AMRAVATI DISTRICT AIDS PREVENTION AND

CONTROL UNITResponse to the challenge of HIV /AIDS and

Responsibility of DAPCU.

PRESENTED BY

DAPCU Amravati2

WHAT IS DAPCU? AND THE ROLE OF DAPCU.The third phase of the National AIDS Control Program (NACP) aims to decentralize program implementation from the state to the district level. This is envisaged to be done through setting up District AIDS Prevention and Control Units (DAPCUs). The DAPCUs are to be institutionalized with the District Health Society and will share the administrative and financial structures of the National Rural Health Mission (NRHM). The DAPCU in each district will be responsible for implementation of district AIDS control and prevention strategies; which includes implementing NACP strategies, facilitating convergence with NRHM activities, and building synergies with other related departments in the district. Convergence with NRHM is a crucial strategy to ensure optimum utilization of resources under NACP and NRHM and the construction of a strong monitoring and evaluation system through public health infrastructure in the district.

& ART CENTER

5

District Specific Issue

In the 24*7 PHC level the coverage of ANC and the General Client are included in the Target of ICTC.

For the coverage of 24*7 PHC the Human Resource is vary important to cover the ANC.

SOE/UC of district is almost cover. No stand alone ICTC in Bhatkuli Block. Major population (1,50,000) of Achalpur City is in Paratwada town and

there is no ICTC. Badnera is far away (13 km) from Amravati City and population is

near about 1,25000 and there is no facility for HIV testing. District need of one Mobile ICTC for cover tribal area and those block

where no facility Gap Between the PLHIV numbers and the social scheme beneficiary.

InfrastructureAmravati

ICTC 16

24x7 PHC ICTC 19 + 1 (out of 28)

PPP ICTC 17

STI /RTI 2

ARTC 1

LAC 3

CCC 1

Blood Bank 6

DIC 1

Link Worker Scheme 1

TI Projects (MSACS) Migrant – 1 (10000)FSW – 1 (1000)

Achievement 2011-12Existing ‘Stand Alone’ ICTC as on 29th FEB-12

ICTC in Medical Colleges

ICTC in District Hospital

ICTCs in CHC/Sub District Hospital

ICTC in

PHCs

ICTCs in Private/Tr

ust Hospitals/Maternity

Homes etc

Mobile ICTC/ TB

HOSPITAL ICTC

Total No of ICTCs 1 2

4 (S.D.H.)

9 (R.H.)

19 17 1

No of ICTC functional (Functional means that the ICTC are reporting as

per CMIS)

1 2

4 (S.D.H.)

9 (R.H.)

19 17 1

M&E 8

F-ICTC 24 X 7 PHCsNo. PHC in the District

No. of 24 X 7 PHCs 28

No. ANM Trained 28

No. of LT Trained 22

Both ANM &LT Trained 22

No. of ICTC Functional 19

No. of ICTC Reporting 17

F-ICTC PPP

No. of Hospital/Maternity Home, Where ANC Deliveries > 25 in a month

26

No. of Maternity Home signed MOU with MSACS

18

No. of PPP Functional 17

No. of PPP Reporting 17

General Client ICTC Wise Target VS. Achievements

General Client Target VS. Achievements

January February March April May June July August September October NovemberDecember0

2000

4000

6000

8000

10000

12000

7250 7250 7250

8104 8104 8104 8104 8104 8104 8104 8104 8104

6778

73247860

6562 6581

7967

8812 8861

9969

7900

973910260

40 63 78 78 79 69 68 66 76 46 66 72

Target for Testing_ICTC Total Tested_ICTC Found Positives

DPO

13

Dist. Amravati  Performance of all ICTC, 24 by 7 PHCs &PPP ICTC

(General Client) April 2011 to February 2012

Annual Target

Target up to

Jan.11

Pre – test

Tested Positive% of

Positivity

Post-test

% of

Post-test

% of Achievement

Referral to ART

Register in ART

56313 51620 55018 54187 661 1.21 53259 98.28 105 664 747

HIV/TB

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec0

1000

2000

3000

4000

5000

6000

3380

3873

4123

3575 3612

4240

5075 5132

5771

4730

56595761

324 378 381 363 366 385 415 494 440 414 452 452

9.5 9.7 9.2 10.16 10.13 9.08 8.17 9.62 7.62 9 8 8

G.C. Out Referred to RNTCP %

TB/HIV Report for the Period of April 2011 to Jan.2012

DIST :- AMRAVATI

Sr. No.

