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Dr Pramod Dr Sudipta Dr Pramod Dr Sudipta Presentation Transcript

  • An Overview of HIV/AIDS Epidemic Situation and Programmatic Response in Uttar Pradesh
    IAPSM Conference Dehradun
    30-31 Oct 2010
    Dr Pramod Gautam
    Dr Sudipta Mondal
    FHI
  • About FHI
    1971 - The establishment of Institute for Family Health (IFH) managing research and field activities (North Carolina)
    1986 - The establishment of Institute for HIV/AIDS (IHA) managing the work on HIV prevention Programs
    1990 - FHI Foundation Established
    1993 - HIV Prevention Research and Women’s Studies
    1995 - PQC Established
    1999 - Pharma Link FHI Established
    2001 - Youthnet, IFA and IHA
    2004 - Malaria Clinical Trials
    2006 - HPV, Avian Flu, Rotavirus and Unification for Greater Impact
  • Mission, Values and Beliefs
  • SAMARTH Project Overview
    Background:
    Strengthen Abilities to Manage And Respond effectively To HIV/AIDS (SAMARTH) is a five-year Technical Assistance (TA) grant under the United States Mission to the India Five-Year Strategic Plan for the PEPFAR during 2006-2011
    Goal:
    Improve the effectiveness of the response of the government and civil society for evidence-based HIV policy and programs in India
  • Objectives
    To enhance capacities of government and civil society for effective management of HIV /AIDS program
    To strengthen quality of HIV prevention, care and treatment in the public and private sector
    To improve planning, collection analysis, and use of strategic information (SI) at the national, state, and district levels
    To foster bold leadership and visibility of USG-supported programs through strategic communication
  • Vulnerability Factors for HIV Epidemic in UP

    Population 180-200 million (growth rate 2.5%)

    48
    -
    50% in reproductive age group

    Low literacy (rural 36.66%, state 57.2%)

    High incidence of poverty

    Low status of women & Gender disparity

    Large presence of high risk groups
    * Migrants
    : 10 million
    * Truckers
    : 50,000 (8 national highways)
    *
    FSWs
    : 20000-25000
    * IDUs
    : 10000-12000
    * MSM
    : 10000-12000

    Long porous Indo
    -
    Nepal border
  • Levels and Trends of HIV in UP
  • Adult HIV Prevalence in Indian and UP
  • HIV Prevalence in UP: NFHS-III Estimate
  • Trend in HIV Prevalence among General Population
  • Trend in HIV Prevalence among High Risk Groups
  • HIV prevalence trends at ICTC in Eastern UP and rest of UP
  • Prevalence of HIV among clients tested at ICTC by region
  • Prevalence of HIV among clients tested at PPTCT by region
  • HIV Positivity among HRGs in UP
    2008 – 2009
    Data Source: CMIS -UPSACS
  • BSS Indicators
  • Comprehensive knowledge on HIV
    Percentage of respondents who could correctly identify:
    • Two major ways of preventing the sexual transmission of HIV
    Consistent condom use
    Having one faithful uninfected sex partner
    • Reject the two most common local misconceptions about HIV transmission
    Transmission of HIV/AIDS through mosquito bites
    Sharing of meals with HIV/AIDS patients
    • Know that a healthy-looking person can transmit HIV
    18
  • Comprehensive knowledge about HIV - FSWs
    By Region
    Total
  • Number of different types of clients and partners in the last week
  • Condom use during last sex with occasional and regular clients
  • Consistent condom use with occasional & regular clients in last 30 days
    Base: Those who used condoms during sex
  • Aware of free Government counseling and testing services
    Total
    By Region
    Base: All
  • Injecting Drug Users (IDUs)
  • HIV/ AIDS Knowledge and Prevention- IDU
  • Sexual behavior of IDU with female partners
    • 76% of IDUs ever had sex with a female partner
    • Mean age at first sex with a female partner was 19 years
    • 8% of IDUs ever had sex with a Female Sex Worker
    • Mean Age at first sex with a FSW was 21 years
    • Mean number of sex acts with female partner in the last one week was 4
