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PACT Annual Report 2007-2008 HIV Global Fund PFI |
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Promoting Access
to Care and Treatment
Annual Report
2007-2008
Population Foundation of India
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Promoting Access
to Care and Treatment
Annual Report
2007-2008
Population Foundation of India
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Contents
From the desk of the Executive Director
v
Acknowledgement
vii
Abbreviations
ix
Overview of HIV/AIDS in India
1
The Global Fund Round 6 Program
1
Promoting Access to Care and Treatment
2
Care and Support Services
4
Capacity Building
10
Advocacy
12
Project Management
14
Learnings
17
Annexures – 1 (a) to 1 (c)
18
Annexure – 2
21
Annexure – 3
22
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From the desk of the Executive Director
It gives me immense pleasure that The Global Fund Round 6 Program, “Promoting
Access to Care and Treatment (PACT)” has completed its first year of
implementation. The program is a partnership between the government and the
civil society on HIV/AIDS care and support and is implemented in the eight
highly vulnerable states of India, namely, Uttar Pradesh, Madhya Pradesh,
Rajasthan, Gujarat, Bihar, Chattisgarh, West Bengal and Orissa.
National AIDS Control Organization (NACO) is providing Antiretroviral Treatment
(ART) through the public health facilities and the civil society partners are
providing care and support to People Living with HIV/AIDS (PLHA). The program
aims to reduce HIV related morbidity and mortality in adults and children and to
mitigate the impact of HIV in children and women headed households.
The role of civil society initiative led by PFI is to provide care and support focusing
on PLHA initiated on ART by the national program. Specifically this focuses on
‘ensuring access to OI treatment and improving drug adherence’. The main
activities of the program are establishing Community Care Centres (CCC) and
District Level Networks (DLNs) of PLHA and supporting advocacy for multi-sector
convergence.
Detailed information about the program, our efforts, targets, achievements and
lessons learnt are part of this Annual Report. I hope this report will facilitate
sharing of experiences and lessons learnt with those who provide care and
support services to PLHA.
A.R. NANDA
Executive Director
Population Foundation of India
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Acknowledgement
Population Foundation of India (PFI) is pleased to present the first Annual Report
of the program “Promoting Access to Care and Treatment –PACT”. This program
is being implemented in eight highly vulnerable states of India for providing care
and support to People Living with HIV/AIDS. The program is supported by The
Global Fund to Fight AIDS, Tuberculosis and Malaria under Round 6. This is a
five year program and has completed its first year of Phase I implementation in
June 2008.
Population Foundation of India acknowledges the contribution of Indian Network
for People living with HIV/AIDS (INP+), Catholic Bishops’ Conference of India
(CBCI) and Hindustan Latex Family Planning Promotion Trust (HLFPPT) for their
immense support and efforts in implementing the program.
PFI expresses its gratitude to the Governing Board, the Project Advisory Board
and the management team for their continuous support, supervision and guidance
in the smooth implementation of the program.
PFI thanks National AIDS Control Organization, State AIDS Control Societies
and ART centres for supporting in the implementation of the program.
PFI expresses its sincere thanks to The Global Fund for supporting the scale up
of the HIV/AIDS program to address the needs of the people living with HIV/
AIDS in India.
The PLHA have been the core of the program. This program has helped in
enhancing the capacity of PLHA and facilitating access to treatment, care and
support. We are indeed grateful for their sincere efforts and commitment.
PFI conveys its appreciation to the members of the Project Management Unit at
Delhi and the Regional Program Coordination Units for their untiring efforts in
managing the program.
