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> PPTCT & VCTCs |
Prevention of Parent to Child Transmission of HIV (PPTCT) Tamilnadu has established PPTCT Centres in all the 14 Govt., 6 Private Medical Colleges, 29 Dist. Headquarters Hospitals, 9 Corporation Health Posts and 7 Private Hospitals at the cost of Rs.9 crores.. The PPTCT Programme had conducted Sensitization Trainings for more than 30,000 medical and para-medical costing Rs.1 crore supported by UNICEF all over the State and also the other low prevalence States to avoid practice of stigma and discrimination towards positive mothers. The ANC clinics were given lot of aesthetics structural changes to the tune of Rs.40 lakhs to house chambers for group education pre and post test counseling rooms and laboratory. Trained Counsellors were posted in all the Centres to counsel the couples for HIV/AIDS and also other health related problems with the help of a TV and DVD in all the 65 Centres. The problems faced by the positive mothers are removed by the availability of counsellor inside the Labour Ward, a separate order in this regard, was issued by TANSACS and the Government to all the hospitals. This provision of counsellor support in the Labour Ward not only motivates the doctors but also prevents humiliation towards the positive mothers. Tamilnadu has introduced nutrition supplements to all positive mothers (800 Nos.) and their children in the past one and half years. Postnatal clinics (56 Nos.) well baby clinics (26 Nos.) were strengthened for better follow up of mother baby pair till one and half years in the hospitals. The Programme has benefited nearly 7 lakh mothers to get the first hand information on primary prevention of HIV through counseling so far out whom nearly 6 lakh mothers underwent testing, 2700 mothers were identified to be HIV positive, 1500 mothers had institutional delivery and their babies were protected with prophylactic ARV drugs called Navirapine, supplied by UNICEF through CIPLA International donors. Nearly 140 babies who crossed 18 months were checked out of which only 11 were found positive and rest of them were protected from HIV. All the hospital (65 Nos.) were strengthened to practice universal work precaution, hospital waste management and Post Exposure Prophylaxis. This has enabled the doctors to take care of People Living with HIV/AIDS (PLHAs ) without fear, stigma and discrimination. Tamilnadu is insisting on all the Health Care Providers to handle the PLHAs with the existing system instead of developing a separate stand alone unit for PLHAs. The Government and the TANSACS implements the program with the existing Health Care System (HCS) without leaving it as a stand alone system. The practice of stigma and discrimination by Health Care Providers (HCP) are being monitored by the Team Leaders and the PLHAs. The positive mothers were made as members of PPTCT Committee, Hospital Development Committee, Executive Committee, Task Force Committee and also made as trainers in many of the training programmes TANSACS is planning to expand the programme to another 150 centres up to the level of Primary Health Care and Services and also establishing very good linkages and referral system. List of PPTCT Centers as on Nov. 2004
GHQH Govt. Head Quarters Hospital, GH Govt. Hospital Voluntary Counselling and Testing Centers (VCTCs) as on Nov. 2004
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