Name of

Reporting Unit

I. TOTAL NUMBER

OF CLIENTS ATTENDING ICTC in the month

(Excluding

PPTCT Client)

II. REFERRAL OF SUSPECTED TUBERCULOSIS CASES FROM ICTC TO RNTCP

III. REFERRAL OF DIAGNOSED TB PATIENTS FROM RNTCP TO ICTC

(a) (b) (c) (a) (b) (c)

No of persons suspected to have TB

referred to RNTCP

Of the above persons referred to RNTCP, number diagnosed as Out of above (b),

diagnosed TB patients, number receiving DOTS

No of RNTCP registered TB

patients tested for HIV at ICTC

Out of above

(a), No.

detected to

be HIV

Positive

Passivity RateSputum

positive TB

Sputum negative

TB

Extra-pulmonar

y TB Total

%

HIV Pos

HIV Neg

Total %HIV Pos

HIV Neg

HIV Pos

HIV Neg

HIV Pos

HIV Neg

HIV Pos

HIV Neg

Total % %

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22

Up to Jan. 12

42684 434 3862 429610.1

11194

11 54 07 17294

6.8 30 249 20294.9%

1386 32 2.3

15

ANC ICTC Wise Target VS. Achievements

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec0

500

1000

1500

2000

2500

3000

3500

4000

4500

3000 3000 3000

3431 3431 3431 3431 3431 3431 3431 3431 34313398 3451

3737

2987 2969

3727 3737 3729

4198

3170

4080

4499

3 4 5 3 4 7 1 7 10 3 2 60 0 0 0 0 0 0 0 0 0 0 0

ANC Target ANC Tested Positive % Positive

DPO

17

Dist. Amravati  Performance of all ICTC (Pregnant Women)

April 2011 to February 2012

Annual Target

Target up to Jan.11

No. of ANC

Registration

No. of Regular

antenatal woman given

pretest counseling

No. of pregnant women tested

Positive

% of Positive

Post-test counselin

g

% of Post-test

Counseling

Achievement

No. of +ve

Women blood

sample was sent to ART for CD4

count

Mother Baby pairs Given single dose NVP

18 months

follow-up

41169 37738 41796 40952 42110 59 0.13%41533 98.63%112%

55 56 49

DSRC OF AMRAVATI DISTRICT

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec0

1000

2000

3000

4000

5000

6000

3380

3873

4123

3575 3612

4240

5075 5132

5771

4730

56595761

56 32 32 74 20 57 64 68 68 61 93 931.650.8200000000000010.7700000000000012.06 0.55 1.34 1.26 1.32 1.17 1.28 1.64 1.61

G.C. IN Referal to ICTC From STI Clinic %

Target & Achievement in 2011-12(up to Feb.)

19

For 2011-12 TargetAchievement on 29th

feb. 12

% of Achieve

ment

Achievement with the help Remark

General clients 51620 54187 105 %Through the

channel of out reach activity, IEC &

Advocacy

General clients Positive 924 661 72 % Selection of client

Pregnant women 37738 42110 112 %

Through Health Supervisor, MPW,

Anganwadi Sevika , ASHA, SHG &

Private Nursing Home

No of HIV positive pregnant

women to be detected

72 59 82 %Through the

channel of PPTCT NGO, TI NGO, other

Lab. Etc.

MB Pairs 59 56 95%Through the

channel of PPTCT NGO, ICTC, Etc.

Delivery’s remaining of financial year

Referral of clients from ICTC- RNTCP

(Up to Jan 12)

4268 4296 101 % Through the ICTC

ACHIVEMENT IN ART CENTER in up to DECEMBER 2011

Jan-11 Feb-11 Mar-11 Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-110

10

20

30

40

50

60

70

80

90

Positives identified Vs Pre ART Registration

Found Positives Pre ART Registration

ACHIVEMENT IN ART CENTER in up to DECEMBER 2011

Jan-11 Feb-11 Mar-11 Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-110

100

200

300

400

500

600

700

800

900

1000

Alive on ART Vs Percent of LFUs

Alive on ART LFU

ACHIVEMENT IN ART CENTER in up to February 2012MALE FEMAL

ETRANSE GENDER

MALE CHILD

FEMALE CHILD

TOTAL

PRE ART 1241 896 101 88 2353

ON ART 870 512 51 26 1459

ALIVE ON ART

581 377 43 21 1022

ANC PRE ART

102

ANC ON ART 16

LFU 35 22 0 0 57

MISS 27 29 1 1 78

DEATH 120 36 5 1 162

ON CPT 250

THANK YOU

48, 49 OPD Building, Civil Hospital (IRVIN), Irvin Square, Camp Road, Amravati-444603 (M.S.)

Phone No. 0721-2551965, 2663337.39. Extn. 153 Fax No. 07212552110, 2663338

E-mail:- dapcuamravati@gmail.com,dpoamravati@mahasacs.org, dsamravati@mahasacs.org,