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Dr Pramod Dr Sudipta

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  • And this shows the new versions of our mission, values and beliefs
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    • 1. 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
    • 2. 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
    • 3. Mission, Values and Beliefs
    • 4.
    • 5. 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
    • 6. 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
    • 7. 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
    • 8. Levels and Trends of HIV in UP
    • 9. Adult HIV Prevalence in Indian and UP
    • 10. HIV Prevalence in UP: NFHS-III Estimate
    • 11. Trend in HIV Prevalence among General Population
    • 12. Trend in HIV Prevalence among High Risk Groups
    • 13. HIV prevalence trends at ICTC in Eastern UP and rest of UP
    • 14. Prevalence of HIV among clients tested at ICTC by region
    • 15. Prevalence of HIV among clients tested at PPTCT by region
    • 16. HIV Positivity among HRGs in UP
      2008 – 2009
      Data Source: CMIS -UPSACS
    • 17. BSS Indicators
    • 18. 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
    • 19. Comprehensive knowledge about HIV - FSWs
      By Region
      Total
    • 20. Number of different types of clients and partners in the last week
    • 21. Condom use during last sex with occasional and regular clients
    • 22. Consistent condom use with occasional & regular clients in last 30 days
      Base: Those who used condoms during sex
    • 23. Aware of free Government counseling and testing services
      Total
      By Region
      Base: All
    • 24. Injecting Drug Users (IDUs)
    • 25. HIV/ AIDS Knowledge and Prevention- IDU
    • 26. Sexual behavior of IDU with female partners
      • 76% of IDUs ever had sex with a female partner
      • 27. Mean age at first sex with a female partner was 19 years
      • 28. 8% of IDUs ever had sex with a Female Sex Worker
      • 29. Mean Age at first sex with a FSW was 21 years
      • 30. Mean number of sex acts with female partner in the last one week was 4
    • Sexual Behavior and Condom Use with Female Partners
    • 31. Men Having Sex With Men (MSM)
    • 32. 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
    • 33. 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
      • 34. Condoms not available - casual partners
      • 35. Never heard of a condom, condom not available and decrease in pleasure - paid partners
      • 36. 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
      • 37. 23% - condoms not available
    • Drivers of the Epidemic
    • 38. FSWs and MSM
      Estimates distribution of total 22,425 FSWs across 1,496 sites
      Estimates distribution of total 10,922 MSM across 799 sites
    • 39. 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
      • 40. Migrants concentrated in 68 towns with 12.7% reporting high risk behaviour
      • 41. High proportion of IDUs – Easy accessibility and less expensive
      • 42. 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
    • 43. Estimates of Female Sex Workers (FSWs) in Uttar Pradesh
      36
    • 44. 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
    • 45. 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
    • 46. 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
    • 47. 11.97 million people are migrants in Maharashtra
    • 48. Most of the migrants are from UP
      Source: Behavioral Surveillance Survey, Maharashtra, 2009
    • 49. Allahabad, Gorakhpur, Varanasi, Jaunpur, Sultanpur, Kanpur, Faizabad, Pratapgarh, Mughal Saray, Sant Kabir Nagar, Sardar, Azamgarh, Faijabad, Basti, Siddharth Nagar & Lucknow
    • 50. 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
    • 51. Programmatic response to combat HIV/AIDS in Uttar Pradesh
    • 52. 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
    • 53. 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
    • 54. 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
    • 55. 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
      • 56. Integrated Counselling and Testing including PPTCT
      • 57. STI care
      • 58. IEC and social mobilisation
      • 59. Mainstreaming
      • 60. Targeted Interventions (TIs)
      • 61. STI care
      • 62. Condom promotion
      • 63. Enabling environment
      • 64. ART
      • 65. HIV-TB co-ordination
      • 66. Treatment of OIs
      • 67. CCCs
      • 68. Post-Exposure Prophylaxis (PEP)
      • 69. HIV Sentinel Surveillance
      • 70. Behavioural Surveillance
      • 71. Monitoring and Evaluation
      • 72. Operations research
      • 73. DAPCU
      • 74. Technical resource groups
      • 75. Enhanced HR at NACO, SACS and districts
      • 76. 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
    • 77. NACP III : Challenges
      Infection moving from
      • High risk groups to general population
      • 78. Urban to rural areas
      • 79. Adults to vulnerable youth
      • 80. High prevalence states to all states
      Evolving a well coordinated response
      • Raising financial resources
      • 81. Involving a large number of donors /key stakeholders
      • 82. Avoiding program overlaps and duplication
      • 83. Strengthening capacities in states, districts
      • 84. 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
    • 85. UPSACS - HIV/AIDS related services and Interventions
    • 86. 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)
      • 87. HIV/AIDS related messages on Meghdoot Postcards (15 lakh)
      • 88. VBD posters and WAD posters and manuals for HRG
      IPC:
      • 1300 NCC cadets and 60 Instructors trained.
