Professional Documents
Culture Documents
As per Guidelines of
Mainstreaming
a key approach to HIV Prevention
Compiled By :
Dr. A. K. Gupta
Additional Project Director
ACKNOWLEDGEMENT
INDEX
S.NO
TOPIC
Page No.
1.
HIV/AIDS SCENARIO
2.
3.
4.
5.
6.
11
7.
13
8.
16
9.
22
10.
23
11.
25
12.
26
13.
26
14.
27
15.
31
16.
32
17.
33
18.
38
v
About 33.5 million people living with
HIV/AIDS.
v
HIV is the Human Immuno-Deficiency
Virus which gradually affects our
immune system and its ability to fight
disease/infection.
Global :
v
Women constitute nearly half of the
estimated adult population living with
HIV/AIDS.
v
AIDS is the Acquired Immune
Deficiency Syndrome which is an
advanced stage of HIV infection where
the immune system gets severely
weakened, exposing the infected person
to various Opportunistic Infections.
v
More than 20 million people have
succumbed to AIDS in the last two
decades.
v
Almost half the new infections were
among youth in the 15-24 age groups.
v
HIV can be transmitted by:
India :
v
An estimated 2.5 million people are living
with HIV/AIDS.
v
39.3% of those living with HIV are
women.
v
86.5% of the reported cases are among
people in the 15-49 years age group (27.9
% in 15-29 and 58.6% in 30-49 age
groups).
v
HIV has been reported from every state
and is moving from groups at high risk to
the general population and from urban to
rural areas.
DELHI:
v
Total population - 16 million.
v
Low prevalence state (HIV+ in general
population - 0.2%). But highly vulnerable
state :
v
On an average, it takes 5-8 years for HIV
infection to progress to AIDS.
v
Total infected population (estimated)32,000 (provisional data)
v
People living with HIV can lead a healthy
and productive life for years without
posing a risk to co-workers.
v
Total high risk groups & bridge
population -1.00 Lakh
v
This HRG population is uniformly spread
in all nine districts of Delhi.
(NACP III) was launched on 6 July, 2007 with objective to stop & reverse the HIV epidemic in
the country in next 5 years by four pronged strategies viz; (i) Prevention of New Infection in
High Risk Groups (HRGs) & general population by saturating coverage of HRGs & scaling up
interventions for general population; (ii) Providing greater care, support and treatment to large
number of People living with HIV/AIDS (PLHAs); (iii) Strengthening Infrastructure & Human
resources for prevention, care, support & treatment in all districts of the country; (iv)
Strengthening nationwide strategic management information system.
b)
a)
To reduce the adverse Social and Economic impact resulting from HIV infection.
b)
c)
d)
To enhance the community awareness about HIV/AIDS for its prevention and
control.
e)
f)
g)
To promote safety of blood and blood products and undertake, support and catalyze
voluntary blood donation movement.
h)
i)
j)
The Society is entrusted with the task to reduce spread of HIV among all sections of the
population. It has evolved a strong multi-sectoral response towards the epidemic by
involving Public Sectors and Private Sector, various Govt. Departments and NGOs etc. to
seek their co-operation in strengthening the implementation of the programme. The Society is
implementing National AIDS Control Programme Phase-II since November 1999, under
guidance, supervision and funding from National AIDS Control Organization, Ministry of
Health & Family Welfare, GOI. The NACP-II was a 5 year Project implementation Plan
(1999-2004) for Delhi which was prepared by the Society and approved by the World
Bank/NACO. The project had 5 components namely:
1.
2.
3.
4.
5.
2.
3.
4.
5.
6.
Financial Achievements:
YEAR
1998 -1999
1999 -2000
2000 -2001
2001 -2002
2002 -2003
2003 -2004
2004 -2005
2005 -2006
2006 -2007
BUDGET APPROVED
lakhs)
215.75
638.84
200.00
431.52
432. 51
521.58
888.54
2,273.02
2,125.83
(In
GIA RECD
(In lakhs).
110.00
283.00
229.00
354.00
431.00
460.00
654.00
1,150.00
1,232.70
EXPENSES
lakhs)
71.93
383.38
168.14
328.97
241.16
436.79
574.30
993.68
1,313.34
(In
Potential of youth volunteers in NSS, NCC, Scouts and Guides, NYKS, Youth Clubs,
Youth Red Cross and Red Crescent remained underutilised.
More efforts to tackle sexual transmission as 86% of transmission being sexual with
limited access to services to women
Major focus of NACP-II was prevention. Gradually, care, support and treatment got
added as new activities.