  • Sexual Behavior and Condom Use with Female Partners
  • Men Having Sex With Men (MSM)
  • Knowledge of HIV/AIDS-MSM
    Knowledge on transmission of HIV/AIDS among respondents
    COMPREHENSIVE KNOWLEDGE ABOUT HIV/AIDS
    18% - 2009 UP BSS
    16% - 2006 UP BSS
  • Condom Usage with Male Partners
    Condom use during last sex with male partners
    Common reasons for not using condoms with male partners
    • Trust - regular male partners
    • Condoms not available - casual partners
    • Never heard of a condom, condom not available and decrease in pleasure - paid partners
    • Condoms tear easily - paying partners
  • Condom Use with Paying Male Partners
    20 .27 – Mean age when first had paying partners
    6.68 - Mean number of paying male clients in a typical week
    6.34 -Mean number of anal sex acts with paying male clients in the last week
    40% – Never used a condom with clients
    Common reasons for not using a condom with clients
    • 27% - condoms tear easily
    • 23% - condoms not available
  • Drivers of the Epidemic
  • FSWs and MSM
    Estimates distribution of total 22,425 FSWs across 1,496 sites
    Estimates distribution of total 10,922 MSM across 799 sites
  • IDUs and Hijras
    Estimates distribution of total 13,946 IDUs across 1251 sites
    Estimates distribution of total 4,673 Hijras across 525 sites
    • Scattered across 612 towns with a density of 0.6 HRG per 1000 male
    • Migrants concentrated in 68 towns with 12.7% reporting high risk behaviour
    • High proportion of IDUs – Easy accessibility and less expensive
    • Hijras - a small proportion and even smaller proportion (2.3%) reported risk behaviour
  • Estimates of High Risk Groups (HRGs) in Uttar Pradesh
    624
    1,058
    730
    1,090
    337
    1,741
    685
    1,198
    634
    953
    672
    734
    1,772
    828
    1,705
    919
    1,052
    717
    174
    1,396
    238
    61
    904
    267
    750
    155
    534
    284
    336
    1,724
    896
    201
    372
    377
    1,938
    255
    492
    235
    722
    501
    576
    592
    1,348
    476
    1,168
    448
    803
    450
    57
    3,498
    759
    222
    1,006
    749
    561
    967
    656
    629
    1,016
    603
    365
    2,375
    191
    371
    82
    211
    735
    42
    157
    277
    315
    35
  • Estimates of Female Sex Workers (FSWs) in Uttar Pradesh
    36
  • Estimates of Men Having Sex with Men (MSM) in Uttar Pradesh
    150
    225
    96
    97
    31
    516
    191
    154
    207
    293
    181
    178
    155
    122
    138
    298
    138
    106
    7
    445
    2
    180
    20
    127
    3
    18
    135
    43
    414
    59
    12
    104
    65
    88
    23
    56
    868
    299
    79
    95
    41
    65
    119
    117
    465
    123
    185
    130
    591
    580
    16
    102
    145
    142
    8
    237
    115
    64
    120
    825
    24
    20
    150
    8
    10
    56
    46
    37
    37
  • Estimates of Injecting Drug Users (IDUs) in Uttar Pradesh
    142
    267
    280
    118
    289
    268
    484
    172
    337
    74
    371
    343
    123
    258
    714
    202
    366
    139
    560
    67
    100
    3
    16
    403
    2
    61
    31
    43
    318
    88
    66
    130
    320
    69
    151
    247
    5
    133
    72
    49
    73
    111
    195
    110
    769
    190
    27
    1372
    466
    29
    180
    155
    91
    107
    169
    149
    219
    166
    163
    51
    51
    758
    17
    159
    57
    23
    126
    82
    38
  • 747
    615
    25,786
    39,037
    1,333
    367
    3,557
    122,564
    10,213
    339
    1,050
    616
    294
    563
    324
    625
    958
    214
    337
    324
    276
    671
    9,600
    208
    2,107
    660
    781
    287
    36,066
    389
    1,502
    1,116
    500
    313
    1,856
    509
    238
    1,525
    44,985
    1,600
    986
    240
    800
    318
    1,256
    163
    18,521
    375
    1,812
    3,640
    400
    352
    308
    442
