r)aykarn skmµpabrbyut§nwgcmwegds -kamerak report 2010 kh.pdf ·...
TRANSCRIPT
RBHraCaNacRkkm<úCa
KINGDOM OF CAMBODIA
Cati sasna RBHmhakSRt
r)aykarN_ skmµPaBRbyuTæ nwgCMgWeGds_¼kameraK
ANNUAL REPORT 2009
HIV/AIDS & STI PREVENTION AND CARE PROGRAMME
RksYgsuxaPi)al
MINISTRY OF HEALTH
mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraK
NATIONAL CENTER FOR HIV/AIDS, DERMATOLOGY AND STD
RBHraCaNacRkkm<úCa
KINGDOM OF CAMBODIA
Cati sasna RBHmhakSRt
Nation Religion King
r)aykarN_ skmµPaBRbyuTæ nwgCMgWeGds_¼kameraK
RbcaMqñaM 2010
ANNUAL REPORT 2010
HIV/AIDS & STI PREVENTION AND CARE PROGRAMME
RksYgsuxaPi)al
MINISTRY OF HEALTH
mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraK
NATIONAL CENTER FOR HIV/AIDS, DERMATOLOGY AND STD
~trlBinmfiifintH:"lruj1i'inru~lm~m1!'i h~ruUlB~BnJtlliQ)mruH~tirut~run3tmUlBiBl qtlif! i'i~tlHi'i t~ruUlBUWQ)~tlliQ)mHrnt~ruUlBg~rufmtllnBg UlBigfiluutflfilr£TIr.mtl~m~ri m~ru
rutfl~H2 t~rutrlBfiln~tbGm~nl tBlmHU~lH.l~-mtlBlBl UlBig~trlBmrllmtUngjtl~rfiS!1G
utrJr Stlh~9itifi~i'imm~m~hl/tifidtim~rt1 Btlfilmnel ~rnLUmb1rur~'iBu'ml~lrunjjLfii'i'i:?~l '1 I I
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'iBLmnmmnjjLi'ifi'i:?~l '1 I
tBlmrut~ruHlltlUlB9~ru~1ruH~tiru9itltBg H1irut~ruUlBdtQ) BtmlifigfiTI~ t~HJU~~rt1tl I
filrNBi;~1tmruuBtI Btl9rutr3i t~HJMtmUlB~f~lrfilntiJtl9mnlLU~1b1rur~ ~~ijmLU~l~B tBlqtl
rutflelH89itlHrutitlt~r '1 v
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UlBHlBb1~trlBiBg ~t~fiJH~Hnltruli'i trulfiLtU ~rn~rHfitrulUrn t~HJig~filrtllHm filStnLUttUr
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LUmBHru'iHl1Jru~l~
matika
k> r)aykarN_TUeTA
1> savta 1>1 esckþIepþIm
1>2 sßanPaBeGBIedmIk énemeraKeGds_ CMgWeGds_ enARbeTskm<úCa
2> RbB½n§RKb;RKg énmCÄmNÐlCati
2>1 vdþénkareFVIEpnkar nigkartamdan rbs;mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nig
kameraK
2>2 karcuHhtßelxaelIkic©RbmeRBog
2>3 eKalkarN_ENnaM nig niyamEbbbTRbtibtþi
2>4 karRKb;RKgKMeragmUlniFisklCMuTI 7
2>5 karGegáttamdan
x> smiT§plénkarpþl;esva
1> skmµPaBbgáar énemeraKeGds_ ¼CMgWeGds_ sMrab;RbCaCnTUeTA nigRkumRbQmmux
2> esvaEfTaMGñkpÞúkemeraKeGds_ nigGñkCMgWeGds_
2>1 esvaeFVIetsþQamrkemeraKeGds_ edaysµR½Kcitþ nigrkSakarsMgat;
2>2 esvaEfTaM nigBüa)alCMgW»kasniym nigkarBüa)aleday»sfRbqaMgnwg
emeraKeGds_
2>2>1 karKaMRTEpñkmnÞIrBiesaFn_
2>2>2 karcl½tGñkCMgWtamesvaepSg²
2>2>3 karKaMRTEpñk»sf nigsMPar³brikça
2>2>4 kareFVIetsþRsavRCav rkCMgWrebgelIGñkCMgWeGds_fµI
2>2>5 karGnuvtþn_yuT§saRsþ Three "I" karBüa)albgáarCMgWrebgeday»sf
Isoniazid (IPT)
2>2>6 karmanépÞeBaH nigkarrMlUt
2>2>7 karrs;ran manCIviteRkaykarBüa)aleday»sfRbqaMgemeraKeGds_
2>3 r)aykarN_kmµviFIeqøIytbrYmKña
2>4 esvaEfTaMGñkCMgWeGds_tampÞH nigtamshKmn_
- esvaEfTaMGñkCMgWeGds_tampÞH (HBC)
K> r)aykarN_fvika
X> karlM)ak nig]bsKÁ
g> emeron bTBiesaFn_
c> esckþIsnñidæan
q> ]bsm<½n§ ³
1> sUcnakrsMrab;kartamdan nigvaytMélkmµviFI
2> r)aykarN_RbcaMqñaM 2010 énKMeragmUlniFisklCMuTI7
r)aykarN_skmµPaBRbyuT§nwgCm¶WeGds_-kameraK
RbcaMqñaM 2010
k> r)aykarN_TUeTA ³
1> savta ³ 1>1 esckIþepþIm
r)aykarN_enH BiBN’naBIsmiT§plEdl)anmkBIkarGnuvtþn_kmµviFIbgáar EfTaMnigBüa)alCMgW
eGds_-CMgWkameraK enAkñúgKMeragEpnkarRbcaM qñaM 2010. r)aykarN_enH KW)anbBa©ÚlnUvTinñn½y nig
Bt’manmkBIRKb;esvaTaMgGs; dUcCaesvaEfTaMnigBüa)alCMgW OI/ART mNÐleFVIetsþQamrkemeraK
eGds_edaysµRK½citþ nigrkSakarsMgat; KøIniksuxPaBRKYsar RkumEfTaMGñkCMgWeGds_tampÞH nig esvabgáar
karcMlgemeraKeGds_BImþayeTAkUn enATUTaMgRbeTs EdlcgRkgCar)aykarN_RKb;RCugeRCaymYyénkar
eqøIytbeTAnwgkarrIkraldalénCMgWeGds_-kameraKkñ úgvis½ysuxaPi)alenAkñúgRbeTskm<úCa. karBiBN’na
tamEpñkCabnþbnÞab;énr)aykarN_enH KWepþatelIskmµPaBsMxan;² énkarGnuvtþn_kmµviFIkñúgqñaMenHKW³ k¦
r)aykarN_TUeTATak;TgnwgskmµPaBsMxan;²énkarRKb;RKgnigsmiT§plénkarGnuvtþn_kmµviFI x¦ lT§pl
EdlTTYl)anBIkarpþl;esvasuxaPi)al K¦ r)aykarN_énkarcMNayEpñkhirBaØvtßúeRbobeFobnwg KMeragnwg
KMeragfvika Edl)anelIkeLIgkñúgqñaMenH X¦ kareFVIlT§kmµén»sfCMgW»kasniym nig»sfRbqaMgemeraK
eGds_ g¦]bsKÁnanaEdl)anCYbRbTH CaedIm.l.
1>2 sßanPaBeGBIedmIk énemeraKeGds_ CMgWeGds_ enARbeTskm<úCa
RbeTskm<úCaCaRbeTsmYykñúgcMeNamRbeTs xøHEdlmankarFøak;cuHnUvGRtaeRbv:aLg;emeraK
eGds_. GRtaeRbv:aLg;énemeraKeGds_ enAkñúgcMeNamRbCaCnTUeTA )anFøak;cuH BI1>2° enAqñaM 2003
mkenARtwm 0>9° enAqñaM 2006 ¬sUmemIlrUbPaBTI1¦.
- 6 -
rUbPaBTI1³ GRtaeRbv:aLg;emeraKeGds_ kñúgcMeNamRbCaCnTUeTA GayuBI15-49qñaM
edayEp¥ktamry³kareRbIR)as;Tinñn½yGegátrkGRta eRbv:aLg;emeraKeGds_qñaM2006 nigeyag
tamkarTsSn_TayedayeRbIR)as;m:UEdleGBIedmIsaRsþenAGasIu (Asian Epidemic Model) )anbgðaj[
dwgGRtaeRbv:aLg;emeraKeGds_ kñúgcMeNamRbCaCnTUeTA)anbnþFøak;cuHCabnþeTotBI 0>9° kñúgqñaM2006
mkenA Rtwm 0>8° kñúgqñaM2007 nig 0>7° enAkñúg qñaM2010enH nigmanGñkpÞúkemeraKeGds_cMnYn
56/200 nak; enAqñaM 2010 ¬EdlkñúgenaHman 29/500nak;CaRsþI nig 26/700 nak;Caburs¦ ehIyenA
kñuúgqñaM2012 GñkpÞúkemeraKeGds_nwgmancMnYn 51/200nak; ¬EdlkñúgenaHman 26/800nak;CaRsþI nig
24/400 nak;Caburs¦ ¬rUbPaBTI2 nigTI3¦.
