Transcript NACP IV - Final
National AIDS Control Programme-IV
Reshma S
Milestones
1990, Medium Term Plan (1990-1992)was launched First National AIDS Control Programme (NACP-I) was launched
in 1992.
NACP-II launched in 1999: decentralization of programme implementation to State level and greater involvement of NGOs.
NACP- III implemented during 2007-2012: scaling up HIV prevention interventions for HRG and general population, and integrate them with Care, Support & Treatment services. NACP-IV has been developed for the period 2012-2017.
Objectives
Objective 1: Reduce new infections by 50% (2007 Baseline of NACP III) Objective 2: Comprehensive care, support and treatment to all persons living with HIV/AIDS
Intensify &consolidate preventive services Strengthening Strategic Information Management system
Key Strategies under NACP-IV
Increase access &promote comprehensive care, support & treatment Capacity building Expanding IEC services
Key priorities under NACP-IV
Preventing new infections Prevention of Parent to child transmission Focusing on IEC strategies for behaviour change in HRG, awareness among general population and demand generation for HIV services Providing comprehensive care, support and treatment to eligible PLHIV Integrating HIV services with health systems in a phased manner
New Initiatives under NACP-IV
Scale up of programmes to target key vulnerabilities Establishment of Metro Blood Banks and Plasma Fractionation Centre Scale-up of Opioid Substitution Therapy for IDUs Scale-up and Strengthening of Migrant Interventions at Source, Transit & Destinations Female Condom Programme Scale up of Second Line ART
Package of services provided under NACP-IV
Prevention Care, Support and Treatment
• • • • • • • • • •
High risk populations Low risk populations
Targeted intervention Needle-Syringe Exchange Programme and Opioid Substitution Therapy for IDUs Prevention Interventions for Migrant population at source, transit and destination Link Worker Scheme for HRGs in rural areas Prevention & Control of STI/RTI Blood Safety HIV Counseling & Testing Services Prevention of mother to child transmission Condom promotion Social Mobilization, Adolescent and Youth Interventions Programme
People living with HIV/AIDS
• • • • • • Laboratory services for CD4Testing Free First line & second line ART Pediatric ART for children Early Infant Diagnosis for HIV Nutritional and Psycho-social support through Community Care Centres Treatment of Opportunistic Infections
Targeted intervention
• Key risk groups covered under Targeted Intervention programme
- High risk group - Bridge population
TIs provide services, such as behaviour change communication, condom promotion, clean needle and syringe for people who inject drugs, STI care, referrals for HIV and Syphilis testing and linkages with Anti-Retroviral Treatment
Link Workers Scheme
Community-based intervention Provide services to high risk groups, vulnerable population, bridge population and PLHIV in rural areas IEC under Link Worker Scheme: Mid-media programmes include wall writings, wall paintings, folk performances and hoardings.
Rural interventions continue to be challenge owing to inadequate infrastructures, poor outreach initiatives and stigma associated with HIV
Prevention & treatment of RTI/STI
Counselors are provided at designated STI/RTI Clinics
Colour-coded STI/RTI kits provided for free supply at all government STI/RTI clinics, CHC/ PHC and NGOs
All HRG population receives packages of
- Free consultation and treatment for their symptomatic STI complaints - Quarterly medical check-up - Bi-annual syphilis and HIV screening
Blood safety
Increase regular voluntary blood donation Promote component preparation Enhance blood access through well coordinated blood transfusion services Establish Quality Management Systems to ensure Safe and quality Blood
Condom promotion
Condom Social Marketing Programme (CSMP) was launched by NACO Establishment of rural outlets, non traditional outlets and outlets in TI project areas and truckers’ halt-points Consistent condom use promoted through Folk Media Campaign, Red Ribbon Express Campaign, Migrant Campaigns and Health Camps across various programme States.
NACO completed implementation of scaled-up FC Programme
Model of HIV treatment Services
Select Medical college Medical college and District Hospital
CoE &ART plus ART centres Sub-district Hospital/ CHC Linked ART centres and LAC plus centres