Nacp
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The National AIDS Control Programme in India has gone through 4 phases since 1987 aimed at reducing HIV transmission and providing treatment. Phase 1 from 1987-1999 focused on awareness campaigns. Phase 2 from 1999-2006 shifted to behavior change interventions. Phase 3 from 2007-2012 integrated prevention, care, support and treatment. Phase 4 from 2012-2017 focused on key populations and reducing stigma. The programme is coordinated by NACO and implemented through state and district societies and ICTCs with nurses playing a role in service delivery.
Nacp
- 3. RANKING 1. SOUTH AFRICA 2. NIGERIA 3. INDIA 4. KENYA 5. TANZANIA
- 4. NATIONAL AIDS CONTROL PROGRAMME (1987) GOALS: • 80% coverage of high risk groups • 90% coverage of schools and colleges by education • 80% awareness among rural population • Reduction of transmission through blood to less than 1% • Establishment of at least 1 voluntary testing counseling centre for every district • Reduction of mother to child transmission • Achieving zero level increase of HIV/AIDS new infections by the year 2007.
- 6. • THE GOVERNMENT OF INDIA LAUNCHED A HIV/AIDS CONTROL PROJECT ( PHASE I ) FROM 1992 – 1999. • 100% CENTRALLY SPONSORED PROJECT FOR ALL STATES.
- 7. PROJECT OBJECTIVES: • INVOLVE ALL STATES IN PREVENTION ACTIVITIES. • ATTAIN SATISFACTORY LEVEL OF PUBLIC AWARENESS. • DEVELOP HEALTH PROMOTION INTERVENTIONS AMONG RISK BEHAVIOUR GROUPS. • BLOOD SCREENING. • DECREASE THE PRACTICE OF PROFESSIONAL BLOOD DONATIONS.
- 9. • IN 1992 THE MINISTRY OF HEALTH AND FAMILY WELFARE SETUP A “ NATIONAL AIDS CONTROL ORGANIZATION (NACO) “. • A SEPARATE WING TO IMPLEMENT AND MONITOR THE VARIOUS ACTIVITIES OF THE AIDS CONTROL PROGRAMME.
- 10. ACTIVITIES OF NACO: • PROMOTION OF CONDOM • TREATMENT FOR STD • PREVENTION OF MOTHER TO CHILD TRANSMISSION. • VCTC SERVICES. • ACCESS OF SAFE BLOOD. • TREATMENT OF OPPURTUNISTIC INFECTIONS. • ART.
- 12. OBJECTIVES • TO ENSURE ORGANIZED BLOOD BANKING SERVICES • TO EDUCATE AND MOTIVATE PEOPLE ABOUT VOLUNTARY BLOOD DONATION • TO ENFORCE QUALITY CONTROL OF BLOOD BEFORE INFUSION
- 13. • BLOOD TRANSFUSION COUNCILS SET UP AT NATIONAL AND STATE LEVEL. • ONLY LICENSED BLOOD BANKS ARE PERMITTED TO OPERATE. • ENSURE SAFE BLOOD COLLECTION AND STORAGE. • TESTING OF EVERY UNIT OF BLOOD IS MANDATORY FOR DETECTING INFECTIONS.
- 14. • ESTABLISHED BLOOD STORAGE CENTRES AT FRU’S. • VOLUNTRY BLOOD DONATION IS ENCOURAGED. • ZONAL BLOOD TESTING CENTRES HAVE BEEN ESTABLISHED. • HIV TEST KITS ARE SUPPLIED UPTO DISTRICT LEVEL BLOOD BANKS.
- 15. ACHIEVEMENT OF PHASE I • AWARENESS LEVEL INSIGNIFICANT IN URBAN AND RURAL AREAS. URBAN : 70 – 80% RURAL 30%
- 17. AIMS OF PHASE II (1999-2006): • TO SHIFT THE FOCUS FROM RAISING AWRENESS TO CHANGING BEHAVIOUR THROUGH INTERVENTIONS. • PROGRAMME DELIVERY SHOULD BE FLEXIBLE, EVIDENCE BASED AND PARTICIPATORY. • SUPPORT DECENTRALIZATION. • ENCOURAGING VOLUNTRY COUNCELLING AND TESTING INSTEAD OF MANDATORY • TO ENCOURAGE MANAGEMENT REFORMS (DRUGS AND EQUIPMENTS)
- 18. OBJECTIVES • TO PREVENT FURTHER TRANSMISSION OF HIV • TO DECREASE THE MORBIDITY AND MORTALITY ASSOCIATED WITH HIV INFECTION. • TO MINIMIZE THE SOCIO-ECONOMIC IMPACT RESULTING FROM HIV INFECTION.
- 20. 1. NATIONAL AIDS PREVENTION & CONTROL POLICY • IN APRIL 2002 GOVT.OF.INDIA APPROVED THE NATIONAL AIDS PREVENTION AND CONTROL POLICY. OBJECTIVES • ZERO TRANSMISSION RATE • PREVENT FURTHER SPREAD OF THE DISEASE. • IMPROVE SERVICES FOR PLWA.