    Estimates of Single Male Circular Migrants in Uttar Pradesh
    39
  • 11.97 million people are migrants in Maharashtra
  • Most of the migrants are from UP
    Source: Behavioral Surveillance Survey, Maharashtra, 2009
  • Allahabad, Gorakhpur, Varanasi, Jaunpur, Sultanpur, Kanpur, Faizabad, Pratapgarh, Mughal Saray, Sant Kabir Nagar, Sardar, Azamgarh, Faijabad, Basti, Siddharth Nagar & Lucknow
  • Challenges and Opportunities
    Gaps:
    Being low prevalent state, the number of HSS, ICTC and PPTCT sites are low
    The quality of services statistics in recording and reporting needs improvement in terms of
    Consistency
    Completeness
    Correctness
    Changes:
    Recently attention has been laid on data quality and data use
    Data Triangulation Exercise
    Capacity building of all level of staff are being done
  • Programmatic response to combat HIV/AIDS in Uttar Pradesh
  • National AIDS Control Programme Phase III (NACP III)
    Goal:
    Halt and reverse the epidemic in India over the next five years
    Specific Objectives:
    Reduce new infections by
    60% in high prevalence states
    40% in vulnerable states
  • NACP III - Four pronged strategy
    Prevent new infections
    Increase proportion of PLHA receiving care, support, and treatment
    Strengthen capacity at district, state and national levels
    Build strategic information management systems
  • Strategic shift from NACP II to NACP III
    NACP III
    NACP II
    Aims toshift the focus from raising awareness to behavior change
    Through interventions, particularly for groups at a high risk of contracting and spreading HIV
    Aims at saturation of coverage of the core target population (80%)
    Guiding Principles:
    3 Ones principle
    Evidence-based planning
    A & B districts – more focus
    Decentralization
  • NACP-III at a glance
    Care, Support &
    Treatment
    Prevention
    Capacity Building
    Strategic
    Information
    Management
    Care & support
    Monitoring and Evaluation
    High risk populations
    Low risk populations
    Institutional Strengthening
    • Blood safety
    • Integrated Counselling and Testing including PPTCT
    • STI care
    • IEC and social mobilisation
    • Mainstreaming
    • Targeted Interventions (TIs)
    • STI care
    • Condom promotion
    • Enabling environment
    • ART
    • HIV-TB co-ordination
    • Treatment of OIs
    • CCCs
    • Post-Exposure Prophylaxis (PEP)
    • HIV Sentinel Surveillance
    • Behavioural Surveillance
    • Monitoring and Evaluation
    • Operations research
    • DAPCU
    • Technical resource groups
    • Enhanced HR at NACO, SACS and districts
    • Enhanced training activities
  • Consolidate gains
    Scale up treatment services
    Focus on youth and adolescents
    Decentralize to district & sub-district level
    Saturate coverage of High Risk Groups
    Normalize use of condoms
    Priorities under NACP-III
    Stigma & Discrimination
  • NACP III : Challenges
    Infection moving from
    • High risk groups to general population
    • Urban to rural areas
    • Adults to vulnerable youth
    • High prevalence states to all states
    Evolving a well coordinated response
    • Raising financial resources
    • Involving a large number of donors /key stakeholders
    • Avoiding program overlaps and duplication
    • Strengthening capacities in states, districts
    • Energizing program management at all levels
  • Prioritize Districts for Interventions and optimum utilization of resources
    UP has only 5 A category districts:
    Allahabd, Mau, Deoria, Banda & Etawah
  • UPSACS - HIV/AIDS related services and Interventions
  • Information, Education, Communication
    CCTV:
    • HIV/AIDS messages through CCTV at Lucknow and Gorakhpur Railway Station.
    Print Media:
    • HIV/AIDS related messages on Railway Reservation Form (46 lakh)
    • HIV/AIDS related messages on Meghdoot Postcards (15 lakh)
    • VBD posters and WAD posters and manuals for HRG
    IPC:
    • 1300 NCC cadets and 60 Instructors trained.
