Targeted Intervention Program

Targeted Intervention Program (NACO/USACS, Uttarakhand State Aids Control Society, through Uttarakhand Government) ( 2008 – Current)

 According to UNAIDS the overall number of people with HIV infection India has an estimated very heavy count of HIV/AIDS infections, nearly 6 million, second largest in the word after Sub-Saharan Africa. United Nations population division projects that India’s adult HIV prevalence shall peak at 1.9% in 2019. UN estimates that there were 2.7 million AIDS deaths in India between 1980 and 2000. During 2000-15 it projects 12.3 million AIDS deaths and 49.5 million deaths during 2015-2050. A 2002 report from CIA’s National Intelligence Council predicts 20 to 25 million AIDS cases in India by 2010, more than any other country in the world. The number of HIV cases in India is difficult to determine and the subject of ongoing controversy as current estimates are based solely on sentinel surveillance conducted by public sites. Country has no national information system to collect HIV testing information from the private sector, which provides 80% of healthcare in India.

The disease threatens to outgrow to unmanageable proportions if not checked in time. From urban to rural and back to cities it is spreading very fast and sooner we shall be the first country, or perhaps have already become so, to be having the largest population affected by this endemic. Situation is alarming as women population in reproductive age group is generally above one third of total population of any state. In case of this hilly state Uttarakhand, problem is compounded by the fact that its 80% population in reproductive age groups is rural settlers, mostly ignorant about the causes of the disease and the ways to protect them. The targeted intervention aims at minimize the further spread of HIV/AIDS/STD/STI infections and maximize the awareness about HIV/AIDS prevention and healthy behaviors by intervening through BCC, among Female Sex Workers (FSWs), Street Children, Men Having Sex with Men (MSM) and Injecting Drug Users (IDUs).

 Goal of TI Program:                

Reduction in incidences of HIV/AIDS amongst population with high-risk behavior, so as to reduce morbidity, mortality and impact of epidemic in the District Udham Singh Nagar.

Objectives of TI program: 

• To extend outreach services with 100% of population.
• To provide BCC services 100 % community for safer sex practices and safe injecting practice.
• To prevent and cure STIs among 100% of targeted population.
• To ensure 100 % HIV testing of HRG two time in a year.
• To ensure 100 % HRG will be counseled in every quarter.
• To promote safer sex practices among 100% HRG population.
• To create enabling environment among all stakeholders at project area of TI project.
• To establish linkages with care and support services for PLHA among target population.
• To mobilize HRG community for developing ownership.

Referrals and Linkages:

• Establishment linkages with DOTs/ ICTC/ ART/ CCC / DLN.
• Referrals to ICTC/ART/DOTs/CCC/DLN
• Follow-up.
• Linkages with other concerned Govt. departments

Monitoring and Evaluation:

The program was monitored by program manager, TSU, USACS and Project Director. Regular visits by PO, received valuable feedback for betterment of the project.

