Integrated Counseling and Testing Centre (ICTC)

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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

  1. 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:

  1. State Technical Working Group (STWG)-Quarterly
  • 11th July,2018
  • 6th November,2018
  • 1st April,2019
  • 2nd May,2019