With the aim to reduce vulnerability of migrants and their spouses; UP State AIDS Control Society (UPSACS) implemented Intensive Health and Communication Activities including health camps in collaboration with National Rural health Mission, UP under guidance from National AIDS Control Organization. These health Camps were carried out in two rounds (April – May 2013 & October – November 2014, following are the brief reports for both the rounds:

Intensive health and Communication Activity (Round One) (April – May 2013)

With the aim to reduce vulnerability of migrants and their spouses; UP State AIDS Control Society (UPSACS) implemented Intensive Health and Communication Activities including health camps in collaboration with National Rural health Mission, UP under guidance from National AIDS Control Organization. This initiative was implemented during 16th April to 04th May, 2013. It was a three phase campaign covering 109 villages of 109 blocks in 20 high out-migration districts.

Major emphasis of the campaign was to make them aware and to provide HIV related services to Returnee Migrants, Spouses of Migrants and potential migrants. Anganwadi Workers (AWW) and Accredited Social Health Activist (ASHA) had accomplished the mobilization part by virtue of making line listing of returnee migrants, their spouses and potential migrants as well as ensured active presence of those who were on the list.

The camps were organized by District Administration and District Health Department with active participation of UPSACS Officials. The services provided were general health check-up, STI counselling and check-up, HIV counselling and testing, eye check-up, TB related services, condom promotion and distribution of medicines.

Based on data gathered from the field, an analysis is being presented below.

1. Overall state level numbers are provided below:

Particulars Total 1 No. of persons visited camp 44,956 2 No. of Migrants or their families visited 10,163 3 No. of persons counseled for HIV testing 13,574 4 No. of HIV tests done 12,872 5 No. of persons counseled for STI 7,961 6 No. of persons Treated for STI 5,456 7 No. of persons HIV positive 22

Health Camps

2. The data show that UPSACS has been successful in reaching out to approx. 45000 people in 20 districts for the provision of health and HIV services through health camps. Out of these; 10,163 were migrants, i.e., around 23% of total footfalls in this campaign. Every migrant was counseled and motivated for HIV screening and more than 78% were counseled for STI. Overall, 12,872 persons were tested for HIV and as long as HIV positivity rate is concerned, it came around 0.17%.

3. District wise number of camps is given below:

Sl. No. Districts Proposed Dates for Health Camp No. of camps 1 Allahabad Apr- 16,17,30 May- 1,2 5 2 Aligarh Apr- 16,30 May-1,2 4 3 Ambedkarnagar Apr- 24,25,26 8 4 Bulandshahar Apr- 16,30 May- 1,2 4 5 Etah Apr- 24,25,26 6 6 Faizabad Apr- 16,17,18,30 May- 1,2 6 7 Ghaziabad Apr- 24,25,26 3 8 Ballia Apr- 16,17,18,24,25,30 May- 1,2 8 9 Banda Apr-16,17,30 May- 1,2 5 10 Bijnor Apr- 24,25,26 5 11 Badaun Apr- 16,17 2 12 Ghazipur Apr-16,17,18,30 May- 1,2 7 13 Varanasi Apr-24.25,26 3 14 Maharajganj Apr-16,17,26 May-1,2 5 15 Meerut Apr-16,17,18,24,25,26 6 16 Muzaffarnagar Apr-16,17,18,24,30 May- 1,2 7 17 Raibareilly Apr- 24,25,26 3 18 Siddarthnagar Apr-16,17,18,24,30 May- 1,2 7 19 Sultanpur Apr- 16,17,18,24,25,26,30 May-1,2 10 20 Unnao Apr- 16,17,18,30 May- 1 5

Total 109

4. Date wise no. of camps are given below:

Date No. of Camps 16-Apr-13 14 17-Apr-13 12 18-Apr-13 9 24-Apr-13 14 25-Apr-13 12 26-Apr-13 12 30-Apr-13 12

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9. The graph below presents HIV Screening of Vulnerable population and sero-positivity. Out of total counseling we had tried to screen all vulnerable population and get their screening done.

The graph shows that 400 or more tests had been done in every district and overall 22 persons were found HIV-reactive. Maximum were in Ambedkarnagar and Ballia, 4 each. Out of 20 districts where Camps were placed only 07 districts had come up with zero cases with overall prevalence of 0.17%.