    • 200 Gram Sabha Meetings in Banda and Deoria
    • 70 folk troupes trained
    • 200 folk media performances
  • Information, Education, Communication
    Mass Media
    All India Radio:
    • Weekly phone-in programme (twice) from Primary and FM channels of AIR
    • Sensitization of RJs and other staffs of Radio City, Radio Mirchi, Big FM
    • Sensitization of all Station Directors of AIR
    Doordarshan:
    • Broadcasting of video spots on HIV/AIDS, Phone-in programme and Youth Quiz on HIV/AIDS.
    • Participation in Kalyani Health Magazine.
    Outdoor Media:
    • Installation of Hoardings and Wall writing on prevention, available services and Condom promotion in Medical Colleges and SGPGI
    • 30 hoardings installed and 30 wall writings done
    • 52 wall writings by Gram Pradhans – free of cost
    • 5 Mobile vans by HLFPPT in all ‘A’ districts
  • Information, Education, Communication
    Voluntary Blood Donation Day
    • Inter Sectoral meeting chaired by Chief Secretary.
    • Chief Secretary addressed all the DMs & CMOs
    World AIDS Day
    • Mass Media campaign through 9 Mobile vans with 135 folk troupe performances
    • Rally on 1 Dec, 09 with support of CMO, Lko. Approx. 7000 participants
    • Inter Colleges street play competition with support of IIM,LKO
    • Awareness campaign in slums with support of Rotary Club and Lucknow University
    • HIV/AIDS awareness activities in 85 colleges through Red Ribbon Clubs
  • Information, Education, Communication
    Mela and Mahotsav:
    • Folk troups performances in Magh Mela and Ganga Mahotsav
    • Activities in Kanpur IIT, Antaragini 09. Approximate 350 youth get tested themselves in Antaragini.
    • Different activities for HIV/AIDS awareness in IIM Lucknow, and in Babu Banarasi Das College, Lucknow.
    National Youth Day
    • Rally in collaboration with CMO Allahabad.
    • Street Play and debate competition
  • Youth Affairs and Mainstreaming
    • 127 Red Ribbon Clubs opened
    • Antyodaya Anna Yojana / BPL card for PLHIV in all dist
    • Bar Association in 3 districts providing free legal aid to HIV+
    • NREGA providing employment to HIV+ without stigma
    • 1 orphanage functional in Lucknow for PLHIV and children.
    • Grievance redressal mechanism in UPNP+ active
    • Govt. officials oriented on HIV in 15 districts
    • PRI members trained in 5 districts (1700 Nos)
    • 2059 ASHA & 2176 AWW trained in 5 ‘A’ category districts
    • 56 Pradhans did wall paintings from their development funds
    • SIRD includes HIV session in all their training programs of ICDS and PRI
  • Targeted Interventions (2010-11)
  • District Wise Distribution of *Core Tis –Uttar Pradesh
    LEGEND - Distribution of Core TIs
    FSW MSM & IDU
    FSW & MSM
    FSW & IDU
    FSW (F)
    IDU (I)
    MSM (M)
    Nos. in circles indicates no. of Tis in the respective district
    Saharanpur
    Bijnor
    Muzaffarnagar
    Meerut
    I-350
    Baghpat
    1
    1
    JP Nagar
    Rampur
    3
    Ghaziabad
    Moradabad
    I-200
    1
    Pilibhit
    (F-500
    +M-600
    +I-500)
    GB Nagar
    (F-500+M-1000+I-200)
    2
    Bareilly
    I-250
    Bulandshahar
    Lakhimpur
    Kheri
    Budaun
    Shahjahanpur
    I-500+I-200
    Aligarh
    Sharwasti
    Sant Kabir Nagar
    Bahraich
    Etah
    Balrampur
    Hathras
