Integrated Counseling and Testing Centre (ICTC)
An ICTC is a place where a person is counseled and tested for HIV on his own free will or as advised by a doctor. The main Functions of an ICTC include:
- Early detection of HIV.
- Provision of basic information on modes of transmission and prevention of HIV & AIDS for promoting behavioral change and reducing vulnerability.
- Link people with other HIV prevention, care and treatment services.
Broadly, ICTCs can be classified as:
1. Fixed ICTCs
2. Mobile ICTCs
3. Facility Integrated ICTCs
Nagaland at present has 60 ICTCs (56 Stand Alone and 4 PPTCTs – Prevention of parent to child transmission centre) located in all the 11 Districts and 10 mobile ICTCs. All the ICTCs have counselors and lab technicians. There are also 65 Facility Integrated ICTC’s and 1 PPP (ICTC) in the state.
Supportive supervisions to all the ICTCs and FICTCs are carried out on a quarterly and need basis by the Basic Services Division, NSACS.
Facility Integrated FICTCs (FICTC)
“Facility-Integrated” ICTCs 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 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.
HIV-TB Collaborative activity
NACP-RNTCP coordination mechanisms are carried out at state and district level to ensure smooth implementation and regular review of HIV/TB activities.
|State Coordination Committee (SCC)||Bi-annual|
|State technical Working Group (SWG)||Quarterly|
|District Coordination Committees (DCC)||Quarterly|
|Monthly HIV/TB coordination meeting||Monthly|
- Training on PLHIV – ART Linkage System (PALS)
National AIDS Control Organization has developed the PLHIV- ART linkages System for tracking & monitoring of all HIV positive individuals including pregnant women detected at HIV counselling & testing center and follow them for further care continuum. It also allows the tracking of babies born to HIV positive mother for care continuum under Early Infant Diagnosis programme.
- The “PLHIV – ART Linkage System (PALS)” is designed to capture the information of all HIV positive individuals including pregnant women.
- The system will enable the programme for robust monitoring and sound implementation of services provided to PLHIV under the National HIV/AIDS Control Programme (NACP).
- These services includes, HIV testing, linkages to treatment (ART centre), diagnosis of Tuberculosis (TB), STI/RTI infection and follow up of pregnant women for safe institutional delivery.
- The system ensures the care continuum of HIV exposed infants / children under the Early Infant Diagnosis (EID) Programme.
- The system also enables the documentation of the services provided to HIV positive individuals at any ICTC / ART centre across India.
Nagaland State AIDS Control Society conducted PALS training on 25th March,2017 for M&E (DAPCU),DEO (ARTC) and ICTC counselors. Altogether 34 NACP field staffs have been trained .
- HIV-TB Collaborative activities:
A ‘four-pronged strategy’ has been envisaged to ensure strong collaboration and coordination between the NACP and RNTCP. It entails prevention, early detection of HIV/TB, prompt treatment and management of TB/HIV cases.
Isoniazid preventive therapy (IPT) for PLHIV
IPT is one of the 3 Is (Intensified case finding (ICF),Isoniazid preventive therapy (IPT),Infection control for tuberculosis (IC) that are globally recommended for prevention of incident TB among PLHIVs. Isoniazid is the most effective bactericidal Anti -TB drug available currently at ART Plus centre, ART centres and LACs.While it protects against progression of latent TB infection to active disease i.e. reactivation, it also prevents TB re-infection post the exposure to an open case of TB.
99DOTS is a low-cost approach for monitoring and improving TB medication adherence. It can be utilized either as a supplement to existing DOTS programs, or to enable remote observation of doses administered by patients or their family members. 99 DOTS is a technology which uses mobile phone. 99 DOTS introduces anti-TB blister pack wrapped in a custom envelop, which includes hidden phone numbers that are visible only when doses are dispensed.
Revised National TB control programme Nagaland launched the 99 DOTS (Daily Anti TB Treatment) for TB/HIV co infected patients & Isoniazid Preventative Therapy (IPT) for PLHIV on December 9, at NHAK, Kohima.
Activities conducted during 2016-17 under HIV-TB:
- State Coordination Committee Meeting (SCC)
The State Coordination Committee (SCC) Meeting was held on 15th December, 2016 at the conference Hall of the Commissioner & Secretary Health & Family Welfare Nagaland Kohima, which was chaired by Shri. Rajesh.SoundararajanIAS Joint Secretary, H&FW.
(a)Review implementation of joint TB/HIV activities
(b) Strengthen participation of general health system staff
in HIV/TB activities and strengthen TB infection control practices
(c)Nutritional benefits for co-infected patients
(d) Scaling up of Linkages and HIV/TB referral
(e) To increase co location of facilities
SCC meeting with Joint Secy ,H&FW
b.) State Technical Working Group (STWG)- Quarterly(28th June,3rd November ,12th December,2016 and 3rd April,2017)
- Review Meeting
ICTC Annual Review meeting (2016-17) was held from 18th -20th April, 2017 for 10 District Supervisors and 71 ICTC counselors at the Conference Hall, Directorate of Health & Family Welfare.
|18th April,2017||Kiphire,Phek ,Peren,Wokha|
|19th April,2017||Mon, Mokokchung Tuensang|
|20th April,2017||Kohima, Dimapur ,Zunheboto,Longleng|
ICTC Review Meeting (2016-17)