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ANNUAL REPORT 2011-2012 Global Fund |
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Annual Report 2011-12
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Acknowledgement
Population Foundation of India is pleased to present the second annual report of the consolidated RCC Round 4
‘Promoting Access to Care and Treatment –PACT’ program. The program has completed its second year of the
first phase in March 2012. The program facilitated the scaling up of access to care and treatment services for
PLHIV, implemented through several innovative approaches to address their needs. The achievements of the program are
highlighted in this report.
Population Foundation of India acknowledges the contribution of its partners in the PACT program; Catholic Bishops’
Conference of India, Confederation of Indian Industry, Enable Health Society, Hindustan Latex Family Planning
Promotion Trust and Networks of People living with HIV/AIDS for their immense support and efforts in implementing
the program in 18 states and one union territory of India.
PFI is thankful to its Governing Board for its continous support and guidance and the management team which has
enabled the smooth implementation of the program.
PFI records its appreciation for the cooperation of the National AIDS Control Organization, the State AIDS Control
Societies, ART centres at tertiary and district hospitals and NGOs in taking the project ahead.
PFI expresses sincere gratitude to The Global Fund for supporting the program and addressing the needs of the people
living with HIV/AIDS in India.
Through this program, we have endeavoured to bring a change in the lives of the People Living with HIV/AIDS and have
been instrumental in setting forth the direction. We are indeed grateful for their sincere efforts and commitment. We
pledge to continue our work in the mission to empower PLHIV to lead a healthy life with zeal.
The members of the Project Management Unit at Delhi office and State Program Coordination Units of Population
Foundation of India deserve appreciation for their sincere efforts in managing the program.
Dr. Phanindra B. Nukella
Project Director
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Contents
1. The RCC PACT Programme
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1.1. Overview
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1.2. The Global Fund Consolidated RCC Round 4 –
‘Promoting Access to Care and Treatment’ (PACT) Programme
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2. Direct Management of the DLN Component by PFI
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2.1 Direct Management of District Level Networks
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3. Care and Support Services
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3.1 District Level Networks
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3.1.1 Formation of Support Net Groups (SNG)
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3.1.2 Taluk-Level Support Net Meetings
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3.1.3 Sensitization Meetings with Stakeholders
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3.1.4 District Coordination Meetings
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3.1.5 School Education Support to HIV-infected and Affected Children
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3.1.6 District-level Peer Convention
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3.2 Capacity Building of DLN Staff
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3.3 Community Care Centres
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3.3.1 Coordination Meetings at the District Level
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3.3.2 HIV-TB Collaboration Efforts
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4. Response to Prevention, Care, Support and Treatment –
Advocacy with the Corporate Sector
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5. Programme Management
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5.1 Coordination Meetings
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5.1.1 Partners’ Meeting
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5.1.2 NACO Coordination Meetings
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5.1.3 SACS Coordination Meetings
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5.1.4 Visits of State AIDS Control Society Project Director to SDPs
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5.1.5 Review Meeting
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1. SPIRC Meetings
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2. Programme and Finance Integrated Review for DLN
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5.2 Monitoring and Evaluation
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5.2.1 Program Evaluation
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5.2.2 Web-based Management Information System
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5.3 Grant Management
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5.3.1 Grant Results
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5.3.2 Capacity Building
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5.3.3 Risk Management
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6. Challenges
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7. Case Studies
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8. Annexures
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a. Financial Report
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b. List of DLNs
43
c. List of CCCs
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Abbreviations
Term Description
ACT
Access to Care and Treatment
AIDS Acquired Immunodeficiency Syndrome
ANM Auxiliary Nurse Mid-Wife
ART
Anti Retroviral Therapy
ARTC Anti Retroviral Treatment Centre
ARV
Antiretroviral
ASHA Accredited Social Health Activist
BPL
Below Poverty Line
CBCI Catholic Bishops’ Conference of India
CCC
Community Care Centre
CCM
Country Coordinating Mechanism
CHC
Community Health Centre
CII
Confederation of Indian Industry
CMIS
Computerized Management Information
System
DAPCU District AIDS Prevention and Control Unit
DLN
District Level Network of PLHIV
DOTS Directly Observed Treatment Short Course
DPC
District Project Co-ordinator
DPMU District Project Management Unit
DRDA District Rural Development Agency
EHS
Enable Health Society, formerly known as
EngenderHealth Society
HIV
Human Immunodeficiency Virus
HLFPPT Hindustan Latex Family Planning Promotion
Trust
ICTC Integrated Counseling and Testing Centre
IG
Income Generation
IGA
Income Generation Activity
IGP
Income Generation Program
INP+
Indian Network for People Living with HIV/
AIDS
KPI
Key Performance Indicator
LAC
Link ART Centre
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LFA
Local Fund Agent
LFU
Lost to Follow Up
MIS
Management Information System
MISO Management Information System Officer
MoU
Memorandum of Understanding
NACO National AIDS Control Organisation
NACP National AIDS Control Program
NGO Non Governmental Organisation
NRHM National Rural Health Mission
OI
Opportunistic Infections
OIG
Office of Inspector General
ORW Outreach worker
PACT Promoting Access to Care and Treatment
PE/PS Peer Educators/Positive Speakers
PET
Peer Education Training
PFI
Population Foundation of India
PHC
Primary Health Centre
PLHIV People Living with HIV/ AIDS
PMRY Prime Minister’s Rozgar Yojana
PMU
Program Management Unit of PFI
PPTCT Prevention of Parent to Child Transmission
PR
Principal Recipient
PSF
Positive Support Fund
PUDR Progress Update and Disbursement Request
RCC
Rolling Continuation Channel
RNTCP Revised National Tuberculos Control
Programme
S/RC
State/Regional Coordinators of PFI
SHG
Self Help Group
SLN
State Level Network of PLHIV
SNG
Support Net Group
SNM
Support Net Member
SNO
Support Net Officer
SACS State AIDS Control Society
SDP
Service Delivery Points
SR
Sub Recipient
SRH
Sexual and Reproductive Health
SSR
Sub Sub Recipient
STI
Sexually Transmitted Infection
TA
Travel Allowance
TB
Tuberculosis
TI
Target Intervention
WHO World Health Organisation
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1
The RCC
PACT Program
1.1 Overview
The Population Foundation of India implemented
the Global Fund Round 4 and Round 6 HIV/AIDS
programs in 14 states of India to improve survival and
quality of life of people living with HIV/AIDS and reduce
HIV transmission. The program, implemented through
its partners, was in co-ordination with the National AIDS
Control Organization (NACO). The two programmes were
consolidated under the Global Fund RCC program. The
consolidated RCC program was called ‘Promoting Access
to Care and Treatment (PACT)’.
Under the RCC PACT program, care and support services
are provided to PLHIV through District Level Networks
of PLHIV (DLNs) and Community Care Centres (CCCs)
in 18 states and a Union Territory of India. These are the
high prevalence states of Andhra Pradesh, Maharashtra,
Tamil Nadu, Karnataka, Manipur, Nagaland and the nine
highly vulnerable states of Uttar Pradesh, Madhya Pradesh,
Rajasthan, Orissa, West Bengal, Chhattisgarh, Bihar,
Gujarat and Jharkhand. The states of Assam, Punjab,
Uttarakhand, and Chandigarh also were handed over to
PFI by NACO in April 2010.
PFI as Principal Recipient of this grant complements the
national ART program by providing care and support
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services to PLHIV through District Level Networks and
Community Care Centres. The services rendered are
treatment literacy, enhancement of access to services,
improved drug adherence, tracking and retrieving ‘missed’
and ‘lost to follow up’ cases on ART, and referring and
linking them to various social security schemes.
show considerable achievement of targets fixed for this
component.
1.2 The Global Fund Consolidated RCC
Round 4 ‘Promoting Access to Care and
Treatment’ (PACT) Programme
Population Foundation of India (PFI) manages the RCC
pact program through its Sub-Recipients – the Catholic
Bishops’ Conference of India (CBCI), the Hindustan
Latex Family Planning Promotion Trust (HLFPPT),
Enable Health Society (EHS) and Confederation of Indian
Industry (CII). HLFPPT and CBCI are responsible for
implementation of the Community Care Centres (CCCs)
in 13 highly vulnerable states of India. CII is responsible
for advocating with the corporate sector for setting up
corporate ART centres under NACO’s public-private
partnership model. Enable Health Society is responsible
for the capacity building of District Level Networks
(DLNs) in nine states of India. As per the proposal of
RCC, the Indian Network for People Living with HIV/
AIDS (INP+) was responsible for the implementation of
care and support services through the DLN in these nine
states. However, pending resolution on alleged financial
mismanagement by INP+ and as per the directives of the
Global Fund, the Grant Agreement was not signed with
INP+. Therefore, PFI initiated an interim arrangement for
direct implementation of the programme with the DLNs
from August 2010, which continued till March 2012, the
interim arrangements being renewed every three months.
PFI entered into direct agreements with 214 DLNs in
August 2010 with whom INP+ had a valid agreement as
on March 2010. The remaining six DLNs could not be part
of the interim arrangements, because of some unresolved
issues between them and INP+. Extensive involvement
of the PFI team in managing the DLNs under the interim
arrangement led to a delay in accomplishment of activities
as per work plan, which included important start up
activities like the development of Project Implementation
Plans, MIS and peer education trainings. During the
interim period, with very limited staff, and extension
of interim period every quarter, PFI has been able to
Goal
The overall goal of the programme as per the RCC country
proposal is to improve the survival and quality of life of
PLHIV and reduce HIV transmission.
Objectives
1. To upscale access to ART, prophylaxis and treatment
of Opportunistic Infections (OI) to a minimum of 75%
of PLHIV detected
2. To strengthen care and support services to improve
drug adherence to over 95%
3. To build capacities and strengthen the health system for
mainstreaming and long-term sustainability of services
4. To develop and strengthen the information system for
quality control, monitoring and evaluation of services
The PACT programme managed by PFI contributes to
Objectives 2, 3 and 4 of the RCC country programme.
District Level Networks and Community Care Centres
provide care and support services to PLHIV including
treatment literacy, enhance access to services, improve
drug adherence, tracking and retrieving `missed’ and `lost
to follow up’ cases on ART, and linking them to various
social security schemes. The RCC PACT programme
has incorporated trainings that aim to address the gender
dimension of treatment and adherence, and enable men
to become supportive partners and contribute effectively
in care, treatment and support efforts while taking an
active role in reducing transmission. It also plans to impart
knowledge and information on reproductive health issues
to PLHIV, and motivate them to address their sexual and
reproductive health (SRH) issues and access SRH services.
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2
2.
Direct
Management
of the DLN
Component by PFI
2.1 Direct Management of District Level
Networks
As per the proposal, the Indian Network for People
Living with HIV/AIDS (INP+) was also one of the
sub-recipients and responsible for the implementation of
the District Level Networks (DLN) component in nine
states. However, as per the instructions of the Global
Fund received in August 2010 in light of an ongoing audit
by KPMG at that time, the Grant Agreement for the
RCC PACT program was not signed by PFI with INP+.
To ensure continuity of service delivery, PFI initiated an
interim arrangement for direct implementation of the
programme from August 2010 onwards with the DLNs.
A total of 220 DLNs had been established by INP+ till
March 2010. As an interim arrangement to continue
programme implementation, PFI entered into direct
agreements with a maximum of 214 DLNs with whom
INP+ also had an agreement. The interim arrangement
initiated in August 2010 which was envisaged for only
two months continued for more than 20 months, being
renewed every three months.
In these past couple of years, PFI has singlehandedly
carried on the RCC program directly with the DLNs. The
challenges have been enormous including systems and
procedural weaknesses that needed strengthening.
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The information below reflects, in terms of numbers, what went in to directly managing the Round 4 RCC programme
with the District Level Networks from August 2010 till March 2012.
S. No.
Particulars
Quantity
1 Number of MOUs signed with DLNs
1466
2 Number of quarterly reports received by PFI
6692
3 Number of monthly reports received by PFI
7731
4 Number of times finance review conducted (for all DLNs)
17
5 Number of PLHIV benefitted
100,604
A minimum of 207 and a maximum of 211 DLNs, were managed by PFI during the year 2011-2012.