Dr. Mary Verghese
Project Director
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Abbreviation
AIDS
ART
CBCI
CCC
DLN
DOTS
HIV
HLFPPT
IP
INP+
LFU
MIS
NACO
NACP
NGO
OI
OP
PACT
PFI
PLHA
PPTCT
Acquired Immuno- Deficiency Syndrome
Antiretroviral Therapy
Catholic Bishops’ Conference of India
Community Care Centre
District Level Network for people living with HIV/AIDS
Directly Observed Treatment Short course
Human Immunodeficiency Virus
Hindustan Latex Family Planning Promotion Trust
In-patient
Indian Network for People Living with HIV/AIDS
Lost to follow-up
Management Information System
National AIDS Control Organization
National AIDS Control Program
Non-Government Organization
Opportunistic Infection
Out-patient
Promoting Access to Care and Treatment
Population Foundation of India
People Living with HIV/AIDS
Prevention of Parent to Child Transmission
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RCU
SACS
SDP
SLN
SR
STI
TB
Regional Coordination Unit
State AIDS Control Society
Service Delivery Point
State Level Network
Sub-recipient
Sexually Transmitted Infection
Tuberculosis
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Overview of HIV/AIDS in India
The national adult HIV prevalence in India is approximately 0.36 percent,
amounting to 2 to 3.1 million people with an average figure of 2.5 million people
living with HIV/AIDS as per the 2006 estimate. Nationally, the prevalence rate
for adult females is 0.29 percent, while for males it is 0.43 percent. The prevalence
is high in the 15-49 age group which is 88.7 percent of all infections. This
indicates that HIV/AIDS threatens populations in the prime of their working life1.
The Technical Report India HIV estaimates 2006 indicate that the epidemic has
stabilized or seen a drop in Tamil Nadu and other southern states with a high
HIV burden. However, new areas have seen a rise in HIV prevalence, particularly
in the northern and eastern regions. 118 districts have HIV prevalence more
than 1 percent among women attending ante-natal clinics. Twenty-six districts
have been identified with high prevalence, largely in the states of Madhya
Pradesh, Uttar Pradesh, West Bengal, Orissa, Rajasthan and Bihar.
The National AIDS Control Program–III (2007-2012) envisages to halt and reverse
the epidemic in India over the next five years by integrating programs for
prevention, treatment, care and support.
The Global Fund Round -6 Program
Country Program
The Global Fund Round 4 program has facilitated scaling up treatment, care
and support services in the six high prevalence states of India. The Round 6
program envisages to scale up testing, treatment, care and support services in
the states other than the six high prevalence states.
This program is managed by three Principal Recipients; National AIDS Control
Organization (NACO), Population Foundation of India (PFI) and India HIV/AIDS
Alliance. NACO is scaling up ART services by increasing the number of ART
centres, Community Care Centres and Integrated Counselling and Testing Centres
(ICTC) for expanding access to services. Population Foundation of India is
providing care and support services in the eight highly vulnerable states of India.
India HIV/AIDS Alliance is focussing on mitigating the impact of HIV/AIDS on
vulnerable population, women and children in the four states of Tamil Nadu,
Maharashtra, Andhra Pradesh and Manipur.
1Technical Report, India HIV Estimates-2006, page 12
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Goal:
To reduce HIV related morbidity and mortality in adults and children and to
mitigate the impact of HIV in children and women headed households.
Objectives:
1. Widen access to treatment (including ART)
2. Ensure access to OI treatment and improve drug adherence by
establishing Community Care Centres
3. Expand access to counseling and testing
4. Mitigate the impact of HIV on children and women
Promoting Access to Care and Treatment (PACT)
Population Foundation of India as the Principal Recipient of the Round 6 grant
is contributing to Objective 2 “Ensuring access to OI treatment and improving
drug adherence by establishing Community Care Centres”. To achieve this
objective the following strategies are in place:
1. Creating and strengthening networks of PLHA for providing care and
support, treatment education, prevention and building effective linkages
for ART, PPTCT and other care services in the three states of Uttar Pradesh,
Madhya Pradesh and Rajasthan
2. Establishing Community Care Centres (CCCs) through Non-Government
and Faith Based Organisations in the eight highly vulnerable states of Uttar
Pradesh, Madhya Pradesh, Rajasthan, Gujarat, Bihar, West Bengal, Orissa
and Chhattisgarh and
3. Creating an enabling environment for multi-sector convergence to
mainstream and integrate gender, reproductive health and HIV/AIDS
The PACT program is being managed by Population Foundation of India as the
Principal Recipient (PR). This is a five-year program. The first phase of 2 years is
from 1st June 2007 to 31st May 2009.
