2. ABOUT PROGRAM
HIV Testing for Pregnant women is routinely carried out at 577 ICTCs in
Maharashtra. To increase the reach within Rural Maharashtra, 24*7 PHCs
were roped in for HIV Testing. PPPs were established for the same reason.
Despite these efforts, a huge gap exists between the pregnant women
registration at all Govt. facilities & the number of pregnant women tested at
ICTCs.
Hence the district had planned the following strategies for bridging the gap.
Establishing 24x7 PHC ICTCs & PPP ICTCs.
Increasing the functionality of 24x7 PHC ICTCs
Intensifying HIV Testing in ANC through an Outreach activity.
( To conduct the ANC HIV testing campaign in two phases)
To start Whole Blood Testing in PHC Sub centers levels.
To start the Whole Blood testing in PHC’s sub centers with the help of ANMs
was planned as one of strategy for bridging the gap.
3. DISTRICT SCENARIO BEFORE STARTING WBT TESTING
Year Wise Gap Analysis in ANC testing
60000 45.00
39.79 52000 40.00
50000 48200
35.55 35.00
42120
40000 30.00
35000
25.00
30000 29022
20.00
22558 19.00
20000 15.00
10.00
10000
5.00
0 0.00
2009-10 2010-11 2011-12
ANC Target Tested % of Gap
4. Objective:
To bridge the gap between ANC registration done at all Govt. health
facilities & the HIV tests conducted at ICTCs.
Expected Outcome:
Start the Whole Blood Testing, in all PHC sub centers of the district
and increase the ANC HIV testing.
5. ACTIVITIES UNDERTAKEN IN ORDER TO PLAN FOR A
CAMPAIGN
Consensus Building:
Conducted the meeting with District Health Officer and given the
situational analysis & need to start the Whole Blood Testing at PHC
sub centre level in the district. He agreed with the situation & given
permission to start the whole blood testing for HIV at PHC sub centre
level with the help of ANMs.
Capacity Building of ANMs :
We planned the area wise trainings of ANMs & conducted the training
of ANMS. MSACS had given the financial support for the trainings.
6. Whole Blood testing - Training Status
Name of District - Satara
Sr. Training Date Type of Personnel No. of Name of Instituition
No. From To ANM RNTCP/ Labour Other Total Imparting Training
maleria- Room Traine
LT Nurses d
1 17th Nov 2011 18th Nov 2011 30 3 0 1 34 Satara
2 23rd Nov 2011 24th Nov 2011 29 3 0 0 32 Satara
3 25th Nov 2011 26th Nov 2011 26 0 0 0 26 Satara
4 21st Dec 2011 22nd Dec 2011 30 0 0 0 30 Satara
5 23rd Dec. 2011 24th Dec 2011 36 0 0 1 37 Satara
6 9th Jan 2012 10th Jan 2011 21 2 2 4 29 Panchagani
7 11th Jan 2012 12th Jan 2012 27 1 2 8 38 Panchagani
8 20th Jan 2012 21st Jan 2012 31 2 1 1 35 Hotel Aryaman, Phaltan
9 23rd Jan 2012 24th Jan 2012 31 0 1 4 36 Hotel Aryaman, Phaltan
10 19th Mar 2012 20th mar 2012 39 4 3 2 48 Karad
11 19th Mar 2012 20th mar 2012 23 4 0 0 27 Hotel Rawine, Vaduj
12 21st Mar 2012 22nd Mar 2012 58 5 0 0 63 Karad
13 21st Mar 2012 22nd Mar 2012 31 2 1 0 34 Hotel Rawine, Vaduj
14 26th Mar. 2012 27th Mar 2012 41 7 0 1 49 Karad
Total 453 33 10 22 518
7. SESSIONS CONDUCTED IN THE TRAINING
Why Whole Blood Finger Prick Testing?
Community Based HIV Counseling and Screening by ANM & LTs.
Basics of HIV AIDS
Condom Promotion
PPTCT program introduction
Basics of counseling related with HIV screening.
family Planning Counseling
Stigma & Discrimination.
Whole Blood Testing
Bio safety
Kit Supply & reporting
8. PROCESS OF THE ANC TESTING, LINKAGES & REPORTING
HIV Screening with SD Bio line test (first test )
If status is negative ANM will write “Tested for HIV” remark on
ANC card & enter the status in R- 15 register.
If Status is positive ANM will write “Tested for HIV, Refer to
XXXX ICTC for confirmation. The ANC will refer to the nearest
ICTC for confirm the HIV status.
ICTC will do the all three test of screened ANC & will do all
required process.
9. CONSTRAINTS FACED
The training hall had not available at all Taluka level for the
trainings.
Due to “Jatra” all ANMs couldn’t trained for the WBT.
Per head budget for the training was not sufficient.
The ANM had strong resistance to do the WB testing by them.
According to them it was not their responsibilities & its extra
work for them.
Due to less staff PHC MOs were hesitating to send ANM for
training.
10. OUTPUT OF THE PROGRAM
WBT contribution in ANC testing
6000 50.00
46.53
45.00
40.83
5000 4763
40.45 40.00
34.34
35.91 35.00
4000 3689 30.18
3673 3870
3423 3356 30.00
28.75 3238
3038 27.63 3310
3000 25.00
21.25 2436
2281 20.00
2000 1812 17.10
15.00
12.27
10.00
1000
5.00
3.13
0 0.00
Total ANC tested % of WBT testing
13. Output of the program
Increased HIV testing of ANC from 3038 to 4798 of district performance.
Majority rural ANCs covered under Whole Blood Testing.
In TB cases 6 cases found HIV positive out of 366 tested cases.
Easy accesses of HIV testing for TB patients get available at local level.
The percentage of ANCs HIV testing under whole blood testing
increased from 3.13 % to 46.53% out of total HIV testing of ANCs in the
district.
Due to Repot building with ANMs, LHVs & LTs; our FICTCs increased
from 35 to 71(all PHCs in district).
The huge cooperation got from the PHC staff for implementing the WBT
program.
This helps us for the convergence of HIV AIDS program towards NRHM
program.
Increased PHCs HIV testing performance from Dec. 2011 onward.
Stand Alone ICTCs played the major role in field level hand holding,
monitoring & reporting with PHCs.