RCC PACT Program Area
Punjab
Himachal
Pradesh
Chandigarh
Uttrakhand
Haryana
Delhi
Rajasthan
Uttar
Pradesh
Bihar
Assam
Gujarat
Madhya
Pradesh
Maharashtra
Jharkhand
Chhattisgarh
Odisha
W Bengal
Nagaland
Manipur
Andhra
Pradesh
Karnataka
Tamil
Nadu
District Level Networks
Community Care Centres
Regional/State Offices
Program Management
Unit-Global Fund Programme
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3
Care and
Support Services
The RCC PACT program envisages scaling-up and
strengthening care and support service through the
scaling up of Community Care Centres (CCCs) and
District Level Networks (DLNs) of People Living with
HIV across the programme area.
With the initiation and scale up of ART services across
the country, the focus has remained on ART and
adherence follow up. Many PLHIV do not reach ART
centres. A sincere attempt was made in the RCC PACT
program to address this gap.
The CCCs have been scaled up in the highly
vulnerable states to ensure an improvement in drug
adherence and to manage initial side effects among
those who were put on ART. The District Level Network
operations have been decentralized through a
voluntary peer outreach strategy. They link and
complement the ART/LACs and ICTCs to track PLHIV
at the sub-district level to ensure the continuum of
treatment, care and support services through
their Support Nets (SN). It is envisaged that the
decentralized approach will help reduce the gap between
positives detected and those who are enrolled at an
ART centre.
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3.1 District Level Networks
The involvement of PLHIV networks and the services
offered under the Round 4 ACT and Round 6 PACT
programs implemented by PFI until 2010, had made a
difference to the lives of PLHIV. They were provided with
psycho-social support to come to terms with their positive
status, access treatment, adopt healthy practices leading to
reduced OIs and improved health, and the courage to go
on with their lives productively. The need to decentralize
outreach to ensure effective and timely service delivery
was realized during the Round 4 ACT and Round 6 PACT
programs. Under the Round 4 RCC PACT program,
a decentralized approach was adopted by establishing
Support Nets. The year II of the Round 4 RCC PACT
program started with 211 DLNs being in direct agreement
with PFI to implement the program. The agreements with
three other DLNs were put on hold due to various reasons.
In addition, DLNs encountered the problem of non-sharing
of ICTC client data by the District AIDS Prevention and
Control Units (DAPCU) / ICTC. This led to limited
reach by DLNs of clients for providing care and support
services. Directive from NACO regarding sharing of
ICTC data by the District AIDS Prevention and Control
Units (DAPCU) / ICTC was issued to SACS on May 27,
2011 following which letters were issued by respective
SACS to the DAPCUs. As this process took more than a
month, it resulted in limited data sharing by the ICTCs
in many of the states. Simultaneously, efforts were made
to strengthen effective linkages and coordination between
DLN and ICTCs/ART centres and Link ART Centres in
expectation that data sharing would be streamlined in the
coming days.
3.1.1 Formation of Support Net Groups (SNG)
The DLNs have decentralized and expanded their
activities by scaling up the establishment of Support Net
Groups (SNG) of PLHIV in taluk/blocks (at sub-district/
community level) so as to make the outreach possible and
timely.
A total of 1247 Support Nets were formed in nine states
till March 2012. They work on a voluntary basis to
follow-up and link PLHIV to the ART centres. With the
issuance of the letter from NACO regarding sharing of
client data with the DLNs in May 2011, data sharing has
led to improved follow-up and linking of PLHIV to care
and support services. The Support Net members have
been encouraging PLHIV to seek timely treatment for
management of OIs and to undergo regular the CD4 count
test. They also provide information on HIV and AIDS,
The following table provides a summary of MOUs signed with DLNs:
S.
No.
State Name
1 AP
2 Karnataka
3 Maharashtra
4 Manipur
5 MP
6 Nagaland
7 Rajasthan
8 Tamil Nadu
9 UP
Total
Summary of signing of MOU with DLNs - quarter wise
Total
DLNs as
on April
2010
Aug-Sept
10
Oct-Dec
10
DLNs - MOU signed
Jan-Mar Apr-June July-Sep
11
11
11
23
23
23
23
23
23
26
26
26
26
26
26
34
32
32
31
32
32
9
9
9
9
9
9
22
21
21
20
20
20
8
8
8
8
8
7
32
31
31
31
31
32
30
29
29
28
28
27
36
34
34
34
34
32
220
213
213
210
211
208
Oct-Dec
11
23
26
31
8
20
7
32
28
32
207
Jan-Mar
12
23
26
31
9
20
7
32
28
31
207
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positive prevention, available care, support and treatment
facilities, treatment literacy and education on ART,
facilitate disclosure, refer and link the PLHIV to treatment
facilities. The SNGs also link their voluntary members to
social security schemes and help them in establishing and
running micro-credit programmes.
Through these 1247 Support Nets, 100,604 PLHIV have
been contacted by the Peer Educators (PE)/Positive
Speakers (PS)/Support Net Officers at the district and sub-
district level. A total of 7,316 PLHIV have undergone the
initial assessment for ART eligibility at the ART centres
from those contacted.
3.1.2 Taluk-Level Support Net Meetings
Many Support Net meetings at different taluks/blocks/
divisions are organized every month. The DLN staff,
especially the Support Net Officer (SNO), helps in
organizing these meetings. The SNO coordinates
with the Peer Educators/Positive Speakers (PE/PS) for
organizing the meetings. A maximum of three Support
Nets participate in one meeting. During the meetings,
basics of HIV and its management, positive living
and positive prevention practices, prevention of HIV
transmission to partners, care and support, home-based
care and nutrition are discussed. In addition, the tracing
and linking of newly identified PLHIV to the ART centre
from the list received from the ICTCs, outreach plan,
membership collection, income generation activities and
social security schemes for PLHIV are discussed. Plans are
also finalised for the next monthly meeting of the group
along with the agenda.
PLHIV Benefitted through DLNs
25000
20000
15000
15740
16813
15778
19698
10000
5000
0
Q5
Q6
Q7
Q8
Apr-Jun July-Sept Oct-Dec Jan-Mar
2011
2011
2011 2012
The graph above shows the number of PLHIV (Non-
Cumulative) who received services through the DLN
during 2011-2012 (quarter-wise).
3.1.3 Sensitization Meetings with Stakeholders
Meetings are organized every month by the DLNs to
sensitize the people, and other key stakeholders, including
but not limited to, health functionaries, officers of the
district administration and the social welfare department,
on issues related to HIV.
The DLNs discuss the needs of PLHIV, use of services
and schemes run by them, and share cases of stigma and
discrimination and how these should be handled and
A Support Net meeting in Kolhapur, Maharashtra
A sensitization programme at Khamari, Maharashtra
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A sensitization meeting by the Mangalore DLN
District Coordination meeting in Bhandara, Maharashtra
addressed. These meetings have helped DLNs build a good
rapport with key stakeholders, like ARTC, LAC, ICTC
and other related health facilities and have enabled the
sharing of experiences with other stakeholders.
3.1.4 District Coordination Meetings
The District coordination meeting is a platform for
the DLNs to discuss issues of access to health services,
government schemes, resolve cases of stigma and
discrimination and work towards building a positive
attitude among the community towards PLHIV. Meetings
with representatives of different government departments
are organized. Through these meetings, the District
Programme Management Unit (DPMU) builds and
strengthens rapport with ICTCs, the ART centre, Link
ART centres, District AIDS Prevention and Control Unit
(DAPCU), CCCs, PHCs, CHCs and district and health
officials. The stakeholders, particularly ICTCs and ART/
Link ART staff, are oriented on DLN activities. These
meetings serve as an important platform to bring to light
issues of denial, stigma and discrimination, and help in
approaching key departments for social security schemes.
Sensitization Meeting in Coimbatore
The Covai district HIV Ullore Nala Sangam
(CDHUNS) DLN approached the Indian Overseas
Bank in Thodamuthur block of Coimbatore for opening
a bank account to deposit their Support Net Group
savings. The Bank Manager refused as the SNG did
not meet the bank’s SHGs guidelines. The DLN also
approached other banks in the locality and got the
same response. The DLN President then contacted the
Lead Bank Manager and briefed him about the concept
of SNGs and functioning of DLNs. The manager agreed
to help the DLN. With his support, the DLN also
held a sensitization program for all bank managers in
Thodamuthur block.
bank account for the SNG was opened with certain
terms and conditions.
The DLN demonstrated good advocacy skill to
sensitize service providers. The Support Net Group has
also received a bank loan from the same bank.
The DLN President and the District Project
Coordinator (DPC) explained the PACT program,
the concept of a Support Net and the importance of
opening the bank account to the bank managers. The
A sensitization program at Thodamuthur block of
Coimbatore, Tamil Nadu
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3.1.5 School Education Support to HIV-Infected
and Affected School Children
The DLNs provide school education support to HIV-
infected and affected children below 15 years of age. A
total of 12,970 children in nine DLN states received
education support during 2010-12 against a target of
13,800 through an average of 207 DLNs under direct
implementation. The shortfall is accounted mainly to the
remaining 23 DLNs that have either not been set up or are
non-functional under the Round 4 RCC PACT program.
3.1.6 District level Peer Convention
District Level Peer Convention is organized by DLNs to
acknowledge and motivate promising support net members.
All the support net members participated in the peer
convention atleast once in a year. In the Peer Convention,
support net members share their experiences, challenges
and success stories. The district level government officers,
the Collector/District Magistrate, Chief Executive
Officer, Zila Panchayat, the District Extension Educator,
At a District Peer Convention in Kolhapur DLN,
Maharashtra
Deputy Director (Health Services), the Chief Medical and
Health Officer, key staff of ART/Link ART centre, ICTC,
PPTCT, CCC, DAPCU, RNTCP and other such health
facilities are invited to felicitate promising support net
members. This one-day activity is organized in the state
capital or at the district headquarters.
Peer Convention at Virudhunagar,
Karnataka
A District Peer Convention was organized by the
Virudhunagar DLN on August 17, 2012.The Chief
Guest was the Deputy Director, Health Services while
local donor organisations and PEPS were among the
participants.
The objective of this meeting was to motivate PE/PS
and to improve the coordination among themselves.
In addition, it was utilized to set up a platform for the
PACT program to get visibility with the government
and non-government agencies working in the vicinity.
brought about closeness and cohesiveness among the
PLHIV to work for the cause under the guidance of
the DLN staff and with PE/PS. The impact of the peer
convention could be seen when one inactive PE/PS
opened up and announced that “in next peer convention
I will win the best PE/PS award by doing more effective
outreach”. The peer convention has motivated them to
continue contributing to their fellow beings.
The chief guest congratulated the DLN for organizing
such event where PLHIV got a platform to share their
voices and got motivation to work for the cause.
The DLN felicitated the active PE/PS for their
contribution. The chief guest distributed the awards
and certificates to them. Active PE/PS shared their field
experiences and the hurdles they faced during outreach
and how they overcame them. The experience sharing
by these PE/PS motivated others who had not been so
active.
The DLN organized a cultural event where PLHIV
participated in games and dances. The cultural activities
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3.2 Capacity Building of DLN Staff
Under the PACT program, Enable Health Society (EHS)
is the capacity building partner for the DLN component.
EHS trains DLN staff for strengthening peer treatment
education in nine states - Andhra Pradesh, Karnataka,
Maharashtra, Tamil Nadu, Manipur, Nagaland, Uttar
Pradesh, Madhya Pradesh and Rajasthan. The types of
service providers trained includes -Peer Educators/Positive
Speakers ( PE/PS) who are people living with HIV/AIDS
as treatment educators, District Project Coordinators
(DPC) and Support Net Officers (SNO) providing support
for the treatment peer education.
During the second year, due to approval of trainings
through training plans, there were significant delays in
approval of trainings during most of the quarters. EHS
staff had to work hard to conduct training in batches in
minimal time, meeting targets substantially.
Quarter
Apr-June 2011
Jul-Sept 2011
Oct-Dec 2011
Jan-Mar 2012
Total
Training target
240
340
240
380
1200
Achievement
-
379
473
213
1065
Innovative Techniques
Different ways are used to document a participant’s
expectations from the training. On the first day of the
training, trainers distribute small cards in the shape
of flowers and ask participants to write down their
expectation, read it out, and then stick it on the card
sheet which has a flower pot drawn. Expectations are
depicted in the form of flowers in a pot.
A ‘learning tree’ is put on a bigger chart. Participants
write their expectations on leaves made of paper, which
are pasted on a chart on the first day. Participants are
asked to write their learnings during the training on
fruits made of paper which are pasted on the same tree.
On last day of the training, participants and facilitators
are able to see the tree of ‘expectations’ and ‘learnings’
indicating the extent of a participant’s understanding
about the training.
