Integrated Counseling and Testing Centre (ICTC)
With the introduction of NACO’s new approach under the National HIV Counselling & Testing Services Guidelines, 2016 viz Facility-based services and Community-based services, progress have been made on reaching out to the priority populations with the focus on increasing HIV testing and services in all
Progress on Establisment of HIV Counseling and Testing Services (HCTS) in the state during 2018-19
| Type of Health facilities | HCTS established(2018-19) |
| Urban PHCs | 4 |
| PHCs | 47 |
| Sub centres | 2 |
| Prison | 1-Dimapur |
| DTC(RNTCP) | 1-Zunheboto |
| NEEPCO Hospital Doyang, DHEP | 1- Wokha |
| Community-based HIV screening at TI NGOs | 43 |
| Community-based HIV screening during VHNDs/SCs | 11 districts |
In addition to the above ,three different Public Private Partnership models have been introduced by NACO to increase HIV testing and improve data sharing practices in the private sector .Under this approach, BSD have collaborated with private hospitals for initiating HIV screening as per the three Models.
i)Model A: Market-Led Model
- ii) Model B: Market Sharing Model
iii) Model C: Data Sharing Model
In Dimapur 20 private hospitals were established as PPP-FICTC under Model ‘A’ and ‘C’ and in Kohima 7 private hospitals are implementing HIV testing services under Model ‘A’.
| PPP FICTC (April 2018- March 2019) Source: SIMS DATA | No. of Clients Tested | No. of clients detected HIV reactive after 1st Test | |||
| Pregnant women | General Clients | Pregnant Women | General Clients | ||
| DIMAPUR(27) | 1819 | 8574 | 13 | 335 | |
| Kohima | Bethel Medical Centre | 3 | 685 | 0 | 23 |
| Gyne Institute of Virility & Fertility | 37 | 53 | 1 | 5 | |
| K.P. Bethesda Hospital | 1 | 243 | 1 | 1 | |
| KOHIMAS | 1 | 463 | 0 | 25 | |
| Maxcare Multispeciality Clinic | 5 | 92 | 1 | 4 | |
| OKING HOSPITAL | 1 | 781 | 1 | 19 | |
| Putuonuo Nursing Home | 184 | 464 | 5 | 7 | |
| NAGALAND | 2051 | 11355 | 22 | 419 | |
| Elimination of Mother to Child Transmission (EMTCT) on HIV and Syphillis-2020 |
HIV Testing: Efforts in progress Under NACP IV
| Sl.No | Key Indicators | 2017-18 | 2018-19 |
| 1 | Estimated no. of Pregnant women | 34293 | 34293 |
| 2 | NHM-ANC Registration*HMIS | 37128 | 30633(April-Jan) |
| 3 | No. Tested for HIV | 16945 | 22579 |
| 4 | No. Found HIV +ve | 180 | 187 |
| 5 | No. initiated on ART | 150 | 97 |
Early Infant Diagnosis under NACP-IV
| Sl. no | Indicator | 2017-18 | 2018-19 |
| 1 | Number of live births to HIV positive mother | 187 | 211 |
| 2 | No. of babies tested Under EID for first time (DNAPCR + Antibody) | 116 | 117 |
| 4 | No. of babies tested between 6 weeks-6month using DNAPCR | 81 | 99 |
| 5 | No. Found DBS +ve at 1st PCR test | 1 | 4 |
| 6 | No. Confirmed +ve by 2nd PCR test | 0 | 3 |
| 7 | No. initiated on ART | 0 | 1 |
| Elimination of MTCT of Syphilis | 2015-16 | 2016-17 | 2017-18 | 2018-19 | |
| April-March | |||||
| Process indicator | No. of Pregnant Women tested for Syphilis | 7049 | 7918 | 9183 | 13370(ICTC) |
| 9576(DSRC) | |||||
| No, of pregnant women detected reactive for syphilis | 18 | 31 | 63 | 66(ICTC) | |
| 53(DSRC) | |||||
| No. of Syphilis positive pregnant women treated for STI | 16(50%) | 26(54%) | 40(63%) | 28(52.83%) | |
| Impact Indicators | No. of Syphilis positive infants born to Syphilis positive women/ No. of babies reported with Congenital Syphilis | NA | NA | NA | nil |
Mother-to-child transmission of HIV during pregnancy, delivery or breastfeeding is the primary cause
of HIV infection among children. It is estimated that without any intervention, the risk of transmission
of HIV from infected mother to her child is between 20% and 45%. With appropriate interventions,
this risk of HIV transmission can be reduced to less than 5% in breastfed children
Towards achieving the national elimination goal of HIV and Syphilis by 2020,Tata Institute of Social Sciences (TISS) as Sub Recipient (SR) to Plan India, supported by Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) and under the initiative of NHM and NSACS, have successfully completed training of ANMs /staff nurse on HIV & Syphilis for the newly designated Facility Integrated Counseling Testing Centres(FICTC) PHCs/SCs.
Training was conducted on 19th March and 3rd April, 2019 at SIRD,Kohima. Altogether 52 ANMs/staff nurses attended the training .With the completion of this training, it is expected that all the health facilities provide HIV and syphilis services to all pregnant women as well as to the general population.
As part of EMTCT action plan , State EMTCT Core Committee was formed on 17th July,2018 with Principal Secretary,H&FW as Chairman and Project Director, NSACS as Member Secretary and the first meeting was held on 17th July,2018 at Conference Hall, H&FW, Secretariat.
EMTCT Core committee meeting chaired by Shri.I.Himato Zhimomi,Principal Secy,H&FW
- NACO conducted a 3 day National Workshop on Elimination of Mother to Child Transmission (EMTCT) of HIV& Syphilis 24th 25th & 26th October 2018 at New Delhi. Nagaland State received EMTCT Achiever’s Award 2018 in appreciation of commitment towards Elimination of Mother to Child Transmission (EMTCT) of HIV & Syphilis.
- Nagaland SACS conducted one day Review meeting on Elimination of Mother to Child Transmission (EMTCT) on HIV and Syphilis for DAPCU,DIS, and ARTCs on 22nd November, 2018 at NSACS
HIV-TB Collaborative Meetings:
- State Technical Working Group (STWG)-Quarterly
- 11th July,2018
- 6th November,2018
- 1st April,2019
- 2nd May,2019