The Sub-Recipients (SRs) are:
- Indian Network for People living with HIV/AIDS (INP+)
- Hindustan Latex Family Planning Promotion Trust (HLFPPT)
- Catholic Bishops’ Conference of India (CBCI)
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Population Foundation of India (PFI)
PFI is a national organization and works in close coordination with the
government both at the centre and at the state level. It focuses on a rights based,
gender sensitive approach for human development including population
stabilization in India. As the Principal Recipient of the grant, PFI is responsible
for overall program and grant management, monitoring and evaluation, operations
research, advocacy and coordination with NACO and SACS.
Indian Network for People Living with HIV/AIDS (INP+)
INP+ is a national network for People Living with HIV/AIDS. INP+ facilitates
the formation of networks for people living with HIV across the country to create
an effective response to HIV/AIDS. INP+ is responsible for setting up state and
district level networks of People Living with HIV/ AIDS in Uttar Pradesh, Madhya
Pradesh and Rajasthan.
Hindustan Latex Family Planning Promotion Trust (HLFPPT)
HLFPPT implements programs to encourage healthy behaviour and increases
access to health products and services at affordable prices. In the Round 6
program, HLFPPT is responsible for managing Community Care Centres in the
states of Uttar Pradesh, Madhya Pradesh and Rajasthan.
Catholic Bishops’ Conference of India (CBCI)
CBCI coordinates the church responses on health in India. It is responsible for
managing Community Care Centres in the states of Bihar, West Bengal, Orissa,
Chhattisgarh and Gujarat.
Map showing coverage of PACT program
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Care and Support Services
Community Care Centres are established and closely linked to the ART centres
in the eight highly vulnerable states. In three of these states, networks of PLHA at
the state and district level are being established to mobilize PLHA and enhance
access to services.
Networks for People Living with HIV
In the first year of the PACT program, INP+ has strengthened State Level Networks
(SLN) in the states of Uttar Pradesh, Madhya Pradesh and Rajasthan. Thirty five
District Level Networks (DLN) have been established in selected districts of these
states in a phased manner. Each DLN comprises of District Level Network Officer,
Counsellor, Social Worker, Treatment Education Coordinator and a part-time
accountant.
Indicators
Number of state level networks strengthened
Number of district level networks strengthened
Number of Counselors, Social workers,
Treatment Education Coordinator and other
project staff trained at DLNs
Number of PLHAs enrolled by district level
networks for care & support
1st June 07 to 30th June 08
Target
Results
3
3
35
35
60
1,450
80
1,446
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In the first year, 35 DLNs have been established. A total of 1446 PLHA have
enrolled.
The main activities of the DLN are to enroll PLHA, provide counseling, conduct
support group meetings, refer PLHA to other service delivery points, support
PLHA to adhere to treatment and provide nutrition supplement to needy PLHA.
They coordinate with the ART centres and Community Care Centres to promote
treatment education and facilitate adherence.
Support Group Meetings
Each DLN conducts monthly Support Group Meetings (SGM) in their respective
districts. In SGMs, DLN provides psychosocial support to PLHA and their family
members. It helps PLHA to lower internalised stigma, increase treatment literacy,
remove myths and misconceptions and motivates them to adopt positive living.
By participating in the support group meetings, PLHA:
• are motivated to accept and disclose their HIV status to partners and family
members
• learn appropriate coping mechanisms
• receive support for treatment and information on managing opportunistic
infections
• receive information on legal rights.
• receive information on ARV drugs, its side-effects, HIV co-infections (TB,
Hepatitis-B etc.), nutrition and treatment adherence
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Support Group Meeting in progress in Lucknow DLN
Counselling
Peer counselling is provided at the DLNs on various issues. The peer counsellors
have an empathic understanding of the situation of the clients coming to the
DLN. They guide the PLHA in dealing with their problems related to stigma,
discrimination, denial, provide information and support for treatment.
Outreach
DLNs support ART centres and CCCs in tracing the defaulter cases as per the list
provided by the ART centres. They also mobilize people for testing.
Referrals and linkages
Based on the needs of PLHA, DLNs develop linkages and refer clients to
government centres such as ICTC, PPTCT, DOTS, ART centres and private service
delivery points. They facilitate PLHA to access government schemes.
CASE STORY
Rajendra is a member of Allahabad DLN in Uttar Pradesh. He is on-ARV
treatment. He has two children. They study in an English medium school.