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Profile of Trainees – Gender-Wise Distribution
The capacity building for PLHIV reaches to large
number of PE/PS. The data points to the fact that most
of the peer educators and positive speakers who are
volunteers in the program are women.
Gender-wise analysis of the participants from the nine
states showed that 65.7% of the participants were
females. This is in line with global data. In the states
of Uttar Pradesh, Madhya Pradesh and Rajasthan, the
number of male participants is high in Master Peer
Treatment Education (MPTE) trainings - 67.5% and
female participants accounted for 32.5%. whereas
a reverse trend was evident in the high prevalence
states of Andhra Pradesh, Karnataka, Maharashtra,
Manipur, Nagaland and Tamil Nadu where the number
of female participants accounted for 72.4% while the
male participants were 27.6%. The probable reason
for this trend may be that in the southern states as the
HIV epidemic has been for a longer time, the number
of women who became widows are more, and they
have become members of the support nets and thus the
numbers of women support nets are also more in the
high prevalence states. This is reflected in the more
number of women participation in the trainings in
southern states. In the northern states, the epidemic has
been on for a comparatively shorter time, and DLNs as
well as support net groups have a mixed membership
of both men and women. This is also coupled with the
conservative socio-cultural background in the highly
vulnerable northern states. Hence, lesser number of
women participated in the trainings in the north.
3.3 Community Care Centres
Community Care Centres (CCC) play a critical role in
providing treatment, care and support to people living
with HIV. These ten-bedded centres act as a bridge
between the patient and the ART Centres and ensure
that PLHIV are provided with: (a) counselling for ARV
drug adherence and nutrition (b) treatment for minor
opportunistic infections (c) management of initial side
effects through in-patient and out-patient services (d)
referral and outreach services for follow up and (d) social
support services. For better treatment outcome, the centres
provide counselling on the patient’s nutritional needs,
treatment adherence and psychological support to families
of PLHIV as well. CCCs also follow-up ART patients who
are lost to follow-up. Through 78 CCCs, set up across nine
highly vulnerable states till December 2011, 57,804 PLHIV
received services against the target of 31,756, while 10,414
PLHIV were provided care at CCCs against the target of
6387 for the Jan-March 2012 period. Targets for reporting
to the Global Fund were revised, with the revised indicator
reflecting the number of PLHIV (new and repeat cases
non-cumulatively)using the CCCs on a quarterly basis
while the targets till December 2011 indicated only the
number of new PLHIV receiving services at the CCCs.
PFI has a target of setting up 100 CCCs in nine states
– 40 by Hindustan Latex Family Planning Promotion
Trust (HLFPPT) in Uttar Pradesh, Madhya Pradesh and
Rajasthan, and 60 by the Catholic Bishops’ Conference of
India in Gujarat, Orissa, Bihar, Chhattisgarh, West Bengal
and Jharkhand. Of the total, 78 CCCs were set up till
March 31, 2012. Of them 26 are managed by HLFPPT and
S.
no
Indicator
1 Number of PLHIV provided care at Community Care Centres*
Number of staff at Community Care Centres trained (including
2 Doctors, Nurses, Outreach Workers and project support staff)
-Regular/Refresher Trainings
Source: PUDR PFI March 2012
* The targets and achievements reported against this indicator are non-cumulative
The table shows the cumulative achievements of CCCs till March 2012
17
Cumulative until March 2012
Target
Results
Achievement
(in %)
6387
10414
163.04
509
169
33.2
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remaining 52 by CBCI. Establishment of 22 new CCCs
was planned during the first year of RCC. However, as per
NACO directives, setting up of new CCCs was put on hold
due to the revision of the national CCC guidelines and
the nationwide second Round evaluation of CCCs. PFI
also received a request from NACO dated November 30,
2011 to take over existing CCCs in other states where PFI
did not plan originally at the time of the RCC proposal.
It was understood from the discussions with NACO that
no new CCCs would be set up, but the existing CCCs
would be taken over. The formal process of taking over
of the CCCs in Punjab, Chandigarh, Uttarakhand and
Assam was initiated during Q8 (Jan- March 2012), and
were to be operationalized under the PFI program from
April 2012 (Q9). The new CCC-related indicators, are
therefore, expected to show achievement from Year III
(Q9) onwards. The indicators `Number of PLHIV provided
care at Community Care Centres‘ shows overachievement
due to the efforts being put by the CCCs to strengthen
coordination with ART centres and other stakeholders.
This has resulted in an increased uptake of services at the
CCCs.
The target for trainings was estimated for 100 CCCs
whereas only 78 CCCs were functional as on March 2012.
As no new CCCs were set up until March 2012 (Q8),
required number of staff to be trained was not available,
only 33.2% of the target was achieved for the indicator
‘Number of staff at Community Care Centres trained
(including Doctors, Nurses, Outreach Workers and project
support staff)’. Delayed approval of the training plan also
added to the shortfall in the achievements against the
targets. The staff turnover creates a challenge to meet the
target of refresher training.
Evaluation of CCCs
National AIDS Control Organisation (NACO)
commissioned an annual evaluation of the CCCs.
The evaluation committee had representatives from
NACO, PFI, KHPT, SACS, CBCI, HLFPPT and
other stakeholders. The team looked into the CCCs’
performance, demand and service quality, and whether
they were functioning in line with the objectives and
national CCC guidelines. Each CCC was graded - A (very
good), B (good), C (moderate) and D (poor). The grade
provided was the decisive factor in deciding whether to
continue with the CCCs, or close them down due to poor
performance. During this assessment exercise, care was
taken to ensure that no CCC was evaluated by its own
implementing agency.
Number of PLHIV provided services in CCCs as
In-Patients and Out-Patients Quarterwise
6000 5695
5617
4842
5121
5000
4000
3811
3524
3249
3252
3000
2000
In-Patient
Out-Patient
1000
0
Q5
Apr-Jun
2011
Q6
July-Sept
2011
Q7
Oct-Dec
2011
Q8
Jan-Mar
2012
*These figures includes duplication from CCCs to CCCs
The above graph shows the quarter-wise break-up of IP and OP services provided by CCCs during the second year April 2011-March 2012.
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S.No
State
No of CCC graded C in Round 1
Status of reassessed CCCs with grade C in Round 2
1
Chhattisgarh
2
1 upgraded to A
1 closed before follow up assessment
2
Gujarat
1
Same
3
Uttar Pradesh
4
All 4 upgraded to grade B
4
Rajasthan
1
Upgraded to grade B
The table shows the status of reassessed CCCs with grade C in Round 2
The first round took place in 2010, in which 36 of the 75
CCCs supported by PFI in the eight states were assessed.
These CCCs had completed one year of operation. Of the
36 CCCs assessed, 13 CCCs secured grade ‘A’, 14 secures
grade ‘B’, 8 secured grade ‘C’ and only one came in the ‘D’
category, which was closed within a month.
The second round of assessment took place in 2011. The
state of Jharkhand with its three new CCCs was added
to the list of states. The 32 CCCs assessed had been
functioning for a year. Out of them, 5 secured grade ‘A’, 12
secured ‘B’, 10 secured ‘C’ and 5 secured ‘D’.
In the second round, the C grade CCCs from Round 1 of
nationwide evaluation were re-assessed.
NACO, the national coordinating body for HIV program,
acknowledged that the PFI supported CCCs, managed by
its sub recipients - HLFPPT and CBCI - have performed
much better than CCCs managed by other agencies in the
country. This further reaffirms the intensive efforts put in
by PFI and its sub recipients in effective management and
intensive supportive supervision in realizing the program
objectives and contributing to the national program goal.
3.3.1 Coordination Meetings at the District Level
Coordination meetings have been organized at the district
level as a part of the decentralized approach of NACP III.
These meeting have been in the form of DAPCU meetings
or the ART-CCC Coordination meetings. District AIDS
Prevention and Control Units (DAPCU implement the
Reasons for PLHIV's admission at the CCCs (in %)
100.0
90.0
80.0
70.0
60.0
50.0
40.0
30.0
20.0
10.0
0.0
17.1
16.3
14.9
36.4
36.7
35.2
46.5
47.0
49.9
Q5
Apr-Jun
2011
Q6
July-Sept
2011
Q7
Oct-Dec
2011
14.0
27.7
58.3
Q8
Jan-Mar
2011
Others
OI management
Lead in
The above graph shows the quarter-wise break-up of reasons for admission in the CCCs during the second year April 2011-March 2012.
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the CCCs. They have also been able to establish a good
rapport with other stakeholders at the district level, and
ensure better outreach for bringing PLHIV back into the
continuum of care and support.
A district coordination meeting in Kota, Rajasthan
AIDS control and prevention strategies, synchronized with
the public health infrastructure and programme at that
level. DAPCUs are functional in most of the category A
and category B districts of HIV prevalence in all the 18
states and one Union Territory under PFI.
3.3.2 HIV-TB Collaboration Efforts
The TB/HIV Scheme under Revised National TB Control
Programme (RNTCP) has been revised to accommodate
all NACP- approved 10-bedded Community Care Centres
(CCCs). CCC partners have been updated about the
revised RNTP TB/HIV Scheme. Under this scheme,
all NACP-approved Community Care Centres (CCCs)
which are 10-bedded, are eligible to participate and avail
the grant-in–aid. ( this is on a pro-rata i.e. ` 60,000 per
10-bedded CCC per annum). To strengthen the referral
system between CCCs and TB/DOTS centres, CBCI
organized district-level TB-HIV training programme in
collaboration with the State TB Cell and WHO RNTCP
Technical Assistance Project at various CCCs in the
programme states. CBCI conducted 11 meetings on HIV-
TB collaboration efforts.
The participants at these district level meeting include
the District Collector, the Chief District Medical
Officer, the Chief Medical Health Officer (CMHO),
District Nodal Officer (DNO), NGO representatives
(Targeted Intervention and Link Worker Scheme), DLN
representative, and staff of the CCC, State TB-HIV
programme, ART Centre, NRHM, DAPCU, PPTCT,
Counselors of all ICTCs and Blood banks. The issues
taken up range from tracing and retrieval of LFU/missed
cases, sharing of the CD4 due list by the ART centre with
the CCC for follow up of clients, referral of clients from
CCC to DLN/DIC, catchment area allotment for outreach
workers, ART follow up cases, TB-HIV co infection,
treatment denial and report sharing.
With the efforts of PFI and its Sub Recipients (SR), CCCs
across all thirteen states have been actively participating
in the DAPCU and ART–CCC coordination meetings
leading to improved referral and better uptake of services at
Inter–coordination and Role clarity of CCC – ICTC
and the RNTCP department have been discussed in the
meetings. Information was shared on the interaction
between NACP and RNTCP, the intensified TB/HIV
package, airborne infection control guidelines and HIV-
TB programmatic issues in a CCC. The District TB
Officer deliberated on issues related to intensive case
findings, Anti-Tubercular Treatment (ATT), retrieval of
defaulting clients and demonstration of the prolongation
pouch. Medical officers, counselors and nurses at the
CCCs attended these trainings.
Planning for follow up and strengthening the
component between CCC, ICTC and the RNTCP
department continues to be a priority at these meetings
and subsequent action plan. All CCC staff has been
sensitized about HIV-TB linkages by District and State
officials. Provision of DOTS in CCCs, referral for sputum
microscopy etc are being ensured in all centres of CBCI.
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4
Response to
Prevention,
Care, Support
and Treatment –
Advocacy with the
Corporate Sector
The private sector’s role in providing quality ART
and other care and support services has been an important
contribution in the nation’s response. Under the RCC-
PACT programme, the Confederation of Indian Industry
(CII) plays a pivotal role in advocacy with the private
sector encouraging it in co-investment partnerships with
the government.
CII reaches out to the corporate sector through
conferences, both at the national and regional levels,
and organizes expert group meetings with corporate and
industrial organizations. They in turn, sensitize their
employees on HIV/AIDS and contribute towards the
scaling up of care, support and treatment services.
CII conducted two regional conferences in Kolkata
and Chandigarh in September 2011 and March
2012 respectively. Both the Kolkata and Chandigarh
conferences were attended by 50 delegates from corporate
houses. The two conferences focused on Challenges
and Opportunities of the Business Response to HIV/
AIDS by showcasing the partnerships between business,
government and civil society which have extended the
reach of programmes through shared infrastructure and
human resources. The conferences were convened to
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The Regional Conference on HIV/AIDS, Chandigarh
scale up concerted efforts by the industry in India towards
improving access to care, support and treatment services in
dealing with HIV/ AIDS.
