Services Integrated Counseling and Testing (ICTC)
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Overall Preview of the state |
Integrated Counseling & Testing Center is a place which provides a window for rendering information about HIV prevention, counsels them to undergo testing, and provides testing facilities and also links positive people with treatment, care and support system. Therefore, availability and accessibility of ICTC services plays an important role in identification of HIV positive cases and ensuring the quality of life to HIV positive people by linking them with care, support and treatment
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Current facility based distribution of Integrated Counseling and Testing Services in the state |
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Medical Colleges |
District Hospital |
CHC/Sub District Hospital |
24x7 |
PPP |
Total No of ICTCs |
16 |
51 |
115 |
46 |
24 |
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- Voluntary counseling and testing services were initiated in the year 1999. At present all Medical colleges and 33 districts hospitals have ICTC
- 100 CHC out of total of 368 CHC’s of Rajasthan have ICTCs.
- In financial year 2010-11 till January 1,92,981 General clients were counseled, 1,87,003 tested & 6417 HIV positive persons were detected.
- Overall sero-positivity rate of 3.43%.
- Current testing utilization is 12 clients per day.
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Year wise information on counseling and testing of general clients are given below: |
Indicator |
2002 |
2003 |
2004 |
2005 |
2006 |
2007 |
2008 |
2009 |
2010 |
pre- test counseled |
- |
- |
- |
- |
- |
87370 |
134304 |
193967 |
226620 |
Clients tested |
1163 |
1266 |
3989 |
19639 |
30399 |
65611 |
112309 |
169786 |
219700 |
HIV positive |
118 |
228 |
459 |
2330 |
3572 |
7327 |
7198 |
7632 |
7764 |
Percentage positivity |
10.10 |
18.00 |
11.50 |
11.86 |
11.75 |
7.63 |
6.4 |
4.5 |
3.53 |
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PREVENTION OF PARENT TO CHILD TRANSMISSION (PPTCT) |
The year wise information on counseling and testing of pregnant women in the PPTCT is given below: |
Indicator |
2004 |
2005 |
2006 |
2007 |
2008 |
2009 |
2010 |
Number registered |
- |
77814 |
93184 |
154679 |
321676 |
376717 |
365432 |
Counseled at PPTCT |
- |
34271 |
35523 |
86183 |
178303 |
262567 |
319870 |
accepted HIV test |
1557 |
2193 |
11284 |
52339 |
139034 |
225098 |
299054 |
HIV+ pregnant Women |
6 |
23 |
33 |
107 |
250 |
351 |
401 |
% HIV +ve |
0.38 |
1.04 |
0.29 |
0.20 |
0.1 |
0.15 |
0.13 |
No of MB received NVP |
|
5 / 23 |
13 / 33 |
36 / 128 |
107/250 |
189 |
272 |
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Data reveals that:
- In 2010, testing percentage among registered pregnant cases was 86% while only 71% testing was observed among direct in labor cases.
- Overall coverage of HIV+ve pregnant women and their babies with NVP is 67.8% in the state
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TB-HIV Co-ordination |
Current situation
State TB/HIV Coordination Committee has been established in the state. In all 33 Districts TB/HIV Co-ordination Committee has been established but still these committees are not meeting at regular intervals.
Tuberculosis is one of the opportunistic infections and at present in only one TB sanatorium ICTC is functional. Therefore, ICTC centers and TB (DOTS) officer has to work in close coordination in other districts. Supervision and monitoring needs to examine the no. of cross referred every month in each facility. Analysis of the six months data indicates that cross referral has slowly increased from 5 to 12 units. Further, it has been envisaged that there is a need to intensify the efforts for cross referrals. |
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HIV–TB cross referral data |
Indicator |
2006 |
2007 |
2008 |
2009
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2010
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Referrals from ICTC to RNTCP |
1098 |
1390 |
1456 |
8006 |
12192 |
Referrals from RNTCP to ICTC |
841 |
1493 |
99824 |
15527 |
25524 |
Diagnosed HIV/TB |
93 |
260 |
500 |
992 |
1156 |
% sero positivity |
4.79 |
9.01 |
1.46 |
4.81 |
3.06 |
Number treated |
29 |
19 |
137 |
662 |
882 |
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Strategies
- Strengthening of RNTCP and NACP linkages.
- Capacity building of the HIV-TB staff
- Intensified Package will be on roll.
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Strategies for the expansion of access to counseling and testing services
- ORW Initiative
- 10000 Pregnant women and 1000 TB patients were tested by Whole blood finger Prick testing.
- Expansion of ICTC services to the 24 hour PHCs:
- Establishment of 5 New Mobile ICTCs
- Strengthening ICTCs through Public private Partnership in 24 private hospitals.
- Increase Demand of services through IEC
- Reallocation of ICTCs
- Linkages Referral system
- Strengthening the Linkages Referral system.
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