TI IMPART MONTHLY ACHIEVEMENT   15-16														Total Acheivement
	MONTH	Apr-15	May-15	Jun-15	Jul-15	Aug-15	Sep-15	Oct-15	Nov-15	Dec-15	Jan-16	Feb-16	Mar-16
SN	INDICATORS
1	TOTAL REG HRGs	411	413	418	421	420	446	448	451	447	447	439	434	434
2	TOTAL ACTIVE HRGs	411	413	418	421	420	446	448	451	447	447	439	434	434
3	REGULAR HRGs	377	379	369	371	364	384	388	397	389	395	394	397	397
4	NON REGULAR HRGs	34	34	37	49	55	1	60	54	58	42	45	37	58
5	NEW REG. HRGs	4	2	3	0	21	9	3	3	4	4	0	3	56
6	DROP-OUT HRGs	2	0	0	1	1	4	1	0	8	4	8	3	32
7	20 DAYS NSEP	329	327	334	319	318	318	289	309	307	288	283	281	19
8	NO. OF 1-1 CONTACT BY PE	6453	7413	7532	6348	5892	6308	6296	6580	6477	6434	6482	6541	78756
9	NO. OF 1-GROUP BY PE	1437	574	652	1214	1552	1127	1094	863	864	901	728	754	11760
10	SERVICE HRGs	380	385	364	381	374	395	402	404	407	405	403	405	4705
11	NO. OF HOT SPOT MEETINGS	4	4	4	4	4	4	4	4	4	4	4	4	48
12	NO.OF PEER MEETINGS	4	4	4	4	4	4	4	4	4	4	4	4	48
13	PARTICIPANT(PEER MEETINGS)	26	27	23	24	25	30	27	28	29	31	21	24	315
14	DIC MEETINGS	2	2	2	2	2	2	2	2	2	2	2	24	46
15	PARTICIPENT DIC MEETINGS	42	34	43	49	39	4	44	47	43	46	47	46	484
16	DIC ATTENDENCE	131	132	129	104	135	113	108	123	119	141	149	116	1500
17	TARGET COUNSELLING	11	187	180	151	180	137	140	170	160	130	159	162	1767
18	TOTAL COUNSELLING	148	187	161	147	176	127	137	152	152	128	145	139	1799
19	COUNSELLING IN FIELD	64	62	62	42	70	37	32	46	90	33	17	30	585
20	COUNSELLING IN DIC	44	51	42	48	29	50	37	43	52	70	47	29	542
21	COUNSELLING IN CLINIC	40	74	67	57	77	40	68	63	10	55	81	80	712
22	SEXUALLY ACTIVE HRGS s	216	216	218	208	209	226	218	218	218	219	218	218	2602
23	CONDOM DEMAND	1356	1356	1320	1444	1444	1520	1524	1524	1524	1588	1576	1588	17764
24	FREE CONDOM DIST.	1280	1293	1283	1272	676	753	1421	1447	1430	1482	1492	1526	15355
25	SMC CONDOM DIST.	335	265	200	0	360	378	300	220	270	132	0	360	2820
26	OUTLET DIST.	240	360	340	85	0	390	379	280	0	320	570	0	2964
27	NO. OF HRGs GET CONDOM AS PER DEMAND	200	199	197	0	101	190	207	201	209	195	196	210	2105
28	CLINIC VISIT TARGET	144	206	122	103	188	158	145	179	169	125	141	154	1834
29	CLINIC ATTENDENCE	104	177	111	96	155	114	138	137	150	111	135	133	1561
30	RMC	104	177	111	96	155	114	138	137	150	111	135	133	1561
31	STI ( CASE FOLLOW UP)	0	0	0	0	1	0	0	0	0	0	0	0	1
32	ICTC TARGET	97	72	66	145	143	135	117	180	164	106	76	52	1353
33	REFFERAL	70	64	61	93	109	92	68	82	102	89	73	51	954
34	HIV TESTED	46	45	49	42	70	68	5	66	91	84	70	49	685
35	HIV POSITIVE THIS MONTH	1	0	0	0	0	1	0	2	2	2	0	0	8
36	CUMULATIVE PLUS HIV	55	55	55	55	55	56	56	58	60	62	62	62	691
37	ART LINK	1	0	0	0	0	0	0	2	3	3	1	0	10
38	TOTAL ART LINK	40	41	41	41	41	41	41	43	46	49	50	50	524
39	CD-4 TARGET	13	11	13	13	14	20	22	23	20	12	11	9	181
40	CD-4 ACHIEVED	2	1	0	1	0	3	0	4	8	1	2	0	22
41	ON ART	11	11	11	11	11	11	11	11	11	9	9	0	117
42	VDRL TARGET	209	327	333	245	129	62	7	72	151	152	152	42	1881
43	VDRL TESTED	0	65	125	133	75	35	5	36	107	79	146	36	842
44	VDRL REACTIVE	0	0	0	0	0	0	0	0	0	0	0	0	0
45	CUMULATIVE OST	147	154	163	165	173	188	200	206	210	215	218	221	2260
46	OST LINK IN THIS MONTH	2	3	4	3	8	4	4	6	4	5	3	4	50
47	REGULAR ON OST	41	42	47	49	49	57	62	68	75	79	78	81	728
48	DOT REFFERAL	0	2	1	2	6	5	4	0	6	0	0		26
49	TESTED	0	2	0	0	4	2	3	0	2	0	0	0	13
50	SRH SERVICES	7	4	2	1	0	1	0	0	0	0	0	0	15
51	ICTC TEST FEMALE	4	6	3	3	7	49	0	0	1	0	0	0	73
52	SOCIAL ENTITLEMENT	2	3	98	0	0	2	5	4	4	0	0		118
53	ABCESS MANAGEMENT	0	0	1	0	0	0	1	0	0	0	0	0	2
54	ADVOCACY	1	1	0	0	1	1	0	0	1	1	1	1	8
55	STAFF MEETING	4	4	4	4	4	4	4	4	4	4	4	4	48
56	PD REVIEW MEETINGS	1	1	1	1	1	1	1	1	1	1	1	1	12
57	TRININGS	1	2	2	2	4	2	2	1	2	2	1	1	22
58	STI KIT -1	1	1	1	1	1	1	1	1	1	1	1	1	12
59	STI KIT -2	0	0	0	0	0	0	0	0	0	0	0	0	0
60	STI KIT -3	0	0	0	0	0	0	0	0	0	0	0	0	0
61	STI KIT -4	2	2	2	2	1	1	1	1	1	1	1	1	16
62	STI KIT -5	2	2	2	2	2	2	2	2	2	0	0	0	18
63	STI KIT -6	0	0	0	0	0	0	0	0	0	0	0	0	0
64	STI KIT -7	0	0	0	0	0	0	0	0	0	0	0	0	0
65	CONDOM STOCK	4190	2834	446	16	309	4555	3453	1028	1598	5290	3228	1342	28289
66	S STOCK	8836	8541	8543	2743	8695	8388	6414	8754	9577	4993	6949	7969	90402
67	N STOCK	17608	17082	17172	5486	17390	16776	12828	17508	19154	9986	13898	7969	172857
68	S DEMAND	8820	8864	8923	8048	8048	8108	6924	6924	6936	6580	6524	6024	90723
69	N DEMAND	17640	17728	17848	16096	16096	16216	13888	13848	13872	13168	13048	12048	181496
70	S DIS	7908	7941	7946	7216	6974	6705	5804	5830	5771	5584	5544	10960	84183
71	N DIS	15816	15892	15932	14432	13938	13410	11608	11660	11542	11168	11088	5480	151966
72	S RETURN	6393	6351	6640	6139	5638	4731	3891	4138	4250	4079	3996	7668	63914
73	N RETURN	12702	12668	13222	12237	11101	9462	7780	8270	8569	8256	8082	3804	116153
74	NO. OF HRG GET N/S AS DEMAND	361	363	364	370	364	368	376	382	376	386	385	386	4481