CII organized a total of seven meetings with corporate
houses – Marico Foundation, CLP Power India Pvt. Ltd ,
TCS, Scope International Pvt. Ltd, Nestle, Global Health-
BD. CII also held eight group meetings with NACO,
SACS, Pepsico industry and CMC Vellore during the year
to urge the corporate houses to work on issues related to
HIV like workplace policy and to discuss the irregularity in
supply of ARV drugs at the corporate ART centres.
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5
Program
Management
5.1 Coordination meetings
5.1.1 Partners’ meeting
Meetings with partners have been held on a regular
basis during the entire year to update them on
program implementation and change in national strategies
as well as review their progress. These have helped all
programme partners to work in sync with each other, share
the good practices and replicate them to yield best program
results.
A review of the program’s progress was done through a
combined partner and PFI regional staff review meeting in
Goa in January 2012. PFI staff and Sub Recipients from the
national and state levels participated. The meeting gave
an insight into field issues and those at the national level.
Solutions were sought and action plans prepared for the
coming quarters.
5.1.2 NACO coordination meetings
PFI has been coordinating with NACO on a regular basis
for effective program implementation in sync with the
NACO’s program. PFI is also a part of the Technical
Resource Group (TRG) formed by NACO for revising the
national CCC guidelines and has actively contributed to
it. PFI has been recognised by NACO as a key partner in
implementing the care and support program in the country.
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With continuous pursuance by PFI, NACO issued a
directive to all SACS on May 27, 2011 to ensure sharing of
ICTC client data with DLNs in PFI supported program area.
The directive was further shared with concerned DAPCU/
ICTCs in most of the states. However, the formal sharing
of ICTC data is still not the practice in a few states. The
matter has been discussed with NACO/ SACS for ensuring
regular sharing of list by DAPCU/ICTCs with DLNs.
PFI participated in the coordination meeting organized by
NACO on November 29, 2011 and discussed the need for
convening a quarterly or bi-annual review meeting with all
the PRs implementing HIV component in India. PFI also
received a request from NACO on November 30, 2011 to
take over existing CCCs in states, which were not planned
originally at the time of RCC proposal. The formal process
of taking over of these CCCs in Punjab, Chandigarh,
Uttrakhand and Assam was initiated during Q8, and were
operationalized under the PFI program in April 2012 (Q9).
Project Director’s visits a service delivery point in Nagaland
5.1.3 SACS coordination meetings
A state-level coordination committee headed by the
Project Director, SACS, functions in each state where the
program is implemented. The State Level Coordination
Committee (SLCC) meetings are convened by PFI. These
committees, formed under Round 4 ACT and Round 6
PACT programs, continue to review and guide program
implementation. The service delivery points to be set up
were discussed with respective SACS in these meetings
and it also helped to ensure their involvement in the
selection of SDPs. The meetings are usually held once in a
quarter in every state. During the year, 36 SLCC meetings
have been organised in the program area.
Observations of the Project Director, Nagaland
5.1.4 Visits by Project Director, State AIDS
Control Society to Service Delivery Points
PFI regional and state units facilitate visits by the Project
Director, SACS, or his representative to the SDP. During
these visits, inputs were received from these officials
to improve the program. During 2011-2012 the Project
Director visits were organized in 11 states. In four states
the visits could not be organized due to the frequent
change of Project Directors. In these four states of
Manipur, Tamil Nadu, Karnataka and West Bengal, these
visits were organised in subsequent months. The Project
Directors provided valuable inputs to the SDPs and their
visits boosted the morale and confidence of the staff.
Project Director’s visit in Rajasthan
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5.1.5 Review meetings
The State Program Implementation and Review
Committee (SPIRC)
A State Program Implementation Review Committee
(SPIRC) was constituted in each state to provide
monitoring and oversight to program implementation at the
state level. The committee has state-level representatives
from PFI and its partners - CBCI, HLFPPT or EHS. The
meeting, convened by the PFI Regional/State Coordinators
every quarter, undertakes a desk review of all reports
submitted by the Service Delivery Points (SDPs) during
the period, and prepares a state report with its observations
and recommendations. The committee then selects 20 per
cent of the SDPs for verifying the reports and documents
submitted. These SDPs are visited and report is submitted to
PFI and the partner organisation for action.
Program and Finance Integrated Review for DLN
Integrated Review Meetings for DLNs were conducted
by PFI regional/state offices every quarter. A total of 36
integrated reviews have been conducted across nine states
during the year. While the programmatic reviews were
done by PFI state offices, the financial reviews were done
by finance consultants engaged by PFI. Each DLN has
month-wise targets and these were reviewed. A report was
submitted to the PFI state/ regional office.
Every DLN is thoroughly reviewed by the regional team.
The program performance is linked with the finance and
M&E. On the basis of this, the achievement of the DLN
against its quarterly targets is finalised jointly by the DLN
and the regional team. The feedback on program progress
is provided by the regional unit to the DLN representatives
during this review. The concerns, issues and suggestions
are discussed at length and mutually agreeable solution
are sought. The implementation of the recommendation
is followed up by the PFI regional office, often by phone
calls, and where the issues continue to exist, field visit is
made on priority basis.
The DLNs bring updated/completed books of account for
the quarterly audit review. The books are also monitored
during regular and financial monitoring visits to selected
DLNs. To ensure a regular update of books of account, the
PFI state offices follows up with phone calls, and collects
scanned copies from randomly selected DLNs to ensure
necessary compliance.
The state offices also maintain SDP visit tracking sheet
where the SDP visits made during the last quarters are
marked. This sheet is shared with the PMU along with
their monthly plan for tour approvals. The tours are
approved based on the need and objective of SDP visit.
During the field visits, program performance is discussed
and necessary guidance is provided to the DLN.
5.2 Monitoring and Evaluation
5.2.1 Programme evaluation
PFI implemented the Round 4 ACT program for five
years from April 2005 to March 2010. In view of this,
PFI conducted the program evaluation of the ACT
program. Moreover, since the Round 4 ACT program
was extended for a further period of six years by
consolidating the Round 4 and Round 6 grants under
the Rolling Continuation Channel of the Global Fund,
the program area of Round 6 was also covered in the
evaluation.
The study was conducted in 13 states - Andhra Pradesh,
Karnataka, Tamil Nadu, Maharashtra, Manipur,
Nagaland, Uttar Pradesh, Madhya Pradesh, Rajasthan,
West Bengal, Bihar, Gujarat and Chhattisgarh.
A sample of 7941 PLHIV from 45 districts from these
states was covered. The samples were from two
sets of PLHIV – those enrolled in the PFI program, and
those who were not, but might have taken
services from government programs (Non-PFI). The
differences found in the performance indicators of
these two sets of PLHIV were to be treated as the
impact of the ‘PFI program’ compared to the Non-PFI
program
Though the program evaluation was initiated in
October 2010, there was an initial delay in data
collection for the desired sample size due to the non
availability of PLHIV in the Non-PFI group. There
was also a delay in finalizing the report due to the
complexity involved in conducting the analysis
and addressing the various comments received from
the Technical Resource Group of PFI, an advisory
committee constituted for guiding the evaluation
conducted by PFI. Due to these delays, the report was
finalized in 2012 and therefore, the findings of the
evaluation conducted in 2010 are being presented in
this report.
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Employment Guarantee Scheme (NREGA) that were
meant to help them improve their social and economic
status. Forty one percent reported availing of these
schemes. And of them, 33% mentioned PFI helped in
receiving the benefits.
Web-based Management Information System training
Some of the key findings of the study
The PLHIV in the PFI group felt that the enrollment
in the PFI program had made a difference in their lives.
The main benefit they said, was ‘emotional support’.
Other benefits reported were: knowing how to manage
opportunistic infections, where to seek treatment for
Opportunistic Infections, knowing about healthy life style,
nutritious diet and knowledge about PPTCT.
The study revealed that over 55% reported feeling isolated
in both the groups, which indicates a strong presence of
stigma. But the feeling of isolation was substantially less in
R 6 compared to in R 4 of the PFI program (R 4:62%;
R 6: 47%). Reason for this shift was attributed to
improved knowledge among general population about HIV,
and to well-publicized efforts such as campaigns by the red
ribbon express and red ribbon clubs in colleges.
Overall, the respondents in the PFI program felt that they
benefited from being a part of PFI program in terms of
gaining knowledge about HIV, about safe sex practices,
psychological well being, and gaining self confidence. The
PFI program helped them in delaying the need for ART
and maintaining health by getting proper medical care. On
knowledge indicators such as positive prevention and safe
sex practices, PFI group performed significantly better than
the Non-PFI group.
The program’s most significant contribution to PLHIV
seemed to be the emotional support it provided. Also,
85% of the PFI group knew about government schemes
such as the pension scheme, ration card or National Rural
The data indicated that the PFI program had significantly
reduced dependence of PLHIV on government hospitals
for treatment through the establishment of the CCCs/
CCSCs. The PFI group sought treatment for 47% of HIV-
related illnesses from the CCCs/CCSCs. They would
otherwise have gone to government or private facilities.
The study found that the contribution of CCC/CCSC to
treatment would have been greater if CCCs/CCSCs had
been established in all districts.
Overall, the findings of the study informed that the
PFI program had shown significant gains on important
performance indicators. It had shown sizable gains in
knowledge and attitude changes among PLHIV and giving
them better access to treatment and support services.
5.2.2 Web-based Management Information System
The Management Information System (MIS) was
developed by PFI for the program to capture the activities
implemented at the Service Delivery Points. It consists of
records and registers to be maintained, and indicators to
be reported to measure the performance of the program.
The MIS was developed for DLN and CCC components
separately.
In order to improve data availability at all levels, PFI
developed the web-based Management Information
System for DLNs and CCCs. The system also takes care
of reliability, accuracy, completeness and integrity of data
quality.
The CCC and DLN staff was trained on the installation of
the software, entry of data in the web-MIS and generation
of Monthly Progress Reports and Quarterly Progress
Reports. The trainings were conducted on MIS and web
MIS for three days on the DLN component and for four
days on the CCC component. A total of 404 staff members
from 207 DLNs, and 202 staff members from 71 CCCs
participated in the trainings. Other CCCs received onsite
training as and when they were operationalized in the
subsequent quarters.
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5.3 Grant management
5.3.1 Grant Results
It was observed that major results were achieved by
PFI by establishing strong operational, financial and
programmatic systems. On the programmatic side, targets
have largely been achieved despite several challenges.
The Global Fund rated the Grant ‘B2’ for the period April
2010 to September 2010. The technical performance was
rated as ‘B1’ for the period October 2010-March 2011,
while the overall rating was ‘B2’ because of a management
issue identified by the Global Fund. However, PFI took
requisite measures to address it and subsequently, the
rating improved to B1 for the period April- September
2011. PFI earned a rating of B1 for the period October
2011-March 2012.
The data quality and the service quality is kept in check
by LFA during the visits conducted by selecting a grantee,
selecting one state, at least two districts within that state
and one or more than one service delivery point within
the district, to match the figures reported by PFI with that
of figures at the service delivery point. The Global Fund
provided ‘A’ rating to PFI for the Onsite Data Verification
(OSDV) exercise conducted by the LFA to ensure the data
quality of important programmatic results.
5.3.2 Capacity Building
Capacity building of staff members in areas of grants and
finance is an integral part of grant management. PFI has
ensured both formal and on-site trainings to staff members
of Principal Recipient (PR), Sub Recipients (SR) and Sub
Sub-Recipients (SSR). During monitoring visits, along
with identifying financial and governance risk areas, staff
members of the organisation are trained to take remedial
action.
The Interim Arrangement was started in August 2010
under which agreements were signed with 200+DLNs
directly by PFI. Finance consultants have been appointed
in each state for financial monitoring and capacity
building. The finance consultants do a quarterly review of
financial records of DLNs. They do both a formal (group
wise) and an informal (DLN wise) capacity building as
per the need identified during the financial review. These
reviews have been conducted every three months since
August 2010. As on March 2012, 17 such review meetings
had been organised by PFI for 200+ DLNs in 9 states.
PFI state offices visit the DLNs along with the finance
consultants to provide them with supportive supervision
and onsite training on finance and program. Fifty six
such visits have been done and this has resulted in
improvements in finance management at the DLN level.
It is evident from the gradual reduction in disallowances of
the DLNs during the quarterly reviews.
5.3.3 Risk Management
Desk review is a primary process which has been adopted
for risk management at the SRs and SSRs levels. On
receipt of quarterly audit reports, a desk review is done of
each SSR by the respective SR and of each SR by the PR.
