Nacp iv pdf

It is envisaged that greater adherence and compliance would be possible with wide network of treatment facilities and collaborative support from PLHIV and civil society groups. Additional Centers of Excellence CoEs and upgraded ART Plus centers will be established to provide high-quality treatment and follow-up services, positive prevention and better linkages with health care providers in the periphery. With increasing maturity of the epidemic, it is very likely that there will be greater demand for 2nd line ART, OI management.

The program will explore avenues of public-private partnerships. The program will enhance activities to reduce stigma and discrimination at all levels particularly at health care settings. The objective of NACP IV will be to consolidate the trend of reversal of the epidemic seen at the national level to all the key districts in India. Programme planning and management responsibilities will be strengthened at state and district levels to ensure high quality, timely and effective implementation of field level activities and desired programmatic outcomes.

The planning processes and systems will be further strengthened to ensure that the annual action plans are based on evidence, local priorities and in alignment with NACP IV objectives. Sustaining the epidemic response through increased collaboration and convergence, where feasible, with other departments will be given a high priority during NACP IV. This will involve phased integration of the HIV services with the routine public sector health delivery systems, streamlining the supply chain mechanisms and quality control mechanisms and building capacities of governmental and non-governmental institutions and networks.

The roll-out of SIMS is ongoing and will be firmly established at all levels to support evidence based planning, program monitoring and measuring of programmatic impacts. The surveillance system will be further strengthened with focus on tracking the epidemic, incidence analysis, identifying pockets of infection and estimating the burden of infection. Research priorities will also be customized to the emerging needs of the program.

NACP IV will also document, manage and disseminate evidence and effective utilization of programmatic and research data. The relevant, measurable and verifiable indicators will be identified and used appropriately. World Health Organisation. HIV is the human immunodeficiency virus. It is the virus that can lead to acquired immune deficiency syndrome, or AIDS.

Within a few weeks of being infected with HIV, some people develop flu-like symptoms that last for a week or two, but others have no symptoms at all. People living with HIV may appear and feel healthy for several years. However, even if they feel healthy, HIV is still affecting their bodies. All people with HIV should be seen on a regular basis by a health care provider experienced with treating HIV infection. Many people with HIV, including those who feel healthy, can benefit greatly from current medications used to treat HIV infection.

These medications can limit or slow down the destruction of the immune system, improve the health of people living with HIV, and may reduce their ability to transmit HIV. Untreated early HIV infection is also associated with many diseases including cardiovascular disease, kidney disease, liver disease, and cancer.

Support services are also available to many people with HIV. These services can help people cope with their diagnosis, reduce risk behavior, and find needed services. At this time, there is no cure for HIV infection. They believe that the chimpanzee version of the immunodeficiency virus called simian immunodeficiency virus or SIV most likely was transmitted to humans and mutated into HIV when humans hunted these chimpanzees for meat and came into contact with their infected blood.

This risk pertains mainly to healthcare workers. This risk is extremely remote due to the rigorous testing of the U. HIV may also be transmitted through unsafe or unsanitary injections or other medical or dental practices.

However, the risk is also remote with current safety standards in the U. Eating food that has been pre-chewed by an HIV-infected person. This appears to be a rare occurrence and has only been documented among infants whose caregiver gave them pre-chewed food. Being bitten by a person with HIV. Each of the very small number of cases has included severe trauma with extensive tissue damage and the presence of blood.

There is no risk of transmission if the skin is not broken. Contact between broken skin, wounds, or mucous membranes and HIV-infected blood or blood-contaminated body fluids. These reports have also been extremely rare. Tattooing or body piercing present a potential risk of HIV transmission, but no cases of HIV transmission from these activities have been documented. Only sterile equipment should be used for tattooing or body piercing. There have been a few documented cases in Europe and North Africa where infants have been infected by unsafe injections and then transmitted HIV to their mothers through breastfeeding.

There have been no documented cases of this mode of transmission in the U. Later in the year,, Tamil Nadu. Gradually, these calls subsided as more attention was paid to ensuring that HIV screening was carried out in blood banks. The decision not to credit American researcher Robert Gallo for his contribution to early work on AIDS resurrected a bitter dispute over who claimed rights to the discovery.

Its activities covered surveillance, blood screening, and health education. It was able to make a number of important improvements in HIV prevention such as improving blood safety. By this stage, cases of HIV infection had been reported in every state of the country.

AIDS is coming out of the closet. During this time, the prevention of mother-to-child transmission PMTCT programme and the provision of free antiretroviral treatment were implemented for the first time.

