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Integrated Counseling and Testing (ICTC)

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 Current facility based distribution of Integrated Counseling and Testing Services in the state Current facility based distribution of Integrated Counseling and Testing Services in the state

Current facility based distribution of Integrated Counseling and Testing Services in the state

 

Medical Colleges

District Hospital

CHC/Sub District Hospital

FICTC (CHC/PHC)

PPP

Total No of ICTCs
17
54
111
158
06
  • Voluntary counseling and testing services were initiated in the year 1999. At present all Medical colleges and 33 districts hospitals have ICTC
  • In Calendar year 2012- 379188 General clients were counseled, 366750 tested & 6965 HIV positive persons were detected.
  • Overall sero-positivity rate of 1.90%.
  • Current testing utilization is 15 clients per day
 

Year wise information on counseling and testing of general clients are given below:

Indicator

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

pre- test counseled

-

-

-

-

-

87370

134304

193967

204199

352912

379188

Clients tested

1163

1266

3989

19639

30399

65611

112309

169786

199063

346958

366750

HIV Positive

118

228

459

2330

3572

7327

7198

7632

7112

7820

6965

Percentage positivity

10.10

18.00

11.50

11.86

11.75

7.63

6.4

4.49

3.57

2.25

1.90%

 

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

2011

2012

Number registered

-

77814

93184

154679

321676

376717

332223

420211

488665

Counseled at PPTCT

-

34271

35523

86183

178303

262567

293482

388500

419986

  Accepted HIV test

1557

2193

11284

52339

139034

225098

270923

368070

386067

HIV+ pregnant Women

6

23

33

107

250

351

371

411

367

% HIV +ve

0.38

1.04

0.29

0.20

0.1

0.16

0.13

0.11

0.09

% of MB pair received NVP

-

22

40

28

43

54

65

75

91

Data reveals that:

  •  In 2012, testing percentage among registered pregnant cases was 79% while only 65% testing was observed among direct in labor cases.
  •  Overall coverage of HIV +ve pregnant women and their babies with NVP is 91% in the state
 

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 & committees are 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 number 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.

 

HIV–TB cross referral data

Indicator

2006

2007

2008

2009

2010

2011

2012

Referrals from ICTC to RNTCP

1098

1390

1456

8006

11116

16293

16544

Referrals from RNTCP to ICTC

841

1493

99824

15527

23394

45045

41370

Diagnosed HIV/TB

93

260

500

992

1069

998

731

% sero positivity

4.79

9.01

1.46

4.21

3.09

1.62

1.26

Strategies

  • Strengthening of  RNTCP and NACP linkages.
  • Capacity building of the HIV-TB staff
  • Intensified Package will be on roll.

Strategies for the expansion of access to counseling and testing services

  • 24 EID Centers has been established.
  • Expansion of FICTC services in all CHCs & high focused districts to the 24 hour PHCs.
  • Strengthening ICTCs through Public Private Partnership in Hospitals/Cooperative Multi Specialty Hospital/ Cooperative Centers in Industries Hospital.
  • Increase Demand of services through IEC
  • Reallocation of ICTCs
  • Linkages Referral system
  • Strengthening the Linkages Referral system.
 
 
 
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