Condom supplies were not necessarily linked to STD services and access to these
services were not linked with the Targeted Intervention programmes in a coherent
way.
To stop and reverse the epidemic in Delhi over the next 5 years, the third phase of National
AIDS Control Programme, a four-pronged strategy, was launched from 6th July, 2007. The
key components of NACP III include:
1.
b.
Integrated Counseling & Testing Centers (for general population & antenatal
women): through VCTC/PPTCTC/ICTCs
4
c.
Provision of supply of safe & adequate quantity of blood: through blood banks,
blood storage centers, promotion of voluntary blood donations.
d.
e.
2.
Care, Support & Treatment of PLHAs: through Anti Retroviral Treatment (ART) centers,
Community Care Centers & Drop in centers
3.
4.
Programme Implementation:
Delhi State AIDS Control programme is being implemented through following service outlets:
1.
Integrated Counseling & Testing Centers: It acts as a key entry point to prevention of
HIV infection & for treatment & care of people who are infected with HIV. When
availing counseling & testing services , people can access accurate information about
HIV prevention & care and undergo an HIV test in a supportive & confidential
environment, People who are found HIV negative are supported with information &
counseling to reduce risks & remain HIV negative. People who are found HIV positive
are provided psychosocial support & linked to treatment and care at community care
homes & antiretroviral treatment (ART) centers. It is not the mandate to an ICTC to
counsel & test everyone in the general population. There are subpopulations who are
more vulnerable or practice high risk behavior. These subpopulations include sex
workers & their clients, Men having Sex with Men, trans-genders, injecting drug users,
bridge population (truckers, migrant workers), spouses & children of men who are prone
to risky behaviors.
2.
STI Clinics: The reproductive tract infections RTIs including sexually transmitted
infections STIs are recognized as a public health problem, particularly due to their
relationship with HIV infection. As per recent STI prevalence study over 6% of adult
population in the country suffers from STIs. It is well known that risk of acquiring HIV
infection increases many fold in people with current or prior STI. The prevention, control
& management of RTI/STI is an important strategy for controlling the spread of HIV. It is
important that all clients attending STI/RTI clinics, including Obst. & Gynae OPDs, &
those referred through T.I. NGOs(working with High Risk Population), should be
referred to ICTCs for counseling & testing.
5
3.
Community Care Centers were set up to provide treatment for minor Opportunistic
Infections & psychosocial support through sustained counseling. CCCs were intended to
function as a bridge between hospital & home care. The introduction of ART has brought
about a change in the role played by CCCs. They are being transformed from a
standalone short stay home to playing a critical role in enabling PLHAs to access ART as
providing monitoring, follow-up, counseling support to those who are initiated on ART,
positive prevention, drug adherence, nutritional counseling etc. Under the national
programme CCC is a place which facilitates out -patient & inpatient treatment. All
patients started on ART are required to be admitted in a CCC for a minimum of 5 days
inpatient care. These centers make referral to ICTC for confirmation of HIV status,
PPTCTC for care of HIV positive pregnant women, pediatric HIV services, ART centers
for CD4 or other tests and DOTS for treatment of TB, the commonest OI.
4.
Drop in Centers: DICs are meant to promote positive living and build capacity & skills
among People Living with HIV/AIDS (PLHAs) to cope with infections. They are run by
network of PLHAs as CBOs and help creating an enabling environment & establish
linkages with existing health services, NGOs & CBOs and to protect & promote the
rights of the infected individuals.
5.
6.
N
G
O
s
?
NON BROTHEL
?
CSWS
?
MSMS
?
IDUS
Bridging Population
BCC
N
G
O
s
STD TREATMENT
CONDOM PROMOTION
ENABLING ENVIRONMENT
TB CLINICS/ STD
CLINICS/ANC/OPD/IPD
General Population
?
TRUCKERS
Mainstrea
ming
?
CLIENTS
?
MIGRANT
LABOURERS
ICTC
?
IEC
?
AEP
BLOOD BANKS
HIV TESTING
COUNSELLING
+VE
-VE
PRE- TEST
DROP IN CENTRE
HOME
CAREHOMES
FOLLOW-UP
(ORWS)
MOTHER
BABY PAIR
SHORT STAY
POST-TEST
ART CENTRES
PARTNER
NOTIFICATION
ARV/OIs
Prevalance Rate
0.35
0.3
0.31
0.31
0.25
0.2
0.2
0.15
0.1
0.12
0.1
0.05
0
2003
2004
2005
2006
2007
HIV+
The HIV prevalence among STD clinic attendees has also risen from 3.4 percent in 2002 to 4.38
percent in 2007. HIV prevalence among IDUs has increased substantially from 7.2 percent in
2002 to 10.2 percent in 2007. Similarly, prevalence among the MSMs has also increased from
6.67 percent in 2003 to 11.73 percent in 2007. The only high-risk group that has registered a
decline in HIV prevalence are sex workers. The prevalence in this group declined from was 8
percent in 2004 to 2.64 percent in 2007 (Figure 2).