    2
    Mathura
    Sitapur
    Farrukhabad
    Siddharthnagar
    Hardoi
    Maharajganj
    F-500+M-300
    1
    3
    Firozabad
    1
    Gonda
    Mainpuri
    Kannauj
    Kusinagar
    F-250
    Agra
    1
    Bara Banki
    4
    Basti
    F-300+I-250
    Etawah
    Gorakhpur
    I-750
    Lucknow
    Faizabad
    Unnao
    (F-500+M-350+I-300)
    1
    I-200
    Ambedkar Nagar
    F-250
    Kanpur Nagar
    Auraiya
    Deoria
    Kanpur
    Dehat
    Rae Bareli
    F-250
    1
    1
    Sultanpur
    Jalaun
    Mau
    M-550
    2
    Azamgarh
    Ballia
    I-250
    Pratapgarh
    Fatehpur
    1
    1
    M-200
    Jaunpur
    1
    1
    Hamirpur
    Jhansi
    Ghazipur
    F-500
    Banda
    I-200
    Varanasi
    Kaushambi
    Mahoba
    Bhadohi
    (F-500+M-400+I-500)
    3
    Allahabad
    Chitrakoot
    4
    Chandauli
    1
    Mirzapur
    Lalitpur
    F-250
    (F-500+M-900+I-500+F-250)
    Total Nos. Of Core Tis 37
    (FSW 13, MSM 8, IDU 16)
    Sonbhadra
  • District Wise Distribution of FSWs
    Reached & Mapped
    Saharanpur
    Legend - Based on FSWs reached
    Nos. in colour indicates FSWs reached
    No. Tis in the districts
    Up to 199
    200 to 299
    300 to 399
    400 & more
    Nos. in colour indicates FSWs mapped
    Muzaffarnagar
    Bijnor
    Moradabad
    Meerut
    JP Nagar
    Rampur
    Bagpat
    Pilibhit
    Ghaziabad
    Bulandshahar
    Bareilly
    Budaun
    GB Nagar
    Bahraich
    Sant Kabir Nagar
    Aligarh
    Lakhimpur Kheri
    Sharwasti
    Mathura
    Shahjahanpur
    Balrampur
    Hathras
    Etah
    Siddharthnagar
    Farrukhabad
    Sitapur
    Maharajganj
    Firozabad
    Hardoi
    Agra
    Kannauj
    Bara Banki
    Gonda
    Gorakhpur
    Unnao
    Basti
    Kusinagar
    Faizabad
    Lucknow
    Auraiya
    Etawah
    Ambedkar Nagar
    Deoria
    Rae Bareli
    Sultanpur
    Kanpur
    Dehat
    Mau
    Kanpur
    Nagar
    Azamgarh
    Jaunpur
    Pratapgarh
    Ballia
    Jalaun
    Fatehpur
    Hamirpur
    Jhansi
    Ghazipur
    Allahabad
    Bhadohi
    Varanasi
    Mahoba
    Kaushambi
    Banda
    Mirzapur
    Chitrakoot
    Chandauli
    Lalitpur
    Sonbhdra
    TSU, UPSACS
  • District Wise distribution of MSMs Reached & Mapped
    Saharanpur
    Legend - Based on MSMs reached
    Nos. in colour indicates MSMs reached
    No. Tis in the districts
    Up to 199
    200 to 299
    300 to 399
    400 & more
    Nos. in colour indicates MSMs mapped
    Legend -
    No. Tis in the districts
    <=200
    <=300
    <=400
    >400
    Muzaffarnagar
    Bijnor
    Moradabad
    Rampur
    Meerut
    JP Nagar
    Bagpat
    Ghaizabad
    Pilibhit
    Bulandshahar
    Bareilly
    Budaun
    Shahjahanpur
    GB Nagar
    Bahraich
    Aligarh
    Lakhimpur Kheri
    Sant Kabir Nagar
    Sharwasti
    Sitapur
    Mathura
    Balrampur
    Etah
    Hathras
    Farrukhabad
    Maharajganj
    Siddharthnagar
    Mainpuri
    Firozabad
    Hardoi
    Agra
    Gonda
    Kannauj
    Kusinagar
    Gorakhpur
    Basti
    Unnao
    Bara Banki
    Etawah
    Kanpur
    Dehat
    Faizabad
    Lucknow
    Auraiya
    Ambedkar Nagar
    Deoria
    Jalaun
    Sultanpur
    Kanpur
    Nagar
    Rae Bareli
    Pratapgarh
    Mau
    Ballia
    Azamgarh
    Kaushambi
    Fatehpur
    Jaunpur
    Jhansi
    Hamirpur