rUbPaBTI2³ karTsSn_TayBIGRtapÞúk¬eRbv:aLg;¦emeraKeGds_kñúgcMeNam RbCaCnTUeTAEdlmanGayuBI 15-49qñaM
BIqñaM 2006 dl;qñaM2012 ¬ebIman»sfRbqaMgemeraKeGds_¦
0.9
0.8
0.7 0.7 0.7
0.6 0.6
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
1
2006 2007 2008 2009 2010 2011 2012
Perc
en
t en
t
Years
- 7 -
rUbPaBTI3³karTsSn_TayBIcMnYnGñkpÞúkemeraKeGds_EdlmanGayuelIs BI15qñaMenAkm<úCaBIqñaM 2006-2012
2> RbB½n§RKb;RKg énmCÄmNÐlCati
2>1 vdþénkareFVIEpnkarnigkartamdanrbs;mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nig kameraK³
EpnkarRbtibtþiRKb;RCugeRCayqaM 2010³
vKÁsikçasalasþIBIkarerobcMeFVIEpnkarRKb;RCugeRCaysMrab; qñaM 2010 sMrab;extþ-raCFanI
TaMg24 EdlCaEpñkmYynkic©RbCMusMrbsMrYl Edl)anerobcMkalBIExtulaqñaM2009 edIm,IBinitüemIl
nUvlT§plEdl)anGnuvtþkñúg3RtImasdMbUg/ pþl;nUvBt’manGMBI eKalkarN_ENnaM b¤yuT§saRsþfµI²
mYycMnYnEdl)aneFVIkarEksMrYlehIy nigBinitüemIleLIgvij EdrnUvKMerag EpnkarskmµPaBsMrab;
qñaM2010. CamYyKñaenHEdr vKÁsikçasalak¾)anerobcMeKaledA ¬ targets) RbcaMqñaMsMrab;fñak;Cati
nigfñak;extþ sMrab;qñaM2010 ehIylT§plénvKÁsikçasalaenHKW sMerc)anKMeragEpnkarqñaM 2010
ehIyEdlmanbBa©ÚlnUv inputs and expected outputs rbs;GgÁkarédKUkargarCamYykmµviFI
RbyuT§nwgCMgWeGds_-kameraK enAfñak;extþ-raCFanI. KMeragEpnkarenH nwgRtUvykeTAbBa©ÚleTAkñúg
KMeragEpnkarRbtibtþiRbcaMqñaM2010 rbs;RksYgsuxaPi)al sMrab;KaMRTRbB½n§RTRTg;vis½ysuxaPi
)al. CacugeRkay KMeragEpnkarRKb;RCugeRCayRBmTaMgKMeragfvikalMGit EdlmanTaMgR)ak;
]btßmÖelIkTwkcitþ dl;mRnþIsMrab;qñaM 2010 RtUv)anGnum½t. fvikasrub Edl)anGnum½tsMrab;qñaM
67200
6140058700 57900 56200
5310051200.0
35000 32200 3080030300 29500
27800 26800
3220029200 27900 27600 26700 25300 24400
0
10000
20000
30000
40000
50000
60000
70000
80000
2006 2007 2008 2009 2010 2011 2012
Total Women Men
- 8 -
2010 enH rab;Ba©ÚlTaMgR)ak;]btßmÖ (Incentices)pgenaH manfvikarsrubTaMgGs; cMnYn
21/083/836 duløa EdlkñúgenaHmanRbPBfvikacMnYn 15RbePT epSgKñasMrab;karGnuvtþn_
skmµPaBRbyuT§nwgCMgWeGds_ kameraK enAfñak;Cati nig fñak;extþ. CasrubfvikaenH)anEbgEck
RbEhl 64°sMrab; skmµPaBBüa)alnigEfTaMbnþ ¬rab;bBa©ÚlTaMg»sf OI/ARV, reagent and
consumable pg¦ 5°sMrab;Bt’manyuT§saRsþ ¬kargarGegáttamdan-RsavRCav nigRKb;RKg
Tinñn½y¦ nig 31°sMrab;kargar RKb;RKgkmµviFI ¬Epnkar tamdan nigr)aykarN_ kargarrdæ)al
nighirBaØvtßú nigR)ak;]btßmÖelIkTwkcitþ¦ nigsMrab;skmµPaBbgáarepSg²eTot enAfñak;Cati nig
enAfñak;extþ.
2>2 karcuHhtßelxaelIkic©RBmeRBog
enAkñúgqñaMenH mCÄmNÐlCati )ancuHkic©RBmeRBogCamYynigédKUkargardUcCa ³
1> GgÁkar esvasgÁmsuxPaBburs edIm,IGnuvtþKMeragskmµPaBénkarbgáarkarraldalemeraKeGds_¼
CMgWeGds_ nigkareRbIR)as;eRKOgejon BIEx sIha qñaM 2009 rhUtdl; Ex kkdáa qñaM 2012.
GgÁkaresvasgÁmsuxPaBburs )anTTYlCMnYyhirBaØvtßúBIGgÁkarxaNa (KHANA), GgÁkarsuxPaB
RKYsarGnþrCati ( FHI ), nigGgÁkarPIeGsGay ( PSI ) edIm,IGnuvtþkargarbgáar nigkarTb;sáat;
karrIkraldalénemeraKeGds_nigkat;bnßyplb:HBal;kareRbIR)as;eRKOgejon nigeFIVTIpSareRsam
Gnam½y kñúgcMeNamRkumRbQmmuxx<s;¬bursRsT,aj;burs GñkeRbIR)as;eRKOgejon nigRsIþbMerI
esvakMsanþsb,ay¦ cMnYn09 extþ-raCFanI kñúgenaHrYmman raCFanIPñMeBj )at;dMbg bnÞaymanC½y
kMBg;FM eBaF×sat; éRBEvg kMBg;qñaMg kMBg;s<W nig éb:lin BIEx sIha qñaM 2009 rhUtdl; Ex kkdáa qñaM
2012.
2> GgÁkar suxPaBRKYsarGnþrCati (FHI), BIEx mkra dl;ExFñÚ qñaM 2010 sMrab;karGnuvtþn_kmµviFI
eFVIetsþQamrkemeraKeGds_ bgáar nigEfTaM Büa)al karbgáeraKtamkarrYmePT nigRbdab;bnþBUC
enA KøIniksuxPaBRKYsar cMnYn 10 enAkñúgextþ-RkugcMnYn6 EdlkñúgenaH man extþkMBg;cam/
esomrab/ bnÞaymanC½y/ )at;dMbg/ éb:lin/ nigraCFanIPñMeBj.
3> Bnüabnþkic©RBmeRBógelIkTI2 rhUt dl;dMNac;qñaM 2010 rvagmUlniFiKøIntun nig RksYgsuxaPi)al
elIkarpþl;»sfRbqaMgemeraKeGds_CYrTI2 sMrab;karBüa)aldl;GñkCMgWeGds_kñúgqñaM 2010.
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4> GgÁkarTIPñak;garCMnYy sMrab;kic©shRbtibtþikarbec©keTs nigGPivDÆn_ »sfkarIKµanRBMEdn
(ATCTED-PSF), BIEx tula qñaM 2010 dl;ExkBaØa qñaM 2012 edIm,IGnuvtþkarbgáarCMgWqøgtam
karrYmePT¼emeraKeGds_ nigEfTaM sMrab;RkumRbCaCnEdlgayrgeRKaH tamry³KMerag SMART
girl nig M-Style enAraCFanIPñMeBj.
5> GgÁkar GaehVsIub-km<úCa (AFESIP-CAMBODIA), BIEx mkra qñaM 2010 dl;ExFñÚ qñaM 2014
edIm,IGnuvtþkmµviFIbgáarTb;sáat;karrIkraldalemeraKeGds_ CMgWkameraK dlRkumRsþIbMerIesvakMsanþ
enAkñúgxN½ÐTaMg8 enAraCFanI nigenAextþcMnYn7eTot ¬ekaHkug/ rtnKIrI/ sÞwgERtg/ esomrab/
]tþrmanC½y/ bnÞaymanC½y nigenAéb:lin¦.
2>3 eKalkarN_ENnaM/ ÉksarbNþúHbNþal nigniyamEbbbTRbtibtþi
enAkñúgqñaMenH mCÄmNÐlCati )anerobcMBinitüEksMrYlnUv eKalkarN_ENnaM nig ÉksarbNþúHbNþal
mYycMnYn dUcCa³
1> KMeragEpnkaryuT§saRsþedIm,IbgáarCMgWeGds_-CMgWkameraKnigkarEfTaMBüa)alGñkCMgWeGds_¼CMgWkam
eraKkñúgvis½ysuxaPi)al enARBHraCaNacRkkm<úCaqñaM 2011- 2015 RtUv)anBinitünigerobcMeLIg
vij edayRkumkargarbec©keTseTAtamsmasPaKnimYy² . BRgagcugeRkayénKMeragEpnkarenH
RtUv)anelIkykmkBiPakSa enAkñúgkic©RbCMuedIm,IEsVgrkPaBÉkPaBKña CamYyédKUGnuvtþCati nig
GnþrCati kalBIcugqñaM 2010 ehIyKMeragEpnkarenH nwgbBa©b;ehIydak;CUneTAfñak;dwknaMRksYg
edIm,IGnum½t.