Due to poor health he was unable to meet his needs. After few months, he
could not pay the school fee of his children. He came to the network office and
shared his problem with the members of the network. They drafted a letter for
full concession of fee for his children. With the letter, they went to the Principal
of the school. They explained the condition of Rajendra and convinced him to
give fee concession to his children. The Principal agreed and waived the fee.
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Community Care Centres
Community Care Centres (CCCs) are established in districts based on the
epidemiological profile, PLHA load and are linked to the public ART centres.
PFI through its Sub-Recipients is implementing CCCs in the 8 highly vulnerable
states whereas NACO is implementing CCCs in the rest of the country.
The CCCs work in close coordination with ART centres. All PLHA initiated on
ART at the public ART centres are referred to the CCC for in-patient care on drug
adherence. After initial diagnosis CCC provide counseling on drug adherence,
nutrition and preventive behaviour such as use of condoms. They verify patient
address and provide out-patient and inpatient services for minor opportunistic
infections. CCCs also follow up PLHA for monitoring treatment adherence
through house visits.
A CCC in Allahabad, Uttar Pradesh
Selection of NGOs for setting up CCCs
The Sub-Recipients, HLFPPT and CBCI, selected the organizations for establishing
CCCs through a Joint Appraisal Team (JAT), which included representatives from
SACS, PFI, SR, as per the National Guidelines. Based on the advertisement in
the leading newspapers, organisations submitted their Expression of Interest (EoIs).
The SRs reviewed the EoIs, and short-listed organizations for field assessment.
The technical and financial management capacities of organizations and
proposed sites for establishing the CCC were assessed. The team recommended
organizations for establishing CCCs based on the assessment. Existing ‘A’ category
CCCs which were supported through NACO were taken up by HLFPPT and
CBCI in these 8 states.
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Services provided at the CCC
In the first year, 30 CCC have been established. A total of 3250 PLHA have been
provided services.
Indicators
Number of Community Care Centers set up
Number of PLHAs provided care at
Community Care Centers
Number of staff at Community Care Centres
trained (including Doctors, Nurses, Outreach
workers and project support staff)
1st June 07 to 30th June 08
Target
Results
30
30
320
3,250
205
205
Out patient and In-patient Care
PLHA initiated on ART (at the ART centre), are referred to the CCC for a minimum
of 3 - 5 days of inpatient care.
PLHA receive the following services at CCCs :
• Medical monitoring for side effects and tolerance to ART regimen
• Verification of patient address
• Preparing family and/spouse for acceptance of test status
• Counselling for drug adherence
• Management of minor opportunistic infections
• Home visits for monitoring treatment adherence.
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Outreach and Referrals
The Community Care Centres refer PLHA to ART centres, DLNs, DOTS centres,
and other tertiary medical facilities. They link PLHA to NGOs providing nutritional
support. The ART Centres share the list of defaulter cases with the CCC on a
monthly basis. The CCCs trace these clients through outreach and link them
back to the ART centres. The CCCs conduct outreach activities within a radius
of 25-30 kms or cater to 200-250 PLHA.
CASE STORY
Heena (name changed) was 9 years old when her father died. Her mother was
a conservative lady, never allowed her 6 female children to go out for work.
There was not much support to the family. Many a time they had to sleep without
food.
At the age of seventeen, Heena was forced to get married. Her husband was
working in a tyre factory. In the fifth year of their marriage her husband’s
health deteriorated and he was taken to M. Y Hospital, Indore where he was
tested HIV positive with a TB co-infection. Following the test, Heena and her
three year old son were advised for testing in which she was found positive.
SAATHI (CCC in Ujjain) team realised the ordeal and extended their support to
Heena. Heena and her family were given medical and financial support for their
daily needs. After two months her husband passed away leaving the
responsibility of caring her child on her shoulders. Her mental agony caused
physical weakness in her. Her CD4 count was 155 and she was also suffering
from TB. She was given special care in the centre. When she regained health she
was offered a job to make a living. The livelihood need of her family was managed
to a certain extent resulting in improvement in her health. Now she is working
as a janitor in SAATHI CCC and understands the pain being suffered by others.
