1. •HIV-positive prevention emphasizes positivechoices.•Positive prevention optimizes the health andwell-being of HIV-positive people bypromoting risk reduction activities promotinghealthy lifestyle choices
2. •How to avoid infecting others with HIV•How to avoid getting sexually transmitteddiseases (such as herpes, gonorrhea, syphilis,hlamydia, etc.)•How to avoid other blood-borne illness (forexample, hepatitis C and hepatitis B).•How to remain healthy
3. 1. Public health principlePublic health approach to prevention of infectious diseases is to target the infected forprevention efforts.This is more efficient for preventing HIV transmissions as in every HIV transmission aHIV infected individual is involved2. Reasons for prevention interventions for HIV positive persons•A third of HIV-positive people have unprotected anal or vaginal sex.•Significant synergy between HIV and STIs exist. This means that in the presence ofSTDs, the transmission potential becomes greater among the HIV infected individuals.Reducing the prevalence of STIs in people with HIV will help reduce the spread of HIVitself.• The availability of antiretroviral therapy (ART) led to a dramatic decline in AIDS-related deaths and a new era in which many persons diagnosed with HIV can expect tolead active and productive lives that extend for decades. The treatment optimism hasat times led to unprotected sex.•Multidrug resistance and HIV super infection strongly suggests that an increasedfocus on HIV prevention, directed towards those who are seropositive.
4. 1. Promoting voluntary confidential counseling and testing2. Providing post-test and ongoing counseling for positive people(e.g., safe sex, safe drug use)3. Encouraging beneficial disclosure and ethical partnernotification4. Providing counseling for sero-discordant couples5. Regular quality reporting & analysis of the data.6. Surveillance to identify HIV positivity in HRG population ,ANC mothers.7. IEC activities in the district .8. Review & Co-ordination during the monthly review meeting &discussion on ways for positive prevention facility wise.
5.  To make HIV testing/counseling centers functional at all the facilitycenters(UHC, CHC, PHC, PPP, private gynac clinic ,medical college)Demand generation for HIV testing at community level, village level.Sensitization workshop for workers , PLHIV at industrial levelSensitization at village level for PRI members, community , local leadersto reduce mis-concepts about HIV , increase HIV testing & counseling.Quality counseling to positive people & regular monitoring of the same(e.g., safe sex, safe drug use, ART, OI treatment,)Ensure timely spousal testing , child testing , client testing,Regular updating of PLHIV tracking sheet at district & center level.Ensure quality post-test counseling & timely partner testing to avoiddiscordant couples becoming concordant couples (e.g., safe sex, reducesexual encounter)To encourage institutional adoption of children for the concordantcouples who do not have children or those who have a single child.To identify HRG population at urban & village level & motivate them fortimely HIV testing. Sensitize the positive detected HRG population to stopthe HRG activity or to adopt safe sex, timely HIV testing of their partners.
6.  To provide proper information about the govt. welfare schemes for incomegeneration for the HRG PLHIV.Early detection for ANC positive mother & ensure 100% MB pair , institutionaldelivery, sensitize the health staff, patient .Counseling for MTP if detected HIV positive in the 1st trimester.Functional Community Based Organization (CBO) to sensitize HRG population inlocal language for BCC , timely HIV testing at facility centers, ensure post-testcounseling. CBO’s should be aware of the welfare schemes so that they can pass thisinformation to the HRG.Quality counseling at the ART center in order to reduce LFU & MISS patient.Family counseling, psychosocial support .To link the migrant PLHIV in the ICTC , ART center ,DLN of the area in whichthey reside for psychosocial support , so that they can take benefit of welfareschemes.To encourage the private hospital & clinics to refer the positive detected patientsto the govt. hospitals so that timely quality counseling can be done & mis-conceptions can be reduced.Blood banks should organize camps & Identify professional donors with riskybehavior & to Sensitize them to donate their blood only after HIV testing .
7. Ensure that the donors detected positive at the blood banks are timelyreferred to the ictc centers for post-test counseling & sensitization aboutHIV .Ensure that the blood banks should follow the guideline for blood bank tosee that the quality of the blood collected is maintained . Moreover thescreened & unscreened blood bags should be kept separately with propersignage.Effective IEC activities in local language e.g., every tribal area has its ownlanguage & way of speaking the language.Increasing HIV awareness in tribal areas by way of folk shows, dramas, fordemand generation for HIV testing & other services for PLHIV .Compulsory HIV testing/counseling of STD patients & their partners inthe ICTC centers.Early detection of TB patients & compulsory HIV testing of all the TBpatients. Review & Co-ordination during the monthly review meeting & discussionon ways for positive prevention with the ICTC, TI ,ART, bloodbanks, LWS, DLN, Other district welfare dept., other NGOs.