2> niyamEbbTRbtibtþi sMrab;karbgáarCaviC¢mancMeBaH GñkpÞúkemeraKeGds_ enARbeTskm<úCa Edl
)anerobcMedayRkumkargarbec©keTs RBmTaMg)anBiPakSaBieRKaHeyabl; CamYyédKUGPivDÆn_TaMg
Gs; nigGñkGnuvtþpÞal; tamry³karRbCMuMBiPakSaCaeRcInelIk . enHKWCalT§plénkarxMRbwgERbg
cUlrYmcMENkkñúgkarbegáInKuNPaB esvaEfTaM Büa)al KaMRTdl;GñkpÞúkemeraKeGds_ nigGñkCMgW
eGds_ nigCYydl;BYkKat; eGayEsVgyl; GMBIbBaðab:HBal;dl;suxPaBEfmeTot. esckþIENnaMenH
¬TaMgPasaGg;eKøs nigPasaExµr¦ RtUv)ane)aHBum< nigeFVIkarEckcay nigk¾mandak;enAkñúgeKhTMB½r
rbs;mCÄmNÐlCatipgEdr .
3> kaviPaKParkic© nigmuxgarrbs; kmµviFIRbyuT§nwgCMgWeGds_ nigCMgWkameraK enAfñak;extþ nigraCFanI
kñúgRbeTskm<úCa RtUv)anBinitü nigEksMrYleLIgvij edIm,IeqøIytbeTAkarGnuvtþn_ nUvviFIsaRsþ nig
- 10 -
CMgWkameraK EdlmandUcCa kmµviFIbgáarnigEfTaM Büa)albnþ yuT§saRsþ karbgáarCaviC¢man cMeBaH
GñkpÞúkemeraKeGds_ nigviFIsaRsþeqøIytbrYmKña nigedIm,IKaMRTdl;ebskkmµrbs;kmµviFI kñúgkarsMerc
)andl;eKaledA Edl)ankMNt;kñúgEpnkaryuT§saRsþ qñaM 2011-2015 . karviPaK Parkic© nig
muxgarenH ¬TaMgPasaGg;eKøs nigPasaExµr¦ RtUv)ane)aHBum< nigeFVIkarEckcay nigk¾mandak;
enAkñúgeKhTMB½rrbs;mCÄmNÐlCatipgEdr .
4> niyamEbbTRbtibtþi sMrab;GnuvtþkarbegáInkarRsavRCavrkkrNICMgwrebg karBüa)albgáarCMgWrebg
edayeRbI»sf Isoniazid nigkarbgáarkarcMlgemeraKrebg ¬yuT§saRsþ Three I’s ¦ enAtambNþa
esvaEfTaM nigBüa)albnþsMrab;GñkpÞúkemeraKeGds_ nigGñkCMgWeGds_ RtUv)anerobcMeLIgedayRkum
kargarbec©keTsrebg¼eGds_. niyamEbbTRbtibtþienH ¬TaMgPasaGg;eKøs nigPasaExµr¦ RtUv
)ane)aHBum< nigeFVIkarEckcay nigk¾mandak;enAkñúgeKhTMB½r rbs;mCÄmNÐlCatipgEdr. eRkayBI
niyamEbbbTenHRtUv)anpSBVpSayehIy mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ shkarCamYy
mCÄmNÐlCatikMcat;eraKrebg)an erobcMkic©RbCMutMrg;Tis nigdak;eGayGnuvtþnUvniyamEbbT
RbtibtþisMrab;GnuvtþkarbegáInkarRsavRCav rkkrNICMgwrebgkarBüa)albgáarCMgWrebgedayeRbI»sf
Isoniazid nigkarbgáarkarcMlgemeraKrebg ¬yuT§saRsþ Three I’s ¦ enAtambNþaesvaEfTaM nig
Büa)albnþsMrab;GñkpÞúkemeraKeGds_ nigGñkCMgWeGds_ cMnYn 20RsukRbtibtþi cab;BIRtImasTI 3 qñaM
2010mk.
5> eKalkarN_ENnaMCati sIþBIkarbgáar nigEfTaMBüa)alkarbgáeraKtamkarrYmePT nig Rbdab;bnþBUC
Edl)anerobcMedayRkumkargarbec©keTs RBmTaMg)anBiPakSaBieRKaHeyabl;CamYyédKUGPivDÆn_
TaMgGs;. eKalkarN_ENnaMenH¬TaMgPasaGg;eKøsnigPasaExµr¦RtUv)ane)aHBum< nigeFVIkarEckcay
nigk¾mandak;enAkñúgeKhTMB½rrbs;mCÄmNÐlCatipgEdr .
2>4 karRKb;RKg KMeragmUlniFisklCMuTI 7³
kic©RBmeRBogelIKMeragBRgIkGnþraKmn_ sMrab;bgáar Büa)alEfTaM nigkat;bnßyplb:HBal;
edaysaremeraKeGds_ nigCMgWeGds_ dl;CnrgeRKaH nigRkumRbQmmuxnwgeRKaHfñak;x<s; enAkñúg
RbeTskm<úCa rbs;KMeragmUlniFIsklCMuTI7 dMNak;kalTI1 EdlRtUv)anGnuvtþcab;BI éf¶TI1 Ex FñÚ
qñaM 2008 ehIyRtUv)anbBa©b;enAéf¶TI 31Ex FñÚqñaM 2010 EdlmanPñak;garTTYlCMnYybnþ cMnYn
- 11 -
18 )anGnuvtþeRkameKalbMNgcMnYn6 nikmµvtßúcMnYn15. enAkñúgry³eBlénkarGnuvtþkñúgdMNak;
kalTI1 enH KMeragenHRtUv)ansMercnUvlT§plKYrCaTIemaTn³ CaBiesskñúgqñaMcugeRkay BIExmkra-
FñÚ qñaM 2010 enH. tamkarcgRkgbUksrubénr)aykarN_ Edl)anmkBI Pñak;gaTTYlCMnYybnþ
(SRs) TaMgGs; mansUcnakr impact nig outcome cMnYn7 nig sUcnakr programmatic cMnYn16
Edl)aneRCIserIssMrab;raykarN_ enaH)anbgðajnUvlT§pldUcteTA³
- kúñgcMeNamsUcnakr impact cMnYn4 manEtsUcnakr2eT EdlmanTinñn½ysMrab;raykarN_
cMENksUcnakr2eTot minTan;manTinñn½yeT edaysar³
- sUcnakr : PaKryénGñkcak;eRKOgejon Gayu15 eTA 24 qñaM EdlmanpÞúkemeraK
eGds_ : . karGegátenH nwgeFVIenAkñúgqaMñ2011.
- sUcnakr : PaKryénRsþIbMerIkargarenAesvakMsanþ EdlmanGayuticCag 20 qñaM Edl
manpÞúkemeraKeGds_ : . edaysamankaryWty:av kñúgkarpÁt;pÁg;sMPar³Rbtikr sMrab;
karGegátrkGRtaeRbv:aLg;rkemeraKeGds_ sMrab;qñaM2010enH lT§plénkarGegát
enH nwgpSBVpSayenAkñúgRtImasTI3qaMñ2011.
- kúñgcMeNamsUcnakr Outcome cMnYn3 manEtsUcnakr2eT EdlmanTinñn½ysMrab;raykarN_
cMENksUcnakr1eTot minTan;manTinñn½yeT sUcnakr : PaKryénGñkcak;eRKOgejon Edl)an
raykarN_fa)aneRbIm¢úl sWraMug Edl)ansMlab;emeraK enAeBlcak;elIkcugeRkay :. karGegát
enH nwgeFVIenAkñúgqaMñ2011.
- kñúgcMeNam sUcnakr Programmatic cMnYn16 Edl)aneRCIserIssMrab;raykarN_enaH man
sUcnakrcMnYn 8 sMerc)anelIsBIeKaledAEdlelIkeLIg ¬KWBI 101° eTA 140°¦/ sUcnakr 2
EdlsMerc)antamEpnkar ¬KWBI 95° eTA 100°¦ nig mansUcnakrcMnYn 6 eTot Edlmin)an
sMerceTAtameKaledAEdlelIkeLIg ehIykñúgenaH mansUcnakrcMnYn 2EdlsMerc)anlT§plTab
EmnETn. sUcnakrEdlmanlT§plTabTaMg2enaH KW ³
- sUcnakr : cMnYnGñkcak;eRKOgejonEdl)ancUlkñúgkmµviFImú¢l sWuraMg : EdlsMerc)an 39°
eFobeTAnwgeKaledAEdl)anelIk edaysarmanEt SSR cMnYn1 kñúgcMeNam SRs TaMg3
EdlmanGCaJb½NÑpþl;edayGCJaFrCatikMcat;eRKOgejon edIm,IGnuvtþkmµviFIenH .