    Ghazipur
    Allahabad
    Bhadohi
    Banda
    Varanasi
    Mahoba
    Chitrakoot
    Mirzapur
    Chandauli
    Lalitpur
    Sonbhadra
    TSU, UPSACS
  • District Wise distribution of IDUs Reached & Mapped
    Saharanpur
    Legend - Based on IDUs reached
    Nos. in colour indicates IDUs reached
    No. Tis in the districts
    Up to 199
    200 to 299
    300 to 399
    400 & more
    Nos. in colour indicates IDUs mapped
    Muzaffarnagar
    Bijnor
    Moradabad
    Bagpat
    Meerut
    Rampur
    JP Nagar
    Ghaziabad
    Pilibhit
    GB Nagar
    Bulandshahar
    Bareilly
    Budaun
    Shahjahanpur
    Bahraich
    Aligarh
    Lakhimpur Kheri
    Sant Kabir Nagar
    Mathura
    Sitapur
    Balrampur
    Hathras
    Sharwasti
    Etah
    Farrukhabad
    Siddharthnagar
    Maharajganj
    Hardoi
    Firozabad
    Bara Banki
    Mainpuri
    Agra
    Gonda
    Kusinagar
    Kannauj
    Gorakhpur
    Basti
    Etawah
    Unnao
    Kanpur
    Dehat
    Faizabad
    Lucknow
    Ambedkar Nagar
    Auraiya
    Jalaun
    Sultanpur
    Deoria
    Rae Bareli
    Mau
    Kanpur
    Nagar
    Pratapgarh
    Ballia
    Azamgarh
    Kaushambi
    Fatehpur
    Jaunpur
    Hamirpur
    Jhansi
    Ghazipur
    Allahabad
    Banda
    Bhadohi
    Varanasi
    Mahoba
    Mirzapur
    Chitrakoot
    Chandauli
    Sonbhadra
    Lalitpur
    TSU, UPSACS
  • District Wise Distribution of HRGs Reached& Mapped
    Saharanpur
    Legend –
    Nos. in colores indicates HRGs reached
    Up to 500
    501 - 750
    751 - 1000
    More than 1000
    Nos. in colores indicates HRGs mapped
    Bijnor
    Muzaffarnagar
    Moradabad
    Meerut
    Rampur
    Baghpat
    Pilibhit
    Ghaziabad
    Bareilly
    JP Nagar
    Lakhimpur
    Kheri
    Shahjahanpur
    Bulandshahar
    GB Nagar
    Bahraich
    Aligarh
    Budaun
    Etah
    Sharwasti
    Sant Kabir Nagar
    Balrampur
    Sitapur
    Mathura
    Hardoi
    Hathras
    Farrukhabad
    Maharajganj
    Siddharthnagar
    Mainpuri
    Bara Banki
    Firozabad
    Gonda
    Agra
    Kannauj
    Gorakhpur
    Basti
    Kanpur
    Nagar
    Etawah
    Kusinagar
    Faizabad
    Lucknow
    Unnao
    Auraiya
    Ambedkar Nagar
    Rae Bareli
    Deoria
    Kanpur
    Dehat
    Sultanpur
    Mau
    Pratapgarh
    Ballia
    Jalaun
    Fatehpur
    Azamgarh
    Jhansi
    Banda
    Hamirpur
    Ghazipur
    Jaunpur
    Kaushambi
    Varanasi
    Mahoba
    Bhadohi
    Allahabad
    Chitrakoot
    Chandauli
    Mirzapur
    Lalitpur
    Sonbhadra
  • ICTC
    Govt. ICTC: 250
    PPP-ICTC: 27
    Mostly ICTCs are in District Hospitals and in Medical Colleges
    In ‘A’ category districts up to sub-district level
  • Saharanpur
    Legend -
    Up to 100
    101 - 300
    301 – 500
    501 - 1000
    1001 - 3000
    More than 3000
    Muzaffarnagar
    Bijnor
    Baghpat
    Moradabad
    Meerut
    JP Nagar
    Rampur
    Ghaziabad
    Pilibhit
    Gautam
    Buddha
    Nagar
    Bareilly
    Bulandshahar
    Lakhimpur
    Kheri
    Budaun
    Sant Kabir Nagar
    Shahjahanpur
    Bahraich
    Aligarh
    Sharwasti
    Etah
    Mathura
    Balrampur
    Sitapur
    Hathras
    Farrukhabad
    Maharajganj
    Siddharthnagar
    Hardoi
    Firozabad
    Agra
    Mainpuri
    Gonda
    Agra
    Kannauj
    3570
    Kusinagar
    Bara Banki
    Basti