Now her CD4 count is 918. She got her son admitted in a convent school, bought
TV for her house and is supporting her younger brothers. Earlier she was
reluctant to go out and speak with people about her HIV status. Now she
supports the Outreach Workers to take the patients to ART centre. She some
time goes for home visits with the Outreach Workers and also assists the patients
in the CCC. In addition she is attending tuition and preparing for 10th standard
examination. She is also one of the board members of the Ujjain District Level
Network.
Saathi CCC, Ujjain, Madhya Pradesh
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Capacity Building
Program and Grants Management
Trainings conducted by Principal Recipient
PFI conducted an initial orientation on program, Monitoring and Evaluation (M&E),
finance, procurement and supply chain management at the national level for
the Sub-Recipients and the PFI Regional Teams in July 2007. The orientation
developed an understanding on the Global Fund processes, components of
treatment, care and support and strategies to align with the national program.
Subsequent to this, SR conducted orientation training of their team on program,
M&E and finance. The training sessions by SR were co-facilitated by PFI.
Trainings conducted by Sub-Recipients
State Level Network and District Level Network
With the rolling out of service delivery points at district level, INP+ conducted
induction trainings for the staff of the DLN and CCCs. The program has adopted
a cascade method of training. INP+ Secretariat conducted an orientation for
the INP+ Program Management Unit. The SLNs were trained on program, M &
E and finance by the INP+ PMU and co-facilitated by PFI. The training of DLN
staff was done by the SLN, INP+ PMU and co-facilitated by PFI regional units.
Training on treatment adherence and counseling was done according to the
EngenderHealth Society module developed in the Round 4 program. The main
purpose was to train selected staff of the District Level Networks (DLNs) who in
the future could be master trainers to train the upcoming DLNs. The topics
covered in the training were management of OIs, treatment options, positive
living, safe sex practices to prevent re-infection and counseling. In Year 1, 80
staff were trained on treatment education and counseling.
Community Care Centre
HLFPPT and CBCI conducted induction training for the CCC team. The training
of doctors, counsellors and nurses were conducted as per the national protocols.
These trainings were organized in the NACO accredited training centres. The
SRs conducted specific trainings for the outreach workers. In year one, 205 staff
have been trained. SRs have conducted training on administration, finance and
procurement with support of PFI. Besides the training programs conducted by
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SRs, continuous handholding support was provided to the staff at Service Delivery
Points (SDPs) by the PFI PMU and the regional teams.
Monitoring and Evaluation
Management Information System
Based on Round 4 experience, Management Information System was developed
for District Level Networks of PLHA (DLNs) and Community Care Centre (CCCs)
components and pre-tested for three months at the service delivery points.
Workshops were conducted with the SDPs and sub-recipients for finalizing the
MIS. The MIS for PACT program is harmonized with the NACO MIS. The MIS
was designed to assess key performance parameters on a monthly basis. This
has helped the program managers to take necessary steps towards improving
quality and coverage of the program.
Monitoring and Evaluation Manual Development
M & E training manual has been developed with the aim of supporting the PACT
program managers and implementers in monitoring and evaluation. The module
includes an overview of the program, system for monitoring and evaluating care
and support interventions and indicators for monitoring and evaluating various
components of the program. The module would help to develop a uniform,
complete, accurate understanding of M&E for the PACT program to the program
managers and implementers.
Training manuals on MIS for CCC and DLN components have been developed
and finalized in consultation with all the Sub-Recipients. The training manual is
not only used by trainers but also used as reference material at the service delivery
points.
Trainings
MIS trainings were conducted periodically for all the service delivery points
established in the program. Staff of 35 District level Network of PLHA, 3 State
Level Network of PLHA and 30 Community Care centres were trained as on
June 08.
Computerized Management Information System
As per the M&E plan, development of computerized software for management
information system has been initiated in year one of the program. The Sub-
Recipients have been providing inputs on the draft versions of CMIS both for
DLNs and CCCs. The CMIS is expected to improve the quality of reporting,
improve timely submission of reports and also to help in data analysis for program
improvement. The design of the software is kept simple considering the capacity
of service delivery points. Accordingly, the plans exist to improve the data
management capacity both for MIS and CMIS.
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Advocacy
The Global Fund Round-6, proposal aimed to ‘create an enabling environment
for multi-sectoral convergence to mainstream, converge and integrate gender,
reproductive health and HIV/AIDS’.
