Post on 11-Mar-2020
transcript
Maharashtra State AIDS Control Society (MSACS)
1
Review of HIV-AIDS Program
Status of HIV in Maharashtra• Population of Maharashtra - 112 million (Census 2011)
• Estimated Pregnant mothers - 1.91 million
• 1.44 million pregnant women tested for HIV in 2013-14.
• HIV prevalence among pregnant women attending ANC clinics,
2012-13 (Source: HSS 2012-2013): 0.40%
•Maharashtra Stands 8th highest in the country for HIV prevalence in
ANC
2006 2007
2008
2010-112012-13
3
ANC HIV Prevalence - Maharashtra
> 1%
<1%
HIV prevalence among High Risk Groups ( Maharashtra)
54.29
41.69
23.6219.57 17.91
10.776.89
18.8
11.2
10.4 15.611.8
11.99.91
22.89
29.2
12.8
20.4 24.4
20
14.17
0
20
40
60
80
100
120
2003 2004 2005 2006 2007 2008-09 2010-11
HIV Prevalence among Core Groups 2003-2011 Source: National HSS
FSW MSM IDUs
2.4
1.6
3
1.07
1.61
2006 2007 2008-09 2010-11
HIV Prevalence among Bridge Population 2006-2011
Source: National HSS
Migrants - - - Truckers - - -
HIV/AIDS Facilities in Maharashtra (MSACS) 28th April 2015
Sr. No Type of facilities No of facilities
1 ICTCs 595+21+8+30= 650
2 FICTC-PHCs 1810+125+61 =1996
3 FICTC-PPPs 1071
4 DSRCs 53
5 Blood banks 100 + 153=253
6 TI NGO 188 (141+37)
7 LWS NGOs 21
8 ART centers 72
9 Link ART centers 157
10 CSCs 44
11 DAPCU 30
General Client Testing Performance
(MSACS)
Indicators 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15
Target 10,14,712 15,32,387 17,97,500 18,00,000 18,00,000 15,00,000 15,75,000
General Clients Tested
7,38,629 (72.79 %)
10,00,617 (65.29 %)
12,19,657 (67.85%)
15,12,252 (84.01%)
13,51,981 (75.11%)
17,77,935(118.52 %)
21,23,367 (134.81%)
HIV Positive 52,832 52,286 49,025 41,493 34,255 31,682 28,865
% Positive 7.15 5.23 4.02 2.74 2.53 1.78 1.35
Pre ART done -- -- -- --28,089
(82.00%)27246
(86.00%)25,227
(87.39%)
Prevention of Parent to Child Transmission (MSACS)
Indicator 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15
Target 15,32,387 17,97,500 17,36,349 14,00,000 15,00,000 18,75,655
Tested (Total) 8,99,329(58.6%)
9,48,818(52.7%)
12,05,420(69.4%)
12,38,342(88.45%)
14,48,112 (96.54%)
19,27,842(102.78 %)
HIV +ve(new Detected)
3,054(0.3%)
2,734(0.3%)
2,294(0.2%)
1,642(0.13%)
1438(0.09%)
1,385(0.07%)
HIV +veDeliveries
3,114 2,037 2,488 2,158 2,449 1,786
Live Births 2,835 1,884 2,078 1,969 2,033 1,731
MB Pair 2,718(78%)
1,861(68.1%)
1,980(86.31%)
1,897(116%)
1783(123.99 %)
1,717(123.97 %)
Pre ART Linkages
1,732(49.45%)
1,930(70.59%)
1,923(83.82%)
1,494(91%)
1,361(94.97%)
1,342 (96.89%)
18 months testing of babies
1381 1122 1347 1670 1850 1454
Positive 213(15.4 %)
167 (14.8%)
217(16.1%)
253 (15.1%)
173(9.35%)
130(8.94%)
Early Infant Diagnosis (April 10- Feb.2015)
Indicators MSACSLive Births to HIV Positive Mothers (Jan 09- Dec.2014)
11793
Number of babies tested under EID
10975
Number of babies detected DBS positive (DBS + Whole Blood card ) 1324
Number of babies confirmed by whole blood DNA PCR Positive 916
Number of babies confirmed by whole blood DNA PCR Negative 185
Number of babies put on ART 806
LFU + Whole Blood not done 223
Expired 203
9
HIV-TB
Indicator 2012-13 2013-14 2014-15 (till Feb. 2015 )
Number of clients attending ICTC 1259048 1560074 1479119
ICTC Clients referred to RNTCP 125152 168756 158784
% of general clients referred To
RNTCP9.94 10.8 10.73
Suspects diagnosed as TB. 11035 12,717 10702
Percentage 8.81 7.53 6.73
ICTCs to RNTCP referrals
ART to RNTCP referrals
Indicator 2012-13 2013-14 2014-15 (till
Feb.2015)
Number of patients attending ART center (Footfalls) 1166626 1462561 13,94,111
ART Clients referred to RNTCP 45,071 56569 57,740
% of ART Clients referred to RNTCP 3.80 3.86 4.14
Total diagnosed as TB. 6,076 5,919 5,320
Percentage 13.48 10.46 9.21
IBBS, HSS
• In the year 2013-14, Under the directives of NACO, HIV Sentinel
Surveillance among HRG and Bridge population is being replaced by
Integrated Biological & Behavioral Surveillance(IBBS). The key field
activities of IBBS includes the Pre- Surveillance assessment (PSA), sample
frame development , community preparation & data collection. Except
sample collections, all activities are completed. Sample collection will be
start from end of April 2015.