The observations are also shared to ensure required follow
up on key issues.
Regular monitoring visits are undertaken for SR by PR and
for SSRs by respective SR. After sharing the report with
respective SR / SSR, regular follow up is done till the issue
is resolved. As discussed earlier, the necessary capacity
building is also done to enable staff members to rectify the
observation.
Apart from the regular monitoring visit conducted by an
internal team of PR, the audit of each SR is ensured by
the PR once in three years, while the audit of each SSR
shall be done on a sample basis. This audit requirement
is in addition to the regular audit of SRs / SSRs being
ensured by auditors appointed by the SRs. In order to
ensure transparency and independence of auditor, the PR
has empanelled auditors from which the SR has appointed
auditors for SRs and SSRs. Terms of Reference (ToR) has
also been finalised by PFI which is binding on all auditors
appointed by SRs or PR for the Global Fund project. The
TOR has been approved by the Global Fund before it was
shared with Auditors for SRs and SSRs.
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6
Challenges
6.1 Lack of Resolution of Matters Concerning
INP+
The delay in this resolution has led to a feeling
of uncertainty among PFI in terms of program
management. The PMU team had spent enormous
time in the resolution of INP+ issue at the cost other
activities.
6.2 Uncertainty in Tenure of Direct Management
Since direct management of the program was an interim
arrangement, the PMU has felt constrained to plan the
execution on a long-term basis effectively. At present
Global Fund has agreed to give a long-term extension to
the DLNs. PFI has signed a MoU with DLNs for a nine-
month period.
6.3 Human Resource Stretch
The direct management responsibilities of PFI have put
a strain on its existing staff. In the new system, human
resource allocation is noted to be insufficient and is
consequently impacting the efficiency of the program.
Also, the capacities of the human resource at the state
and district levels do not complement the scope of
responsibilities under the direct management structure
vis a vis the new financial and program monitoring
systems.
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6.4 Increased Workload
All State/ Regional Representatives feel their roles are
stretched. They are unable to give adequate attention to
programming matters and advocacy due to the increased
attention on financial management and acute shortage
of human resources.
6.5 Issues with SLNs
The State/Regional Coordinators of PFI shared that
there is almost no cooperation to the PFI team by the
SLNs, except in a few states. Instead, PFI experienced
confrontation, open threats by the SLNs demanding the
inclusion of State Level Networks in the program.
6.6 Delay in Scale Up of CCCs
The directives from NACO to halt the scale up of
CCCs in the program area and the delay in decision
to take over more states for the CCC component
resulted in a delay in the achievement of targets, both
in terms of establishment of new CCCs and training
of its staff. Further, due to the procedural delay in
approval of training plans, the timely training of key
services providers of CCC could not be completed. The
delay caused accumulation of the training load and
subsequently hampered the service provisioning from
the SDPs.
However, since PFI has been directly handling the
DLN component, a unique connect has developed between
the network and the PFI staff which has helped PFI build
an empathic relationship of mutual sharing and trust with
the networks. The handholding support provided directly
by the PFI staff has helped DLNs to understand each
other’s perspective and work towards the achievement of
program goals with concerted and synchronized efforts.
The direct agreements has brought about and infused
more professionalism into the DLNs. Their capacities in
terms of handling finance and program activities, and
in the understanding of programmatic achievement and
relating it to MIS and the financial component has been
remarkably increased. The DLNs accountability towards
the programme and its achievements has also remarkably
increased as they are now managers of their own program.
With ardent efforts of PFI and regular coordination
and communication with NACO, SACS and other key
stakeholders, PFI has been able to register good program
performance against all odds.
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7
Case Studies
7.1 The Palamuru Support Net Group –
Mehboobnagar, Andhra Pradesh
The Palamuru Support Net Group(SNG) is an all-
women group of 12 members. The women in the group
reside within a radius of 10-15 km and were members of
the erstwhile Round 4 ‘Access to Care and Treatment’
program. The process of formation of the SNG was
initiated in January 2010, before the initiation of the
Round 4 RCC PACT program. Potential members were
oriented to the benefits of being a part of the SNG. The
emphasis was on group savings and participating in the
group’s income generation activities.
Detergent making process
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The Palamuru SNG members are involved in both outreach
and income generation activities. The group is mainly
involved in the production of detergent powder and the
sale of saris. It also undertakes small-scale production of
petroleum jelly, pain relief balms and dishwashing soaps. On
PFI’s suggestion, the Mehboobnagar DLN approached Jan
Shikshan Sansthan, which conducted trainings on various
livelihood activities for the group. The Jan Shikshan Sanstha,
an organization supported by the Central government, has
conducted trainings on various livelihood activities for the
group.
After training, the group initially started with the production
of detergent powder. Six members together contributed
` 2000 to purchase 50 kg of raw material which was used
Detergent packets made by the SNG group
to produce the detergent powder. The revenue collected
through this activity was reinvested to scale it up. Each group member contributes ` 100 per month to the group’s saving
account, which serves as a corpus against which members can take loans.
The group gets names of the newly-detected PLHIV, ‘lost to follow-up’ (LFU) cases, ‘missed’ cases and ‘not willing’ cases from
the Integrated Counseling and Testing Centres (ICTC) and the Anti-Retroviral treatment Centres (ARTC). The group
contacts and counsel PLHIV on care and treatment, and further registers them for the PACT program upon their consent.
The outreach activity is primarily conducted by the Peer Educator (PE)/Positive Speaker (PS). Since inception of Round
4 RCC PACT, 1070 clients have been enrolled in the DLN, 174 PLHIV have been contacted by the Support Net Group
members and an equal number have been linked to the ART centre for ART eligibility test through the outreach activities.
The SNG members have also followed up 132 old cases.
Once registered, the PLHIV is provided regular information about the illness, diet and nutrition, and given psycho-social
support. The PE/PS also engages with villagers to identify potentially at-risk people who may not have been detected so far.
They also encourage the affected people in the family to get tested. The PE/PS share their experiences of the trainings they
attend with other members.
In conducting the outreach and income generation activities, the group faces many challenges. There was an initial resistance
from bank officials in opening an account given the status and susceptibility to a reduced life-span of the members. They
were also told they would not get loans on the same grounds. The PE and PS felt that their limited marketing skills reduced
the efficiency of the sales efforts made by them.
The DLN and Jan Shikshan Sanstha then guided the group in working out a strategy to sell the detergent powder. The group
established links with various hotels and hostels in and around the town of Mehboobnagar, which purchase the detergent
powder regularly. The washing powder has become popular in the local market and the demand for it has been consistently
rising. Each of the six members involved in it make ` 2000 a month. The sari business has been established recently by four
members.
The Palamuru Support Net Group showcases both the ‘give’ and ‘take’ processes. The group finds a firm foundation in the
leadership and support provided by the DLN. Frequent visits and handholding by the PFI State Coordinator has helped the
SNG in leveraging resource mobilization opportunities like the International Women’s Day wherein women-headed DLNs
approached district officials and NGOs to contribute to the benefit of PLHIV. The effort led to the linking of 170 SNG
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members with a monthly ration scheme. Through this endeavour, two women district programme coordinators were also
felicitated for their commendable work. Strong networking by the DLN with organizations like District Rural Development
Agency (DRDA) and CARE has provided an impetus to SNG members for initiating income generation activities and being
part of the group. The SNG members value the group for the psycho-social support they get and can give. The PLHIV are
better informed about their conditions and can access to care and treatment.
7.2 The Cheyutha Mahila Support Net Group – Adilabad, Andhra Pradesh
The Cheyutha Mahila group is an all-women group functioning in Adilabad district. The formation of the group was initiated
after the Round 4 RCC PACT program was started. The PFI team oriented the DLN staff on the SNG concept and the
benefits associated with it. Subsequently, the PLHIV registered with the DLN were given orientation, and some of them
agreed to form SNGs. However, the members of the Cheyutha Mahila group are scattered over both rural and urban areas
of the Adilabad division. By consensus, each member contributes ` 100 per month towards the groups’ savings. Through
its effective advocacy, the DLN managed to procure a grant of ` 3,00,000 from the District Rural Development Agency
(DRDA), which provided the initial investment support to the members in the form of an easy and low interest loan at the
rate of 1%. The members have used this loan to start individual income generating activities.
Most group members are involved in sari selling as it is a popular home-based business among women of the area. The group
members are also involved in fall beading and stitching, pickle production and sale, cattle rearing, and vegetable selling.
Outreach activities are conducted by the Cheyutha Mahila group on the basis of the lists provided by the ICTC and the
ARTC. Lists from the ICTC and the ARTC are collected by the Support Net Officer and distributed to the PE/PS area wise,
at the SNG taluk-level meeting. The PE/PS may decide that a client can be more easily reached by an SNG member, and ask
the member to do so. On an average, they reach out to 3-4 clients each per week, from the ICTC/ARTC lists provided to
them. During outreach, clients are counseled about care and treatment and oriented to the health and psycho-social benefits
of being a part of the network. Further, post registration, they are given advice on nutrition, psychological support and advice
on home-based care.
It is noteworthy that the PE/PS often undertake outreach activities beyond the scope of the ICTC and ARTC list provided to
them. They approach the ASHAs and ANMs of the villages to enquire about people who may be sick for a long time, and hence
at risk. They get in touch with them, informing them about the facilities the DLN offers and also leave their contact details
behind. In this way they have identified 13 persons over the last one and a-half years. They have also got in touch with 320-330
PLHIV in the district, who were contacted by the SNG during the year.
The group members face a number of challenges in conducting the above mentioned income generation and outreach
activities. A major challenge was opening a bank account as banks were hesitant and had forewarned the group to not expect
loans given their positive status, and consequent uncertain repayment ability. Also, the regulatory requirements of the banks
for the group members to belong to the same area, was difficult to meet since group members belonged both to rural and
urban areas of Adilabad division. As most members are engaged in the sari business, they face the problem of credit purchases
which are uncertain and difficult to recover. Also selling saris requires travel to distant places for procurement in bulk which
is sometimes difficult for PLHIV.
Outreach is conducted mostly by the PE/PS as they find it difficult to motivate other SNG members who live far away.
Despite these challenges, the group has managed to save ` 20,000 through regular contribution. The SNMs involved in the
sari business make a profit of about ` 3,000 a month, of which ` 500 goes towards loan repayment and ` 100 towards group
savings, giving a profit of ` 2,400. The DLN has provided a strong foundation to individual income generation activities of
the group members by procuring a grant of ` 300,000 from DRDA. With the backing of this grant, support net members are
provided easy loans. Also, psycho-social support among members and from the DPMU was noted wherein group members
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share their problems with the PE/PS in group meetings or through phone/home visits. The PE/PS in turn, seek guidance from
the DPC on these matters. It is significant that the group feels very comfortable in sharing even personal problems with the
DPC. They see her as a leader, a guide and provider of emotional support, regarding her "almost like a mother".
The symbiotic relationship between the SNG and the DLN was seen to be underway. However, given the challenges faced
by the group members in income generation activities, the DLN is working on capacity building of the DPMU and the SNG
on identifying and leveraging gainful income generation activities and increasing group cohesiveness to elicit participation
from all towards outreach activities.
7.3 The Himmat Support Net Group – Meghanagar, Jabhua, Madhya Pradesh
The Himmat SNG is located in Meghanagar block of Jhabua district. It works out of a charitable hospital run by a non-
governmental organization (NGO) called Jeevan Jyoti. The hospital has already established infrastructural facilities such as
ICTC, link ART, mini Community Care Centre (CCC) and a vehicle to ferry people to the ART centre, which is located
in Indore.
The Himmat group, popularly known as ‘Samiti’, is a mixed group of 12 members, four women and eight men. The DLN
staff was oriented on the SNG concept and its benefits by the PFI team. Subsequently, District Project Coordinator (DPC)
and Support Net Officer (SNO) shared the idea of the formation of a support net group with the PLHIV registered with the
DLN. Sixteen people showed interest. Twelve members were given membership in November 2010 on the basis of their similar
economic background. The remaining four continue to provide voluntary support without being a part of the group. The PE/PS
were selected by the group amongst themselves. The SNG members collectively decided to contribute a minimum of ` 50 each
every month to the group’s bank account.
Six members of the Himmat group are primarily involved in the manufacturing of the detergent. The group sells the detergent
by the name of ‘SARA’ (the name was decided by group consensus). The clientele includes nearby grocery shops, roadside
restaurants and hotels on the highway. The remaining six members are involved in garment sewing at individual level. The
group makes a profit of ` 5-6 per kg of detergent powder, which amounts to about ` 1800 – 1900 on approximately 360 kg of
detergent powder sold monthly.