HIV Trends among STD clinic attendees, IDUs, MSM and CSWs
25
Percent positive
22.8
20
20.4
15
11.73
9.8
10
10.2
12
7.6
4.08
4.38
5.6
2.64
2.72
0
2005
2006
STD
IDUs
2007
MSM
CSW
Figure 2: HIV Trends among STD clinic attendees, IDUs, MSM and CSWs
Routes of Transmission
Majority of the cases reported are in sexually active age group of 15-49 years. The predominant
route of transmission of HIV continues to be sexual (77.02 percent) followed by perinatal (7.22
percent), blood and blood products (4.73 percent), IDUs (2.31 percent), and 'not specified' (8.72
percent) (Fig 3).
8.72
7.22
2.31
4.73
77.02
Sexual
Perinatal Transmission
Up
to
2000
498
2001
2002
2003
2004
2005
2006
2007
656
762
881
949
2414
4339
6409
2008
(May
08)
6976
142
169
201
230
237
283
363
526
602
Increasing Feminization
Saturating TI coverage for HRGs, TIs for Bridge Population, Intensive IEC
campaigns & Mainstreaming to cover the General population. NACO has provided a
Technical Support Unit, M/S Raman Development, for technical support to DSACS.
Provision of counseling & testing services in 24 hour PHCs, use of folk media & IEC
campaigns to cover rural areas
District level implementation of the programme with special focus in category 'B'
Districts of Delhi.
A
B
Four districts of Delhi namely; North, East, North-East & Central have been categorised under
B category whereas the remaining 5 districts are under C category. Consequently, under NACP
III special focus is being given to B category Districts in Delhi as regards to opening new
ICTCs, Community Care Centres, Drop in Centres, Link ART Centres, STI Services through
Govt. & Public Pvt Partnership Service outlets, Deployment of ICTC supervisors & Outreach
workers at ICTCs for follow up of HIV positive pregnant women and their babies till 18 months
of age. Further, district level ART Review Committees & HIV TB Coordination committees
are being constituted for proper monitoring of ART centres & HIV TB cross referrals,
respectively.
DISTRICTS OF DELHI
North West
North
North
East
Central
West
New
Delhi
South West
South
10
East
Efforts
are being made to counsel & test all ANC clients, especially in B category
Districts of Delhi, under PPTCT programme. Counseling & Testing services are being
provided in maternity homes and maternal & child welfare centers.
the potential of youth volunteers in NSS, NCC, Scouts and Guides, NYKS, Youth Clubs,
Youth Red Cross and Red Crescent. 75 Red Ribbon Clubs are under the process of
constitution in major universities of Delhi.
The vulnerable populations were mapped in order to identify locations, size, and trends
in movement in 2002. The mapping study has revealed that Delhi state has a fairly large
number of high-risk groups (60,000). This mapping study again updated in 2006, showed
that, the 50 percent increase in the estimated population of core groups (fig 4).
61621
70000
60000
50000
40000
28999
35062
17173
30000
14700
10000
20000
10000
0
CSW
MSM/Eunuchs
2002
11
2006
IDUs
3.
Use of condoms with non-regular sex partners has increased from 47.40 percent in 2001
to 81.30 percent in 2006. Consistent condom use has also increased from 31.60 percent
to 68.70 percent (figure 5).
81.3
90
80
70
60
50
40
30
20
10
0
68.7
47.4
31.6
9.6
3.5
12
END LINE
S.No.