In line with this, three advocacy workshops were organized to mainstream HIV/
AIDS and to focus on reducing stigma and discrimination. Meetings were held
in March 2008 in Seoni and Balaghat districts of Madhya Pradesh where district
and block level functionaries of the Panchayati Raj Institutions (PRI), Health and
Integrated Child Development Scheme (ICDS) participated. Similar workshop
was organised in May 2008 in Jodhpur, Rajasthan.
Objectives of the advocacy workshop were:
• Develop an understanding on HIV / AIDS issues among stakeholders.
• Explore avenues of coordination among stakeholders at the district, block
and community level.
• Develop interest among PRIs to address issues around HIV/AIDS at various
tiers of the Panchayat.
Advocacy Meeting at Jodhpur, Rajasthan
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Indicators
1st June 07 to 30th June 08
Target
Results
Number of advocacy workshops/meetings
conducted for multi-sectoral convergence
2
3
Number of people sensitized at the advocacy
workshops/meetings
150
185
During the workshop, there were discussions on strategies under NACP-III, issues
on care and support for people living with HIV and avenues for inter-departmental
coordination, followed by discussions on how PRIs could play a more potential
role in addressing issues of HIV/AIDS at the community level. Participants
identified key action points which would be taken up by each of the departments.
Janpad Panchayat Adhysakhya making a presentation at
Balaghat Advocacy Meeting.
FROM THE DESK OF THE COLLECTOR, BALAGHAT,
MADHYA PRADESH
“The initiative to mainstream HIV/AIDS with other community development
programs by Population Foundation of India is commendable. Prevalence rate
in Balaghat district is high. The National Highway-7 and bordering with
Maharashtra makes Balaghat vulnerable. I request PFI not to limit these
discussions at the district level but also support in facilitating these initiatives at
block level. The District Administration will support in creating awareness and
mainstreaming HIV with other schemes.”
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Project Management
Project Management Unit and Project Structure
The Project Management Unit (PMU) for The Global Fund Round 4 program
has been strengthened with additional staff for Round 6 ‘Promoting Access to
Care & Treatment’ program. Three Regional Coordination Units (RCUs) have
been established to coordinate and monitor the program at Lucknow in Uttar
Pradesh for the states of Uttar Pradesh, Bihar, West Bengal and Orissa; at Jaipur
in Rajasthan for the states of Rajasthan and Gujarat and at Bhopal in Madhya
Pradesh for the states of Madhya Pradesh and Chhattisgarh. The Regional
Coordination Units consist of Regional Coordinator, Assistant Regional
Coordinator and Technical Assistant. There are two Assistant Regional
Coordinators in Uttar Pradesh unit which coordinates four states.
Grants Management
The Grant Agreement with the Global Fund was signed with effect from 1 June
2007. Thus the first year of this report covers a period of ten months from 1 June
2007 to 31st March 2008, covering a budget period of first three quarters of
The project management team manages both Round 4 and Round 6 program
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Phase-I. With the signing of the Grant Agreement for Round 6, PFI entered into
agreement with new Sub-Recipient and made additional recruitments at the PMU
and the regional levels.
There were issues of Foreign Contribution Regulation Act arising out of the
guidelines formulated by the NACO to bring about uniformity in the selection,
physical and financial performance of Community Care Centres. These issues
were taken into account and implementation of grant proceeded as planned.
PFI conducted workshops on Finance and Procurement and Supply Management
for the SRs. It focused on issues of accounting, reporting, procurement activities
besides overview of the program and M & E.
During the year 2007-08, an amount of USD 1,746,150 (net USD 1,746,140)
was received from The Global Fund. During the same period, utilisation of
funds by PR & the SRs amounted to USD 1,282,752. Interest on short-term
investment of funds during 2007-08 was USD 31,799. Including the interest the
total funds made available for year 1 of the Round 6 programme was USD
1,777,939. Utilisation was of 72.15% of the funds received from The Global
Fund.
PFI conducted periodic reviews with SRs and discussed on quarterly expenditure
statements and variance analysis along with monitoring visits to attain a qualitative
utilisation of funds.
Review and Coordination Mechanisms
Population Foundation of India has established the following mechanisms for
review and coordination of the PACT program.
