Project Ahana Accelerating the uptake of Prevention of Parent-to-Child Transmission Services in India

Ahana …… First rays of the sun An Opportunity to eliminate Paediatric HIV in India 7 out 14 are New States Ahana Phase II Coverage : Public and Private Period : 39 Months (Jan 2018 to Mar 2021) Geography : 357 Districts in 14 States Stakeholders : NACO, NHM, FOGSI, IMA, IAP Focus on Health Facilities and Intensified C&S Outreach Training of Counsellor & ANMs Key Indicators – 6 164 out of 357 are New Districts

Project Ahana Phase II : Objectives To improve HIV testing among pregnant women and effective reporting system both Public in Private sector To ensure effective linkages and retention to ART treatment to HIV positive pregnant women (PPW) and their children through Intensified Case Finding (ICF) approach To provide comprehensive care and support services to HIV positive pregnant women and their families through community based outreach activities

SR Distribution Sub Recipients State Name of the SR No of Districts Bihar HLFPPT 38 Chhattisgarh 27 SR 2 Jharkhand CINI 24 SR 3 Madhya Pradesh LEPRA 51 SR 4 Odisha ARUNA 30 SR 5 Uttar Pradesh MAMTA SR 6 UPNP+ 37 SR 7 Assam, Meghalaya, Sikkim, Arunachal Pradesh PIRAMAL 69 SR 8 Manipur, Mizoram, Tripura, Nagaland NCPI 43 SR 9 TISS - 35 States and UTs

Coverage and Target Sr. No. Name of the State No of Districts Estimated Pregnant women annually Estimated HIV Positive PW annually 1 Assam 33 8,22,000 238 2 Bihar 38 31,75,000 2090 3 Chhattisgarh 27 7,06,000 346 4 Jharkhand 24 9,21,000 632 5 Madhya Pradesh 51 22,15,000 723 6 Odisha 30 9,38,000 603 7 Uttar Pradesh 75 65,07,000 2286 8 Sikkim 12,000 9 Meghalaya 11 84,000 10 Arunachal Pradesh 21 31,000 12 Mizoram 21,000 259 Nagaland 35,000 237 13 Manipur 16 50,000 382 14 Tripura 64,000 Total Load 357 1,55,81,000 (54%) 7,903

Plan India’s Holistic approach towards achieving EMTCT EMTCT framework Increase HIV testing among pregnant women to 90% Increase HIV testing among spouses of positive pregnant women to 90% Increase the proportion of HIV-positive pregnant women on ART to 95% Increase the proportion of HIV- exposed infants who completed their first EID within two months of birth to 95%. Expanding and Strengthening of Service provision Strengthening Supply side framework Plan India’s Supply Chain Management component GFATM grant HIV test Kit and ARV drugs supply to all ICTCs and ART centres of the country TISS component of Capacity Building 9000 ICTC, STI and ART counsellors trained 30,000 ANMs across 15,000 PHC trained

Key Milestones achieved till December, 18 Sub recipient partners selected and all the recruitments completed before March, 19 Induction training was carried out in March, 19 and one refresher training carried out in the month of December, 19 Strong linkages established with NHM and NACO towards field implementation at national level as well with state health societies and SACS at the state level Coordination mechanism established with sector partners i.e. Svetana (SAATHII) and Vihaan (India HIV/AIDS Alliance) Sensitization meeting with public and private sector stakeholders carried out at state and district level Coordination and linkages established with FOGSI chapters at national and state level Facilitating community level testing through constant follow up with district health administration Constant follow up and advocacy for uninterrupted drugs and consumables supply Supporting state NHM chapters in preparations of PIP to ensure the EMTCT interests are addressed Follow up of LFYU and Missed cases of HIV positive pregnant women and babies Mapping- Assessment- Engagement- Reporting of Private sector facilities Partnering with NACO and NIE in planning and execution of EMTCT data validation exercise at the state

