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DROP-IN-CENTRES

NACO GUIDELINES for Drop -in -Centers

The care of HIV infected people is the most challenging aspect in HIV/AIDS prevention. The

Experience shows that to mobilize the Community Support, the advocacy among PLWHAs and networking among them for creating an enabling environment is essential. It is a good sign that Community Support groups of PLWHAs are coming forward to provide Emotional and social support to themselves, such community based organizations have the committed responsibility in developing the positive attitudes in the community towards Individuals and families living with HIV/AIDS. Apart from our continuous efforts still the stigma and discrimination exists in the society. There are many people living with HIV/AIDS hesitate to disclose their status due to fear of isolation and discrimination. It is important to address sustainable integrated approaches to improve quality of life and Increase the quality of life of the PLWHAs.

Objectives:

The objectives of the PLWHA drop in centers are as follows:

  1. To promote positive living among PLWHAs and improve the quality of life of the infected.
  2. To build the capacity and skills of PLWHAs to hope with the infection
  3. To create an enabling environment for the PLWHAs
  4. To establish linkages with PLWHAs with the existing health services, NGOs, CBOs and
  5. Other welfare and development programmes.
  6. To protect and promote the rights of the infected.

 

Criteria for the selection of the CBO

  1. PLWHA group should be registered organization. These types of CBOs have to be Encouraged immediately after their registration.
  2. PLWHA groups must have minimum 10 people and should be addressing 100 people living with HIV/AIDS and their families.

Key Indicators

  1. Behavior Change Communication
  2. nabling Environment
  3. Capacity Building
  4. Advocacy

 

Following services provided to PLWHAs by Drop-In –Centers

  1. Counseling
  2. Self Help Group/ Establishing Pressure groups
  3. Need based support by enrolling under Govt. schemes
  4. Home visits
  5. Providing Psycho social support.
  6. Monitoring ART Adherence.

 

Budget Allotted to Drop- In- Centers:

Serial No.

Cost of PLWHA Neteork Programme

Cost Calculation

Notes

Total Rs.

1.

Programme  Management

 

 

2,12,000/-

1.1

Programme Coordinator

1x6000x12

1 senior staff full me

72000/-

1.2

Office Support staff

1x3000x12

1 assistant to look after finance and other project needs.

36,000/-

1.3

Office running expenses

2000x12

water@ Rs.200 p.m electricity Rs.300 pm stationary 500 pm Photocopy 750pm office maintenance 250 pm

24,000/-

1.4

Communications

1000x12

Rs.3000 as telephone deposit and Rs. 750 p.m as rentals.

12,000/-

1.5

Office space

4000x12

The Office space will also be used for meetings training community drops in centre drops in centre counseling space etc

48,000/-

1.6

Infrastructure

20000

Tables chairs, Cupboards, Partition for counseling drop in centre.(online)

20,000/-

2. Behaviors changes communication

2.1

Emergencies/ Referral Services

2000x12

Refer the terminally ill and PLWHAs with opportunistic infections to govt. hospitals and community care centers.

24000/-

2.2

Communications materials

30000

Develop and disseminate IEC materials in consultation with state AIDS Control Societies regarding positive living.

30,000/-

2.3

Field Workers

Rs. 3000x12x1

Field workers have to work among PLWHAs and networking and establish linkages with care providers and other departments.

36000/-

2.4

Social worker Counselor

Rs.5000x12x2 persons

One male and one female Social worker will also provide counselling

1,20,000/-

2.5

Travel cost

Rs.2000x12

Social workers and field workers will have to travel widely and networking the PLWHAs

24,000/-

3. Enabling environment

3.1

Advocacy Programmes

6 program x5000

Area specifics need based advocacy programmes to be organized in collaboration with volunteers lawyers NYK,NSS Mahila Madal etc.

30,000/-

3.2

Get-together Programmes

2 Programs x 10000

4 PLWHAs programmes once in three months

20,000/-

3.3

Meeting any immediate needs

1000x12

Emergency meeting

12,000/-

4. Monitoring and Evaluation

4.1

Annual Participatory evaluation

10000

Yearly evaluation

10000/-

4.2

Process documentation

10000

PLWHAs have to document the activities and programme

15000/-

 

 

 

Total

5,33,000/-

 

PLWHA networks have to be exempted from the 10% NGO contribution. The coverage may have flexibility of 100 PLWHAs on one large program (minimum membership –100)It does not mean that PLWHAs at small proportion need not be encouraged. The PLWHAs even if they are small in-group may also be encouraged and they have to networking among 100 PLWHAs during the project period.

This CBO have to constitute a committee of PLWHAs and SACS and religions and other important care providers and various relevant department representatives as the core group, which can continuously provide technical inputs.

 

Guidelines:

There are so many guidelines for Care Support & Treatment. All Guideline, information’s are available on web site of NACO http://www.nacoonline.org/NACO

 

MSACS Website : www.mahasacs.org

The ART centre shall be headed by the department of medicine who will be Nodal Officer. ART centers can submit Issues & Application with the signature of Head of the Institution, Nodal Officer & Senior Medical Officer. MSACS will submit these applications & issues to NACO who will be the final authority to take the decision.

 

HIV AIDS STATUS UPTO APRIL 2011

Sr. No.

Indicator

Aug.1986 to Dec 2010

Jan-April 2011

Aug.1986 to April  2011

Ex-Mumbai

Mumbai

Total

1

No. of Blood units screened

14867325

270564

74441

345005

15212330

2

ELISA reactive

132707

984

326

1310

134017

3

Reactivity Rate

0.95

0.36

0.44

0.38

0.88

4

No.of general clients tested for HIV

5390289

378581

64290

442871

5833160

5

No. of persons HIV+ve

483480

15212

3986

19198

502678

6

HIV Positivity Rate

10.49

4.02

6.20

4.33

8.62

7

No.of Pregnant women tested for HIV

4415888

335765

30593

366358

4782246

8

No. of persons HIV+ve

32351

768

124

892

33243

9

HIV Positivity Rate

0.86

0.23

0.41

0.24

0.70

10

No.of  Clients  tested for HIV in ICTC (4 + 7)

9806177

714346

94883

809229

10615406

11

No. of clientsfound  HIV+ve ( 5 + 8)

515831

15980

4110

20090

535921

12

HIV Positivity Rate

6.06

2.24

4.33

2.48

5.05

13

No. of AIDS Cases

102147

2668

317

2985

105132

14

No. of AIDS Deaths

7699

456

13

469

8168