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1.2.5 KARNATAKA STATE AIDS PREVENTION SOCIETY: KSAPS Is

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1.2.5 KARNATAKA STATE AIDS PREVENTION SOCIETY: KSAPS Is 1.2.5 KARNATAKA STATE AIDS PREVENTION SOCIETY: Karnataka State AIDS Prevention Society (KSAPS) was registered as a Society on 9th December 1997; it is an autonomous institution and the highest policy-making structure with respect to HIV/AIDS in Karnataka. The Governing council is headed by the Chief Minister and the Vice chairman is the Minister for Health and Family Welfare Services. The Chairman of Executive Committee is Secretary to Government Health & Family Welfare Department. As per NACO, high prevalent states in India are Nagaland, Mizoram, Tripura, Manipur and Meghalaya. KSAPS is implementing National AIDS Control Programme (NACP IV). Karnataka has 30 Category “A” districts. KSAPS is implementing NACP IV funded by National AIDS Control Organization (NACO), New Delhi: Karnataka has been conducting HIV Sentinel Surveillance since 1998. Surveillance is carried out annually by testing for HIV at designated sentinel sites and now the annual frequency of HSS was shifted to biennial (once in two years). The prevalence among antenatal clinic (ANC) attendees as per HSS 2012-13 was 0.53%. This is close to the NFHS-3 estimate of 0.69% in 2006. HIV prevalence among ANC attendees indicates decline in adult HIV prevalence in the state from 1.5% in 2004 to 0.38% in 2016-17. In 2018-19 16th round of HIV Sentinel Surveillance has been conducted at ANC sites where HIV prevalence among ANC attendees is 0.22% and in 2016-17 HRG HSS of FSW is 3.33% MSM is 5.40% in Karnataka. Presently 17th round of HSS activity is going on in all NACO designated ANC/HRG sites. Declining trend among ANC attendees-Karnataka 1.6 1.5 1.4 1.3 1.2 1.1 1 0.86 0.89 0.8 0.69 0.6 0.53 0.4 0.36 0.38 0.2 0.22 0 2004 2005 2006 2007 2008 2010 2012 2014-15 2016-17 2018-19 Karnataka State AIDS Prevention Society Programmes: 1. Targeted Intervention: Response from Karnataka State AIDS Prevention Society (KSAPS) has been to saturate targeted interventions (TIs) in Karnataka under the thrust area of NACP -IV. I. Core TI (FSW, MSM, TG & IDU): This saturation currently covers around 84248 Female Sex Workers (FSWs) under targeted interventions and 27107 Men who have sex with Men (MSM), 2282 transgender are covered under this programme. This programme is funded by NACO through KSAPS. 1 TI is implementing Injecting Drug User (IDU) programme of which is in Kolar covering 1097 IDUs. 2 Opioid Substitution Therapy (OST) centers 1 in Bangalore and 1 in Kolar covers intravenous drug user population. II. Bridge TI (Migrant & Truckers): 8 TI projects in Karnataka covers 1,42,000 destination migrants. 4 truckers TIs cover a population of 80,000 long distance male truckers. The Truckers program is implemented at Trans- shipment locations. Under this program, registration of HRGs for HIV prevention program takes place. Supply of free condoms, STI drugs, needles and syringes for IDUs. Constant follow up of all registered HRGs for regular medical check up for STI management (once in 3 months) and HIV testing (Once in 6 months). Linkages to ART and other care and support services for HIV positive HRGs. Mainstreaming through linkages to social welfare schemes of central and state government. 2. HIV Counselling & Testing Centres: In Karnataka Total 473 Stand-alone ICTCs and 2896 FICTC centres are functioning. • An integrated counselling and testing centre is a place where a person is counselled and tested and checked for HIV, Tuberculosis, ANC and postnatal follow up on his own free will or as advised by a medical provider. • An ICTC shall be located in health facilities owned by the government, in the private/not for- profit sector, in public sector organizations/other government departments such as the Railways, Employees' State Insurance Department (ESID), etc. and in sectors where nongovernmental organizations (NGOs) have a presence. ICTCs can be classified into two types: Stand alone Integrated Counselling and Testing Centres and Facility-integrated Counselling and Testing Centres Fixed-facility ICTCs are those that are located within an existing health-care facility/ hospital/centre. 1. “Stand-alone Integrated Counselling and Testing Centres”: SICTC having a full-time counsellor and laboratory technician who undertake HIV counselling and testing. Such facilities exist in medical colleges and district hospitals, and in some sub district hospitals. 