Governing Board of PFI
The Governing Board of PFI consists of eminent personalities from industry, public
health, law, management and the government. It meets once every quarter and
is responsible for major policy decisions. The Governing Board has delegated
certain financial and administrative powers to the Executive Director for effective
functioning of the Foundation.
Project Advisory Board
PFI has set up a Project Advisory Board (PAB) for the Round 4 and 6 HIV/AIDS
program. Members of the PAB include external experts in the field of HIV/AIDS,
representatives from SRs and a few Governing Board members of PFI. This
advisory board meets quarterly to review the program performance and provides
inputs for effective program implementation. Two meetings with the Project
Advisory Board have been held in the first year of the program.
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3.6 Page 26 |
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Coordination Committee with National AIDS Control Organization (NACO)
PFI has constituted a Coordination Committee with NACO to strengthen
coordination at the national level for better implementation of the Round 6
program. The Additional Secretary and Director General, NACO chairs the
meeting.
PFI participated in the coordination meetings convened by NACO. The national
and state level plans are shared with NACO during these meetings. These
meetings were held to track progress of the program and sort out issues in
implementation at national and state level. PFI participated in three meetings
held at NACO, chaired by the Additional Secretary and Director General, NACO.
State-Level Program Coordination Committee
The State Level Program Coordination Committees were set-up with State AIDS
Control Society (SACS) in the eight states. The meetings were convened by the
Regional Coordinators of PFI. The Project Director of State AIDS Control Society
chaired the meetings. Officials of SACS, representatives of SRs, PMU and
Regional Coordination Unit of PFI participated in the meetings. These committees
meet once every quarter to discuss and ensure a coordinated implementation of
the program.
Program Managers Quarterly Meeting
PFI convened quarterly program coordination meetings with the SRs to review
program, M&E and finance including procurement. The meetings reviewed
progress, identified gaps, shared experiences and suggested solutions for effective
program implementation.
State Level PR and SR Monthly Meeting
Regular monthly meetings were organized by PFI RCUs with SR State Units to
review the program progress. The SRs shared their monthly activity plans based
on which the RCU developed the monthly activity to review and monitor the
program and provide supportive supervision. These meetings also helped in
ironing out issues at the state level and district level.
Quarterly Program Review Meetings
PMU conducted review meetings with the Regional Coordination Units. The
RCUs provided an update on the program in their respective regions and the
initiatives taken for implementation of the program. These meetings helped in
understanding critical issues and gaps and developed strategies for more effective
implementation of the program.
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Learnings
Commitment and directives from NACO to the SACS and ART centres for
linking CCCs with ART centres helped in effective delivery of treatment,
care and support services in the larger continuum of care.
Since the ART centres are located at the district level and CCCs are linked
to them, access to services and follow up of PLHA in remote areas is a
challenge.
Lateral linkages between ART, ICTCs, targeted intervention partners and
civil society needs to be developed for better access to services
Monthly meeting of stakeholders (ART, CCC and DLN) at the district level
iron-out coordination related issues and strengthen the linkages
Periodic reviews with the SRs facilitate timely implementation of the program.
There have been difficulties in the formation of PLHA group and subsequently
setting-up DLNs because of stigma and discrimination in the states of
implementation.
Decentralisation of Regional Coordination Units of PFI will help in
strengthening program monitoring and advocacy needs.