    Lucknow
    Etawah
    Gorakhpur
    Faizabad
    Unnao
    Auraiya
    5016
    Kanpur
    Dehat
    4267
    Deoria
    Ambedkar Nagar
    Sultanpur
    Rae Bareli
    Jalaun
    Kanpur
    Nagar
    Azamgarh
    Mau
    Ballia
    Pratapgarh
    Fatehpur
    Jaunpur
    Hamirpur
    Ghazipur
    Jhansi
    Kaushambi
    Banda
    Bhadohi
    Varanasi
    Mahoba
    8788
    Allahabad
    Chandauli
    Chitrakoot
    4084
    Mirzapur
    Lalitpur
    Total no. of persons tested
    HIV Positive 44212 (2002-Aug. 2008)
    Sonbhadra
    Cumulative number of persons tested HIV positive in ICTC
    2002-2009
    Total no. of test found HIV Positive = 55,596
  • Persons tested in ICTCs
    General Clients 1992 - 2009
  • No. of Tests HIV+ in ICTCs and Sero-positivity
    2005 – 2010
  • Persons tested in ICTCs
    Pregnant Women 2005 - 2009
  • STI
    Total SACS supported STI clinics: 86
    In District Hospitals and in Medical Collges
    Medicine kits received from NACO and distributed through STI Clinics
    Doctors, paramedic and counselors trained
    Private Health Care Providers (TI-NGOs) trained - 353
  • Basic Services - STI
    STI attendance and treatment 2005-2010
  • Condom Promotion
    • 41,132 condom outlets formed against the target of 39,000 in 31 districts (105%)
    • Initiated Condom distribution through Fair Price shops in 10 districts & distributed 147658 pcs of condom.
    • 600 Condom Vending Machines installed in Kanpur and Lucknow towns.
  • Blood Safety
    • Govt. Blood Banks: 66
    • NACO supported Blood Bank: 68
    • Private Blood Bank: 106
    • Military Blood Bank: 8
    • DLBB: 44
    • MBB with BCSU: 14
    • MBB without BCSU: 6
    • Model BB: 1
  • No. of Blood Units Tested and Positivity
    2002 – 2009
  • AnnualRegistrations in HIV-care - 2005 to 2010
    Total Registered till July 2010 – 32,760
    Alive and on ART till July 2010– 13,018
  • Number of Patients registered on ART from different district
    Up to March 2009
    Saharanpur
    Legend -
    Up to 100
    101 - 300
    301 – 500
    501 - 1000
    More than 1000
    Muzaffarnagar
    Bijnor
    Baghpat
    Moradabad
    Meerut
    Rampur
    JP Nagar
    Ghaziabad
    Pilibhit
    Gautam
    Buddha
    Nagar
    Bareilly
    Bulandshahar
    Lakhimpur
    Kheri
    Budaun
    Sant Kabir Nagar
    Shahjahanpur
    Bahraich
    Aligarh
    Sharwasti
    Mathura
    Etah
    Sitapur
    Hathras
    Balrampur
    Farrukhabad
    Hardoi
    Siddharthnagar
    Maharajganj
    Gonda
    Mainpuri
    Firozabad
    Bara Banki
    Agra
    Kusinagar
    Kannauj
    Basti
    Lucknow
    Gorakhpur
    Etawah
    Unnao
    Faizabad
    Auraiya
    Ambedkar Nagar
    Deoria
    Rae Bareli
    Sultanpur
    Kanpur Nagar
    Kanpur
    Dehat
    Jalaun
    Mau
    Azamgarh
    Ballia
    Pratapgarh
    Fatehpur
    Jaunpur
    Ghazipur
    Hamirpur
    Jhansi
    Banda
    Kaushambi
    Varanasi
    Allahabad
    Mahoba
    Bhadohi
    Chandrali
    Chitrakoot
    Mirzapur
    Lalitpur
    Sonbhadra
    Total number of persons registered in HIV Care 17885
    ART Centre
    ‘A’ Category District
    * Note: Total no. of patients
    registered in HIV care up to
    march 09 is 18447 (from CMIS), out of these, 562 patients registered in HIV care but no specification about districts/origin.
