NACO awareness

1. NACO (1992)
NATIONAL AIDS CONTROL ORGANIZATION

2. HISTORY
• First case discovered in ?
• National AIDS Control Programme Launched in 1992
• National strategic plan for HIV/AIDS Elimination in 2017-2024
• Currently we are in NACP phase 5

3. Broad Strategies For Prevention Of HIV/AIDS
• PTT (Prevent , Test , Treat )
• What If DPTT? (Detect, Prevent, Test, Treat)
• Surveillance Type : Sentinal Surveillance
• Sentinal Site : Antenatal clinic
• Sample Size : 400
• Frequency : once in 2 Years
• Eligibility : Pregnant women ages from __ to __ attending ANC
clinic for the first time during current round.
• Blood specimen : VBS

4. Broad Strategies For Prevention Of HIV/AIDS
• PTT (Prevent , Test , Treat )
• What If DPTT? (Detect, Prevent, Test, Treat)
• Surveillance Type : Sentinal Surveillance
• Sentinal Site : Antenatal clinic
• Sample Size : 400
• Frequency : once in 2 Years
• Eligibility : Pregnant women ages from 15 to 49 years attending
ANC clinic for the first time during current round.
• Blood specimen : VBS

5. MANAGEMENT OF HIV UNDER NACO:
• Screening Test for HIV : Elisa
• Confirmatory Test : Western Blot
• P24 Antigen Test : Done in Window period
• Confirmatory Test for Adults : qPCR done by Nucleic Acid
Amplification Test
• Gold Standard for DX: HIV DNA RTPCR
• Viral isolation / Viral Load Estimation : to assess
Response to treatment

6. Screening of HIV
• By Triple testing
-ELISA
- RAPID
- SPOT TEST
• ELISA ( Highly Sensitive ) > Triple testing
• TREATMENT
• Treat al strategy (WHO) :
• Any HIV+ve cases is started on ART irrespective of CD4 count.

7. REGIMENS PREFERRED:
• Adults and adolescents - 1st Regimen :
Preferred : Tenofovir 300mg + Lamivudine 300mg + Dolutegravir 50mg .
• For Children - 1st Line Regimen :
Preferred :
- Zidovudine / Abacavir + Lamivudine + Dolutegravir
Alternative :
- Abacavir + Lamivudine + Lopinavir / Ritonavir

8. CONTRAINDICATION
• TLD is C/I in:
- Children <10 years
- Weight <30 kg
- Known case of renal and hepatic dysfunction
• Alternative : Tenofovir + Lamivudine + Efavirenz

9. INDICATORS OF NACP:
• Incidence prevalence ratio:
– Number of new cases / Total number of prevalent cases
– Target < 3
• Incidence mortality ratio
– Decreased Incidence by 80%
– Decreased Mortality by 80%

10. NATIONAL AIDS CONTROL PROGRAM
• HIV/AIDS/STD
• Sampoorna Suraksha Strategy
– low risk people , along with high risk group
• integrated response by reaching out to diverse
• populations , where every person is safe from HIV / AIDS
• Also Where every person living with HIV is treated with ART.

11. GLOBAL INITIATIVES TO CONTROLL HIV / AIDS
• Given by UNAIDS
• 2021 to 2026 Global aids strategy
• HQ : Genewa
• Sustainable Devolopment GOAL :
SDG: Eliminate HIV / AIDS epidemic by 2030
Worlds Aids Day : _______?
Theme of 2034 : Take right Path : My health My Right

12. GLOBAL INITIATIVES TO CONTROLL HIV / AIDS
• Given by UNAIDS
• 2021 to 2026 Global aids strategy
• HQ : Genewa
• Sustainable Devolopment GOAL :
SDG: Eliminate HIV / AIDS epidemic by 2030
Worlds Aids Day : 1st December
Theme of 2034 : Take right Path : My health My Right