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Annexure 1 (a)
Finance Report
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3.9 Page 29 |
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Annexure 1 (b)
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3.10 Page 30 |
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Annexure 1 (c)
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4.1 Page 31 |
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Annexure 2
Establishment of DLNs in Year 1
Phase I Year I (Oct 2007 to June 2008)
Quarter
Q1 (June 07-Sept 07)
Q-2 (Oct 07- Dec07)
Rajasthan
SLN Jaipur
1. Jaipur
2. Jalore
3. Jodhpur
Q-3 (Jan 08- Mar 08)
1. Jhunjhunu
2. Udaipur
3. Bikaner
Q-4 (April 08- June 08)
1. Badmer
2. Pali
3. Kota
4. Ajmer
5. Ganganagar
6. Alwar
Uttar Pradesh
SLN Lucknow
1. Lucknow
2. Allahabad
3. Varanasi
4. Gorakhpur
1. Azamgarh
2. Bareily
3. Etah
4. Jaunpur
5. Chaunduali
6. Mirzapur
7. Agra
1. Khusinagar
2. Aligarh
3. Deoria
4. Sant Ravi Das Nagar
5. Kanpur
Madhya Pradesh
SLN Indore
1. Indore
2. Bhuranpur
3. Ujjain
1. Dhar
2. Bhopal
3. Badwani
4. Guna
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Annexure 3
Establishment of CCCs in Year 1
S.NO State
1
Uttar Pradesh (5)
2
3
4
5
6
Madhya Pradesh(2)
7
8
Rajasthan(3)
9
10
11
West Bengal(7)
12
13
14
15
16
17
18
Orissa(4)
19
20
21
22
Bihar(3)
23
24
25
Gujarat(4)
26
27
28
29
Chattisgarh(2)
30
District
Name of the CCC NGO running the CCC
CCCs under HLFPPT
Lucknow
Umang CCC
Foundation for Social Care
Varanasi
Umang CCC
Centre For Social Research
Meerut
Umang CCC
Adarsh Sewa Samiti
Gorakhpur
Umang CCC
Gramin Seva Sansthan
Allahabad
Umang CCC
Society for Welfare & Advancement of
Rural Generations(SWARG)
Indore
Vishwas
Pavitra Atma Sevika Sangh
Ujjain
Saathi
Kripa Social Welfare Society
Bikaner
Jeevan Prakash
Gramin Vikas and paryavaran Sanstha
Udaipur
Seva mandir
Seva mandir
Ajmer
Sambal
Bal Sansar
CCCs under CBCI
Greater Kolkata Arunima
CNI Calcutta Diocesan Central Fund
Howrah
Sparsha
SPARSHA
Darjeeling
Jesu Ashram
Jesu Ashram
Darjeeling
Prayas
Anugyalaya DDSSS
Malda
Ashar Alo
Social Welfare Institute
Burdwan
Chetna
Asansol Burdwan Seva Kendra
W. Midnapore Snehalaya
Gandhi Mission Trust
Ganjam
Sathi
Tata Steel Rural Development Society
(TSRDS)
Khurda
Aastha
The Medics
Cuttack
Kiran
Utkal Sevak Samaj
Koraput
Ashray
Lepra Society
Patna
Nai Asha
Mokamma Nazareth Hospital Society
Patna
Navjeevan
Kurji Holy Family Hospital
Muzaffarpur
Jeevansagar
Fakirana Sisters Society
Ahmedabad
Karuna Shakti
Kaira social service society
Rajkot
Navjeevan Rajkot Navjeevan Trust
Bhavanagar
Navjeevan
Navjeevan Welfare Society
Surat
Sarvjanik
Sarvjanik Medical Trust
Bastar
Lifeline CCC
Model Bastar Integrated RURAL
Development Society (BIRDS)
Raipur
Jeevodaya
Jeevodaya Social& Leprosy
Rehabilitation Center
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4.3 Page 33 |
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Photo Credits
l Indian Network for People Living with HIV/AIDS
l Hindustan Latex Family Planning Promotion Trust
l Catholic Bishops' Conference of India
With Contribution from
PMU Office
l Mary Verghese
l S. Vijayakumar
l Phanindra Babu Nukella
l Subrat Mohanty
l Rashmi Sharma
l Aparna G
l Milan Rana
l Sangeeta Srivastava
l Smriti Kumar
l Bijit Roy
l Tripti Chandra
l Neeraj Mishra
l Sushil Kumar Pandey
l Piyali Sarkar
Regional Office
l Ramesh C Parmer
l Ashish Kumar
l Subhash Kumar Sharma
l Md. Raza Ahmed
l Achint Verma
l Mini Ramachandan
l Mukta Sharma
l Umesh Chandra Rautray
l Rajeev Kumar Singh
l Durga Prasad Gupta
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4.4 Page 34 |
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Population Foundation of India
B-28 Qutab Institutional Area, Tara Crescent, New Delhi 110 016
Tel. No.: 42899770, Fax : 42899795
Website : www.popfound.org, E-mail : popfound@sify.com