- 21. CARE OF PLWA • Protection of their rights • Proper care and support in the hospitals and community • Keeping confidentiality • Formation of self help groups • Encouragement for the participation of NGO • Sensitization of medical and Para medical people • Proper counseling of HIV positive mothers • Clinical management of HIV/AIDS
- 22. 2. STI TREATMENT • The objective is to reduce STI s and there by control HIV transmission and to prevent morbidity and mortality due to STIs • Development of adequate and effective management • Promoting IEC activities • Comprehensive care management • Increasing access to health care by creating new structures
- 23. 2. COUNCILLING AND TESTING
- 24. • Early detection of HIV by rapid diagnostic tests. • Providing basic information on modes of transmission and prevention of HIV/AIDS • Linking people with other HIV prevention , care and treatment services.
- 26. • Sensitizing the clients and CSW to use condoms • Availability of low cost and good quality GOAL: • QUALITY CONTROL OF CONDOMS • SOCIAL MARKETING OF CONDOMS • INVOLVEMENT OF NGO’S AND PRIVATE ORGANIZATIONS.
- 27. 5. HIV SURVEILLANCE • DIFFERENT TYPE OF SURVEILLANCE ACTIVITIES ARE CARRIED OUT TO IDENTIFY THE CASES. • HIV SENTINEL SURVEILLANCE, STD SURVEILLANCE, AIDS CASE SURVEILLANCE etc…
- 28. SENTINEL SURVEILLANCE • MONITOR THE TRENDS OF HIV INFECTION. • REGULAR SURVEILLANCE IN 1200 SENTINEL SITES. • TARGET POPULATION • 15-45 YEARS, ANC MOTHERS, C.S.W ETC…
- 33. 7. SCHOOL AIDS AWARNESS PROGRAMME
- 36. • RED RIBBON EXPRESS • RED RIBBON CLUB IN SCHOOLS AND COLLEGES. • ADOLESCENT HEALTH EDUCATION PROGRAMME. • BEHAVIOUR CHANGE COMMUNICATION (BCC) • MASS MEDIA INVOLVEMENT.
- 37. 9. FAMILY HEALTH AWARENESS CAMPAIGN ( FHAC ) • PERIOD OF CAMPAIGN IS OF 15 DAYS AND DAYS ARE DECIDED BY THE STATES AS PER THEIR CONVENIENCE. • MAINLY ADDRESSING THE REPRODUCTIVE HEALTH.
- 38. 10. PREVENTION OF MOTHER TO CHILD TRANSMISSION (PMTCT)
- 39. • Among 100 HIV positive women: • 5 to 10 infants will be infected during pregnancy • 10 to 20 infants will be infected during labor and delivery • 20 to 30 infants will be infected during breast feeding
- 40. • NEVIRAPINE SINGLE DOSE TO MOTHER AND CHILD HAS BEEN STARTED FROM OCTOBER 2001. • REFERAL TO PPTCT CENTRES. • MODIFIED MIDWIFERY PRACTICES. • SAFE INFANT FEEDING. • FAMILY PLANNING SERVICES.
- 42. • POST-EXPOSURE PROPHYLAXIS SHOULD BE GIVEN WITHIN FOUR HOURS. • THE COMBINATION OF ANTIRETROVIRAL DRUGS, ZIDOVUDINE (AZT), LAMIVUDINE (3TC), AND INDINAVIR. • FOLLOW-UP OF AN HIV EXPOSED FOR 1 YEAR FOR SEROLOGICAL INVESTIGATIONS.
- 43. 12. NATIONAL AIDS HELPLINE
- 44. • TOLL FREE NO • 1097 • INFORMATION AND COUNSELLING SERVICES.
- 45. PHASE III (2007 – 2012) GOAL: • HALT AND REVERSE THE EPIDEMICS OF HIV IN INDIA OVER THE NEXT FIVE YEARS BY INTEGRATING PROGRAMMES FOR PREVENTION CARE, SUPPORT AND TREATMENT.
- 46. PROGRAMME STRATEGY • Prevention of new infections in high risk groups • Prophylactic treatment for HIV infected people to prevent opportunistic infections • Providing greater care and support PLWHA • Strengthening infrastructure development • Nation wide HMIS
- 47. PHASE IV (2012 – 2017) • Funded by global fund fight against HIV/AIDS and world bank. • Main focus on: – transgender –Prevention of new infections –PPTCT –Reducing social stigma
- 48. PROGRAMME STRATEGIES • Promotion of female condoms • Scaling up of second line drugs in ART • Social protection for ending discrimination
- 49. ANTI RETROVIRAL TREATMENT • HAART: – CD4 CELL COUNT< 350 • ZIDOVUDINE 500 mg • TENOFOVIR 300 mg • RITONAVIR 600 mg • NEVIRAPINE 200 mg
- 50. PROGRAMME ACHIEVEMENT Annual HIV infection rate reduced up to 57% • In 2000 HIV infection rate : 2,74,000 • In 2011 HIV Infection rate : 1,16,000 • Prevalence rate of HIV in 2000 : 0.41% • Prevalence rate of HIV in 2011 : 0.27%
- 51. WORLD AIDS DAY THEME (DEC.1) • “GETTING TO ZERO” • ZERO NEW HIV INFECTIONS • ZERO DISCRIMINATION • ZERO AIDS RELATED DEATHS
- 52. Organizational pattern: • NACO • STATE AIDS CONTROL SOCIETY • DISTRICT SOCIETY • ICTC
- 53. ROLE OF NURSE