Rajasthan State AIDS Control Society

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	Networking with PLHA
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	Targeted Intervention
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	Monitoring & Evalution
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	Benefits

Monitoring & Evalution

India’s response to HIV epidemic is influenced by the available surveillance data, implementation capacities and political commitment at State and National level. Thus nationwide Computerized Management Information System (CMIS) provides strategic information to facilitate programme monitoring and evaluation. The objective is :

To establish a M&E system for systematic collection of data, transforming data into information and provide information for decision making.
To initiate rapid assessment, concurrent evaluation, data validation and integration with forthcoming community monitoring processes.
To coordinate various planning processes at district and state level.

The Computerized Management Information System (CMIS) has been upgraded into the new version of software. The reports are being collected directly from reporting units and entered into CMIS at State level. This information has been regularly reviewed and updated on monthly basis.

The analysis of service statistics reported in CMIS is being strengthened. Moreover, a gradual shift is taking place to use computers for compilation of information and onward submission from block and district level subject to availability of computers.

Presently, 182 ICTC and 47 STD clinics have been strengthened by providing them computers and internet connectivity

Sentinel Surveillance

HIV sentinel surveillance means carrying out cross sectional study of HIV sero prevalence rates at regular interval among selected groups in the population known as "sentinel groups".

Annual HSS was started in 1998 and is being conducted regularly every year, with the objective

To provide understanding of the spread of HIV infection.
To determine geographical distribution and time trend of infection.
To provide a basis for prioritization of resources.
Validation of data from other sources.
Evaluation of the national response to various programmes.

HIV sentinel surveillance was conducted in 46 sites. Results showed mean positivity in ANC cases 0.2%, almost level as compared to the previous years. Mean HIV prevalence in STD group turned out to be 2.16% depicting rising trend while positivity in FSW came 4.02% as compared to 4.2% in 2007

Jalor & Dungarpur Districts in Rajasthan have come up near as Category A district in 2008 round showing HIV positivity of 1% & 0.94% respectively.
Chittorgarh, Jaipur and Sikar has shown prevalence of around 5% while Ajmer has shown 8.8% positivity in STD group. • Dungarpur, Jalor, Sikar & Rajsamand emerging as hot spot.
Except of Ajmer & Jaipur remaining districts of category A & B are showing prevalence of less than 1% in ANC and less than 5% in STD cases .
Category A district Ganganagar FSW site is showing 0 positivity in FSW , while Category B districts Ajmer& Alwar have shown 7.2% positivity.
Rajasthan was able to keep the prevalence less than one percent in the general population keeping there by in the low prevalence category
. With the prevalence in & around 5% in high risk sites the spillage in general population appeared to be eminent but contrary to the expectation no statistically significant change was observed in the prevalence of ANC sites.
Even the scaling of the SS ANC sites could bring out significant change in the HIV prevalence in general population showing fairly well controlled epidemic in state.
On 90 % CI there is definite decline in the mean prevalence of HIV among the STD group.

	2003	2004	2005	2006	2007	2008	Trend
median HIV prevalence ANC	0.00	0.00	0.13	0.00	0.125	0.125	Almost level
Mean Prevalence %	0.17	0.24	0	0.29	0.25	0.20	Almost level

FSW Trends Overall trends in HIV prevalence among female sex workers (FSW) in the state is showing rising trend

Mean HIV prevalence/year	2003	2004	2005	2006	2007	2008	Trend
Mean HIV prevalence/year			3.64	1.20	4.80	3.82	Upwards

STD Trends
Decline in HIV positivity is observed in STD sites after 2005. A study fall in VDRL positivity rate in Blood bank samples since 2004 & decline in HIV positivity in VCTC attendees in year 2007 are corroborative findings.

year	2003	2004	2005	2006	2007	2008	Trend Down wards
Median HIV prevalence	6.08	2.92	5.60	1.60	2.0	2.0
Mean HIV prevalence	5.1	3.48	5.3	2.16	1.92	2.33

DISTRICT	cat	SITE	2007	2008
Ajmer	B	ANC	0	0.25
		STD	2	8.8
		FSW	2.8	7.2
Alwar	B	ANC	0.5	0
		STD	1.2	0.49
		FSW	4.8	7.2
Banaswara	C	ANC	0.25	0
		FSW	-	1.23
Baran	D	ANC	0	0
Barmer	B	ANC	1	0.22
		STD	3.6	3.6
Bharatpur	C	FSW	-	ANC
Bhilwara	C	ANC	0.51	0
Bikaner	D	STD	1.2	0
Bundi	D	ANC	0	0
Chittaurgarh	C	STD	4.42	4.8
		ANC	1	0.25
Churu	D	ANC	0	0
		migrants	na	-
Dausa	D	ANC	0	0
Dhaulpur	C	FSW	2.8	-
Dungarpur	D	ANC	0.26	0.94
Ganganagar	A	STD	0	0
		FSW		0
		ANC	0	0.25
Hanumangarh	D	STD	0	1.6
Jaipur	B	STD	4.8	4.8
		ANC	0	0.25
Jaisalmer	D	ANC	0	0
Jalor	D	ANC	0.25	1
Jhalawar	C	ANC	0	0
Jhunjhunu	D	STD	0.4	0
		ANC	0<	0
Jodhpur	C	ANC	0.75	0.22
Karauli	C	STD	3.2	0
		ANC	0.25	0
Kota	C	ANC	0.25	0
		STD	0	0.5
Nagaur	D	ANC	0	0.5
		FSW	1.75	-
Pali	D	ANC	0	0.25
Rajsamand	C	STD	2	1.6
		ANC	0.86	0.5
Sawai Madhopur	D	STD	0.8	0.8
Sikar	D	STD	2.4	4.8
		ANC	0	0
Sirohi	C	ANC	0.5	0.25
Tonk	B	FSW	4.8	4.4
Udaipur	B	STD	2.09	2.4

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