The document discusses various organizations involved in India's national response to HIV/AIDS: - NACO provides leadership and mainstreaming HIV issues across government. - SACS implement NACO programs at the state level with independence to innovate. - DAPCU decentralizes management of HIV programs to the district level. - ICTCs provide counseling and testing services. - Drop-in centers and community support groups create supportive environments for people living with HIV/AIDS. - CCCs and CCSCs provide care, treatment, counseling and linkages to services for people living with HIV/AIDS.

1. Network & Referral
in the context of HIV AIDS

2. NACO
• National AIDS Control Organisation- NACO
– To mainstream HIV AIDS issue in all ministries
and departments by treating it as a development
challenge and not merely a public health
problem
– To provide leadership to mount multi-sectoral
response to combat HIV/AIDS in the country with
special reference to youth, women and the
workforce

3. SACS
• State AIDS Prevention and Control Societies
(SACS)
– implement NACO programme at state level, but have
functional independence to upscale and innovate.
• Functions of SACS are:
– Medical and public health services;
– Communication and social sector services; and
– Administration, planning, coordination, monitoring and
evaluation, finance and procurement

4. DAPCU
• Under NACP-III, as a major structural reform the
management of HIV prevention and control program
has been decentralised to district level.
• Functions of DAPCU
– Monitoring and coordination of service delivery from
the different facilities in the district
– HIV awareness campaigns, strengthening of referral
linkages, and provision of care and treatment to all the
HIV positive in the district
– To play a key role in integration of NACP with NRHM
and work closely with other line departments in government
setup to mainstream the HIV/AIDS Programs

5. ICTC
• Integrated Counselling and Testing Centre
– VCTC
– PPTC ICTC
Counselli
ng
Test
healthy lifestyle; access life-saving care and
treatment

6. Drop-in-centre
• Enabling environment
Community Support Groups
The objectives of the PLWHA drop in centres are
•To promote positive living among PLWHAs and improve the quality of life of the
infected.
•To build the capacity and skills of PLWHAs to hope with the infection
•To create an enabling environment for the PLWHAs
•To establish linkages with PLWHAs with the existing health services, NGOs, CBOs
and other welfare and development programmes
•To protect and promote the rights of the infected

7. CCCs (10 to 20 Management of minor opportunistic
bedded) infections.
Counselling Psychosocial, nutritional and educational
• Concept of CCC/CCSC under NACP III
– Short stay home
– Advocating actively against stigma, discrimination
and denial
Come in terms with
– Actively linked with ARTC and LAC status
– Linked with many other Government schemes and
programs
– Centre with basic aim to recover, recuperate and
reintegrate PLWHHAs back into active life
Orientation on the ART drugs
linkages drug adherence, Positive prevention,
Nutrition.

8. ccsc (30 to 50 bedded)
• Comprehensive Care and Support Centres
• centres of excellence strategically located across the
country to provide higher level care including:
– management of major OIs,
– referral for specialised services,
– rehabilitation and palliative care.
– These centres also play the role of learning sites and
mentoring CCCs linked with them.