2. “Facility- integrated Counselling and Testing Centres”: FICTC which does not have full-time staff and provides HIV counselling and testing as a service along with other services. Existing staff such as the auxiliary nurse midwife (ANM)/staff nurse/health visitor/laboratory technician (LT)/pharmacist are expected to undertake HIV counselling and testing. Such ICTCs will usually be established in facilities that do not have a very large client load and where it would be uneconomical to establish a stand-alone ICTC Such facilities are 24-hour PHCs as well as private sector/not-for-profit hospitals, private laboratories, public sector organization-run hospitals or facilities, and in the NGO sector. HIV Cases Tested and found Positive in ICTC General clients ANC Achievement Achievement Year Achieve Target Positivity Target Achievement Positivity Tested ment +ve Tested +ve % % % % 2013-14 1467137 1664848 113.48 29473 1.77 1292519 1178907 91.21 1445 0.12 2014-15 1540494 1906237 123.74 26509 1.39 1253456 1232862 98.36 1295 0.11 2015-16 1617519 1945282 120.26 21989 1.13 1287757 1280862 99.46 1034 0.08 2016-17 1698395 1940589 114.3 20004 1.03 1287757 1321668 103 856 0.06 2017-18 1973772 2220292 112.49 18862 0.85 1315595 1418176 74.09. 891 0.06 2018-19 2225423 2473845 111.16 18143 0.73 1315595 1423045 108.17 776 0.05 2019-20 2634744 2578245 97.85 15685 0.60 1381375 1447231 104.72 623 0.04 2020-21 2634744 1629561 61.85 9504 0.58 1209010 1209938 100.0 580 0.05 3. Care Support & Treatment: During 2020-21, 68 ART centers and 305 Link ART Centers are functioning. The cumulative number of HIV cases registered at ART Centers till March 21 are 3,55,945 out of which, 1,69,830 cases are alive and on ART. The progress of ART centers is given in Table 12.61. Table 12.61. Cumulative Status report on ART (till March - 2021) Adult Child Child Indicator Adult Female TS/TG Total Male Male Female Pre ART-Registration 171835 164507 933 10211 8459 355945 Ever Started on ART 137879 135113 715 7848 6415 287970 Alive on ART 69965 89111 429 5610 4715 169830 Reported on ART Death 50398 30726 162 1470 1079 83835 State is following "Treat All" policy since 14th June 2017 which mandates free ART treatment initiation irrespective of CD4 count & WHO staging. 4. STI/RTI (SEXUALLY TRANSMITTED INFECTIONS / REPRODUCTIVE TRACT INFECTIONS): Major route of transmission of HIV in Karnataka in unprotected sexual intercourse and HIV is primarily considered to be a sexually transmitted infection. A person with STI/RTI is 2 to 9 times prone to get HIV. HIV positive patients with STI are more likely to acquire HIV. Hence, control of STIs contributes significantly to the reduction in HIV transmission. Up to 40% of HIV transmission can be cut down by treating STI, hence STI control could be considered as the most cost-effective programme. There are 54 Designated STI/RTI Clinics (DSRCs) and 2 State Reference Centres (SRCs) in Karnataka, The DSRCs are located in all District Hospitals and some Taluka Hospitals. SRC is located in Bengaluru Urban District and Hubli, Dharwad District. DSRC - Physical and Financial Achievement Physical Year Target Achievement 2018-19 413384 277184 (67%) 2019-20 420808 288971 (69%) 2020-21 428042 183400(42.8%) 5. Information Education Communication, Youth and Mainstreaming. Under IEC, awareness will be created through various medias like mass media, folk media, outdoor media, print media, Trainings, Through Red Ribbon clubs creating of awareness on prevention of HIV/AIDS, available Government services and schemes for PLHIV, Adolescent Health Education Programme, HIV and AIDS (Prevention and Control) Act 2017, creating awareness to youth, women and general population regarding Care and Support, reduction of Stigma and discrimination . The following IEC activities undertaken from April 2020 till March 2021: 1. Broadcast of Radio spots of 30 secs each on blood donation through 3 private radio channels (Big FM, Radio City and Radio Mirchi ) from 12.8.2020 to 21.8.2020, 8 spots per day totally 240 spots on eve of International Youth Day. 2. Broadcast of Radio spots of 30 secs from 28.8.2020 to 18.9.2020 6 spots per day (State hook, FM and Vivid Bharathi) totally 180 spots through All India Radio, Bengaluru. 3. Broadcast of 15 mins long format – 10 programmes (one programme per week) and 40 spots of 30 secs on blood donation through All India Radio, Dharwad from 15.9.2020. 4. Broadcast of 230 spots through Pvt FM Radio channels on eve of National Voluntary Blood Donation Day. 5. Broadcast of 240 spots through 3 pvt FM Radio channels and 210 spots through AIR and 2 phone in programme on eve of World AIDS Day. 6. Telecast of TV 220 spots through Pvt TV channels and also through Doordarshan 120 spots and 2 panel discussion. 7. Publishing of message through leading newspaper on eve of WAD. 8. Broadcast of 28512 audio spots at 198 Bus stations across the State from 16.9.2020 to 10.10.2020. 9. Observation of State level and district level World AIDS Day. 10. District, State and Regional level quiz competition for Red Ribbon Clubs colleges.
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