Orissa State AIDS Control Society

Dr Alekh Chandra Padhiary Project Director

HIV Scenario in OrissaHIV Scenario in Orissa

UpUp to Dec.09to Dec.09 Persons Counselled - 1372166Persons Counselled - 1372166 Persons tested for HIV - 791430Persons tested for HIV - 791430 HIV +Ve- 15801HIV +Ve- 15801 Total AIDS Cases -1330Total AIDS Cases -1330 Total Deaths due to AIDS - 1102Total Deaths due to AIDS - 1102 Highest No of cases Highest No of cases Ganjam (6310)Ganjam (6310) High Prevalent Districts - 7High Prevalent Districts - 7Cat A – Ganjam, Angul, Bolangir, BhadrakCat A – Ganjam, Angul, Bolangir, Bhadrak

Cat B – Koraput, Khurdha, BalasoreCat B – Koraput, Khurdha, Balasore

Nawrangpur

Boudh

Kan

dh

amal

Sonepur An

gul

Jharsuguda

SambalpurBargarh

Sundargarh

Kendrapara

Jagatsinghpur

Jajpur

Khurda

Puri

Cuttack

Ganjam

BhadrakDhenk

anal

Keonjhar Balaso

re

Koraput

Malkangiri

Nuapara

Gajapati

Rayagada

Mayurbhanj

Deogarh

Bolangir

Nayagarh

Kalahandi

Category A

Category B

Category –C

Category D

Service Delivery PointsService Delivery Points

ICTC – 184ICTC – 184 ICTC under PPP – 6ICTC under PPP – 6 ART Centers – 6 ART Centers – 6 ((2 more under Process )2 more under Process ) TI – 64TI – 64 STD Clinics – 36STD Clinics – 36 NACO supported NACO supported Blood Banks – 60Blood Banks – 60 CCC – 5 ( BRM, BBSR, CTK, KPT, BLS)CCC – 5 ( BRM, BBSR, CTK, KPT, BLS) DIC – 5 ( CTK, BBSR, Aska, BRM, SBP)DIC – 5 ( CTK, BBSR, Aska, BRM, SBP)

PD with CM-Inauguration ART Center Balasore

What we have achieved so What we have achieved so far ?far ?

HIV Positivity in Orissa (ICTC - General Client)

15.62

11.1

7.336.2

2.6 2.49 2.09

0

2

4

6

8

10

12

14

16

18

2003 2004 2005 2006 2007 2008 2009 (TillSept)

HIV care comparison to positive detection in Orissa

3138

3635

1802

2588

3966

3658

0

500

1000

1500

2000

2500

3000

3500

4000

4500

2007 2008 2009year

in n

umbe

r

Positive detectedPre ART Registration

0.5

0.25

0.5

0.25 0.25

0

0.1

0.2

0.3

0.4

0.5

0.6

"2004" "2005" "2006" "2007" "2008"

Years

Pre

vale

nce

Positive Case Detection has gone up with increased testing Pre ART registration has gone up

HIV Positivity rate is declining in general cases HIV Positivity rate is static in ANC Cases

Issues need InterventionIssues need Intervention

InfrastructureInfrastructure– Most of the ICTC do Most of the ICTC do

not have minimum not have minimum required two roomsrequired two rooms

Provision of ICTC Provision of ICTC FacilityFacility– 75 LT posts are 75 LT posts are

vacantvacant– Facility integrated Facility integrated

ICTC in 24*7 CHCs ICTC in 24*7 CHCs (53) (53)

Provision of 2/3 rooms Provision of 2/3 rooms for smooth functioning for smooth functioning of ICTC Centerof ICTC Center

Deployment of Deployment of RNTCP/Govt. LT for RNTCP/Govt. LT for HIV testing with extra HIV testing with extra remunerationremuneration

Provision of Space & Provision of Space & EquipmentsEquipments

(Staff training &Consumables by (Staff training &Consumables by OSACS)OSACS)

Issues need InterventionIssues need Intervention PPTCTPPTCT

– 73% of all ANC cases 73% of all ANC cases registered in Hospitals registered in Hospitals where ICTC is functioning, where ICTC is functioning, are Counselled and 63% are Counselled and 63% are tested for HIVare tested for HIV

– 55% of total HIV +ve 55% of total HIV +ve mothers are being mothers are being delivered in Institutionsdelivered in Institutions

Cross referralCross referral– ALL TB cases need to be ALL TB cases need to be

tested for HIV and vise tested for HIV and vise versa. versa.

Instruction to all MOs to Instruction to all MOs to refer ANC Cases for HIV refer ANC Cases for HIV testingtesting

ANM/ASHA should be asked ANM/ASHA should be asked to counsel each ANC mother to counsel each ANC mother for HIV testing and ASHA for HIV testing and ASHA should accompany HIV +Ve should accompany HIV +Ve mother to Hospital for mother to Hospital for delivery delivery

Inclusion of HIV test column Inclusion of HIV test column in JSY cardin JSY card

Special incentive for ASHA Special incentive for ASHA and +ve mother for Hospital and +ve mother for Hospital DeliveryDelivery

Direction to health service Direction to health service providers to conduct providers to conduct delivery of HIV +ve mothersdelivery of HIV +ve mothers

Instruction to DTO/MO/ TB Instruction to DTO/MO/ TB Unit/MO ICTC for referral & Unit/MO ICTC for referral & Regular Monitoring of cross Regular Monitoring of cross referralreferral

Issues need InterventionIssues need Intervention

STDSTD– All STD cases with All STD cases with

high risk behavior high risk behavior need to be need to be Counselled and HIV Counselled and HIV testedtested

– Utilisation of funds Utilisation of funds placed for STD clinicsplaced for STD clinics

IECIEC– Converged IEC Converged IEC

Activity in VillagesActivity in Villages

Instruction to all MOs Instruction to all MOs to refer STD Cases to refer STD Cases with high risk behavior with high risk behavior for HIV testingfor HIV testing

Provision of MO in STD Provision of MO in STD Clinics at Clinics at

Utilise the fund if not Utilise the fund if not utilised. If utilised utilised. If utilised please submit SOEsplease submit SOEs

HIV messages in HIV messages in banners/ wall banners/ wall paintings done by GKSpaintings done by GKS

Issues need InterventionIssues need Intervention

CoordinationCoordination– HIV/AIDS HIV/AIDS

program need to program need to be reviewed be reviewed regularly in non regularly in non DAPCU districts.DAPCU districts.

– Review of TIs by Review of TIs by CDMOCDMO

HIV to be included in HIV to be included in district coordination district coordination meeting. TI partner meeting. TI partner and PO, TSU to be and PO, TSU to be directed to attend directed to attend the meeting.the meeting.

Review of TI Review of TI activities by CDMO activities by CDMO at regular intervalat regular interval

To Stop AIDSTo Stop AIDS

THANKSTHANKS

Let us extend aidsLet us extend aidsAdequate

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