- 12 -
- sUcnakr : cMnYneRbIR)as;eRKogejonEdl)anmkBüa)alenA Methadone clinic” Edl
sMerc)an 24° eFobeTAnwgeKaledAEdl)anelIk eRBaHkmµviFIBüa)aledayemtadUn enAmnÞIreBTü
mitþPaBExµrsUevot eTIbnwgcab;epIþmdMeNIrkarenAdMNac;Exmifuna qñaM 2010 ¬sUmemIlr)aykarN_
lMGitEdlmanP¢ab;enAkñúg ]bsm<n½§TI2 ¦.
enAkñúgqñaMenHEdr Rkumkargarrbs; PR/NCHADS )aneFVIkarsMrbsMrYlCamYyPñak;garTTYlCMnYybnþ
TaMgGs;EdlnwgbnþeTAdMNakk;kalTI2 énKMeragmUUlniFIsklCMuTI7 nig Pñak;garTTYlCMnYybnþdéT
eTotEdlenAeRkamKMeragmUUlniFIsklCMuTI9 dMNakk;kalTI1 ehIyEdlRtUvbBa©ÚleTACaKMerag HIV
SSF Grant . KMeragenH nwgmanry³eBl3qñaM Edlnwgcab;epþIm BIéf¶ TI1 Ex mkra qñaM 2011 nig
bBa©b;enAéf¶TI31 ExFñÚ qñaM 2013. enAeRkamKMeragenH manPñak;garTTYlCMnYybnþsrubTaMgGs;
cMnYn 23 kñúgenaHman SRs cMnYn 14 bnþBIKMeragmUUlniFIsklCMuTI7 dMNakk;kalTI2 nig SRs cMnYn
9 enAeRkamKMeragmUUlniFIsklCMuTI9 dMNakk;kalTI1. mkdl;cugqñaM 2010enH ÉksarsMrab;KMerag
enH dUcCaKMeragEpnkarfvika/ sUcnakr nigeKaledA nig bBaðaTak;TgnwgEpnkarlT§kmµRtUv)an
bBa©b;. r)aykarN_fvikaEdlenAsl; BIKMeragmUUlniFIsklCMuTI7 dMNakk;kalTI1 RtUv)anerobcMepJI
CUneTA Pñak;garemIlCMnYyKMeragmUlniFiskl (LFA) nigmUlniFiskl edIm,IBinitü. enAeBlEdl
KMerag HIV SSF Grant enH)ancuHkic©RBmeRBogCapøÚvkarrvagmUlniFIskl KN³kmµkarsMrbsMrYl
KMeragkñúgRbeTs (CCC), PR/NCHADS nigtMNagsgÁmsIuvilrYc PR/NCHADS nwgerobcMcuHkic©
RBmeRBogCamYyPñak;garTTYlCMnYybnþeTot.
2>6 karGegáttamdan (Surveillance)
1> karGegátrkGRtaeRbvaLg;emeraKeGds_ CMuTI10 ³
karRbmUlTinñn½ysMrab;karGegátrkGRtaeRbvaLg;emeraKeGds_CMuTI10 RtUv)anbBa©b; ehIysMNak
Qam nigkMrgsMnYrTaMgGs;RtUv)andwkbBa¢ÚnmkTukenAmCÄmNÐlCatiedIm,IeFVIkarRKb;RKgTinñn½y.
2> karGegátkarRbRBwtþpøÚvePT CMuTI8 ³ lT§plénkarGegátkarRbRBwtþpøÚvePTCMuTI8 RtUv)anpSBVpSay
CasaFarN³ dl;édKUGñkGnuvtþnig kmµviFIeGds_extþ-Rkug edayelIkyknUvrbkKMehIjsMxan;²
RBmTaMgpþl;CUnnUvGnusasn_sMxan;²dl;fñak;dwknaM nigGñkGnuvtþkmµviFI sMrab;karerobcMEpnkar b¤
yuT§saRsþsMrab;karGnuvtþeTAGnaKt.
- 13 -
3> karGegáttamdan rkkarcMlgEdlmanPaBs‘Maén»sfRbqaMgemeraKeGds_³
enAkñúgqñaM 2006 RbeTskm<úuCa)ancab;epþImGnuvtþnUvyuT§saRsþedIm,Ikat;bnßykarekIteLIgnUvPaB
s‘Maén»sfRbqaMgemeraKeGds_ EdlkñúgenaHman³
- bnþkarpÁt;pÁg;»sfRbqaMgemeraKeGds_ eTAtam WHO pre-qualified
- pþl;karBüa)aleday»sfRbqaMgemeraKeGds_ edayeRbI evidence-based standard highly
active ART
- pþl;karKaMRTedIm,IeGaykareRbIR)as;»sfRbqaMgemeraKeGds_eGay)anx¢ab;x¢Ün
- lb;bM)at;nUv]bsKÁTaMgLayEdlraMgsÞHkñúgkarmkTTYlkarBüa)aleday»sfRbqaMg
emeraKeGds_
- kmµviFIbgáaredIm,Ikat;bnßykarqøgemeraKeGds_ BIGñkCMgWEdlkMBugTTYlkarBüa)aleday
»sfRbqaMgemeraKeGds_
karGegáttamdan rkkarcMlgEdlmanPaBs‘Maén»sfRbqaMgemeraKeGds_enH man3smasPaK³
k> karGegáttamdan rkkarcMlgEdlmanPaBs‘Maén»sfRbqaMgemeraKeGds_bzm tamry³ threshold
survey elIGñkEdleTIbnwgqøgfµI. karGegáttamdanenHmaneKalbMNg edIm,IvaytMél smamaRt
énGñkCMgWeGds_EdlmanPaBs‘aM CamYy»sfRbqaMgemeraKeGds_ kñúgrUbmnþBüa)alCYrTI1 nig
edIm,IvaytMélBIRbsiT§PaBén»sfRbqaMgemeraKeGds_tamrUbmnþBüa)alCYrTI1.
eRbv:aLg;énkarqøgEdlmanPaBs‘aMCamYy »sfRbqaMgemeraKeGds _ kñúgrUbmnþBüa)alCYrTI1 RtUv
)ancat;fñak;dUcxageRkamenH ³
- kMritTab RbsinebIticCag5° ³GñkEdl)anqøgemeraKeGds_ ehIymanPaBs‘aMeTARKb;»sf
EdlBak;B½n§nwg»sfRbqaMgemeraKeGds_.
- kMritmFüm RbsinebI BI5eTA15°³ tMrUv[eFVIkarBRgwgkmµvIFI niogBinitüemIleLIgvijBIkar
Büa)aleday»sfRbqaMgemeraKeGds_ tamry³kartamdan énsUcnakrRbkasGasnñ.
- kMritx<s; ebIelIsBI15° ³ tMrUveGayeFVIkarbþÚrnUvrUbmnþBüa)alCUrTI1 .
cab;taMBIkarsikSaenH)ancab;epþImmksMNakQamRtUv)anRbmUlBImNÐleFVIetsþQamrkemeraK
eGds_ cMnYn5kEnøg enATIRkugPñMeBj ¬enAKøInik CatiesIEs,knigkameraK mNÐlsuxPaB7mkra
KøInikr:ak;Twkføa KøInikr:ak;TYleKak nigenAmNÐlsuxPaBcMkarmn. mkdl;cugqñaMenH mansMNak
- 14 -
QamcMnYn 62 EdlmanlT§pl HIV viC¢man kñúgcMeNamsMNakQamcMnYn70 EdlRtUvkar
sMrab;karsikSaenH ehIymansMNakQamcMnYn55 EdlmanlT§plviC¢man RtUv)anbBa¢ÚneTA
eFVIetsþrkPaBsuaMenH enAmnÞIrBiesaFn_énRbeTskaNada.
x> kartamdanemIlPaBs ‘Maén»sfRbqaMgemeraKeGds_ GaMgDIkaT½rsMrab;RbkasGasnñ ³
edIm,Itamdan emIlPaBs‘Maén»sfRbqaMgemeraKeGds _ karGegáttamdanGaMgDIkaT½rsMrab;Rbkas
Gasnñ RtUv)anerobcMeLIgtaMgBIcugqñaM 2006. karGegáttamdanGaMgDIkaT½rsMrab;RbkasGasnñ
cMnYn 3CMu EdlRtUv)anerobcMeLIg edayRbmUlTinñn½yBIesvaEfTaM nigBüa)alCMgW»kasniym
nigeday»sfRbqaMgemeraKeGds_ EdlkñúgenaHmankarRbmUlTinñn½y BIbBa¢IcuHeQµaHGñkCMgW»sf
RbqaMgemeraKeGds_ sMrg;bBa¢IGñkCMgW ARV Tinñn½yenAkñúgkMuBüúT½r ¬RbsinebIman¦ bBa¢I»sf nig
eFVIkarBinitüemIlelIkarTukdak;»sf ARV enA»sfsßan nigeFVIkarsMPasn_CamYyRKUeBTü CamYy
GñkCMgW EdlkMBugTTYlkarBüa)aleday»sfRbqaMgemeraKeGds_CaedIm. manGaMgDIkaT½rcMnYn 7
EdlRtUvRbmUlBt’man sMrab;karGegátGaMgDIkaT½rRbkasGasnñ Ed;lkñúgenaHman³
1> PaKryénRtImas Edlmandac;sþúknUv»sfRbqaMgemeraKeGds_
2> PaKryénRtImasEdlman»sfRbqaMgemeraKeGds_hYseBlkMNt;kareRbIR)as;
Edl)anrk eXIjenA kEnøgBüa)aleday»sfRbqaMgemeraKeGds_
3> PaKryén»sfRbqaMgemeraKeGds_Edl)anTukdak;RtwmRtUv (Storage conditions )
4> PaKryénGñkCMgWEdl)ancab;epþImpþl;karBüa)aledayrUbmnþBüa)alCYrTI1
5> PaKryénGñkCMgWEdlenAeRbIkarBüa)aledayrUbmnþBüa)alCYrTI1
eRkayBIcab;epþImBüa)aleday»sf RbqaMgemeraKeGds_ ry³eBl12Ex
6> PaKryénGñkCMgWEdl)ane)aHbg;karBüa)alenA12ExeRkayBüa)aleday»sfRbqaMg
emeraKeGds_
7> smamaRténGñkCMgWEdlenAmktamkarNat;CYb GacykmkeRbIedIm,IrkPaBx¢ab;x¢Ün)an
rbkKMehIjénkarGegáttamdanGaMgDIkaT½rsMrab;RbkasGasnñenH RtUv)anykmkpSBVpSaynigpþl;
Bt’manRtlb;dl;Rkum OI/ART kmµviFIeGds_ mnÞIrsuxaPi)alextþ nigédKUGPivDÆn_ edIm,IerobcM
- 15 -
EpnkarskmµPaB kñúgkarelIkkMBs;nUvKuNPaBesva nigkarrs;ranmanCIvitrbs;GñkCMgWeGds_ .
lT§plTaMgenH mandak;enAkñúgeKhTMB½rrbs;mCÄmNÐlCati .
