines for management of case
Guidelines for blood bank & blood
donors,dialysis units

9. Information,education&communication
activities
Control of STD
Condom programme
Research

10. Prevention services
Intervention for high risk group& bridge groups
Needle syringe exchange programme
Control of STDs & reproductive tract infections
HIV councelling & testing services
Blood safety,parent to child transmission

11. Care, support & treatment services
Laboratory services
Free 1
st
& 2
nd
line ART & treatment of
opportunistic infections
Paediatric ART for children
Early infant diagnosis for HIV exposed
infants

12. 3 groups
Group I : Maharashtra,TN, Karnataka, AP
,Manipur, Nagaland
Group II: Gujarat,Goa,Puduchery
Group III: remaining states

13. CategoryANC/PTCT
prevalence
HRG
prevalence
Hotspot
A >1%
B < 1% >5%
C <1% <5% Y
D <1% <5% N

14. HIV Sentinel Surveillance
HIV Sero - Surveillance
AIDS Case Surveillance
STD surveillance
Behavioral Surveillance
Integration with other disease surveillances

15. Inclusion of data from HRG& additional subsets of
rural samples through ANC
Objectives
To determine the level of infection
To determine the trend HIV epidemic
To understand the geographical spread & to
identify the emerging pockets
To provide information for prioritization of resources
To estimate HIV prevalence & HIV burden

16. Since 1997
Components:
ICTC
PPTCT
HIV/ tuberculosis collaborative activities

17. Early detection
Provision of basic information on modes
of transmission & prevention
Linking PLHIV with other HIV prevention,
care & treatment services

18. 2 types-fixed facility & mobile ICTC
Fixed facility ICTC : within an existing
health care system
Standalone ICTC
Facility-ICTC
Mobile ICTC

19. Started in 2002
Aims
HIV testing to every pregnant woman
To cover all the HIV positive pregnant
woman
Eliminate transmission from mother-child

20. HIV couselling &testing to all pregnant
woman
Family-centric approach
Lifelong ART for HIV +ve regardless of
CD4 count
Institutional deivery promotion

21. Care for associated conditions
Exclusive breast feeding
ARV prophylaxis for infants
Follow-up:infants& community level

23. Free ART
Psychosocial support
Prevention & treatment of oppurtunistic
infections
Facilitating home based care
Impact mitigation
Aim:

24. SELECTED MEDICAL COLLEGES
MEDICAL COLLEGE& DISTRICT LEVEL
HOSPITAL
SUB-DISTRICT HSPTL & CHCs

25. 1
st
-line ART : free of cost, to PLHIV through
ART centres based on C/E &CD4 counts
Alternative 1
st
line ART intolerance to 1
st
line/
2
ND
Line ART Rx failure
National paediatric AIDS initiative
Paediatric 2
nd
line ART
Early infant diagnosis

26. Detection & treatment of STIs
Condom distribution,promotion
Behaviour change communication
Community involvement
Linkages to ICTC & CST
Specific intervention for IDUs
Specific intervention for MSM/TGs

27. HIV prevention & care of HRGs & vulnerable
groups in rural areas
Provide information on prevention & risk
reduction
Condom promotion & distribution
Provide referral & follow up linkages

28. Provision of safe &quality blood
Coordinated transfusion service
NACO supports BCSU & bloodbanks
Blood storage facility at FRUs
Objectives
To reduce transfusion associated HIV <0.5%
Prohibition of professional blood donation
Awareness creation & capacity building
Mandatory testing of blood for HIV, HeB,HeC malaria
&syphilis

29. NACO
Quality control of condoms
Social marketting of condoms
Involvement of NGOs

30. 2 approaches
Syndromic management for STDs
Integrate RTI management & STD
management
STD clinic at FRU/Block/District level act as
referral centres for cases from periphery
Strengthening STD clinics

31. Massive orientation & training
Atleast one NACO supported
“Suraksha clinic” per district
Validate the syndromic diagnosis
Monitor drug resistance
Pre-packed STI/RTI colour coded kits

32. School AIDS Education programme
Red ribbon clubs
World AIDS day
Print &Mass media
Family Health Awareness campaign

33. Link worker scheme –GP & HRGs
Create demand for CST services
Antiretroviral treatment
PPTCT
National AIDS telephone Helpline –
1097