NACO AIDS national programme , social and preventive medicine , spm , psm

2.  Started in 1987
 Ministry of Health & Family Welfare set
up NACO
 To prevent further transmission
 To decrease morbidity & mortality
 To minimize the socio-economic impact

5.  1986 – 1st
case
AIDS task force by ICMR
National AIDS Committee
 1990- medium term plan
 1992- NACP-I
National AIDS control Board
NACO

6.  1999 – NACP II
 State AIDS control Society
 2002 – National AIDS Control policy
 National blood policy
 2004- Antiretroviral treatment

7.  2006 –National Council on AIDS
• National policy on paediatric ART
 2007- NACP- III (2007-2012)
 2014 – NACP IV (2012-2017)

8.  Establishment of surveillance centers
 Identify & screen high risk groups
 Guidelines for management of case
 Guidelines for blood bank & blood
donors,dialysis units

9.  Information,education&communication
activities
 Control of STD
 Condom programme
 Research

10.  Prevention services
 Intervention for high risk group& bridge groups
 Needle syringe exchange programme
 Control of STDs & reproductive tract infections
 HIV councelling & testing services
 Blood safety,parent to child transmission

11.  Care, support & treatment services
 Laboratory services
 Free 1st
& 2nd
line ART & treatment of
opportunistic infections
 Paediatric ART for children
 Early infant diagnosis for HIV exposed
infants

12.  3 groups
 Group I : Maharashtra,TN, Karnataka, AP
,Manipur, Nagaland
 Group II: Gujarat,Goa,Puduchery
 Group III: remaining states

13. Category ANC/PTCT
prevalence
HRG
prevalence
Hotspot
A >1%
B < 1% >5%
C <1% <5% Y
D <1% <5% N

14.  HIV Sentinel Surveillance
 HIV Sero - Surveillance
 AIDS Case Surveillance
 STD surveillance
 Behavioral Surveillance
 Integration with other disease surveillances

15.  Inclusion of data from HRG& additional subsets of
rural samples through ANC
 Objectives
 To determine the level of infection
 To determine the trend HIV epidemic
 To understand the geographical spread & to
identify the emerging pockets
 To provide information for prioritization of resources
 To estimate HIV prevalence & HIV burden

16.  Since 1997
 Components:
 ICTC
 PPTCT
 HIV/ tuberculosis collaborative activities

17.  Early detection
 Provision of basic information on modes
of transmission & prevention
 Linking PLHIV with other HIV prevention,
care & treatment services

18.  2 types-fixed facility & mobile ICTC
 Fixed facility ICTC : within an existing
health care system
 Standalone ICTC
 Facility-ICTC
 Mobile ICTC

19.  Started in 2002
 Aims
 HIV testing to every pregnant woman
 To cover all the HIV positive pregnant
woman
 Eliminate transmission from mother-child

20.  HIV couselling &testing to all pregnant
woman
 Family-centric approach
 Lifelong ART for HIV +ve regardless of
CD4 count
 Institutional deivery promotion

21.  Care for associated conditions
 Exclusive breast feeding
 ARV prophylaxis for infants
 Follow-up:infants& community level

23.  Free ART
 Psychosocial support
 Prevention & treatment of oppurtunistic
infections
 Facilitating home based care
 Impact mitigation
Aim:

24. SELECTED MEDICAL COLLEGES
MEDICAL COLLEGE& DISTRICT LEVEL
HOSPITAL
SUB-DISTRICT HSPTL & CHCs

25.  1st
-line ART : free of cost, to PLHIV through
ART centres based on C/E &CD4 counts
 Alternative 1st
line ART intolerance to 1st
line/
 2ND
Line ART Rx failure
 National paediatric AIDS initiative
 Paediatric 2nd
line ART
 Early infant diagnosis

26.  Detection & treatment of STIs
 Condom distribution,promotion
 Behaviour change communication
 Community involvement
 Linkages to ICTC & CST
 Specific intervention for IDUs
 Specific intervention for MSM/TGs

27.  HIV prevention & care of HRGs & vulnerable
groups in rural areas
 Provide information on prevention & risk
reduction
 Condom promotion & distribution
 Provide referral & follow up linkages

28.  Provision of safe &quality blood
 Coordinated transfusion service
 NACO supports BCSU & bloodbanks
 Blood storage facility at FRUs
 Objectives
 To reduce transfusion associated HIV <0.5%
 Prohibition of professional blood donation
 Awareness creation & capacity building
 Mandatory testing of blood for HIV, HeB,HeC malaria
&syphilis

29.  NACO
 Quality control of condoms
 Social marketting of condoms
 Involvement of NGOs

30.  2 approaches
 Syndromic management for STDs
 Integrate RTI management & STD
management
 STD clinic at FRU/Block/District level act as
referral centres for cases from periphery
 Strengthening STD clinics

31.  Massive orientation & training
 Atleast one NACO supported
“Suraksha clinic” per district
 Validate the syndromic diagnosis
 Monitor drug resistance
 Pre-packed STI/RTI colour coded kits

32.  School AIDS Education programme
 Red ribbon clubs
 World AIDS day
 Print &Mass media
 Family Health Awareness campaign

33.  Link worker scheme –GP & HRGs
 Create demand for CST services
 Antiretroviral treatment
 PPTCT
 National AIDS telephone Helpline –
 1097