Training is an important part of the PPTCT program which aims to build

and develop the skills and capacities of Outreach Workers that would

result in better implementation of the program. PPTCT training

empowers the Outreach Workers living with HIV and builds additional

capacity that enables them to reach out to their community. It covers

information on HIV, particular focus on the Prevention of Parent to

Child Transmission aspect, antiretroviral therapy (ART) and its

relationship with PPTCT. ORW refresher training has been conducted

for all states except Tamil Nadu, Andhra Pradesh and Maharashtra.

Training in Tamil Nadu and Andhra Pradesh is expected to start after

the roll out of more efficacious regimen by NACO (National AIDS

Control Organization) and for Maharashtra, it is underway.

IL&FS Education has introduced P-HMMS (PPTCT-Health Monitoring

and Management System) which has been designed with the objective

of using mobile phones for valid data entry, data analysis and effective

tracking of Mother- Baby pair. 644 ORWs, District Project Coordinators

and Counselors have been trained on the PHMMS by September 2012.

Thus Manipur, Tamil Nadu, Gujarat, Puducherry and Kerala are

reporting through this mobile based application. The mobile based real

time monitoring and tracking system PHMMS will be enabled for

Nagaland, Mizoram, Assam, West Bengal, Odisha, Uttar Pradesh, Bihar

Rajasthan, Mumbai, Delhi and Madhya Pradesh in the following

quarter.

ORWs Training in Tamil Nadu

P-HMMS Training in Kerala

PPTCT NEWSLETTER JULY- SEPTEMBER 2012

A Quarterly Publication of the Prevention of Parent to Child Transmission of

HIV and AIDS Program (PPTCT) by IL&FS Education under RCC 2, Global Fund

mBillionth Award

IL&FS Education's P-HMMS has won the mBillionth Award 2012 for innovative

use of mobile technology in the health sector. The jury declared this P-HMMS

as one of the finest applications that is tested and tried on the field. mBillionth

Award is a dedicated platform to explore the latent potential of mobile and

telecom sector across 8 countries in South Asia: Afghanistan, Bangladesh,

Bhutan, India, Maldives, Nepal, Pakistan and Sri Lanka.

IL&FS ETS PCOs and Central Team Member receiving the mbillionth Award, South Asia 2012

TRAINING: EMPOWERING THE OUTREACH WORKERS

IL&FS EDUCATION | JULY - SEPTEMBER 2012 2

Review of Outreach Workers in Tripura

STATES' OVERVIEW

The PPTCT Project which was started with the objective

of lending a helping hand to rural population in India

witnessed a number of programs. Here is an overview

of the events that took place this quarter.

UTTAR PRADESH

� The project completed its 1 year of

implementation in July 2012 in 13 districts with

10 partner NGOs and 11 PCs and 64 ORWs.

� IL&FS ETS has initiated the rationalisation process

in the state with coordination and agreement of

UPSACS. The IL&FS ETS will withdraw its services

from Baghpat, Balia and Muzaffarnagar and will

intervene in 5 new districts i.e. Azamgarh, Aligarh,

Jaunpur, Saharanapur and Santkabir Nagar after

the completion of the process.

TRIPURA

� Outreach Workers participated in Village Health

and Nutrition Day (VHND). They also organised

meetings with Anganwadi Workers (AWW),

Health Workers (Multi Purpose Workers/ANM),

Pregnant Women, Political leaders Common

people during the quarter.

� To sensitise the community, meeting was also

held with Local NGO and Clubs, which supported

to ORWs to convey general Pregnant Women for

ICTC.

ANDHRA PRADESH

� Third party evaluation has taken place in all

SRs in the month of September 2012.

� A Multi Drug Regiment was launched by

the DG (Director General) NACO on pilot

bases in Andhra Pradesh State.

� OIG (Office of Inspector General)

preparatory sessions are held with the

implementing NGOs staff during the

Evaluation process.

MIZORAM, MANIPUR AND ASSAM

� Third party evaluation was carried out for 2

SRs of Mizoram and all SRs of Manipur.

� Two batches of refresher training for ORWs,

counsellors and Project Coordinators of

Manipur were conducted in the month of July.

ORW Refresher training in Varanasi

Field visit by the State Coordinator, A.P

IL&FS EDUCATION | JULY - SEPTEMBER 2012 3

Surat District Coordinator at the Care Givers Training

At IMDH Blood Donation Camp, Mokokchung

At IMDH Blood Donation Camp,Mokokchung

MUMBAI

� An HIV test camp was conducted in Milind

Nagar, Mumbai in July 2012. Around 30 people

attended the camp and all of them were found

negative.

� Networking meeting was held in Bhabarekar

Nagar, Kandivali and Anand Nagar health post,

Dahisar (Mumbai) with CHVs (Community

health volunteers).

� Street plays were organised during Ganesh

Utsav by RSP (Rashtra Swasthya Prabodhini)

PPTCT staff and MDACS in Mumbai.