      • 89. 200 Gram Sabha Meetings in Banda and Deoria
      • 90. 70 folk troupes trained
      • 91. 200 folk media performances
    • Information, Education, Communication
      Mass Media
      All India Radio:
      • Weekly phone-in programme (twice) from Primary and FM channels of AIR
      • 92. Sensitization of RJs and other staffs of Radio City, Radio Mirchi, Big FM
      • 93. Sensitization of all Station Directors of AIR
      Doordarshan:
      • Broadcasting of video spots on HIV/AIDS, Phone-in programme and Youth Quiz on HIV/AIDS.
      • 94. 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
      • 95. 30 hoardings installed and 30 wall writings done
      • 96. 52 wall writings by Gram Pradhans – free of cost
      • 97. 5 Mobile vans by HLFPPT in all ‘A’ districts
    • Information, Education, Communication
      Voluntary Blood Donation Day
      • Inter Sectoral meeting chaired by Chief Secretary.
      • 98. Chief Secretary addressed all the DMs & CMOs
      World AIDS Day
      • Mass Media campaign through 9 Mobile vans with 135 folk troupe performances
      • 99. Rally on 1 Dec, 09 with support of CMO, Lko. Approx. 7000 participants
      • 100. Inter Colleges street play competition with support of IIM,LKO
      • 101. Awareness campaign in slums with support of Rotary Club and Lucknow University
      • 102. 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
      • 103. Activities in Kanpur IIT, Antaragini 09. Approximate 350 youth get tested themselves in Antaragini.
      • 104. 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.
      • 105. Street Play and debate competition
    • Youth Affairs and Mainstreaming
      • 127 Red Ribbon Clubs opened
      • 106. Antyodaya Anna Yojana / BPL card for PLHIV in all dist
      • 107. Bar Association in 3 districts providing free legal aid to HIV+
      • 108. NREGA providing employment to HIV+ without stigma
      • 109. 1 orphanage functional in Lucknow for PLHIV and children.
      • 110. Grievance redressal mechanism in UPNP+ active
      • 111. Govt. officials oriented on HIV in 15 districts
      • 112. PRI members trained in 5 districts (1700 Nos)
      • 113. 2059 ASHA & 2176 AWW trained in 5 ‘A’ category districts
      • 114. 56 Pradhans did wall paintings from their development funds
      • 115. SIRD includes HIV session in all their training programs of ICDS and PRI
    • Targeted Interventions (2010-11)
    • 116. 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
    • 117. 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
    • 118. 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
    • 119. 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
    • 120. 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
    • 121. 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
    • 122. 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
    • 123. Persons tested in ICTCs
      General Clients 1992 - 2009
    • 124. No. of Tests HIV+ in ICTCs and Sero-positivity
      2005 – 2010
    • 125. Persons tested in ICTCs
      Pregnant Women 2005 - 2009
    • 126. 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
    • 127. Basic Services - STI
      STI attendance and treatment 2005-2010
    • 128. Condom Promotion
      • 41,132 condom outlets formed against the target of 39,000 in 31 districts (105%)
      • 129. Initiated Condom distribution through Fair Price shops in 10 districts & distributed 147658 pcs of condom.
      • 130. 600 Condom Vending Machines installed in Kanpur and Lucknow towns.
    • Blood Safety
    • No. of Blood Units Tested and Positivity
      2002 – 2009
    • 138. AnnualRegistrations in HIV-care - 2005 to 2010
      Total Registered till July 2010 – 32,760
      Alive and on ART till July 2010– 13,018
    • 139. 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
    • 140. 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
    • 141. Cumulative no. of Persons on ART – District wise
      13018
    • 142. Persons on ARTAdded every year 2005 - 2010
    • 143. 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.
    • 144. AAP and % Funds Utilization(Fiscal Year wise 2005 - 2010)
    • 145. 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
    • 146. 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
    • 147. Thank You

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