- karGegátCMuTI1 enAqñaM 2008 ³ Tinñn½yRtUv)anRbmUlBIesva OI/ART sMrab;mnusScas;
cMnYn16 kEnøg nigesva OI/ART sMrab;kumarcMnYn 10 kEnøg.
- karGegátCMuTI2 enAqñaM 2009 ³ Tinñn½yRtUv)anRbmUlBIesva OI/ART sMrab;mnusScas;
cMnYn 42 kEnøg nig esva OI/ART sMrab;kumarcMnYn 25 kEnøg.
- karGegátCMuTI3 enAqñaM 2010 ³ Tinñn½yRtUv)anRbmUlBIesva OI/ART sMrab;mnusScas;
cMnYn 35kEnøg nig esva OI/ART sMrab;kumarcMnYn 24 kEnøg.
K> karGegáttamdanrkPaBs‘aMén»sfRbqaMgemeraKeGds_dMNak;kalTI2 EdlekItmaneLIgenA
kñúgcMeNamGñkCMgWEdlkMBugBüa)aleday»sfRbqaMgemeraKeGds_ enAesvaEdl)aneRCIserIs
eFVIkarGegát. karGegáttamdanrkPaBs‘aMén»sfRbqaMgemeraKeGds_dMNak;kalTI2 EdlekIt
maneLIgenAkñúgcMeNamGñkCMgWEdlkMBugBüa)aleday»sfRbqaMgemeraKeGds_ enAesvaEdl
)aneRCIserIseFVIkarGegát. karGegátRsavRCavenH KWmaneKalbMNgedIm,IvaytMélénPaBs‘aM
nwg»sfRbqaMgemeraKeGds_ kñúgry³eBlBüa)aleday»sfRbqaMgemeraKeGds_qñaMTI1 tam
rUbmnþBüa)alCYrTI1 nigedIm,IvaytMélBIktþaEdleFVI[manPaBs‘aMén»sfRbqaMgemeraKeGds_
enH.
cab;taMBIkarsikSaenH)ancab;epþImmk sMNakQamRtUv)anRbmUlBI esva OI/ART cMnYn 2kEnøg
KW enAKøIniksuxPaBsgÁm enAraCFanIPñMeBj nigmYykEnøgeTot enAmnÞIreBTüC½yCMnH extþ
kNþal. mkdl;cugqñaMenH mansMNakQamcMnYn 150 enAKøIniksuxPaBsgÁm nig cMnYn 105
enAmnÞIreBTüC½yCMnH nigerobcMeFVIkarbBa¢ÚneTAeFVIetsþrkPaBsuaMenH enAmnÞIrBiesaFn_énRbeTs
kaNada.
- 16 -
x> smiT§plénkarpþl;esva
1> skmµPaBénkarTb;sáat;CMgWeGds_
enAkñúgqñaM2010 enH manmanKøInikkameraK (Specialized ST1I clinic) TaMgGs;cMnYn 60kEnøg ¬33kEnøg
RKbdNþb;elI 21 kñúgcMeNam 24extþ-Rkug TUTaMgRbeTskm<úCa ¬elIkElgextþkNþal/ mNÐlKIrI nig
RkugEkb¦. kñúgenaH man 27 KøInikCarbs;GgÁkareRkArd§aPi)al NGO (RHAC=18 KøInik, Marie Stopes=6
KøInik,MEC=1 KøInik / PSF=1 KøInik nigQUksrKøInik = 1 KøInik) .
kñúgcMeNam 33 KøInikkameraKEdlCarbs;rdæaPi)al man 32 KøInik ¬100°¦Edl)anbMBak;nUv]bkrN_
bEnßmsMrab; mnÞIrBiesaFn_ EdlGaceFVIetsþ RPR nig Basic microscopy. kúñugcMeNamenH man KøInikcMnYn 30
EdlmnÞIrBiesaFn_GacdMeNIrkar)an ¬]bsm<½n§ ³ STI GaMgDIkaT½r 2 ¦. mnÞIrBiesaFn_TaMgenH GacCYyeGay
eGayKøInikkameraK EdlminGacGaceRbIR)as;nUvKMnUsbMRBYjsMrab;karRKb;RKgEfTaM nigBüa)alCMgWkameraK
edayBwgEp¥keTAelIcegáameraKsBaØa sMrab;RkumRbCaCn EdlmankarRbQmmuxx<s; [kan;EtRbesIreLIg.
CabEnßmeTAelIkargarrbs;KøIniksuxPaBRKYsar mNÐlsuxPaBcMnYn 210 kEnøgenAkñúgRsukRbtibtþcMnYn 71
kñúg 21 extþ-Rkúg )anpþl;esvaBinitüCMgWkameraKedayBwgEp¥keTAelIcegáameraKsBaØa. kñúgqñaM 2010enH
mNÐlsuxPaBEdlpþl;esvaBinitüCMgWkameraKedayBwgEp¥keTAelIcegáameraKsBaØakñúgenaHrYmmankarBieRKaH
CMgWcMnYn 5/851 nak; Caburs nig 43/934 nak; CaRsþI )anraykarN_mkkan;EpñkRKb;RKgTinñn½yén
mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraK . kñúgcMeNamGñkCMgWburs Edl)anraykarN_
BIcegáameraKsBaØaCMgWkameraK cMnYn 5/021 krNI kñúgenaHman 4/797 krNI ¬95/5°¦ mankarhUrxÞúH
tambgðÜrenam/ man 210 krNI ¬4/2°¦mandMe)AelIRbdab;bnþBUC nig 14krNI ¬0/3°¦ sirman;elI
Rbdab;bnþBUC. karBinitüCMgWkameraK edayBwgEp¥kelIcegáameraKsBaØacMeBaHRsþIcMnYn 40/547 krNI; man
21/909 krNI ¬54°¦manCMgWrlakTVarmasnig)anBüa)al/ 16/744krNI ¬41/3°¦ manCMgWrlak
TVamasnigmat;s,Ún/ 1/696 krNI ¬4/2°¦ manCMgWrlakEb:lvIs nig 118 krNI ¬0/3°¦ dMe)AelI
Rbdab;bnþBUCnig sirman; 80krNI ¬0/2°¦. kñúgenaHman édKUEdl)ankMNt; GtþsBaØaNfamaneraKsBaØa
nig )anBüa)al edayBwgEp¥kelIcegáameraKsBaØa enaHman 4/207 nak;Caburs nig 9/038 nak;CaRsþI.
- 17 -
karBieRKaHCMgWenAtamKIønikkameraKTaMg 60kEnøg EdlmanKøInikcMnYn 33 kEnøg Carbs;rdæaPi)al nigKøInik
GgÁkareRkArdæaPi)alcMnYn 27 rYmmankarBieRKaHCMgWTaMgGs; 226/003 elIk kñúgenaHman 19/295 nak;
Caburs nig 9/276 CaRkum MSM/ 151/237 nak; CaRsþIEdlmankarRbQmmuxTab nig 46/195 nak;
Ca®sþIeFVIkarenAesvakMsanþpÞHbn (DSWs) nigeFVIkarenAesvakMsanþ (EWs) ¬6/562nak; CaRsþIeFVIkarenA
esvakMsanþpÞHbn 39/633nak; CaRsþIeFVIkarenAesvakMsanþ¦ nigmancMnYn 23>558 nak; mkeFVIkarBinitü
tamdan bnþCaerogral;Ex ¬rUbPaB TI 4 ¦.
rUbPaBTI 4: RsþIeFVIkarenAesvakMsanþpÞHbn nigbMerIesvakMsanþ Edl)aneTABinitüsuxPaBenA KøInikkameraK/BIRtImasTI 1 qñaM
2008 dl; RtImasTI 4 qñaM 2010
KøIniksmaKmEfTaMsuxPaBRKYsarkm<úCa (RHAC) CaKøInikmYyEdlTTYlkarcab;GarmµrN_ nig)anTTYl
GtifiCn PaKeRcInCaRsþIempÞH rWRsþIEdrmankarRbQmmuxTab cMENkÉKøInikTaMg 33 rbs;rdæaPi)al)anpþl;
esva PaKeRcIn cMeBaHRsþIbMerIesvakMsanþ. KøInikGgÁkar MEC )anTTYlGtifiCnEdr )anmkeFVIkarBinitü
PaKeRcInCa bursrYmePTCamYyburs MSM enATIRkugPñMeBj.