� A Life Skill Educational Training Program with

Anganwadi at Marol pipeline for adolescent

girls was conducted where 18 girls actively

participated.

GUJARAT

� Gujarat State Network of People (GSNP plus)

together with Surat Network of People Living

with HIV (SNP plus) and IL&FS Team had

organized Care Givers Training Program” from

25th- 27th July 2012.

� Purpose of organizing this training was to help

the parents of children living with HIV by

explaining them that how they can look after

their child, what are the things they need to

keep in mind so that their children will remain

healthy.

� A two days program was organized by UNICEF

for district TB HIV/AIDS officer where Gujarat

State coordinator made presentation on PPTCT

program.

NAGALAND

� ORWs of Dimapur attended the 25th anniversary

of Bethesda NGO of Dimapur on 22nd

September 2012 at IMC hall. The program was

organised as part of inter NGO networking and

was based on the Topic “Bringing Hope to people

infected and affected by substance abuse,

HIV/AIDS.”

� A blood donation camp was also organized by

IMDH, Mokokchung in which our ORWs

participated.

Street play in Mumbai by PPTCT Staff and MDACS

IL&FS EDUCATION | JULY - SEPTEMBER 2012 4

ADVOCACY MEETING

ON PPTCT PROJECT

Human Development Foundation (HDF)

Bhubaneswar organized an “Advocacy Meeting on

PPTCT” at Bhadrak district with all related health

functionaries.

The meeting was organized at CDMO Conference

hall, Bhadrak, Odisha on 3rd

September 2012.

HIGHLIGHTS OF THE MEETING

• DPM, DAPCU informed the house that the

problem of sharing the data is not a problem now,

as OSACS has issued letter to all ICTCs and CDMO

about the project and human resource details.

• CDMO instructed all Medical Officers to conduct

one to one session with staff nurse and ANMs in

the CHCs to remove fear and misconceptions

related to HIV.

• He also suggested DPM, NRHM to involve the HIV

infected person under RSBY scheme for which

they may get some benefit.

• DPM, NRHM informed that needy ANC cases can

be provided with travel allowance who are coming

to ART centre for medicine.

• ART centre doctors are prescribing some

medicines in addition to ART which the needy

cases are not able to buy. In this case DPM,

DAPCU informed that some financial provision

should be given to the case.

• All counselors are agreed to extend required

support to ORWs for their outreach work.

VOICE OF ORW “I realize numerous positive changes in my life after associating with PPTCT

Project. I joined PPTCT project as an ORW in Kanpur Nagar in July 2012. I am a

positive female but I did not know much about the HIV before joining this program.

Now I can lead my life without any support and my financial situation is far better

than before.”

-ORW, Kanpur Nagar

At the advocacy Meeting, Odisha

IL&FS EDUCATION | JULY - SEPTEMBER 2012 5

MANIPUR

Mrs. Dodo (name changed) hails from Saiton

Village (Manipur). Her Expected Delivery Date

(EDD) was on 23rd

July 2012 and she was enrolled

under PPTCT programme in February 2012.During

her pre-delivery procedure at Bishnupur District

Hospital, she was referred to Jawaharlal Nehru

Institute of Medical Sciences since her HB count

was very low and so there could be complication at

the time of delivery. She was advised to arrange 3-

4 units of blood for transfusion. Since there was no

bed available in JNIMS, she was referred to

Regional Institute of Medical Sciences, Imphal for

blood transfusion. Since she belonged to a poor

background, her family was helpless in arranging

blood for transfusion. They decided to go for

home-based delivery as it was beyond their means

to bear the medical expenses. Our counsellor and

ORW tried their best to make them understand the

risk of home delivery. After continuous efforts,

they finally agreed and she was admitted at

Regional Institute of Medical Sciences. In the

meanwhile our counsellor had discussed the

matter with the District Supervisor, DAPCU. The

matter was also brought to the knowledge of AIDS

Officer, CMO and the DC and they have voluntarily

extended financial support to the family for

meeting the delivery expenses. She delivered a

baby boy on 21st July 2012 but the condition of the

mother is still weak. Since they are aware of the

risk of transmission to the baby, they opted for top

feeding and above all, the mother is too weak to

breastfeed the baby. Now the question is: how far

top feeding option is feasible for a family who

faced a lot of hardships even to meet the

delivery expenses? But finally the choice is

theirs.

ANDHRA PRADESH

Rekha (name changed) lives in Addagutta slum,

Secunderabad along with her husband and kid.

During her second pregnancy she came to

Gandhi hospital for medical checkup along

with her husband. ICTC counselor explained to

her the basics of HIV/AIDS and so she decided

to go for HIV testing. She and her husband

were found to be positive. Counselor

suggested that their child should also go for

the test and he too was found to be positive.

Rekha was 5 months pregnant at that time.