The DLN had helped the group establish linkages with Pragati Sansthan, the NGO that trained the SNG members to make
detergent powder. The DLN also donated the initial raw material required to manufacture the detergent, and six sewing
machines to the group. The hospital in which the DLN is located has provided the SNG with a room to conduct its income
generating activities.
Active outreach in the community is done based on the list of names provided by the SNO by three male members of the
SNG, who are also involved in the income generation activities. The three members combine outreach activity with the
sales and marketing visits.
7.4 Alangudi – Men’s Support Net Group, Pudukkottai, Tamil Nadu
The Alangudi – all Men SNG was formed by registering willing and proactive members from the already registered PLHIV
at the Pudukottai DLN, under the Round 4 ‘ACT’ program. In continuation to this, the DLN invited 40 other registered
PLHIV in July 2010 to form a new SNG under the Round 4 RCC PACT program.
Twenty five members came forward and the DLN oriented them on basic objectives of group – outreach, saving, and
involvement in a business. Of the 25, 12 PLHIV most willing to join the SNG, were registered as members.
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The SNG is involved in the manufacture of areca leaf plates.
The activity was collectively decided upon by the members.
To initiate the activity, a loan of ` 50,000 was procured from
a nationalized bank against existing savings of the group with
the bank (which were maintained by the members during
the previous phase of the programme i.e. Round 4 ACT
program). The loan was utilized to purchase the plate- making
machines. Members undertake this activity in smaller groups
of 4-5 each. The monthly savings of each sub-group amounts
to ` 2000 – ` 3000 and this is used for loan repayment. The
group plans to acquire new land to set up a factory, and get
hydraulic machines to improve production.
SNG members making areca leaf plates
The SNG began its income generating activity (IGA) in
2011, and has faced many impediments. Obtaining a bank loan to initiate IGA was a major hurdle. There was resistance from
the bank officials to open bank accounts due to the stigma associated with and the poor repayment potential of PLHIV. The
SNG succeeded in opening a bank account and availing the loan in the name of an individual SNG member after repeated
visits and advocacy efforts with various bank officials by the DLN. Further, even though this activity provides a basic income
to the SNG, it faces stiff challenges like cost of up-scaling, fluctuating demand and low productivity.
The outreach for new clients is mainly carried out by the PE/PS of the SNG. The PE/PS reach out to the new clients
allocated to them by the DPMU, based on the information provided by the ICTC. The information received is entered in
an ICTC information register maintained by the DLN. The names of PLHIV in Alangudi are provided to the PE/PS. SNG
members disclose their positive status to the potential client and develop a rapport. They counsel the client on treatment
and care aspects, and the benefits of being a part of the DLN. If the client expresses willingness to get treatment and/or
become a part of the network, they accompany him to the DLN for registration in the PACT program.
PE/PS have assumed responsibility for outreach with the active and sustained support of the DLN and Support Net Officer
(SNO). they face stiff resistance and discrimination while conducting outreach. Given the stigma around the illness, many
clients and their relatives refuse to engage with the PE/PS. There have been instances when the PE/PS have been chased
away and clients have threatened to commit suicide if pursued. PE/PS shared that most often they had to travel great
distances to cover the outreach areas.
The SNG has met with limited success owing to the low monetary returns and sporadic marketability of the product. Due
to this, the group members are also engaged in their personal income generation activities The DLN has been able to link
members few members with direct job placements. SNG members expressed the need for training on better management
practices and improved marketing strategies. Further, all members are not actively involved in outreach. However, there is
anecdotal evidence to suggest that the treatment-seeking behaviour of existing clients has improved.
7.5 Jeevan Saathi – Support Net Group, Kavthemahakal, Sangli, Maharashtra
The Jeevan Saathi Support Net Group was formed under the Aamhich Aamche DLN in Sangli district in August 2010. It
is an all women’s group.
Registered PLHIV under the DLN during the erstwhile Round 4 ‘ACT’ program were contacted by the Support Net Officer
(SNO) and oriented about the benefits of being a part of the SNG. Those who were willing were registered to form the
Support Net Group. The group collectively chose the individuals with effective communication skills to be the PE/PS.
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The group decided to meet every month to discuss issues and
share problems. Group members decided that each member
would contribute ` 100 per month to the group’s monthly
savings, which would be deposited in a bank. The group also
decided that a fine of ` 50 would be levied on anyone who
would not contribute regularly.
The SNG members, under the guidance of the SNO, decided
on stitching petticoats as group’s income generation activity.
The activity was decided as most group members owned
personal sewing machines and the fabric required for the
stitching petticoats was easily available. The profitability
SNG members stitching petticoats
of the venture was assessed based on the prevailing market
price of petticoats, and calculating the stitching cost. Six members of the group, including the PE/PS, are involved in
the activity.
The SNG has rented a room, in which they have placed sewing machines owned by the members, thereby conducting the
activity out of a common location. Cloth and other raw materials are procured at a wholesale rate utilizing the savings of the
SNG. In the initial days of starting the activity, stitching of the petticoats was done only after orders were obtained as the
business was sporadic. This ironed out over time as the group started receiving regular orders. The PE/PS are responsible for
marketing the petticoats and getting orders.
The group is able to earn ` 15,000–17,000 per month. Costs include salaries to members involved in the activity (` 1000
per member per month) raw material and rent. Savings of the group amount to ` 300-700 per month. A manual cash book
is maintained by the PE/PS.
Outreach activities are mainly carried out by PE/PS during sales visits to the villages. This is done on the basis of information
provided by the SNO from informal lists obtained from the ICTC and the ART centre. New clients are referred to the SNG
by other members through their own networking is however, low. Outreach is concentrated with the PE/PS. The stigma
associated with their illness has demotivated other group members from conducting outreach.
Most members have been able to engage in group activities and linkages to government schemes like the Sanjay Gandhi
Niradhar Anudan Yojana. Educational support from Zila Parishad has been obtained for members. They are satisfied
with the level of support extended by the SNO and the DLN, and are encouraged by the psycho-social support offered by
the group.
7.6 Mercy – Support Net Group, Kohima, Nagaland
The Mercy group is an all-women group of PLHIV, based in Kohima, formed after the Round 4 RCC PACT program was
initiated in August 2010. The group was formed with the PLHIV registered with the DLN under the erstwhile Round 4
‘ACT’ program. The members were oriented on the concept of a support net group (SNG) and the benefits associated with
it. Those willing and proactive were selected by the DLN to form the SNG. The emphasis was on selecting women below
the poverty line, who were also unemployed. Members were also chosen block-wise and all members of this SNG belong to
the Naga Hospital block of Kohima district.
The group members mutually decided who should be the PE/PS. It was also decided by consensus that each member would
contribute ` 10 per month to the group savings.
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The group undertakes income generation activities collec-
tively. These include growing and selling of mustard leaves;
wholesale business of tea leaves and sugar; mushroom grow-
ing and selling; marketing of garments and household items;
and recently, the buying and selling of garlic. The group has
taken the initiative of planning income generation activities
by themselves, with the DLN playing a supportive role.
The SNG conducts the outreach activities mainly in Kohima
town on the basis of information provided by ICTC and
ARTC to the DLN. The group, particularly the PE/PS, are
very active in outreach work. Even though the SNG does not
receive any lists from the ICTC formally, it has a very good
relationship with the ICTC staff. The members visit the
ICTC often, and hence can be approached easily by clients. SNG members engaged in an IGP activity
Outreach activities are fairly divided among the members
and managed by the PE/PS. Group members try to identify
new clients in the course of performing the income generation activities. They are also open about their positive status and
win the confidence of new peers. The group has set targets for themselves, where every member has to get at least two new
peers every month. The group also invites the new peers to the group meetings.
During outreach, after developing a rapport with the new client, an orientation on the SNG, its activities, and the benefits
of being associated with the DLN and SNG is given. Willing clients are brought to the DLN and registered.
In conducting these activities, the SNG has faced several difficulties. The difficult geographical terrain outside Kohima
coupled with the high travel expenditure has hindered full participation from SNG members in conducting outreach. Further,
the lack of finances hampers the scaling up of the income generation activity (IGA). Though the group has tried to procure
loans and start IGA, these efforts have proved to be futile. As the economic status of people living in the area is very low,
the sale of items produced as a part of IGA generates low revenue. The group has managed to function despite these issues.
The group has contributed 58 new peers to the network, from January 2011 till April 2012. Committed leadership has played
a role in the sustenance of the groups as the PS of the group is highly motivated and committed to the cause. As Mercy
Group is based in Kohima itself, the DPMU- SNG interface is higher, leading to better day-to-day support provided by the
DPMU.
7.7 Positive Change in the Life of PLHIV is Possible
Sita is 28 years old and belongs to the Jodhpur district of Rajasthan. She has studied till Class 10 and got married at the age
of 14 years. Her husband is 35 years old and runs an auto in Jodhpur district. He is HIV positive and is on ART. Sita came
to know of her HIV positive status two years after her marriage. She was referred to the ARTC where she was registered for
pre-ART. She has two children – an 11 year-old son and a seven-year-old daughter. Her daughter is HIV positive and is on
pre-ART. Her son was found negative.
She was registered with the Jeevan Anand Community Care Centre, Jodhpur, in November 2008 as an out-patient case. She
was put on ART in September 2010, and admitted to the CCC for five days for counseling and other support services. During
her stay, she shared with the counselor that as her economic condition is not good she would be willing to do a job. The
counselor referred her to the District Level Network, Jodhpur. The outreach worker of the CCC accompanied her. The DLN
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and the CCC staff helped her avail of the Palanhar Yojana for her children. Under this scheme, run by the Social Justice
and Empowerment Department of Rajasthan, orphan children and those of PLHIV– are given monetary help. In addition,
the school-going children get an allowance for uniform and shoes.
With the efforts of the CCC team, she began working in a hospital as an outreach worker and gets a monthly salary of ` 3000.
The outreach worker of the CCC has visited her several times for re-enforcement of messages and to ensure drug adherence.
Her daughter is on pre-ART.
Sita is regularly taking ART. Her CD4 count is 699. She says, “I have seen many changes in myself after getting registered
with the CCC and receiving the services. I came to know about other people who are also living with the virus and I would
like to help them. I am taking necessary precautions at home to prevent opportunistic infections. I don’t have words to share
my feeling about the benefits of the CCC.”
7.8 A Start to a New Life
Raju, a resident of Burdwan, West Bengal, had been working
as a mason at different construction sites in Mumbai. He
met Prerna, a girl from Kolkata, who had been trafficked to
Mumbai. He came to know that she had been forced into sex
work. He decided to marry her.
Raju rescued Prerna and brought her to his hometown,
Burdwan, in 2007 and they got married. Prerna was happy to
get a new identity, but Raju’s ill health was worrying them.
In 2009, they were referred to the ICTC and Raju’s HIV
positive status was confirmed. As per the suggestion of the
Counsellor, Prerna was tested and was found to be positive
as well.
The fact that they were both HIV positive, shattered Raju’s
dream of living a happy life. He had spent a lot of money
on his treatment, lost his job as he was irregular, and had no money to take care of the two of them. He was referred to the
Chetana CCC in Burdwan, where he was admitted. His health improved with proper care and counselling.
After he was discharged from the CCC, he told the CCC staff that he wanted to work, but not as a labourer. He wished to
sell vegetables. With the guidance of the CCC staff, he approached the officials of Asansol Burdwan Seva Kendra, the parent
organisation of Chetna CCC, and requested them for help. The organization agreed to donate a cycle trolley to Raju. Soon,
he started selling vegetables.
