Private Sector Expansion for Prevention of Mother To Child Transmission - EGPAF-SAATHII India Program
In India, less than 30% of the estimated 43,000 positive pregnant women receive PMTCT services. Low coverage is mainly attributed to unavailability of these services in the large and diverse private (for-profit and non-profit) health sector, which handles 44% of institutional deliveries through thousands of facilities. In order to reduce this coverage gap, SAATHII, with funding support from Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) and Johnson and Johnson (J&J), has been complementing government efforts by implementing the country's largest PMTCT program since 2002 in the private sector. A consortium of seven NGO partners in four high prevalence states of Andhra Pradesh, Karnataka, Maharashtra, and Manipur implements the program at 381 private health facilities spread across 58 districts. SAATHII, as a national coordinator to EGPAF, provides technical, programmatic, and financial assistance to these seven NGOs . Read More..
Andhra Pradesh (A.P.) is one of the six high HIV prevalence states in India, with all 23 districts categorized as high prevalence. It also has the highest HIV disease burden (21%) in the country. 18 lakhs pregnant women give birth in A.P. per a year. As per 0.77% HIV prevalence, 13,652 estimated HIV positive pregnant women deliver children per year and 4,089 infants are at risk of acquiring HIV without any intervention (30% vertical transmission rate). 75% of deliveries in the state take place at institutions (public-40 %, private- 60%) and the remaining 25% take place in personal homes. By 2008, the state reached 45% of pregnant women with HIV counseling and testing, and identified 25% of HIV positive pregnant women, primarily through the public health sector, with major gap in the private health sector. To bridge this private sector coverage gap, Andhra Pradesh State AIDS Control Society (APSACS), with technical assistance from SAATHII, initiated PPTCT services in private health facilities through Public Private Partnerships (PPP). The goal of the AP-PPP Program is to prevent mother to child transmission of HIV among pregnant women accessing the private health sector in 15 districts of A.P. This program began in January 2009 and is still operating in order to reach more pregnant women accessing private healthcare facilities. Read More..
Scale up of PPTCT Services in Private Health Facilities of Maharashtra in Collaboration with MSACS/MDACS
SAATHII, in collaboration with Maharashtra State AIDS Control Society (MSACS) and Mumbai District AIDS Control Society (MDACS) initiated a PPP model to prevent HIV, including reduction of mother to child transmission of HIV, and reduce HIV, STI, and TB related morbidity in the private health sector in Maharashtra. The PPP model began extending comprehensive PPTCT services to pregnant women seeking antenatal care in the private sector in 14 districts of Maharashtra. The PPP sites provide HIV counseling and testing, referral of positive pregnant women to ART centers for Pre-ART registration, and testing for CD4 count, initiation on ART if found eligible, ARV prophylaxis for the mother and the exposed baby, institutional delivery, and linkages for early infant diagnosis. Read More..
Prevention of Mother to Child Transmission (PMTCT)-Expansion in Manipur-Convergence with National Rural Health Mission (NRHM)
SAATHII’s experience in implementing Prevention of Parent to Child Transmission (PPTCT) programs led to a PPTCT expansion initiative through community outreach in Manipur state in 2009. Connecting pregnant women with HIV care in Manipur is challenging due to its hilly terrain, political instability, and large percentage of home deliveries. The PPTCT expansion in Manipur, in partnership with Manipur AIDS Control Society (MACS) and India’s National Rural Health Mission (NRHM), has adopted a community outreach strategy to provide counseling and testing for women with HIV and capacity building for front-line health workers. Involvement of these health care workers, including Auxiliary Nurse Midwives (ANMs) has proved to be instrumental in mobilizing pregnant women for availing ante-natal Care and PPTCT services. Read More..
Mobile International Center for Traditional Childbearing (ICTC) - Nizamabad district, Andhra Pradesh
As part of the Public Private Partnerships Program in Andhra Pradesh, as well as the Prevention of Parent to Child Transmission (PPTCT) program, a SACS-funded Mobile International Center for Traditional Childbearing (ICTC) is being operated in the Nizamabad district of Andhra Pradesh. The purpose of the ICTC is to reach the unreached Most At Risk Populations (MARPs) and pregnant women with HIV counseling and testing services. Read More..