They include outreach programmes focused on behaviour change through peer education, distribution of condoms and other risk reduction materials, treatment of sexually transmitted diseases, linkages to health services, as well as advocacy and training of local groups. With the availability of the data from HIV Sentinel Surveillance , the district categorisation is revised taking the data from the last three years i. It may be mentioned that during , a large number of sentinel sites were added, especially in the north Indian states.

Out of these Category A districts, districts fall in the six high prevalence states of Andhra Pradhesh, Karnataka, Tamil nadu, Maharashtra, Manipur and Nagaland while 34 districts fall in the low burden states of North India. Among the Category B districts, besides five districts in Tamil Nadu, rest of the 34 districts fall in low burden states. These districts have a great potential for the spread of HIV Epidemic and if sufficient attention is not given, they may progress to Category A.

The fact that 68 high prevalence districts were found in the low burden states suggests the heterogenous mode of spread of HIV epidemic in India and brings to focus the newly emerging pockets of HIV infection in the country. In comparison to the earlier district categorization, 33 new districts have entered Category A while 17 districts which were in Category A previously have moved out. Similarly, 9 new districts have entered Category B while 17 districts which were in Category B previously have moved out.

The trial, with 16, participants, was the largest ever conducted. Continued emphasis on Three Ones i. Also to mainstream with other key departments and ministries. Objective 5: To develop and strengthen systems for quality assurance, monitoring and evaluation of services. Quality: Intensifying and consolidating quality prevention services to HRGs and vulnerable populations; the quality framework based on analysis of chain of activities from condom promotion, BCC, STI, ICTC and TI, and various other activities critical in programme process will be strengthened.

To achieve this programme will focus on developing robust systems to ensure better quality of services. Five pillars of service quality will be strengthened 22 Gist of deliberations of Working Group on AIDS control Social Assessment for NACP IV a Innovation: Increasing access and promoting innovative and sustainable and strengthening programme initiatives through innovations, mechanisms for comprehensive care, support and treatment; Expanding IEC services for a general population and b High Risk groups with a focus on behaviour change and demand generation; Integration: Strengthening institutional capacities and process of integration; Leveraging Partnerships: Enhancing access, coverage and quality of services by leveraging partnerships; the following areas will be focused through leveraging on: a existing programmes b social protection schemes and related mechanisms.

Stigma and Discrimination in the health settings will be addressed at three levels Besides routine functions of ART centres, their main responsibilities include, provision of second lineand alternative first line ART, training, research work and mentoring of ART centres linked to them. However, some ART centres are functioning in the sub- district and area hospitals also. NACO supports additional personnel doctors, counselors, nurses, pharmacists, data managers and care coordinators at these centres based on patient load.

These centres should be the primary sites for undertaking research, including operational research on a large scale. Presently, patients are receiving second line drugs at these 10 centres. Hospital or clinics which treats more than TB patients in a month. Hospital and clinic whose work load is more than STD client load. Diagnostic labs which tests more than HIV diagnostic samples.

Industrial zones which employ more of migrant laborers on informal or contractual basis Technical Resource Groups have been constituted on ART, Paediatric issues, Laboratory Services and CCC for discussion and recommendations on various technical and operational issues relating to the programme and matters relating to major policy issues.

In Haryana there are Govt. Secondary and Sr. Secondary schools. In the year , schools were covered and in , schools have been covered under the School AIDS Education Programme. Red Ribbon Clubs have been formed in the Govt. ART enrolment register 3. Patient ID card Green Book 5. Drug stock register 6. Drug dispensing register 7. Monthly report format for reporting on first line ART 8. Monthly report format for reporting of adult patients on second line ART 9. Monthly report format for reporting of children on second line ART It focuses on the development of life skills as the most effective way to cope with the challenges of adolescence, thus striving to curtail the spread of the infections such as HIV and reduce the instances of substance abuse and other risky behaviours.

The major activities at RRCs include competitions, quizzes, debates, essay writings etc. RRCs also promote voluntary blood donation in Colleges. The high risk and migrant youth were reached through TI interventions. Spots were released on TV and radio specifically focusing on vulnerabilities of youth. Debbie Richardson Dec.

RuchaGour Sep. Raunaq Singh Sep. Anubha Shukla Aug. Resident in Community Medicine at Seth G. Medical College, Mumbai. PalleSatyaReddy Aug. Show More. Total views. You just clipped your first slide!