Components
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
Physical
Targets
61
Achievement
36
92
11
34626
70
11
26135
10
6
5
3
250
6
5
1
1088
4
3
8
14000
5000
20
4
1
9
1763
2119
20
Activities
2
3
13
Target for
2007 -08
Achiev
ement
% of
Achieve
ment
36000
35526
98.68
16000
12512
78.20
10000
7258
72.58
4
5
6
Condom Promotion
No. of Condoms to be distributed
under free supply
No. of NTOs established under social
marketing
No. of Social Marketing condoms
utilized in TI
60 Lakhs
61.3
Lakhs
102.16
350
350
100
15 lakhs
2.59
Lakhs
17.26
34626
26135
75.47
250000
110140
44.06
150000
59907
39.94
10
180
75
41.67
320258
320043
99.93
12
166534(52%)
103646
62.24
14
1139.92 lakhs
Existing
Proposed (08-09)
Total
T.I.Projects
44
34
78
ICTCs
70
26
96
PPP ICTCs
09
STI Clinics
11
15
26
ART Centers
09
10
09
Drop In Centre
05
Blood Bank
19
19
07
01
01
01
159
112
271
TOTAL
* Subject to approval of NACO
Current coverage
(% HIV +ve)
Targets for
2008-09
47,500
18,000
12,000
45,548
Vulnerable population
Counselled & Tested for HIV
(% HIV +ve) at ICTC
2,50,000
15
2,50,000
4450
7000
1494 camps
(1,32, 736 units)
3005 camps
( 2,00,000 units)
Value
Number of Districts
NA
NA
NA
10
11
40.68
100
12
13
14
15
16
17
36
a. FSW
22
b. MSM
c. IDUs
d. Truckers
e. Migrants
16
18
65524
19
61756
20
35
21
22
23
32.13
9
a. Male
2971
b. Female
1151
c.Trans-gender
40
d. Children
341
ALLOCATION IN LAKHS
S.NO.
POOL
FUND
1
GLOBAL
FUND Rd
VI
PHYSICAL ACHIEVEMENTS
GLOBAL
FUND Rd IV
EXISITING
NEW
APPROVED
ACHIEVEMENTS
PHYSICAL
Prevention of
New infection
314.36
967.4
Targeted
Intervention
1.1.1
1.1.1 a
1.1.1 b
1.1.1 c
1.1.1 d
1.1.1 e
HRG
FSW
MSM
IDU
COMPOSITE
FINANCIAL(la
khs)
476
196
162
22
3
4
12
11
5
Joint Appraisal
Team
completed visits
on 19th July, TI
contracting will
be completed
by 30th July, 08
CBO
46
17
Transitioning
process for
formation of
CBO at GB Road
started in
support with
DMSC Project of
Sonagachi,
Kolkata.
1.1.2
1.1.2 a
1.1.2 b
1.1.3
1.1.4
1.1.6
BRIDGE
POPULATION
TRUCKERS
MIGRANTS
MAPPING &
OTHER RELATED
ACTIVITIES
EVALUATION &
JAT
22.5
Care India through NACO is implementing TI at 4
places in Delhi- Okhla Ind Area, Mayapuri Ind
area, Shastri park, Wazirpur
14.9
TRAINING
IEC, SOCIAL
MOBILIZATIUON,
&
MAINSTREAMING
363.52
1.2.1
1.2.2
1.2.3
1.2.4
1.2.5
1.2.6
1.2.7
1.2.8
1.2.9
1.2.10
MASS MEDIA
IEC MATERIAL
PRODUCTION
OUTDOOR & MID
MEDIA
IVRS HELPILE
EVENTS
M&E &
DOCUMENTATION
CREATIVE
AGENCY
ADOLESCENT
EDUCATION
PROGRAM
RED RIBBON
CLUBS IN 75
COLLEGES
MAINSTREAMING
& TRAINING
51.6
40
70
15
20
10
5
34
DROP IN
CENTRES
50
41.27
1.2.11
50
1.2
26.65
1 (Jagriti HIV
AIDS
Organizatio
n)
18
4.25 Lakhs
(included in
15.21 lakhs
above)
1.4
STD CLINICS
1.4.1
STRENGHTEMNEING
INFRASTRUCTURE
30
1.4.3
TRAINING
2.8
1.4.4
SUPERVISORY
VISITS
COUNSELOR/
CENTRE
2.8
1.4.6
CONSUMABLES
2.8
1.4.7
COMPUTER
1.5
BLOOD SAFETY
1.5.3
MAJOR Blood
Bank with Blood
Component
Separation Units
(AIIMS-main,
RMLH,LHMC,GTB
H,IRCS)
MBB UPGARDED
TO BCSU (GB
Pant, LNH, SJH,
AIIMS-CNC)
1.4.5
1.5.4
1.5.5
1.5.6
1.5.7
55.6
11
15
8.2
Consumables
under supply
Installed at 9 STD
clinics
Salary released
up to June 08 in
all BBs
9
231.28
28.9
11.56
MBBs (DDUH,
Hindu rao,
Kasturba, SDNH,
ESIH)
OTHER BBs
RBTCs (GTBH,
Hindurao,LNH,AII
MS-main,IRCS,
LHMC, SJH,RMLH)
Convergence
with NRHM under
NACP III.