kñúgqñaM 2010 enHKøInikTaMg 53 kEnøg kñúgenaHcegáameraKsBaØaCMgWkameraKEdl)anraykarN_ manGñkCMgW
burscMnYn 13/038 krNI EdlmkeFVIkarBinitüCMgW bBa¢ak;fa 11/386 krNI ¬87/3°¦ mankarhUrxÞúH
38143240 3290 3577
2980 2885 2730 2643 22651770 1476 1051
63755830
7135
5867 62375609
7652
8952 90528450
1161610515
0
2000
4000
6000
8000
10000
12000
14000
Q1-08Q2-08Q3-08Q4-08Q1-09Q2-09Q3-09Q4-09Q1-10Q2-10Q3-10Q4-10
Total visit of BEW Total visit of NBEW
- 18 -
tambgðÜrenam/ 59 krNI ¬0/5°¦ hUrxÞúHtamrn§KUf/ 871 krNI ¬6/7°¦ dMe)AelIRbdab;bnþBUC ¼rn§KUf/
356 krNI ¬2/7°¦ sirman;elIRbdab;bnþBUC¼rn§KUf/ 321 krNI; ¬2/5°¦ehImRkelon . cegáameraK
sBaØaCMgWkameraK Edl)anraykarN_kñúgcMeNam MSM cMnYn 1/603 krNI man 1/095 krNI ¬68/3°¦
mankarhUrxÞúHtambgðÜrenam/ 80 krNI ¬5°¦ hUrxÞúHtamrn§KUf nig 244 krNI ¬15/2°¦ dMe)AelIRbdab;
bnþBUC ¼rn§KUf.
KøInikTaMg 53 kEnøg cMeBaHRsþIEdlmankarRbQmmuxTab kñúgenaHcegáameraKsBaØaCMgWkameraKEdl)an
raykarN_ cMnYn 156/247 krNI;/ man 126/184 krNI; ¬80/8°¦ manCMgWrlakTVamas 27/870krNI;
¬17/8°¦ manCMgWrlakTVamas nigmat;s,Ún/ 663 krNI ¬0/4°¦manCMgWrlakEb:lvIs/ 1/133 krNI
¬0/7°¦ dMe)AelIRbdab;bnþBUC ¼rn§KUf nig 397 krNI ¬0/2°¦ sirman;elIRbdab;bnþBUC¼rn§KUf.
kñúgqñaM2010 kñúgcMeNamRsþIrksuIpøÚvePTedaypÞal;cMnYn 2/530 nak; )anmkeFVIkarBinitüelIkdMbUg enAKøInik
kameraK mancMnYn 2/391 krNI; ¬94/5°¦ RtUv)anvinicä½yfamanCMgWkameraK EdlkñúgenaHman 964 krNI
¬38/1°¦ manCMgWrlakmat;s,Ún. cMnYnRsþIrksuIpøÚvePTedaypÞal; 4/032 nak; )anmkBinitütamdanbnþ
enAKøInikkameraKCaRbcaMEx kñúgenaHman 1/646 krNI ¬40/8°¦ RtUv)anvinicä½yfa manCMgWkameraK/
EdlkñúgenaHman 832 nak; ¬20/6°¦ manCMgWrlakmat;s,Ún¬]bsm<½n§ ³ STI GaMgDIkaT½r1 ¦. kñúgqñaM
2010 RsþIbMerIesvakMsanþcMnYn 20/107nak; )anmkeFVIkarBinitüelIkdMbUgenAKøInikkameraK mancMnYn
13/947 krNI ¬69/4°¦ RtUv)anvinicä½yfa manCMgWkameraK EdlkñúgenaHman 6/530 krNI; ¬32/5°¦
manCMgWrlakmat;s,Ún. cMnYnRsþIbMerIesvakMsanþ 19/526 nak; )anmkBinitütamdanbnþ enAKøInikkameraK
CaRbcaMExkñúgenaHman 8/638 krNI¬44/2°¦ RtUv)anvinicä½yfa manCMgWkameraK/ EdlkñúgenaHman
6/327 krNI ¬32/4°¦ man CMgWrlakmat;s,Ún .
cMnYnlT§pl RPR etsþ TaMgGs; 7/331 etsþEdl)aneFVIkñúgqñaM 2010 enAmnÞIrBiesaFn_rbs;KøInikTaMg
33 rbs;rdæaPi)al nig cMnYn 2 eTotCarbs;GgÁkareRkArdæaPi)al PSF nig MEC kñúgenaHmanEt 75
¬1°¦)anrkeXIjman RPR viC¢man.
enAkñúgqñaM 2010/ KøIniksuxPaBRKYsar )anbBaöÜnGtifiCneTAkan;esva VCCT cMnYn 11/613 nak;/
GñkpÞúkemeraKeGds_ nigGñkCMgWeGds_ cMnYn76nak; eTAkan;mNÐl OI/ART/ 229nak; eTAkan;esvaBinitü
épÞeBaHmuneBlsMralnig 568 nak; eTAkan;esvaBnüarkMeNIt. kñúgenaHEdr KøIniksuxPaBRKYsar k¾)anTTYl
- 19 -
GtifiCnBIesvaepSg²pgEdrdUcCa³)anTTYlGtifiCncMnYn 853 nak; BIesva VCCT/ 408 nak; mkBIesva
OI/ART / 190 nak;mkBIesvaBinitüépÞeBaHmuneBlsMral nig 110nak; mkBIesvaBnüarkMeNIt.
2> esvaEfTaMdl;GñkpÞúkemeraKeGds_ nigGñkCMgWeGds_
2>1> esvapþl;RbwkSa nigeFVIetsþQam edaysµR½KcitþnigrkSakarsMgat; (VCCT)
cMnYnmNÐlpþl;esva VCCT mankarekIneLIgy:agxøaMgkñúgry³eBl 10qñaMcugeRkayenH /KWBI 12 kEnøg enA
qñaM 2000 dl; 246 kEnøg dl;cugqñaM 2010 ¬]bsm<½n§³ VCCT GaMgDIkaT½r 1¦¬rUbPaBTI5¦ .
rUbPaBTI 5³ ninñakarénesvaeFVIetsþQamrkemeraKeGds_BI qñaM 1995 dl;cug qñaM 2010
kñúgcMeNammNÐl VCCT TaMg 246/ man 220 kEnøg Edl)anTTYlkar]btßmÖ edaypÞal;BIraCrdæaPi)al/
26 kEnøg Carbs; GgÁkareRkArdæaPi)al ¬GgÁkarr:ak; RHAC, GgÁkar Marie Stopes, GgÁkar MEC, GgÁkar
Center of Hope nig KøInikQUksr ¦.
kñúgqñaM 2010 enH/ GtifiCn VCCT TaMgGs;cMnYn 541/080 nak; ¬edayrab;bBa©ÚlcMnYn 187/912 nak;
mkBIesvakarBarkarcMlgemeraKeGds_BImþayeTAkUn (PMTCT) énmCÄmNÐlCatiKaMBarmatanigTark¦/ man
234/905 nak; ¬43/4°¦ )ans½µRKcitþmkedayxøÜnÉg/ 202/802nak; ¬37>5°¦ RtUv)anbBa¢Únmk
1 6 712
36
51
74
109
140
197212
233
246
0
50
100
150
200
250
300
1995 1996 1997 2000 2002 2003 2004 2005 2006 2007 2008 2009 2010
Nu
mb
er
of
VC
CT
sit
es
Years
- 20 -
edaykmµviFIBinitüépÞeBaHmunsMral (ANC)/ 8/547nak; ¬1/6°¦RtUv)anBa¢ÚnmkedayKIønikkameraK/
20/538nak;¬3/8°¦RtUv)anbBa¢ÚnmkedaykmµviFIkMcat;eraKrebg/ 26/804nak; ¬5°¦ RtUv)anbBa¢Únmk
edayRkumEfTaMtampÞH(HBC/NGO)/ 21/819nak; ¬4°¦RtUv)anbBa¢ÚnmkedayesvaBinitüCMgWTUeTA/
1/651nak; ¬0/3°¦ RtUv)anbBa¢ÚnmkedayesvaEfTaMkumar/ 5/688nak; ¬1/1°¦ RtUv)anbBa¢Únmk
edayesvasmÖB/ 1/670nak; ¬0>3°¦RtUv)anbBa¢Únmkeday kmµviFIEpnkarRKYsar nig 14/475nak;
¬3/1°¦ RtUv)anbBa¢ÚnmkedayesvaepSg²eTot ¬rUbPaBTI 6¦.
rUbPaBTI 6³ ninñakaréncMnYnGtifiCnEdl)aneFVIetsþQamenAmNÐl VCCT EdlbBa¢ÚnBIesvaepSg² kñúgqñaM2010
cMnYnsrubénGtifiCnEdl)anmkeFVIetsþrkemeraKeGds_kñúgqñaM2010man 534/298 nak; kñúgenaHman
350/763 nak; CaGtifiCnmkBIesva VCCT, 19/605 nak;CaGñkCMgWrebg/ 161/880 nak; CaRsþI
manépÞeBaH ¬150/070nak; BIsßabn½rdæ nig 11/810 mkBIKøInik RHAC¦ nig 34/268 nak; CabursEdl
CaédKUrbs;RsþImanépÞeBaH ¬33/645 BIsßabn½rdæ nig 803 nak; mkBIKøInik RHAC¦.