Counselor handed over this case to PPTCT

ORW. ORW told them the importance of CD4

testing and so all three of them decided to go

for the test. Only child was having low CD4

count and so he was put on ART. During home

visits, ORW explained to them the importance

of institutional delivery and NVP. Rekha

delivered on 22nd

December 2010 at Gandhi

hospital and NVP was given to them. Through

the regular follow up of ORW, immunization

and tests were conducted for the baby and

after 18 months (13th

July 2012), her baby was

detected HIV Negative. Now child is Non-

Reactive and so they feel very happy. Rekha

and her elder baby are on ART and they

practice all the steps that counselors and

ORWs asked them to.

IL&FS EDUCATION | JULY - SEPTEMBER 2012 6

Encouragement to the PCOs

“I did it, so can you”

A patient named Ms. Mamta Mukherjee

(name changed) was pregnant. She and

her husband were tested HIV positive in

April 2012. Her EDD Date was 01/09/12.

On 30th

April 2012, we came to know that

her husband is sending her forcefully to

her parent’s village in Khurda district of

Orissa. Sri Sambhu Nath Bhowmick,

Counselor of Naihati State General

Hospital and Mr. Sujay Modak (ORW)

visited her home during that time to

convince the patient and her husband for

CD4 count. She was referred to Medical

College & Hospital, Regional Pediatric ART

Centre & RNTCP tested for tuberculosis.

They were finally convinced and went to

Medical College and Hospital. Till date they

have not taken their CD4 Report and did

not take their health check-up. After taking

their CD4 Count, Sri Sambhu Nath

Bhowmick and Mr. Sujay Modak (ORW)

visited their place 4 times to convince

them to take their CD4 report. But they did

not respond to it. We came to know that

her husband have sent Mamta to her

parents’ home in Orissa. West Bengal

SACS referred this case for IL&FS ETS

intervention in Odisha. Our State

coordinator referred this case to Odisha

NGO (Human Development Foundation).

After lot of effort, Ms. Soudamini, the

coordinator of Khurda was able to speak to

Mamta who had been forcefully sent to

her parent’s home. She was not giving us

consent to visit her home. Her family

members knew about her HIV status. Our

coordinator requested her to come to the

hospital for delivery. She agreed to come

to the hospital along with her sister. In

September 2012, with the continuous

follow up and effort of our Khurda

Coordinator Ms. Soudamini and her ORW,

Mrs. Mamta Mukherjee delivered her baby

girl at Balugaon Hospital. Being Sunday

and Odisha Band due to COALGATE issue,

the counselor was not there in the

hospital. When Mamta’s parents called our

coordinator, she called immediately the

counselor and ORW to rush to the hospital

to give service to the client. With facing lot

of problems, the Balugaon Counselor and

ORW were able to reach the hospital and

the delivery took place. Both the mother

and baby received necessary medication.

In spite of Odisha Band, the whole team

managed to give the service to Ms. Mamta

Mukherjee. It was reported to WBSACS

and note of thanks was given to Ms.

Soudamini and her team for proper follow

up and ensuring safe delivery in a remote

block area.

This is an encouragement to all other PCOs

to follow the referral cases and ensure

proper service is given to the client under

PPTCT intervention program so that a

single case cannot be missed out and

become loss to follow up cases.

IL&FS EDUCATION | JULY - SEPTEMBER 2012 7

• On request from the Manipur

SACS, counsellors or ORWs of IL&FS

Education has been entrusted the

duties of counsellors at the ICTCs

when they are on maternity leave.

• Issuance of referral slips to all ANC

mothers visited by the ORWs in

Tripura to understand the outcome

of the general ANC mobilization to

the ICTC.

• “Tabibi Shahy” scheme was

introduced for PLHIV in Gujarat

who are on ART. Under this scheme

PLHIV gets Rs. 500 every month for

the nutritious food.

STATE COVERAGE AS ON 30TH

SEPTEMBER 2012

� At present there are 18 counselors working in Manipur

S No State Districts NGOs ORWs District

Coordinators

1 Andhra Pradesh 23 31 600 39 2 Assam 3 2 19 2 3 Bihar 13 3 73 9 4 Chandigarh 1 1 11 1 5 Chhattisgarh 5 4 26 4 6 Delhi 9 1 15 2 7 Goa 2 1 8 1 8 Gujarat 26 1 134 16 9 Himachal Pradesh 2 1 6 1

10 Jharkhand 7 1 20 3 11 Kerala 6 1 17 3 12 Madhya Pradesh 10 2 30 4 13 Maharashtra 35 33 632 37 14 Manipur 9 17 102 18 15 Mizoram 8 3 35 3 16 Mumbai 2 7 134 18 17 Nagaland 7 7 48 7 18 Odisha 10 1 50 8 19 Puducherry 2 1 6 1 20 Punjab 2 2 16 2 21 Rajasthan 8 1 25 4 22 Tamil Nadu 32 35 391 40 23 Tripura 2 1 4 1 24 Uttar Pradesh 13 10 64 11 25 Uttarakhand 2 2 11 2 26 West Bengal 14 2 49 6

TOTAL 253 171 2,526 243

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