Of 11 existing STI
clinics 2 at
dispensary level
will be
reallocated to
hospitals & 4 new
clinics identified
in hospitals viz;
LBSH, Shastri
Park, SGMH, HAS,
RTRM, BSAH,
BJRM.
State Resource
Team generated
to train various
STI/RTI service
outlets in Delhi
Completed in ist
Qtr
Recruited ,
Under posting
20.79
5.45
12.48
19
contingency
grant under
release @ Rs.
1.0 lakh /BCSU X
9 centres
tender for
procuring 25%
consumables
(rest by NACO)
in final stage
1 LT & 1
counsellor
deputed in each
RBTCs
0.59
5.27
1.5.8
1.5.9
1.5.11
BLOOD STORAGE
CENTERS(Aruna
Asaf Ali Hosp,
GuruGovindSing
h Hosp, LBSH,
Shastripark Hosp,
Bhagwan
Mahavir Hosp,
RTRMH)
BLOOD
TRANSPORATION
VANS
TRAINING
NRHM has
released funds
for equipments
to 6 hospitals
0.6
9.54
To be provided by NACO
Training load (180 induction trainings, 47
refresher trainings , 24 for BSC, 40 for donor
motivation, 72 on rational use of blood) sent to
NACO, Proposed for August
14.9
1.5.12
1.5.13
1.5.15
PRCUREMENTS
FOR BCSU
AMC
VBD CAMPS
30.46
15
75
1.52.2
3005 camps
Funds yet to
be released
from SBTC,
GTB Hospital,
GNCT of
Delhi
ARG TO SRL
(MAMC, SJH,
LHMC, GTB)
Qtrly Supervisory
Visits for Blood
Banks
1.3
INTEGRATED
COUNSLEING &
TESTING CENTRES
UC only
submitted by
MAMC & SJH
SRL, grant under
release.
0.6
19
70
26 + 2 PHCs
273.9
64.02
17 + 2 (PHCs)
Salary
Consumables
Equipments
TV/DVD
under process
Computers
Training
Counsellors:
Induction- 60,
Refresher-71;
LTInduction- 36,
Refresher-55,
Full Site ICTC
sensitization90
PPTCT
training-16
HIV-TBRNTCP - 200
staff
ORWs-24
20
T.V. Supplied,
DVD under
process
Under supply
Counsellors: in
July -Aug 8- 40
Induction, 40
refresher, LTcompleted 20 &
refresher 40 I
Under process at
Hindu Rao
Hospital & AIIMS
Under process
Under process
under process
2
2.1
2.3
2.4
2.5
148.5
75
9
21 staff to be trained in
ART,(1SMO, 3 MO, 6LT, 2
Data manager, 1 Counsellor,
5 Nurses, 1 pharmacist & 2
Community Care
Coordinator
3.1
TRAINING &
CAPACITY BLD
ADMN COST
DSACS
SALARY (Vacant
posts- JD (Blood
safety), JD (IEC),
JD (TI)-Interview
conducted at
NACO, Quality
manager,
AD(Procurement
, Fin. Offr), Steno
& PA to PD
STRENGTHENING
STRATEGIC
INFORMATION
3.2
3.3
4.1
SURVEILLANCE
GRAND TOTAL
GRAND
ALLOCATION VS
EXPENDITURE
1lakh/ART centre
3 M.O.s of CCCs
trained
Ist Qtr
completed
94.5
50
322
177.5
INSTITUTIONAL
STRENGTHENING
32.62
13.5
Qtrly Supervisory
Visits
OI
MANAGEMENT &
PEP
CENTRE OF
EXCELLELNCE
COMMUNITY
CARE CENTRES
(Ashrya,
Akansha, BPS,
Chlesea)
18
20 proposals
recd-18
shortlisted for JAT
VISIT, PROCESS,
NEW CCCs may
be contracted
by 30th July
No fund released
by NACO. 9
Existing ICTCs may
be made LARTC
with provision of
ART medicines &
trained M.O. for
screening OIs
115
14.73
49.23
6
109
43 of 56 posts
filled
12
nil
2.01
1744.8
148.5
595.9
20
2489.2
0
498.04
21
2.
3.
4.
This requires persistent advocacy with key decision makers to build commitment at the
highest level.
Need of Mainstreaming:
1.
2.
