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BRIEF NOTE ON AIDS CONTROL PROGRAMME IN HARYANA
Overview of AIDS Programme:
Haryana AIDS Control Society (HACS)
An Organization with a Mission
The AIDS Control Programme is being implemented in Haryana by Haryana AIDS Control Society established as per guidelines of National AIDS Control Organization (NACO). Haryana AIDS Control Society was registered on 27.02.1998 under Societies Registration Act 1860. Prior to it first phase of AIDS Control Programme 1992 to 1998 was implemented by AIDS Cell established in Health Department.
Commissioner & Secretary Government of Haryana, Department of Health, is the Chairman of Haryana AIDS Control Society. Director General Health Services is also the Project Director of Haryana AIDS Control Society thereby facilitating integration of AIDS Control Programme completely with the Health Department. District Health Officers have been designated as District Nodal Officers for this programme.
Aims & Objectives of HACS:
Our society guides people about different type of activities in different fields of society to aware the people time to time. Society tells about HIV and AIDS also. Our society tells about Red Ribbon that offers a symbol of hope and support for those living with HIV, for the continuing education of those not infected, for maximum efforts to find effective treatments, cures or vaccines and for those who have lost friends, family members or loved ones to AIDS.
HACS is thus committed to contain the spread of HIV in Haryana by building an all-encompassing response reaching out to diverse populations. We endeavour to provide people with accurate, complete and consistent information about HIV, promote use of condoms for protection, and emphasise treatment of sexually transmitted diseases. HACS works to motivate men and women for a responsible sexual behaviour.
Activities under NACP – III.
Under NACP – III two types of activities are carried out. They are:-
Activities to prevent new infections
(IEC activities, Blood Safety, STD Clinics, Target Intervention Programme, School AIDS Education Programme and Red Ribbon Clubs).
Activities for detection of HIV positive
and Care Support & Treatment of these HIV positive people. (ICTCs, ART Center, Drop-in-Center and Community Care Center).
Activities to build the capacity to respond to
HIV epidemic on a long term basis. (Sentinel Sruveillance, Training and Mainstreaming activities).
Components of AIDS Programme
Information , Education and Communication (IEC):
Sub components of IEC:
Civil Society Mainstreaming (CSM)
Youth Affairs (YA)
IEC is done through newspapers, Radio, Televisions, Cable, Hoardings, street plays, posters, pamphlets, booklets, signage’s, advocacy workshops, meetings, functions, etc.
Haryana AIDS Control Society has extended helpline facility from 20 to 64 Help-line numbers. 60 (One for each ICTC) one for ART Centre, one for CCC and one each for DIC.
Out Reach camps are organized on every Saturday by ICTC’s counselors.
In each district Nukkad Natak are performed before the camps.
For creating HIV/AIDS awareness and to promote ICTCs, ART, and CCC services two spots daily are being relayed on Haryana News Channels.
Civil Society Mainstreaming Activities:
TOT of youth and cultural organizers
on HIV/AIDS prevention activities was held on 22nd to 24th April, 2008 at Youth Hostel, Sec-3, Panchkula, which was organized by HACS and Department of Spots and Youth Affairs, Haryana, In this training issues related to HIV/AIDS discussed with YCOs, so that further they sensitize 2000 Leaders of Youth Clubs working at village level.
School AIDS Education Programme and Red Ribbon Clubs
:- Under this programme School Children of Classed 9
are sensitized to various issues of HIV/AIDS . In Haryana there are 5222 Govt. Secondary and Sr. Secondary schools. In the year 2006-07, 4500 schools were covered and in 2007-08, 2250 schools have been covered under the School AIDS Education Programme.
Red Ribbon Clubs
have been formed to create awareness of HIV/AIDS. Red Ribbon Clubs have been formed in the Govt. (20 colleges) as well as Govt. aided Private Colleges (82 colleges). These Red Ribbon Clubs conduct activities like Seminars, Workshops etc. to sensitize the college students on various issues of HIV/AIDS.
Transmission of HIV infected blood is most efficient way of transmission of HIV. Considering this HIV testing of all Blood Units was made mandatory in 1993. At present there are 56 licensed blood banks in the state of Haryana. 16 in Govt. Sector, one in Red Cross at Panipat, 2 in military Hospitals, 37 in Private sector.
AIDS is an incurable disease whereas other STDs (Syphilis, Gonorrhea etc.) are easily treated with a simple course of antibiotics. Also, it is seen that STD are more common in people with risky sexual behaviour and presence of STDs pre-disposes to infection with HIV. Therefore, STD treatment becomes an important part of HIV prevention and therefore 24 STD clinics have been set up in Haryana i.e. 3 in Medical Colleges, 20 in District Hospitals and one in CHC Bahadurgarh (Jhajjar). STD drugs are given free of cost at all STD Clinics.
Target Intervention Programmes:-
Under this programme various NGOs are working in High Risk Behaviour Populations i.e. Men having sex with Men, Female Sex workers, Intravenous Drug Users, Truckers and Migrant. These NGOs try to bring behaviour change in these High Risk Populations like Use of Condom, Disposable Syringes etc. so that they become less vulnerable to HIV/AIDS. Total 32 Targeted Interventions are being implemented by NGOs supported by HACS: - 8 TIs with FSW population, 3 TIs with IDUs, 2 TIs with MSM. 10 TIs: composite with FSW & MSMs, 9 TIS with Migrants. Planning to upscale 13 more TIs to saturate the 100% High Risk Groups in the State.
Integrated Counselling and Testing Centers (ICTCs):-
84 ICTCs have been established in the State of Haryana (4 in Medical Colleges, 20 in District Hospitals and 60 in CHCs and Sub-district hospitals). Well trained counselors and Lab. Techs are posted in these centers and they provide free counseling and testing services to voluntary clients and also referred patients. The number of ICTCs and the number of patients attending these centers has gradually increased in Haryana.
Anti-Retroviral Centre (ART):
An ART center was set up in PGIMS, Rohtak in July 2006. A CD4 Count machine has been installed at this center. Till November 2008, total HIV positive enrolled at ART Center is 3425 and ever put on Anti – Retroviral Treatment are 1595.
A Community Care Center was established at District Yamunanager in 2005 and was later shifted to District Rohtak in February 2007. This CCC is a 10 bedded indoor facility for HIV positive patients where they can stay while on ART treatment. They are also given Psycho-social support, Nursing Care and Nutritional Support during their stay in this Center. Total HIV positive Patients registered at CCC upto December are 936.
Two Drop-in Centers have been established, one at Gurgaon and one at Hisar. These centers are places where the Network of HIV positive people gather and discuss their problems so that they can access the facilities available for them. The total number of patients registered in Drop in center Hisar are 218 and 450 in Gurgaon upto December 2008.
Since 1998 Surveillance is carried out every year to determine the estimates of HIV positive people in the State of Haryana. The Sentinel Surveillance report of 2008 estimated the HIV positive at 42,000 in Haryana. In the year 2007-08, 30 sentinel surveillance sites were established and samples collected both from general population and high risk groups.
In order to respond to HIV/AIDS epidemic continuous training of all Medial and Para-medical staff is carried out about the various modalities of HIV/AIDS.
Monitoring & Evaluation:
For detailed reporting and monitoring of the project implementation, a computerized management Information System (CMIS) has been installed since year 2000 and reports about all components are generated monthly according to this system.
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