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Annexures
a. Financial Report
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5 Pages 41-50 |
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5.1 Page 41 |
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5.2 Page 42 |
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5.3 Page 43 |
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b. List of DLNs
S. No.
State
1 Andhra Pradesh
2 Andhra Pradesh
3 Andhra Pradesh
4 Andhra Pradesh
5 Andhra Pradesh
6 Andhra Pradesh
7 Andhra Pradesh
8 Andhra Pradesh
9 Andhra Pradesh
10 Andhra Pradesh
11 Andhra Pradesh
12 Andhra Pradesh
13 Andhra Pradesh
14 Andhra Pradesh
15 Andhra Pradesh
16 Andhra Pradesh
17 Andhra Pradesh
18 Andhra Pradesh
19 Andhra Pradesh
20 Andhra Pradesh
21 Andhra Pradesh
22 Andhra Pradesh
23 Andhra Pradesh
24
Karnataka
25
Karnataka
26
Karnataka
27
Karnataka
28
Karnataka
29
Karnataka
30
Karnataka
31
Karnataka
32
Karnataka
33
Karnataka
34
Karnataka
District
Adilabad
Ananthapur
Cuddapah
Eluru
Guntur
Hyderabad
Kakinada
Karimnagar
Khammam
Kurnool
Mehbubnagar
Mirayalguda
Nellore
Nizamabad
Ongole
Sangareddy
Secundrabad
Srikakulam
Tirupati
Vijayawada
Vishakapatnam
Vizianagaram
Warangal
Bangalore
Belgaum
Bellary
Bidar
Bijapur
Chamarajnagar
Chickballapur
Chikmagalur
Chitradurga
Davangere
Dharwad
Name of DLN
Adila Adharsha HIV Positive People Welfare Society
Anantha Network of Positives
Network of Kadapa People Living with HIV/AIDS
Association of Positive People for Living Excellence{ West Godavari )
Society for Welfare HIV Infected People (SHIP)
HIV of Positive People Efficiency Society (HOPES)
Costal Network Positive People (East Godavari)
Karimnagar Ashajyothi HIV Positive People
Asha Positive People Association
Nestham for Rayalaseema Region People Living with HIV/AIDS Welfare
Society
Mahabub Adharana Positive Network (MAP+)
Nalgonda Youth Positive Society
Nellore The Network of People Living with HIV/AIDS
Nizam Abhaya Positive People Society (NAPS+)
Positive People Network { Prakasham)
Medak District Positive Network
Network of HIV Positive People ( Rangareddy)
Srikakulam Network of Positive People Society
Network of Chittoor Positive People
Cheyutha HIV Infected People Empowerment Society { Krishna)
Society of Visakha Network Positive Members (SVNP+)
Vizia Network of Positive People
Karuna Mythri Positive People Service society
Arunodaya Network of Positive People
Spandana Network of Positive People
Nithyajeevana Network
Beladingalu Hiv Positive People Sangha
Sankalpa Bijapur
Chaithanya Network
chandana Network
Bandhavya Network
Suchetana HIV/AIDS Sonkita
Sanjeevini HIV AIDS S V Sangha
Jeevanmukhi Network of Positive People Dharwad
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S. No.
State
35
Karnataka
36
Karnataka
37
Karnataka
38
Karnataka
39
Karnataka
40
Karnataka
41
Karnataka
42
Karnataka
43
Karnataka
44
Karnataka
45
Karnataka
46
Karnataka
47
Karnataka
48
Karnataka
49
Karnataka
50 Madhya Pradesh
51 Madhya Pradesh
52 Madhya Pradesh
53 Madhya Pradesh
54 Madhya Pradesh
55 Madhya Pradesh
56 Madhya Pradesh
57 Madhya Pradesh
58 Madhya Pradesh
59 Madhya Pradesh
60 Madhya Pradesh
61 Madhya Pradesh
62 Madhya Pradesh
63 Madhya Pradesh
64 Madhya Pradesh
65 Madhya Pradesh
66 Madhya Pradesh
67 Madhya Pradesh
68 Madhya Pradesh
District
Gadag
Gulbarga
Hassan
Haveri
Karwar
Kolar
Koppal
Mandya
Man Galore
Mudhol
Mysore
Raichur
Shimoga
Tumkur
Udupi
Balaghat
Barwani
Betul
Bhopal
Burhanpur
Dewas
Dhar
Guna
Indore
Jabalpur
Jhabua
Khandwa
Khargone
Mandsaur
Neemuch
Ratlam
Rewa
Sagar
Shajapur
Name of DLN
Navachetna
Divya Jeevan Sangh
Hassanazilla Hiv Sonkithara Sangha
Rakshith Network of Positive People
Hosajeevan Uttara Kannada Nirdhista Jala
Jeevan Asha Network
Navajyothi Network of Positive People
Adarshajeevana Network
Hongirana Network of Positive People
Jeevanajyothi Network
Anandajyothi Network of People With Hiv/Aids
Hosabelaku Network of Positive People
Abhyadham Shimoga Network for People
Chirajeevanafund
Deepajyothi Network of Positive People
Balaghat Network of People Living With HIV/AIDS Society
Barwani Jilla Network of People Living Hiv/Aids
Betul Network of people living with HIV/AIDS Society
Bhopal network of people living with HIV/AIDS Society
Burhanpur Network Of People Living with HIV/AIDS
Dewas Jilla Network of People Living with HIV/AIDS Society Samiti
DharJilla Network of People Living and With HIV/AIDS Society
Guna Network of People Living with HIV/AIDS
Indore Jila Network of People Living with Hiv/Aids Society
Jabalpur Network of People Living with Hiv/Aids Society
Jhabua Network of People Living with Hiv/Aids
Khandwa Network of piplu living with HIV/AIDS Society
Khargone jila network of people living with HIV/AIDS Society
District Man Dsaur Network of People Livingwith Hiv/Aids Soc
Neemuch Network of People Living with HIV/AIDS Society (M. P.)
Ratalam Jila Network of people living with HIV/AIDS Society
Rewa Network of People Living with HIV/AIDS
Sagar network of people living with hiv/aids socity sagar m.p.
Shajapur Network of People Living with Hiv/Aids Society
44
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5.7 Page 47 |
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S. No.
State
69 Madhya Pradesh
70
Maharastra
71
Maharastra
72
Maharastra
73
Maharastra
74
Maharastra
75
Maharastra
76
Maharastra
77
Maharastra
78
Maharastra
79
Maharastra
80
Maharastra
81
Maharastra
82
Maharastra
83
Maharastra
84
Maharastra
85
Maharastra
86
Maharastra
87
Maharastra
88
Maharastra
89
Maharastra
90
Maharastra
91
Maharastra
92
Maharastra
93
Maharastra
94
Maharastra
95
Maharastra
96
Maharastra
97
Maharastra
98
Maharastra
99
Maharastra
100
Maharastra
101
Maharastra
102
Manipur
103
Manipur
104
Manipur
District
Ujjain
Ahmednagar
Akola
Amravati
Aurangabad
Bhandara
Buldhana
Chandrapur
Dhule
Gadchiroli
Gondia
Hingoli
Jalgaon
Jalna
Kolhapur
Latur
Mumbai
Imagpur
Nanded
Nandurbar
Nasik
Osmanabad
Parbhani
Pune
Raigad
Ratnagiri
Sangli
Satara
Sindhudurg
Solapur
Wardha
Washim
Yavatmal
Bishnupur
Chan Del
Churachandpu
Name of DLN
Ujjain Hiv/Aids Network Peoples Society Ujjain
Network of Ahmednagar by People living with HIV
Network of AKOLA By People Living with HIV
Adhar Bahuddeshiya Sanstha, Amravati
Network of Aurangabad by People living with HIV
Sarthi Kalyankari Sanstha
Network of Buldhana by People Living with HIV/AIDS
Network of Chandrapur by People living with HIV
Network of Dhule by People Living with HIV/AIDS
Network of Gadchiroli by people living with HIV
Prerna Margadarshan Sanstha
Network of Hingoli by People living with HIV
AnkurPratishthan
Network ofjalna by People living with HIV
Network of Kolhapur by People living with HIV
Network of Latur by People living with HIV
Network by People living with HIV in Mumbai
Network of Nagpur by People with HIV/AIDS
Network of Nanded by People with HIV/AIDS
Network of Nandurbar by People with HIV/AIDS
Network of Nasik by People with HIV/AIDS
Network of Osmanabad by People Living with HIV/AIDS
Network ofParbhani by People living with HIV
Network of Pune by People with HIV/AIDS
Network of Raigad by People living with HIV
AnkurSahstha District Level Network
Aamhich Aamache Sanstha-Sangli
Network ofSatara by People livingwith HIV
Network of Sindhudurg by People livingwith HIV/AIDS
Network of Solapur by People living with HIV
Jeevan Sankalp Samajik Sanstha
Network of Washim by People livingwith HIV
Network of Yavatmal by People living with HIV
Bishnupur Network of Positive People (BNP+)
Network of Chandel Positive People
Manipur Network of Positive People, Churachandpur
45
|
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5.8 Page 48 |
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S. No.
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
State
Manipur
Manipur
Manipur
Manipur
Manipur
Manipur
Nagaland
Nagaland
Nagaland
Nagaland
Nagaland
Nagaland
Nagaland
Nagaland
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
District
Imphaleast
Imphalwest
Senapati
Sugnu
Thoubal
Ukhrul
Dimapur
Jalukie, Peren
Kiphire
Kohima
Mokokchung
Pfutsero, Phek
Tuensang
Zunheboto
Ajmer
Alwar
Banswara
Barmer
Bharatpur
Bhilwara
Bikaner
Bundi
Chittorgarh
Churu
Dholpur
Dungarpur
Hanumangarh
Jaipur
Jaisalmer
Jalor
Jhalawar
Jhunjhunu
Jodhpur
Karoli
Kota
Nagaur
Name of DLN
Network for People Living with Hiv/Aids, Imphal East
Network for Positive People, Imphal West
Network of Positive People, Senapati
Progressive Network of People Plus,Sugnu
Manipur Network of People, Thoubal
Ukhrul Network of Positive People
Network of Dimapur district people Living with HIV AIDS
Network of Peren District people living with HIV AIDS
Network of Khipire District people Living with HIV AIDS
Network of Kohima district people living with HIV AIDS
Network of Mokokchung District people Living with HIV AIDS
Network of Phek District people living with HIV AIDS
Network of Tuensang district people living with HIV AIDS
Network of Zunheboto People Living with HIV/AIDS
Jeevan Prakash Network for people living with HIV AIDS
Alwar Network for people living with HIV AIDS
Banswara Net work for People with HIV Sansthan
Barmer Network of people living with HIV /AIDS society
Network for people living with HIV/AIDS Society, Bhartpur
Bhilwara Network for people living with HIV/AIDS Sansthan
Bikaner Network for People Living With HIV& AIDS Sansthan
Bundi Network for plwhiv/ Aids Samiti
Chittorgarh Net work for Positive Peoples with HIV Sansthan
Churu Network for People Living With HIV/AIDS Sansthan Churu
Dholpur Network for people living with HIV/AIDS Sanstha
Network for People living With HIV Sansthan, Dungarpur
Bhatner work for People Livingwith HIV AIDS Sanstha, HMH Junction
Pink city Network For People Living With HIV/AIDS
Jaisalmer Network for Peoples Livingwith HIV/AIDS(JNP+) Sansthan,
Jalore Jilla Network for Positive People Living With HIV AIDS
Jhalawar Network for people living with HIV/AIDS samitti
Jhunjhunu Network for people living with HIV/AIDS
Jodhpur Network of People Living With HIV Sans than
Kela Devi Network for people living with HIV/AIDS
Hadoti Network for people livingwith HIV/AIDS
Nagaur Network of People, s Living with H.I.V. sansthan
46
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5.9 Page 49 |
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S. No.
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
State
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Tamilnadu
Tamilnadu
Tamilnadu
Tamilnadu
Tamilnadu
Tamilnadu
Tamilnadu
Tamilnadu
Tamilnadu
Tamilnadu
Tamilnadu
Tamilnadu
Tamilnadu
Tamilnadu
Tamilnadu
Tamilnadu
Tamilnadu
Tamilnadu
Tamilnadu
Tamilnadu
Tamilnadu
Tamilnadu
Tamilnadu
Tamilnadu
Tamilnadu
Tamilnadu
Tamilnadu
District
Name of DLN
Pali
Pali Marwar Network of people living with HIV Sansthan
Partapgarh Pratapgarh Network for Peoples Living with Hiv Associations
Rajsamand Rajsamand Network for Peoples with HIV Sansthan
Sawai Madhopur Sawai Madhopur Network for People Living with Hiv/Aids
Sikar
Sikar Network for people livingwith HIV/AIDS Sansthan
Sirohi
Sirohi Network for pupil livingwith HIV/AIDS, Sirohi
Sri Ganga Nagar Sri Ganga Nagar Network for people living with HIV/AIDS
Tonk
Tonk Network for people livingwith HIV/AIDS sanstha
Udaipur
Udaipur Network for people living with HIV Sansthan
Arialur
Ariyalur District Hiv Positive People Welfare Society
Asaripallam
(Kanyakumari)
Positive People Welfare Society in Kanyakumari District
Chennai
Network for Chennai People Living with Hiv/Aids
Coimbatore Covai District Hiv Ullore Nala Sangam
Cuddalore
Cuddalore District HIV Positive Society
Dharmapuri Dharmapuri District Hiv Positive Welfare Society
Dindigal
Dindigal District Hiv Positive Society
Erode
Erode District Positive Network
Karur
Karur network for positive people
Krishnagiri Krishnagiri District Living with Hiv/Aids Welfare Society
Madurai
Vaigai Network For People Li Ving with Hiv/Aids
Nagapattinam Hiv Ullor Nala Sangam
Namakkal
Hiv Ullor Nala Sangam
Ooty (Nilgiris) Nilgiris District HIV Positive Welfare Society
Perambalur Perambalur District Network for Hiv Positive People
Pudukottai Pudukkottai District Hiv Positive People Welfare Society
Ramanathapuram Ramnad District Positive Network Association
Salem
Salem District Network of Positive People
Sivagangai Sivagangai District People Living with Hiv/Aids
Thanjavur Thanjavur District N Etwork of Positive People
Then!