Intensive health and Communication Activity (Round Two) (October - November 2013)

The initiative of implementing Intensive Health and Communication Activities including health camps for reducing the vulnerability of migrants and their spouses, Uttar Pradesh State AIDS Control Society (UPSACS) in collaboration with National Rural health Mission, UP and under the guidance of Department of AIDS Control (National AIDS Control Organization) carried out another round of Health camps during 22nd October – 23rd November 2013. A total of 135 camps were organized in 135 blocks and villages of 26 high migrant districts.

Main focus of this initiative was to spread awareness on HIV & STI in the community and help the Returnee Migrants, their Spouses and potential migrants avail the services related to HIV & STI. The health camps were carried out successfully by the District Administration and District Health Department of the concerned districts with active participation of Anganwadi Workers (AWW) and Accredited Social Health Activist (ASHA) for mobilizing the community. One member from UPSACS/TSU

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was also involved deeply in the planning and facilitation of the health camps. The initiative tried to provide multi facilities & services during the health camps like general health check-up, ANC, STI counselling and check-up, HIV counselling and testing, eye check-up, TB related services, condom promotion and distribution of medicines.

Given below is an analysis of the health camps based on data gathered from the concerned districts.

Overall state level numbers are provided below:

S.No. Particulars Total 1. No. of persons visited camp 56,587 10. No. of Migrants or their families visited 13,689 11. No. of persons counseled for HIV testing 18,196 12. No. of HIV tests done 17,452 13. No. of persons counseled for STI 7226 14. No. of persons Treated for STI 7226 15. No. of persons HIV positive 43

The data shows that UPSACS, through these health camps has successfully reached out to approximately 57000 people in 26 districts and provided them the health and HIV related services. Out of these; 13,689 were migrants, i.e., around 24% of total footfalls in this campaign. Every migrant was counseled and motivated for HIV screening and more than 52% were counseled for STI. Overall, 17,452 persons were tested for HIV and as long as HIV positivity rate is concerned, it came around 0.25%.

District wise number of camps organised:

Sl. No. Districts Dates of Health Camp No. of camps

Total Attendance

1. Allahabad 22, 23 October & 12, 13, 14 November 5 2367 2. Aligarh 22 October & 12, 13, 14 November 4 1624 3. Ambedkarnagar 29, 30, 31 October 7 2793 4. Azamgarh 22, 23 October & 19, 20, 21, 22, 23 November 14 5402 5. Badaun 24, 25 October 2 1145 6. Ballia 22, 23, 24, 29, 30 October & 13, 16 November 7 3456 7. Banda 28, 29 October & 11, 12, 13 November 5 2413 8. Basti 19, 20, 21 November 6 1882 9. Bijnor 23, 24 October 2 1297 10. Bulandshahar 24 October & 12, 13, 16 November 4 1809 11. Deoria 19, 20, 21 November 6 1663 12. Etah 29, 30, 31 October & 20 November 6 3389 13. Faizabad 23, 24, 25 October & 12, 13, 14 November 6 1880 14. Ghaziabad 29, 30, 31 October 3 1507 15. Ghazipur 23, 24, 25 October & 11, 12, 13 November 7 2361

Sl. No. Districts Dates of Health Camp No. of camps

Total Attendance

16. Gonda 19, 20, 21 November 3 1130 17. Gorakhpur 19, 20, 21 November 6 2270 18. Jaunpur 19, 20, 21 November 3 1101 19. Maharajganj 22, 23, 31 October & 13 November 4 1767 20. Mau 7, 19, 21 November 4 2322 21. Meerut 22, 23, 24 October 3 1008 22. Raibareilly 24, 30, 31 October 3 1594 23. Siddarthnagar 22, 23, 24, 29 October & 11, 12, 13 November 7 3280 24. Sultanpur 23, 24, 25, 29, 30, 31 October & 12, 13, 14 November 11 4749 25. Unnao 22, 23, 24 October & 14 November 4 878 26. Varanasi 29, 30, 31 October 3 1500

Total 135 56587

Date wise no. of camps organised:

Date No. of Camps Total Attendance 22 October 8 3033 23 October 11 4945 24 October 11 5215 25 October 4 1765 28 October 1 502 29 October 10 4484 30 October 10 5317 31 October 10 4514 7 November 2 1372 11 November 3 1313 12 November 8 3174 13 November 11 3979 14 November 5 1798 16 November 2 1242 19 November 13 4837 20 November 11 3324 21 November 12 4466 22 November 2 654 23 November 1 653 Total 135 56587

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