enAkñúgrUbTI6 taragelx1 bgðajBIninñakar niglkçN³énGtifiCn VCCT nigGñkCMgWrebg Edl)aneFVIetsþ
QamrkemeraKeGds_enAmNÐl VCCT / tYelxenHKWminrab;bBa©ÚlCamYynigRsþImanépÞeBaHeT. cMnYnsrub
VCCT Pre-Test Clients in 2010
Maternity Service,1.1%
Pediatric Care Service,
0.3%General Medicine, 4.0% HBC/NGO, 5.0%
BS/FP, 0.3%
STD Clinic, 1.6%
TB Services, 3.8%
Self Referred, 43.4%
Others, 3.1%
ANC, 37.5%
- 21 -
énGtifiCnBI VCCT nigGñkCMgWebg Edl)aneFVIetsþQamrkemeraKeGds_enAesva VCCT kñúgqñaM 2010
mancMnYn 350/763 nak; ¬rUbPaBTI7¦.
rUbPaBTI 7³ ninñakaréncMnYnRbCaCnEdl)aneFVIetsþQamrkemeraKeGds_enAesva VCCT BIqñaM 2006 dl; qñaM 2010
cMnYnsrubénGtifiCn VCCT nigGñkCMgWrebgEdl)aneFIVetsþrkemrkemeraKeGds_ kñúgqñaM 2010 enH man
196/174nak; ¬55/9°¦CaRsIþ nig 319/767nak; ¬91/2°¦ manGayucab;BI 15-49qñaM ¬]bsm<½n§³
VCCT GaMgDIkaT½r 2¦ ¬taragTI1¦.
GtifiCnEdlmkeFVIetsþQamrkemeraKeGds_
People tested for HIV N= 350,763
No. (%)
GtifiCnEdlmanlT§plQamviC¢man
People tested HIV positive N= 8,639 No. (%)
Gayu (Age)
≤14 qñaM 11,422 (3.3%) 755 (8.7%)
15-49 qñaM 319,767 (91.2%) 7,304 (84.5%)
> 49 qñaM 9,535 (2.7%) 580 (6.7%)
ePT (Sex)
Rbus 154,589 (44.1%) 4,041 (46.8%)
RsI 196,174 (55.9%) 4,598 (53.2%)
taragTI 1³ lkçN³énGtifiCnEdl)aneFVIetsþQamrkemeraKeGds_enAesva VCCT / kñúgqñaM 2010
212,789
259,883
299,368
363,799 350,763
0
50,000
100,000
150,000
200,000
250,000
300,000
350,000
400,000
2006 2007 2008 2009 2010
Year
Nu
mb
er o
f p
eop
le t
este
d f
or
HIV
- 22 -
enAqñaM 2010enH/ 99>6° ¬cenøaH BI 85/8°-100° enARKb;esva VCCT TaMgGs; ¦ énGtifiCnEdleFIV
etsþrYc)anTTYlyklT§plrbs;BYkeKeday)anqøgkat;karpþl;RbwkSaeRkayeBleFIVetsþ ¬]bsm<½n ³ VCCT
GaMgDIkaT½r 3¦.
enAkñúgqñaM 2010 enHEdr kñúgcMeNamGtifiCn VCCT cMnYn 541/080nak; man 20/538 nak; ¬3/8°¦
RtUv)anbBa¢ÚnmkBIkmµviFIrebg ¬rUbPaBTI 8¦.
rUbPaBTI 8³ ninñakaréncMnYnGtifiCnEdl)aneFVIetsþQamenAmNÐl VCCT EdlbBa¢ÚnBIkmµviFIrebg
cab;BIqñaM 2006 dl; qñaM2010
kñúgqñaM 2010/ RbCaCncMnYn 350/763nak; énGtifiCn VCCT nigGñkCMgWrebgTaMgGs;man 8/639nak;
¬2/5°¦ RtUv)anrkeXIjmanqøgemeraKeGds_viC¢manenAtammNÐl VCCT TUTaMgRbeTs ¬rUbPaBTI 9¦.
11,424
14,463
19,608
25,064
20,538
0
5,000
10,000
15,000
20,000
25,000
30,000
2006 2007 2008 2009 2010
Year
Nu
mb
er
of
VC
CT
clien
ts w
ho
were
refe
rred
by t
he T
B p
rog
ram
- 23 -
rUbPaBTI 9³ ninñakarénGRtakarqøgemerakeGds_sMrab;GtifiCnEdl)aneFVIetsþQamenAesva VCCT
BIqñaM 2005 dl;qñaM 2010
2>2- esvaBinitü nigBüa)alCMgWeGds_ (OI and ART Services)
bc©úb,nñenHman 51 kEnøgEdl)anpþl;esvakarBüa)alCMgW»kasniym (OI) nigkarBüa)aleday»sf
RbqaMgemeraKeGds_ (ART) enAkñúgRsukRbtibtþicMnYn44 enAkñúg 21 extþ-Rkug ¬]bsm<½n§³ CoC GaMgDIkaT½r
1¦. kEnøgpþl;esva karBüa)alCMgW»kasniym (OI) nigkarBüa)aleday»sfRbqaMgemeraKeGds _(ART)
TaMg51 kEnøgenaH RtUv)anTTYlkar]btßmÖedayrdæaPi)al nigGgÁkarminEmnrdæaPi)alCaédKUmYycMnYntUc
¬]bsm<½n§³ CoC GaMgDIkaT½r 2¦. kñúgcMeNamesvaBüa)alTaMg 51 kEnøgenaH man 32 kEnøg)anTTYlBinitü
nigBüa)alCMgWCUnkumarpÞúkemeraKeGds_ enAkñúgRsukRbtibtþicMnYn 29.
11.7
2.53.0
3.9
5.7
8.1
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
2005 2006 2007 2008 2009 2010
Year
HIV
pre
vallen
ce (
%)
- 24 -
rUbPaBTI 10³ TItaMgénmNÐlsuxPaBEdlBinitünigBüa)alCMgW OI/ART Kitmkdl;ExFñÚ qñaM2010
2>2>1 karKaMRTEpñkmnÞIrBiesaFn_
karrab;cMnYnekasika CD4 man 65/634 krNI enAkñúgqñaM2010 EdleFVIeLIg 7 kEnøg KWenA extþtaEkv
extþkMBg;cam/ extþ)at;dMbg/ extþéRBEvg ¬mnÞIreBTübEg¥k GñkelOg¦/ extþbnÞaymanC½y enAmCÄmNÐl
CatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraK nigenAviTüasßanCatiRsavRCavsuxPaBsaFarN³ (NIPH)
¬PñMeBj¦ ¬rUbPaBTI11¦. karrab;cMnYnekasika CD4 k¾manpgEdr enAviTüasßan)a:sÞ½r ¬PñMeBj¦ mancMnYn
2/251krNI. kareFVIetsþPaKryén CD4 sMrab;kumar RtUv)aneFVIenAviTüasßan)a:sÞ½r nigenAviTüasßan
CatiRsavRCavsuxPaBsaFarN³(NIPH)RkugPñMeBj .
- 25 -
rUbPaBTI 11³ ninñakaréncMnYnkrNIeFIVetsþrab;ekasika CD4 Edl)aneFIVeLIgenA 7 kEnøg cab;BIqñaM2006
rhUtdl;qñaM2010
enAkñúgqñaM2010enH man HIV RNA viral load cMnYn 5/499krNI )aneFVIetsþenAviTüasßan)a:sÞ½rkm<úCa
(IPC).
rUbPaBTI 12³ ninñakaréncMnYnkrNIeFIVetsþ RNA viral load Edl)aneFIVeLIgenAviTüasßanCatiiRsavRCavsuxPaBsaFarN³ nig
enAviTüasßan)a:sÞ½r cab;BIqñaM2008 rhUtdl; qñaM2010
44,851
63,53571,159 67,740 65,634
5,080
3,5022,546 1,986
2,251
0
10,000
20,000
30,000
40,000
50,000
60,000
70,000
80,000
2006 2007 2008 2009 2010
CD4 tested at 5 Sites Government CD4 tested at IPC
410 0 0
7,258
5,232 5,499
0
1000
2000
3000
4000
5000
6000
7000
8000
9000
2008 2009 2010
HIV RNA Viral Load tested at NIPH HIV RNA Viral Load tested at IPC
- 26 -
enAkñúgqñaMenH kareFVIetsþ DNA PCR kñúgkareFVIeraKvinicä½yeGay)anqab;rh½ssMrab;kumar man
793 krNI )aneFVIeLIgenAviTüasßanCatiiRsavRCavsuxPaBsaFarN³ EdlkñúgenaHman 54krNI Edlman
lT§plviC¢man nigenAviTüasßan)a:sÞ½rman DNA PCR cMnYn 1/227krNI nigman 59krNI manlT§pl
viC¢man. cMnYnTarkEdl)anRsavRCav DNA PCR elIkTI1 (excluding DBS for confirmation) edIm,I
bBa¢ak;mancMnYn 462 krNI EdlkñúgenaHman TarkcMnYn 33EdlmanlT§plviC¢man enAeBlRsavRCav
DNA PCR elIkTI1enH nigman HIV DR tested srubcMnYn283 krNI. (Sources: report from NIPH and IPC)
mkdl;cugqñaM2010enH GñkCMgWskmµsrubcMnYn 42/799nak; EdlkñúgenaHman 38/697nak; Ca
mnusSeBjv½ynig 4/102 nak;Cakumar)anTTYl ART ¬rUbPaBTI 13/ 14¦¬]bsm<½n§³ HFBC GaMgDIkaT½r 3¦.
