HIV/AIDS SCENARIO IN NAGALAND. DR. S.K CHATURVEDI MD, MNAMS, FIAPSM, FIPHA. PEOPLE, ECONOMY & INDUSTRY. 83% live in rural area 40% of rural & 7% urban below poverty line Literacy rate of 67% (M:F=72%:62%) Sex ratio less than national average
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DR. S.K CHATURVEDI
MD, MNAMS, FIAPSM, FIPHA
-Thorough understanding of environmental factors and develop interventions based on it
-Address needs of women not in the high risk groups
Voluntary Confidential Counselling and Testing Centre (VCCTC surveillance)Presently, the State has 12 VCTCs established in all the 11 District Hospitals and Impur Mission Hospital. The State is beginning to see an increase in access to VCTC services.
Prevention of Parent to Child Transmission (PPTCT) surveillance- Total number of centers in the State -13. - pregnant women going to hospitals for delivery is low. - Access to PPTCT services is low.- Village Health Committees are being trained. - Importance given to hospital delivery. Blood Safety- The State has 8 district level blood banks. - Voluntary blood donation movement in the State in process of development.
Information, Education and Communication (IEC) surveillance- District AIDS Committee (DAC), in all Districts- Village Health Committees at village level.- IEC Action Plan by different Departments.- Develop effective communication strategies.
Some key infrastructures in place in the State are surveillance:- State Coordination Committee under the Chairmanship of the Chief Minister.- Nagaland Legislative Forum under the Chairmanship of Minister for Health & FW.- Committee of Concern under the Chairmanship of the Chief Secretary.- State alliance with different partners.- State IEC Committee including Members from NGOs and Nagaland Network of Positive People (NNP+). - District AIDS Committees.- Coordination committee with NBCC (Apex Church organization).- NSACS Web side opened. (www.nagalandaids.com)
School AIDS Education Programme (SAEP surveillance)SAEP has been introduced into the school in the year 2004. A module on AIDS and Drug Prevention Education has been developed for classes 5 to 8. Initially, schools in five districts have been covered in the year 2004-05. SAEP is now a being owned by education deptt. with technical support from SACSPolice DepartmentHIV/AIDS training has been incorporated into Police Training Curriculum. Other Sectors – Government/NGOs/Church etc.Action Plans being prepared.
Care and Support surveillanceCommunity Care Project - 8 community care projects -1 AIDS Hospice, 3 Drop- in- centers, 3 Church based care projects and 1 Network for Positive People. - Visible Network for PLHAs is important. - Many members of Network are current drug users.
Antiretroviral Therapy (ART) Programme surveillanceLaunched on 16th April 2004 at Naga Hospital Authority, Kohima.Total registered till 31st Dec. 2004 114 Male - 66 Female - 48Persons put on treatment DeathsTotal - 59 8Male - 33 4Female 26 4
ART Programme surveillance- Not accessible to many people from other Districts.- All Doctors and Health workers trained on different aspects of HIV/AIDs.- Hesitation to access service from public sector.- Need to make services more client friendly.
Programme Management surveillanceStaffing:- Need for increased manpower.Training: - Much importance given to training.- Ongoing training needed.- Hands on Training needed.- Focus for NGO capacities.- Develop Training Institutions.Sentinel Surveillance:- Urban and Rural included
Intersectoral Collaboration: surveillance- Epidemic driven by Sexual route and IDU- Need to address contributing factors.- Comprehensive multisectoral response needed.- Strong Political leadership.- Ownership by all Departments, Church etc.- Complement and avoid duplication of activities.
Some Outcomes of the intersectoral activities surveillance1. The Nagaland Legislative Forum formed.2. State Coordination Committee under the Chairmanship of the Chief Minister.3. All Departments have been directed to identify Nodal Officer for HIV/AIDS and prepare Action Plans within each department’s existing infrastructure and programmes. 4. Committee of Concern under the Chairmanship of the Chief Secretary.5. State Alliance of Agencies implementing HIV/AIDS formed.