• This year 15th round of HIV Sentinel Surveillance was carried out from
the period of 1st January to 31st March 2015 in ANC sites. National AIDS
Research Institute is extending technical support as regional institute for
this survey. Under MSACS HSS will be carried out in all 34 districts total
68 main sites & 29 sub sites total 97 sites.
12
ART Service uptake in Maharashtra
Activities 2008 2009 2010 2011 2012 2013 2014
Till March.
15
ART Centers 27 36 50 43 48 60 70 72
Link ART Centers 40 98 112 121 125 136 156 157
Registration in HIV care Total 66260 111019 156241 202336 280414 287364 305236 329750
Ever Registered on ART 29351 55337 78671 115826 177457 176909 189520 216137
Alive & On ART 22231 40962 60230 78802 113940 133728 141643 156836
66260
111019
156241
202336
280414 287364323205
329750
29351
5533778671
115826
177457 176909 202564216137
22231 4096260230
78802113940
133728 148827156836
0
50000
100000
150000
200000
250000
300000
350000
2008 2009 2010 2011 2012 2013 2014 Upto March 2015Pre- ART Ever Registered on ART Alive on ART
STI/RTI Facilities
Sr. No. STI/RTI facilities Total
1 Designated STI/RTI Clinics 53
2 Regional STI Centers (GMC, Nagpur) 1
3 State Reference Centres 2
STI- Target Vs Achievement
Financial Year TargetAchievements in DSRC(Total Attendees)
2010-2011 364975 1,09,600 (30.0%)
2011-12 560423 1,29,074(23.0%)
2012-13 304903 1,95,394 (64.0%)
2013-14 395244 2,77,247(70.1%)
2014-15 403149 2,70,810(67.17 %)
STI- Service provided to General clients Target vs. Achievements
Indicators 2011-12 2012-13 2013-14 2014-15
Target 560423 304903 395224 403149
Number of patients counseled
1,20,671(21.53%)
1,93,842(63.57%)
2,68,860(68.02%)
2,61,067(64.75%)
Total no. of RPR test conducted
40,148(33.3%)
1,08,125(55.77%)
1,46,597 (52.88 %)
1,23,063(47.13%)
Found reactive 281 (0.69%)
235(0.21%)
152(0.10 %)
168(0.13%)
Partner notification undertaken
59,313 1,09,169 1,68,049 1,57,114
Partners managed 17,360 23,107 28,747 28,742
Referred to ICTC 41,679 51,312 73,900 68,227
Referred to otherservices
4,200 8,994 13,474 12,877
Referred from ICTC
30,110 47,109 93,605 1,64,952
STI- Service provided to ANC clients
Indicator 2011-12 2012-13 2013-14 2014-15
Number of ANC registered
1,98,755 2,05,722 2,12,973 2,22,044
Number of RPR or VDRL test performed
1,34,841 1,68,464 1,74,666 1,77,340
% 67.84 81.88 82.01 79.86
Number of RPR/VDRL reactive
71 64 25 29
% Positivity 0.03 0.03 0.01 0.01
NACO Supported Blood banks in Maharashtra
Category Of Blood banksNo. of BBs in Maharashtra
Total
Model blood Bank 1
100
Major blood Bank withBlood Component Separation
Unit46
Major blood Bank withoutBlood Component Separation
Unit19
District Level Blood banks 34
Regional Blood Transfusion Centers
7 7
BLOOD SAFETY (MSACS)
YearTotal Units Collection in
LakhsVoluntary Donations %
HIV Positivity %
2008-09 8.36 86.58 0.46
2009-10 9.12 87.44 0.41
2010-11 9.86 88.66 0.38
2011-12 10.70 90.81 0.33
2012-13 11.66 94.25 0.32
2013-14 11.79 96.12 0.29
2014-15 11.51 97.07 0.20