Also, HIV/AIDS is not a mere health issue as its occurrence is influenced by a number of
socio-economic factors. Therefore, health interventions alone cannot lead to its
prevention. Its prevention requires a concerted collaborative effort from all organisations
in public life through their work and programmes. This integrated, inclusive and multisectoral approach transfers the ownership of HIV/AIDS issues including its direct and
22
indirect causes, impact and response to various stakeholders, including the government,
the corporate sector and civil society organisations. The focus of all organisations in
mainstreaming is to adapt their core business to respond to the challenges of HIV/AIDS.
2.
?
Loss of skilled employees
?
Large expenditure on healthcare, orphan care and social welfare
?
Negative
?
Reduced revenues and lower returns on social investment.
Raj
?
Home Affairs
?
Labour
and Employment
?
Human
Resource Development
?
Railways
?
Youth Affairs and
Sports
?
Social Justice and Empowerment
23
Development
?
Transport
?
Demonstrate
?
Catalyze
?
The
24
Focusing on HIV/AIDS an
Economic Issue (Loss of
employment/ Reduced
revenues and lower returns
on social investment/
Decreased Savings)
Development issue
(Negative impact on
programs relating to
Education, livelihood, Social
Welfare, Women and Child
health/ Reduced revenues
and lower returns on social
investment)
Mainstreaming
process that enables
Government,
public/private sector
business and civil
society organizations
to address issues of
HIV/AIDS in a
sustained manner
through their usual
work
Mainstreaming
A strategy to operationalize
multi-sectoral response
25
technical as well as financial support from International Labor Organization (ILO). WPI
is presently a part of Mainstreaming under National AIDS Control Programme (Phase
III), with technical & financial support from NACO, GOI.
?
Stakeholder's Meeting was organized in May 2006 at Delhi Secretariat wherein posters
prepared by ILO were launched. The meeting was attended by 41 stakeholders from
industries, trade unions, employers associations, Public Sector Units and NGOs.
.Representatives from NDPL, DJB, Indian National Trade Union Congress (INTUC),
Confederation of Indian Industries (CII), Federation of Indian Chamber of Commerce &
Industries (FICCI), Hind Majdoor Sabha (HMS) & All India Organization of Employers
gave their consent for starting HIV/AIDS intervention in their organizations.
?
The Sensitization Meeting for members of Employer Association - FICCI (Federation
with Trade Unions: INTUC: Intervention for 300 Embroidery & 250
Construction Workers of Seelampur has started, HMS: Intervention for 500 railway
coolies, hawkers & vendors of New Delhi Railway Station has started.
?
Sensitization
participants.
?
Enterprise
?
Department of Social Welfare: Intervention has started in more than 5000 Anganwadi
Public Speaking for People Living with HIV/AIDS (PLHAs): PLHA can
share their experience more effectively with the Workforce. The training was attended by
31 PLHAs from various networks like DNP+, NAZ Foundation, Modi care foundation,
Love Life Society and Sahara. In all training programmes, PLHAs are invited for
experience sharing and tackling the problem of stigma & discrimination.
?
Department
Department of Industries: Training Program for peer educator of Tool Room Training
Centre of Okhla Industrial area. Training of the staff of Society of Self Employment.
3.
IEC program for Migrant workers: 5 Migrant Information Centers would be opened
in industrial zones with the help of NGOS or employer associations wherein IEC
material of different language would be made available and frequent health camps and
HIV/AIDS documentary film projections would be conducted.
4.
Civil Society Organizations: Intervention will be started with Bhartiya Majdoor Sangh
(BMS) & CITU.
Society.
?
HIV/AIDS sensitization programmes of staff working with the department.
?
Identification of sites for installation of Condom vending machines.
?
Providing wage employment to HIV positive persons and their families living below the
?
Ensuring access to condoms in all these areas; free condom supply to vulnerable groups
space at strategic locations like markets, public parks, bus stations, etc. for
putting up hoardings about HIV.
?
Advocacy programmes for elected representatives and other opinion makers in the local
bodies.
2.
Department of Tourism
Advocacy with representatives of Hotel federations/ hotel owners and ancillary industry.
?
?
HIV
?
Identification of suitable sites for installation of Condom Vending machines.
?
Arrange for free HIV IEC stall to be run by DSACS during fairs at Delhi HAAT
?
Arrange
?
Arrange for HIV/AIDS sensitization of 800 guides registered with the department.
?
Display of HIV/AIDS IEC material at Airport outlets under Tourism Department.
?
Display of HIV/AIDS prevention messages on Tourist Buses & tickets.
3.
?
The
?
Include HIV and AIDS in training curriculum in partnership with Training Departments
?
Advocate & sensitize prison wardens and prisoners
?
