ASSIGNMENT ON HIV Programme

ASSIGNMENT ON
HIV PROGRAMME

Submitted to,
Submitted by,
Mrs. Gowri Ma’am Suman Mondal

Lecturer 2nd year Bsc. Nursing
India Academy College India Academy
of Nursing College of Nursing
INTRODUCTION

 HIV infection first detected in India in 1986, when 10
HIV positive samples were found from a group of
102 female sex workers from chennai.
 AIDS Acquired Immuno-deficiency Syndrome) is
also called as “Slim Disease”. It is a fetal disease
caused by a retro virus called as the HUMAN
IMMUNO DEFICIENCY VIRUS (HIV).
DEFINITION

 The national AIDS control program or HIV program
is a government health organization of Tanzania. It
was found in 1986 and it operates under the purview
of the country’s Ministry of health. The NACP is a
policy making board, on the issue of HIV and AIDS
in Tanzania.

INITIATIVES OF GOVT.
IN INDIA

 The Govt. of India has initiated programs of
prevention and raising awarnes under the medium
term plan.
 NACP-I (1990-1992)
 NACP-II (1992-2000)
 NACP-III (2007-2012)
 NACP-IV (2012-2017)
NACP

 The aim of the programme is to prevent further
transmission of HIV infection and minimize the socio
economic impact resulting from HIV infections
Milestone of NACP

NACP-I

Objectives- Slow and prevent the spread of HIV through a major
effort to prevent HIV transmission.
Key stratigies-
• focus an raising awarness, blood safety, Prevention among
high-risk populations.
• Improving survelliance
Achievements- National AIDS response structures at both
the national and state level and provided criticle financing
• Strong partnership with the WHO and later helped
mobilize additional donor resources.


NACP-II


HIV Prevention Services

 The following 13 HIV prevention services will be provided by
the collaborative for MSM of color at substantial risk of
acquiring HIV infection:
 HIV testing with lab-based 4th generation tests

 Assessment of PrEP and nPEP indications
 Provision of PrEP and nPEP
 Adherence interventions for PrEP and nPEP
 Immediate linkage to care, treatment, and partner services for
acute HIV infection
HIV Prevention Services

 Expedient linkage to care, treatment, and partner services
for established HIV infection
 STD screening and treatment
 Partner services
 Behavioral risk reduction interventions
 Screening for behavioral health and social services needs
 Linkage to behavioral health and social services
 Navigation to assist utilizing HIV prevention and
behavioral health and social services
 Navigation to assist enrolling in a health plan
HIV Testing as a Decision Node
for HIV Prevention or Care


 HIV testing to identify MSM of color to receive either
HIV prevention or care services
* Alternative testing strategies with high sensitivity for
acute HIV infection may be used (e.g., HIV-1 RNA
testing)
† STD testing includes syphilis serology and chlamydia
and gonorrhea NAATs at all anatomic sites of exposure
§ Behavioral health services include mental health and
substance abuse services; social services include housing
programs, and job training or employment services
New initiatives under
NACP-IV

 Scale up of multi-Drug regimen for prevention of parent to
child transmission (PPTCT)
 Social protection for marginalized populations through
mainstreaming departments.
 Establishment of metro Blood Bank and palsma
Fractionation centre.
 Launch of third line ART and scale up of first and second
line ART.
 Demand promation stratigies specially using media e.g.
National Folk Media Campaign and Red Ribbon Express
and buses.
STD control programme

Promotion of Condom




Community support
programme

 Improved treatment acess for opportunity infections
and contribution of care.
 Special focus on children affected on infected by
HIV.
 Impact mitigation and linking it with livelihood
support.
Common Antivirus

DRUG DOSE
ABACAVIR 300mg/twice daily
DIOANOSINE 600mg/once daily
ZIDOVUDINE 250-300mg/twice daily
STAVUDINE 30mg/twice daily
NEVIRAPINE 200mg/once daily
TENOFOVIR 300mg/once daily
ETRAVIRINE 200mg/twice daily
LAMIVUDINE 300mg/once daily

National AIDS
Telephone Helpline

 Tollfree number has been set up to provide acess to
information and counceling on HIV/AIDS related
issues.
 This is a computerised four digit number
1097
Blood Safety

 NACO is committed to bridge the gap in the availability
and improve quality of blood under NACP-III. To
achieve these objectives NACO plans to –
 Raise voluntary blood donation to 90%

 Establish blood storage centres in community health
centres.
 Expand external quality assesment services for blood
screening.
 Quality management in blood transmission services.
Blood Safety

 Sensitise clinicians on optimum use of blood, blood
components and products.
 Add 39 blood banks in districts that do not have blood
transfusion facility.
 Establish blood storage centers in 3222 community care
centers.
 Provide refrigerated vans in 500 districts for networking
with blood storage centers.
 Establish additional model blood banks in 22 states, 10 are
functional already.
 Promote outologus blood donation.
Conclusion

 The achievement of the role played by the
HIV/AIDS unit in the overall coordination of all
institutional responses is highly dependent on the
dedicated commitment of all persons, most
especially those placed in senior positiobs. The
overall responsibility and accountability for the
successful management for those infected and
affected by the HIV virus relies heavily on
philosophy and examples set by those in leadership
position.
Bibliography

 International Health Partnership (website), 21 may,
2013
htpp://www.internationalhealthpartnership.net.en
 Guidline for conducting a review of the health sector
response to HIV/AIDS; WHO Regional office for
south east asia, 2008 (21 may, 2013)

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ASSIGNMENT ON

Mrs. Gowri Ma’am Suman Mondal

 HIV testing with lab-based 4th generation tests

TENOFOVIR 300mg/once daily

ETRAVIRINE 200mg/twice daily

LAMIVUDINE 300mg/once daily

 Raise voluntary blood donation to 90%

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