Theni District Network for Hiv Positive People
Thirunelveli Positive people welfare society
Thiruvannamalai Thiruvannamalai District Hiv Positive Society
Thiruvarur Thiruvarur District HIV Positive People Welfare Society
Trichy
Trichi District Network of People Living with Hiv/Aids
Tuticorin
Tuticorin District Hiv Positive People Welfare Society
Villupuram Villupuram District Hiv Ullor Sangam
47
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5.10 Page 50 |
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S. No.
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
State
Tamilnadu
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
District
Virudhunagar
Agra
Aligarh
Allahabad
Azamgarh
Balrampur
Banaras
Banda
Barabanki
Bareilly
Basti
Bhadohi
Chandauli
Deoria
Etah
Etawah
Faizabad
Ghazipur
Gorakhpur
Hathras
Jaunpur
Jhansi
Kanpur
Kanpur Dehat
Kushinagar
Lucknow
Maharajganj
Mathura
Mau
Meerzapur
Moradabad
Pratapgarh
Raebareli
Sant Kabirnagar
Siddharthnagar
Name of DLN
Virudhunager District Hiv Ullor Nala Sangam
Agra Positive People Welfare Society
Aligarh Network For Positive People Living with HIV/AIDS Society
Allahabad Network for People Living with HIV/AIDS Society
Azamgarh positive network of pupil living with hiv/aids society
Balrampur network for people Living with HIV/AIDS society
Banaras Network For Positive people Living with HIV/AIDS Society
Banda network for people living with HIV/AIDS society
Barabanki Network for People Living with HIV/AIDS Society
Bareilly Positive People Welfare Society
Basti Welfare People Living With HIV/AIDS Society
MS S-R-N- BHADOHI WELFARE SOSI ETY
Chandauli Network for positive people Living with HIV/AIDS Society
Deoria welfare for people living with Aids Society
Etah Positive People Welfare Society
Etawah Network for people living with HIV/AIDS
Faizabad Network for People Living with HIV/AIDS Society
Ghazipur Pozitive Network of People Living with HIV/AIDS Society
Gorakhpur Network for People Living with HIV/AIDS Society
Hathras Positive Peoples Welfare Society, Hathras
Jaunpur network foe positive people living with HIV/AIDS Society.
Network for Positive People Soceity
Kanpur network for people living with HIV/AIDS
kanpur dehat network for positiv people with HIV/AIDS
Kushinagar Welfare for People Living with HIV/AIDS
Lucknow Network for People living with HIV & AIDS
Maharajganj Networkfor People living With HW/AIDS Society,
Mathura Positive Peoples Welfare Society Mathura
Mau Positive Network of People Living with HIV/AIDS Society
Mirzapur network for people Living with HIV/AIDS society
MORADABAD NETWORK POSITIVE WELFARE SOCIETY
Pratapgarh Network For People Living With HIV/AIDS Society
Raebareli Networkfor People Living with HIV/AIDS
Sant Kabir Nagar Welfare for People Living with HIV/AIDS Soceity
Siddharthnagar Welfare for People Living withHIV/AIDS Society
48
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6 Pages 51-60 |
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|
|
6.1 Page 51 |
▲back to top |
c. List of CCCs
Sl. No. CCC Supported by
1
CBCI
2
CBCI
3
CBCI
4
CBCI
5
CBCI
6
CBCI
7
CBCI
8
CBCI
9
CBCI
10
CBCI
11
CBCI
Name of the State
Bihar
Bihar
Bihar
Bihar
Bihar
Bihar
Bihar
Bihar
Bihar
Chhattisgarh
Chhattisgarh
12
CBCI
Chhattisgarh
13
CBCI
14
CBCI
15
CBCI
16
CBCI
17
CBCI
18
CBCI
19
CBCI
20
CBCI
Chhattisgarh
Chhattisgarh
Chhattisgarh
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
21
CBCI
Gujarat
22
CBCI
Gujarat
23
CBCI
Gujarat
24
CBCI
25
CBCI
26
CBCI
27
CBCI
28
CBCI
29
CBCI
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
Gujarat
30
CBCI
Gujarat
31
CBCI
32
CBCI
Orissa
Orissa
Name of CCC
Nai Asha
Jeevan Sagar,
Navjeevan CCC
Holy Family
Lifeline
Jeevanjyoti
Roshni
Saathi
Seeds
Jeevodaya CCC
Lifeline CCC
Holy Cross CCC
Maria Sahaya, CCC
Karuna CCC
Seva Niketan CCC
Karuna Shakti
Navjeevan, Rajkot
Sarvajanik
Navjeevan
Sphoorti
Jeevan Jyot
Karuna Shakti +
Netra Chikitsa Trust
Sanchalit CCC
Santwana
Nav Vidhan
Reliance
Jeevan Jyoti
Asha Kiran
Jeevadhara
Asha Kiran CCC
Ashraya CCC
Sathi CCC
Name of the district
Remark
Mokama
Muzaffarpur
Patna
Bhagalpur
Kishanganj
Gaya
Madhubani
Saran
Darbhanga
Raipur
Bastar
Sarguja
Bilaspur
Durg
Raipur
Ahmedabad
Rajkot
Surat
Bhavanagar
Mehsana
Vadodara
Ahmedabad
Closed in December
2010
Closed in Aug 2011
Closed in
Sept.2011
Closed in Jan 2012
Amreli
Jamnagar
Surendra Nagar
Surat
Ahmedabad
Junagadh
Kutch
Palanpur,
Banakantha
Koraput
Ganjam
Closed in Jan 2012
Closed in Jan 2012
49
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6.2 Page 52 |
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Sl. No. CCC Supported by
33
CBCI
34
CBCI
35
CBCI
36
CBCI
37
CBCI
38
CBCI
39
CBCI
40
CBCI
41
CBCI
42
CBCI
43
CBCI
44
CBCI
45
CBCI
46
CBCI
47
CBCI
48
CBCI
49
CBCI
50
CBCI
51
CBCI
52
CBCI
53
HLFPPT
54
HLFPPT
55
HLFPPT
56
HLFPPT
57
HLFPPT
58
HLFPPT
59
HLFPPT
60
HLFPPT
Name of the State
Orissa
Orissa
Orissa
Orissa
W. Bengal
W. Bengal
W. Bengal
W. Bengal
W. Bengal
W. Bengal
W. Bengal
W. Bengal
W. Bengal
W. Bengal
W. Bengal
W. Bengal
W. Bengal
W. Bengal
Jharkhand
Jharkhand
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Madhya Pradesh
Uttar Pradesh
Name of CCC
Name of the district
Remark
Astha CCC
Khurda
Kiran CCC
Jyoti CCC
Cuttack
Balasore
Sambalpur Social
Service Society
Arunima
Sambalpur
24 Pgns. (S)
Closed in Dec.2009
Snehalaya
Priyojon
W. Midnapore
Malda
SPARSHA
Chetna
Jesu Ashram
Howrah
Burdwan
Darjeeling
Prayash CCC
Seva Kendra
Darjeeling
24 Pgns. (N)
St Joseph
Alor Disha
W. Midnapore
24 Parganas (S)
Bhalobasa
Spandan CCC
Jalpaiguri
Uttar Dinajpur
Antarik CCC
Apanjan CCC
Murshidabad
Kolkata
Closed in Dec 2011
Holy Cross Community
Care Centre
Snehdeep Community
Care Centre
Tarwa, Hazaribagh
Hesag Hatia, Ranchi
Asha Kiran Community
Care Centre
Maitri Community Care
Centre
Ayushmaan Community
Care Centre
Sparsh Community Care
Centre
Spandana Community
Care Centre
Spandana Community
Care Centre
Saathi Community Care
Centre
Umang Community
Care Centre,
Jabalpur
Bhopal
Rewa
Gwalior
Indore
Indore-2
Ujjain
Lucknow
50
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6.3 Page 53 |
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Sl. No. CCC Supported by
61
HLFPPT
62
HLFPPT
63
HLFPPT
64
HLFPPT
65
HLFPPT
66
HLFPPT
67
HLFPPT
68
HLFPPT
69
HLFPPT
70
HLFPPT
71
HLFPPT
72
HLFPPT
73
HLFPPT
74
HLFPPT
75
HLFPPT
76
HLFPPT
77
HLFPPT
78
HLFPPT
Name of the State
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Uttar Pradesh
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Rajasthan
Name of CCC
Name of the district
Umang Community
Care Centre
Umang Community
Care Centre, Meerut
Umang Community
Care Centre, Gorakhpur
Umang Community
Care Centre, Allahabad
Umang Community
Care Centre, Kanpur
Umang Community
Care Centre, Varanasi-2
Umang Community
Care Centre, Agra
Umang Community
Care Centre, Aligarh
Umang Community
Care Centre, Etawah
Umang Community
Care Centre, Jhansi
Jeevan Prakash
Community Care Centre
- Bikaner
Seva Mandir CCC -
Udaipur
Sambal Community
Care Centre - Ajmer
JeevanAnad Community
Care Centre - Jodhpur I
Jeevan Asha Community
Care Centre - Jaipur
Jeevan Dhara
Community Care Centre
- Jaipur II
Jeevan Deep Community
Care Centre - Kota
Jeevan Aadhar
Community Care Centre
- Jodhpur II
Varanasi
Meerut
Gorakhpur
Allahabad
Kanpur
Varanasi
Agra
Aligarh
Etawah
Jhansi
Bikaner
Udaipur
Ajmer
Jodhpur
Jaipur
Jaipur II
Kota
Jodhpur
Remark
Closed in March
2012
51
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6.4 Page 54 |
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|
|
6.5 Page 55 |
▲back to top |
Photo Credits
• Catholic Bishops’ Conference of India
• Hindustan Latex Family Planning Promotion Trust
• Networks of People Living with HIV/AIDS
• Enable Health Society
• Confederation of Indian Industry
With Contributions from
PMU Office
• Dr. Phanindra Babu Nukella
• Ms. Aparna G.
• Md Raza Ahmed
• Ms. Tripti Chandra
• Mr. Shariq Jamal
• Mr. Javed Hasan
• Ms. Debamitra Bhattacharya
• Mr. Neeraj Mishra
• Mr. Pardeep Kumar Sangwan
• Mr. Milan Rana
• Mr. Sanjeev Ranjan
• Ms. Mithilesh Yadav
• Ms. Pooja Khurana
• Mr. Sunil Kumar
• Mr. Amit Kumar
• Mr. Bhushan Mehta
• Mr. Sunil Kumar Singh
Regional Office
• Dr. K Venkata Rao
• Mr. K Balasubramanium
• Mr. D Alwyn Leone Das
• Mr. Vivian Correa
• Ms. Archana Oinam
• Mr. Yumnum Sanjoy Singh
• Ms. Rohini Gorey
• Ms. Vijaya P Kanase
• Ms. Everista Kapu
• Mr. Vitsiatho Nyuwi
• Mr. Ramesh C Parmer
• Mr. Subhash Kumar Sharma
• Mr. Achint Verma
• Ms. Mini Ramachandran
• Mr. Salim Khan
• Mr. Ashish Kumar Amber
• Mr. Rajeev Jumar Singh
• Mr. Deepak Ranjan Mishra
• Mr. Tapas Kumar
|
|
6.6 Page 56 |
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Population Foundation of India
B-28, Qutab Institutional Area, New Delhi-110016,
Tel: 91-11-43894100 Fax: 91-11-43894199
Website: www.populationfoundation.in Email: info@populationfoundation.in
Facebook: http://www.facebook.com/pages/Population-Foundation-of-India/144526792274343
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