Advocate & sensitize home-guards deployed at the state levels
?
Establish ICT Centers
?
Establish a support groups for people living with HIV.
?
Identify and train jawans living with HIV in positive speaking
?
Design
4.
?
Training of Labour Inspectors & Factory Inspectors to initiate HIV/AIDS Intervention in
Advocate
?
?
Mandatory prevention, care and support of HIV and HIV treatment in ESI hospitals.
5.
Department of Education
?
Arrange district level seminar for Principals of Schools & Colleges to sensitize them for
?
Make one question on HIV/AIDS compulsory in all board exams (/CBSE/ISCE).
?
Orientation of Programme Officers (NSS and NYK coordinators) at State/District level
to initiate special interventions for young people in vulnerable circumstances and risk
prone settings/areas including counseling facilities/centers where youth/adolescents
could receive necessary information, counseling , legal advice on various issues
including substance abuse, sexual harassment and abuse, which could be set up in
partnership with civil society and connected departments like police, legal affairs,
Women and Child Development, Social Justice and Empowerment, etc.
?
Support interventions at the grassroots level, which includes mobilization of especially
leadership skills among youth to enable them to play a proactive role for the
elimination of stigma and discrimination against marginalized communities in
vulnerable circumstances and PLWHA.
?
Integrate peer education interventions on HIV prevention through
?
Youth
6.
?
Integrate
?
Incorporate HIV/AIDS in all Women and Child Development training programmes.
29
Integrate
?
?
Scale
up essential services on nutrition, care and support for women and children
affected and infected by HIV/AIDS.
?
Orientation
?
Support
establishment of Red Ribbon Clubs among adolescent girls and provide them
access to life skills and to HIV/AIDS prevention education focusing on rural
communities in particular.
?
HIV/AIDS Sensitization & display of IEC material at night shelters, women hostels,
?
HIV/AIDS Sensitization in Juvenile Observation Homes at Delhi gate, Majnu ka Tila &
Department of Transport
?
State road transport authorities to ensure HIV messages carried on all medium and heavy
Truckers focus on prevention of HIV among FSWs and truck drivers and promote
condoms social marketing.
?
To
display HIV/AIDS messages at all Bus Queue shelters /Hoardings at major DTC
Terminus in the state.
?
Sensitization
8.
Department of Health
?
HIV
/AIDS prevention message on OPD cards in all hospitals & dispensaries under
Delhi Govt, MCD, NDMC & Cantonment Board.
?
All govt. health outlets be directed to coordinate with DSACS for smooth functioning &
timely reporting of service outlets under DSACS such as ICTCs, ART centers, STI
clinics, Blood banks etc
?
Sensitization
DSACS.
?
Identification of suitable sites for installation of Condom Vending machines.
?
Ensure
30
9.
10.
?
Identify
?
HIV/AIDS Sensitization of staff in coordination with DSACS
?
Training of staff of different training institutes under department of Industries
?
Identification of suitable sites for installation of Condom Vending machines
?
Initiating interventions for workers in different industrial areas with the help of existing
employer associations
Role of Civil Society Organisations
A large number of NGOs are working in non-HIV sector. Efforts should be made to mainstream
HIV and AIDS issues into their existing programmes.
Activities that can be taken up by non health NGOs/ CBOs include the following:
Depending on the size of the NGO/CBO, its key mandate and sphere of influence, the following
broad activities may be undertaken by the NGOs/ CBOs:
1.
For NGOs with a large membership having a Workplace Policy may be useful. This must
also ensure that infected employees and their immediate dependants if also infected
receive Anti Retro Viral Therapy and medical monitoring.
2.
3.
a.
Build their capacity to spread HIV prevention and care message within their
communities.
b.
Strengthen their knowledge about existing services so that they in turn can refer
community members to the right service provider.
c.
Provide them access to the condoms so that they may promote it during their
interaction with communities.
d.
For NGOs with the specific mandates, customized programmes must be develope based
on their strengths and the needs of the state response e.g.:
a.
b.
vulnerable communities.
c.
Training concerned NGOs to see the linkages between HIV/AIDS and the drivers
of the epidemic such as gender inequality, poverty and unsafe migration.
d.
NGOs working with PRI institutions must be trained on role of PRI leaders in
HIV response, provided pamphlets that they can share with PRI leaders at various
levels and training material for sensitizing PRI leaders on HIV/AIDS.
e.
Organizations working with youth and adolescents on life skills education must
be trained on how to integrate relevant HIV related information into their ongoing
life skills education.
f.
g.