Performance Framework Global Fund Performance Framework Indicator 1-Jan-18 to 30-Sep-18 1-Oct-18 to 31-Mar-19 1-Apr-19 to 31-Mar-20 1-Apr-20 to 31-Mar-21 Number of people who were tested for HIV and received their results during the reporting period (Spouse/ Partner) 3029 5217 5364 6815 Percentage of pregnant women who know their HIV status 36% 62% 75% 90% Percentage of HIV-positive pregnant women who received ART during pregnancy 53% 93% 95% Percentage of HIV-exposed infants receiving a virological test for HIV within 2 months of birth 85% Number of counsellors trained through 4-day contact classroom session on integrated health approach -- 6000 3000 Number of health facilities newly functional with HIV testing services   3600 8400

Performance update till December, 18 74% of spouses of HIV positive pregnant women received HIV testing during the reporting period 95% of HIV positive pregnant women are linked to ART 53% HIV 53% exposed babies received EID testing within 2 months 46% of pregnant women received HIV testing against estimated pregnancies* 205 facilities have been made functional as HIV testing facilities *SIMS data not updated

Anm & counsellor Training Saksham Prerak Anm & counsellor Training

Goals Strengthen Country’s commitment towards Elimination of Mother to Child Transmission of HIV and Syphilis Specific Goals Facilitate saturation of all health facilities with HIV and Syphilis testing Facilitate the roll out of the new HIV Counselling and Testing Services (HCTS) Guidelines Objectives 12,000 health facilities (Primary Health Centres) delivering HIV & Syphilis testing services to pregnant women as part of the ANC package of services 30,000 ANMs all over India covering 36 states and Union Territories, hands on trained on how to do HIV and Syphilis test 9000 counsellors covering 3 states and Union territories (ICTC/STI/ART). on the revised HCTS guideline

Location of Regional Training Units (RTUs) States Covered Uttar Pradesh Chandigarh Chandigarh, J&K, HP, Punjab, Haryana, and Delhi & UK Maharashtra Maharashtra, Mumbai, & Goa Madhya Pradesh Madhya Pradesh & Chhattisgarh Odisha Odisha, Telangana & Andhra Pradesh Tamil Nadu Tamil Nadu, Karnataka, Kerala, Lakshadweep,  Andaman & Pondicherry Rajasthan Rajasthan, Gujarat, Diu daman & Dadra Nagar Haveli Bihar    Bihar, Jharkhand & West Bengal Manipur & Assam (North East) Assam, Manipur, Nagaland, Arunachal, Meghalaya, Mizoram, Sikkim & Tripura The ANM & Counsellor training to implemented through 10 Regional Training Units

Milestones achieved till December 2018 The project was scheduled to be rolled out from January 2018, however the MoU NACO – Plan India was signed in May 2018 end Plan India – TISS agreement signed in June 2018 June to December 2018 TISS HQ was on board Support letter from NHM to all state MD NHM for roll out of ANM Trg Support letter from NACO to all SACS Finalization of the ANM training curriculum module Preparation of Training Aids Recruitment of RTU staff ToT of RTU staff (October) ANM training rolled out (November 2018). Till December 2018, 343 ANMs have been trained and 197 facilities have been made functional

1. SCM Project Vision and Scope

SCM Project Vision 1 A step to organize and integrate the National, State and facilities for HIV AIDS commodities and Test Kits across the country Effective and efficient transformation and coordination of NACO/SACS commodity supply chain to achieve consistent supply and continuous availability of quality drugs through 3PL services 2 3 A streamlined, cost effective and ultimately more sustainable NACO/SACS products Supply Chain Management

Care, Support and Treatment Scope of work for Transportation Basic Services Care, Support and Treatment 1 2 All ICTC Centers All ART Centers Total ART Centers: Approx. 550 Total SKU: 20 Commodities Total Standalone ICTCs: Approx.: 5600 Total SKU: 5 Commodities Serving to all ICTCs Centres Serving to all ART Centres April 2018 – March 2021 April 2018 – March 2021 Integration of distribution to SDPs Stock availability Cost effective

3. Project Activities Models & Timelines

5. Project Progress Update 15 February, 2019

Project implementation status….

AHANA Financials Jan‘18 – Dec’18

Budget Vs. Actual – Summary by Segment Amount in USD By Segment Jan'18- Dec'18 Budget Expenditure % EMTCT 2,570,224 2,099,655 82% Supply Chain Management 684,048 44,834 7% Capacity Building 1,114,484 129,126 12% Total 4,368,756 2,273,615 52%

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