    TSU, UPSACS
  • No. of Patients registered on ART From Different District Up to March 2010
    Saharanpur 110
    Bijnor 169
    Muzaffarnagar 266
    Bagpat 106
    Rampur 64
    Meerut 893
    Moradabad 169
    JPNagar 72
    Gaziabad 358
    Pilibhit 26
    Bareilly 108
    Gautam Buddha Nagar 39
    Buland Shahar 178
    Lakhimpur Kheri 53
    Sant Kabir Nagar 673
    Badaun46
    Shahjahanpur 49
    Aligarh 350
    Bhraich 141
    Sarawasti 65
    Sidharthnagar 631
    Hathras 210
    Sitapur 84
    Mathura 275
    Etah 144
    Farrukhabad 42
    Balrampur 349
    Maharajganj 626
    Mainpuri
    53
    Hardoi 43
    Gonda 417
    Firozabad 170
    Kannuaj 68
    Kusinagar 829
    Agra 1091
    Bara Banki 132
    Etawah 86
    Lucknow 472
    Basti 747
    Unnao 258
    Auraiya 41
    Faizabad 262
    Kanpur Nagar 515
    Gorkhpur 1808
    Kanpur Dehat 0
    A.N.Nagar 285
    Sultanpur 544
    Deoria 1238
    Rai Bareli 254
    Mau 433
    Azamgarh 1219
    Jalaun 88
    Fatehpur 178
    Pratapgarh 1048
    Gazipur 644
    Hamir Pur 41
    Jhansi 66
    Ballia 434
    Varanasi 858
    Jaunpur 1505
    Kaushambi 215
    Banda 148
    Allahabad 1734
    Mahoba 13
    Chandauli 241
    Chitrakoot 89
    Mirzapur 299
    Lalit Pur 24
    Sonbhadra 152
    25238
  • Cumulative no. of Persons on ART – District wise
    13018
  • Persons on ARTAdded every year 2005 - 2010
  • Support to UPSACS and TSU by FHI/USAID SAMARTH project
    HRG Mapping and BSS-2009
    Training of Govt. Health Care Providers across 71 districts within a short period – 2009 and 2010
    Training of UPSACS and TSU staff on Documentation
    Coordination and facilitation of UPSACS Classroom training and exposure visit
    Annual report preparation
    Developing at least one TI in each region which demonstrate good quality program interventionsand process documentation to develop these TIs as learning sites
    Data Triangulation
    Developing two Districts Gorakhpur and Agra as learning sites for district-level HIV service decentralization.
  • AAP and % Funds Utilization(Fiscal Year wise 2005 - 2010)
  • Gaps Identified
    Awareness about disease still low
    Stigma still persists, though situation is better
    Awareness about testing and care facilities still low
    Wide gap between estimates and actual tested
    Wide gap between tested and enrolled in care
    Target populations yet to be reached fully
  • Gaps Identified
    Care and support activities need to be expanded
    Home based care to be increased
    Reach for PPTCT can be increased- social and cultural barriers
    Issues related to Nutrition
    Outreach activities for patients LFU / Missed Reaching out to young and too young
    Issue of orphans, infected and affected children
  • Thank You