4.
Set up Family Counseling and Shelter Homes, if feasible, for infected Women and their
children.
5.
Set up integrated Counseling and Testing Centers (ICTCs) and other service provisions,
if feasible, in collaboration with SACS and NACO.
6.
Work with Faith-Based organizations to sensitize faith leaders to integrate HIV and
AIDS prevention messages in their discourse and activities.
32
Address
JAWAHAR LAL NEHRU MARG, NEW DELHI
BAHADHUR SHA JAFAR MARG, NEW DELHI
GYN OPD , ROOM NO -40, KHICHRIPUR, DELHI
East
East
East
New Delhi
KARKARDOOMA, DELHI
GYNAE OPD , ROOM NO -11, BABA KHADAK SINGH
MARG, NEW DELHI
ROOM NO -1 , FIRST FLOOR NEAR KAMLA MARKET
THANA , AJMERI GATE , NEW DELHI
PANCHKUIAN ROAD, NEW DELHI
BABA KHADAK SINGH MARG, NEW DELHI
TIMARPUR, DELHI-110054
NICD
MITWA -11
32.
33.
34.
North
North
North
WAZIRPUR, DELHI
31.
North
MITWA-9
New Delhi
New Delhi
New Delhi
New Delhi
North
North
30.
New Delhi
KASTURBA HOSPITAL
Central
Central
East
East
East
NDMC POLYCLINIC
District
33
North
North
North
North
North
North
North
North
North East
North East
North East
North East
North East
North West
35.
MITWA-6
36.
MITWA- 7
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
58.
68.
69.
70.
SAFDARJUNG HOSPITAL
SPYM
SARAI KALA KHAN (ST JOHN
AMBULANCE)
CGHS MATERNITY HOME
DAD DISPENSARY (DHAKHINPURI)
DAD DISPENSARY (KHANPUR)
LALA RAM SWARUP HOSPITAL
D.F.I.T (CENTRE ) GOYELA DAIRY
66.
67.
JAHANGIRPURI, DELHI
AIIMS HOSPITAL
60.
61.
62.
65.
64.
MANGOLPURI. DELHI.
SAFDARJUNG HOSPITAL(PPTCT)
59.
63.
North West
North West
North West
North West
North West
North West
North West
North West
North West
South
South
South
South
South
South
South
South
South
South
South
South
South
South
South West
South West
South West
South West
South West
WEST
WEST
WEST
WEST
WEST
34
WEST
WEST
WEST
ART CENTRES
S.
No.
1.
Address
District
New Delhi
2.
Address
District
3.
AIIMS
4.
Lala Ram Swaroop Instt.
5.
Deen Dayal Upadhyay Hospital
6.
Guru Tegh Bahadur Hospital
7.
Safadarjang Hospital
8.
Kalawati Sharan Children Hospital
9.
Central
South
South
West
North East
South
New Delhi
North West
35
East
North
North West
South West
STI CLINICS
S.
No.
Address
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
District
Central
Central
Central
New Delhi
New Delhi
North
MCD Dispensary
Roshanara Road
Safdarjung Hospital
AIIMS
North
North East
South
South
West
G. L. Maternity Hospital
3.
4.
5.
6.
7.
8.
9.
10.
11.
Address
District
BARD
MSM
Womens Action Group Chelsea
Non Brothel Based CSW
MSM
Indian Medicine Development
Trust
Shakti Vahini
Central
Central
New Delhi
3, University Road
North
North
North
36
Central
Central
East
New Delhi
North East
12.
35.
36.
Prayas
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
34.
North East
North East
North East
North East
North East
North West
D-464-64, Jahangirpuri
North West
North West
North West
North West
South
North East
South
South
South
South
South
South West
South West
South West
South West
South West
South West
37
South West
DROP IN CENTRE
S.
No.
1.
Address
District
WZC 28,
Om Vihar,
Nagar,
New Delhi -110059
Uttam
South West
Contact Details
Ph.: 27055722, 27055724, 27055725. Fax: 27055720
E-mail: delhisacs@gmail.com
Sr.
No.
1.
Officer/Official
Direct No.
27055717
9999434400
Extn.
No.
215
2.
27055650
9868082740
213
3.
9968116977
216
4.
9811112592
212
5.
9312374467
/9868212274
207
9350743868
231
Mobile No.
(Blood Safety)
7.
9899443939
233
8.
9868620041
220
9.
9818360797
221
10.
11.
9868786757
226
12.
9311677782
224
13.
9868257140
227
14.
9868595098
225
233
38
m illio n
30
20
10
0