edayEp¥kelIkarbegáInnUvcMnYn ekasikaCD4 esµIb¤ticCag 350/mm3 kñúgkarcab;epþImkarBüa)aleday»sf
RbqaMgemeraKeGds_ )an)a:n;sµanfamancMnYnGñkCMgWeGds_RbEhlCa 44/280nak; ¬mnusScas; nig kumar¦
EdlRtUvkarkarBüa)aleday»sfRbqaMgemeraKeGds_kñúgqñaM2010enH KWRbEhlCa 96° ebIeRbobeFob
eTAGñkCMgWEdlkMBugTTYlkarBüa)aleday»sfRbqaMgemeraKeGds_ Kitmkdl;cugExFñÚenH .
rUbPaBTI 13³ ninñakaréncMnYnesvaBüa)alCMgW nig GñkCMgWskmµTTYl)ankarBüa)aleday»sfRbqaMgemeraKeGds_ BIqñaM 2001 dl;RtImasTI4 qñaM2010
1 2 4
11
32
44
49
51 52
5252 51 51
71 392
2,230
5,974
12,355
20,131
26,664
31,999
37,31538,522
40,03941,669
42,799
0
5000
10000
15000
20000
25000
30000
35000
40000
45000
0
10
20
30
40
50
60
2001 2002 2003 2004 2005 2006 2007 2008 2009 Q1-10 Q2-10 Q3-10 Q4-10
Number of site Number of Active Patients on ART
- 27 -
rUbPaBTI 14³ ninñakaréncMnYnGñkCMgWskmµCamnusSeBjv½y nigkumar BIRtImasTI4qñaM2008 dl;RtImasTI4 qñaM2010
mkdl;cugqñaM2010 enH kñúgcMeNamGñkCMgWskmµEdlTTYl)ankarBüa)aleday»sfRbqaMgemeraKeGds_
(ART) manRsþIcMnYn 53/2° ¬20/603¦. enAtammNÐlpþl;esvaBüa)alCMgWTaMgGs; manGñkCMgWfµIcMnYn
1/530nak; ¬rab;bBa©ÚlTaMgkumar 157nak;¦ )anTTYlkarBinitünigBüa)alCMgW»kasniym nigmanGñkCMgW
fµIcMnYn1/438nak; ¬rab;bBa©ÚlTaMgkumar 138nak;¦)ancab;epþImTTYlkarBüa)aleday»sfRbqaMgemeraK
eGds_(ART) kñúgRtImasTI4 qñaM2010 ¬rUbPaB TI15¦. cMnYnGñkCMgW»kasniymfµImankarfycuHbnþic
ebIeRboeFobeTARtImasTI3 qñaM2010 . edayELk cMnYnGñkCMgWTTYlkarBüa)aleday»sfRbqaMgemeraK
eGds_(ART) k¾mankarfycuHbnþicEdr ehIymanGñkCMgWcMnYn 2/249nak; )ane)aHbg;karBüa)al nig
70nak;)an søab; kñúgkMLúgeBlBüa)alCMgW»kasniym.
28,93230,080
31,01832,578
33,67734,784 36,158
37,66638,697
3,067 3,207 3,366 3,499 3,638 3,738 3,881 4,003 4,102
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
45,000
Q4-08 Q1-09 Q2-09 Q3-09 Q4-09 Q1-10 Q2-10 Q3-10 Q4-10
Adult Child
- 28 -
rUbPaBTI 15³ ninñakaréncMnYnGñkCMgW»kasniym nigGñkCMgWBüa)aleday»sfRbqaMgemeraKeGds_fµI
BIRtImasTI4 qñaM2008 dl; RtImasTI4 qñaM2010
manCMgW»kasniymskmµcMnYn 6/236nak; CamnusSeBjv½ynig 1/529nak; CakumarEdlminTan;man
lkçN³smRsbsMrab;TTYlkarBüa)aleday»sfRbqaMgemeraKeGds_enAeLIyeT rhUtmkdl;cugRtImas
TI4 qñaM2010 enH. kñúgcMeNamGñkCMgWTaMgGs;man 3/956nak; ¬63/4°¦ CaRsþIEdlPaKeRcInbþI rWédKU
rbs;BYkeK)anTTYlkarBüa)alCMg W OI/ ART eRcInqñaMmkehIy.
cMnYnsrubénGñkCMgW»kasniymCamnusSeBjv½ycMnYn 1/091nak; nigkumarcMnYn 205nak; manlkçN³
smRsbnwgTTYl)ankarBüa)aleday»sfRbqaMgemeraKeGds_ EtBMuTan;)anTTYlenAcugRtImasTI4 qñaM
2010 enH .
2>2>2 karcl½tGñkCMgW tamesvaepSg² e)aHbg;karBüa)al nigsøab;
enAkñúg qñaM2010enH/ manGñkCMgWcMnYn 987 nak; EdlTTYl)ankarBüa)aleday»sfRbqaMgemeraKeGds_
(ART) RtUv)anbBa¢ÚnecjeTAkan;esva ART fIµ EdlsißtenACitpÞHb¤kEnøgrs;enArbs;BYkeK ehIynig
manGñkCMgWEdlkMBugBüa)aleday»sfRbqaMgemeraKeGds_ cMnYn 969nak; )ane)aHkarBüa)al nig
626nak;epSgeTot)ansøab; enAkñúgqñaMenH. mkdl;cugqñaM2010enH manesvapþl;karBüa)aleday
2,437
2,265 2,2692,388
2,136
1,847
2,0521,962
1,5301,603 1,634 1,584
1,861
1,607 1,625
1,802
2,124
1,438
0
500
1,000
1,500
2,000
2,500
3,000
Q4-08 Q1-09 Q2-09 Q3-09 Q4-09 Q1-10 Q2-10 Q3-10 Q4-10
New Patients on OI Care New Patitents on ART
- 29 -
»sfRbqaMgemeraKeGds_cMnYn 10 EdlmanGñkCMgWskmµTTYl)an karBüa)aleday»sfRbqaMgemeraK
eGds_eRcInCag1/000nak; kñúgenaHman enAmnÞIreBTümitþPaBExµr-sUevot¬PñMeBj¦ manGñkCMgWskmµkMBug
TTYl)ankarBüa)aleday»sfRbqaMgemeraKeGds_cMnYn 3/669 nak;.
2>2>3 karKaMRTEpñk»sf nwg smÖar³brikça
enAqñaM 2010enH RKb;mNÐl ART TaMgGs; )aneFVIr)aykarN_cMnYnGñkCMgWtamrUbmnþ»sf ART nimYy².
evC¢bBa¢aeRbIR)as;rUbmnþ»sfPaKeRcIn KW d4t+3TC+NVP, d4t+3TC+EFV nig AZT+3TC+NVP edayman 3/8 ° énmnusSeBjv½y nig 7/2 ° énkumarRtUv)anTTYlrUbmnþ»sf PI-Based ¬taragTI2¦ .
rUbmnþénkareRbIR)as;»sf ARV ,
Q4. 2010
mnusSeBjv½y N= 40,011*
No. (%)
kumar N= 4,134*
No. (%)
d4t+3TC+NVP 16,700 41.7 % 3,065 75.4 %
d4t+3TC+EFV 5,262 13.2 % 423 10.2 %
AZT+3TC+NVP 10,353 25.9 % 222 5.4 %
AZT+3TC+EFV 3,759 9.4 % 65 1.6 %
PI-based regimens 1,512 3.8 % 299 7.2 %
Other regimens 2,425 6.1 % 60 1.5 %
*Tinñn½yrUbmnþénkareRbIR)as;»sf min)anRtwmRtUvBitR)akdCak;EsþgeTAnwgcMnUntYrelxrbs;GñkCMgW ART eT .
taragTI 2 ³ evC¢bBaa¢sþIBIkareRbIR)as; nwgkarEckcayrUbmnþ»sfRbqaMgemeraKsMrab;GñkpÞúkemeraK HIV enAkm<úCa
kñúgRtImasTI 4qñaM 2010
2>2>4 kareFVIetsþRsavRCav rkCMgWrebgelIGñkCMgWeGds_fµI
enAkñúgqñaMM2010enH manGñkCMgWeGds_fµIEdl)ancuHeQµaHenAkEnøgEdlpþl;esvaBüa)alCMgW »kasniym
nigTTYlkarBüa)aleday»sfRbqMagemeraKeGsd_mancMnYn 7/399nak; EdlkñúgenaHmanGñkCMgW»kas
niymcMnYn 4/778nak; ¬64/5 ° ¦)aneFVIetsþRsavRCavrkCMgWrebg. CalT§pl kñúgcMeNamGñkCMgW
4/778nak; Edl)anRsavRCavrkCMgWrebgenH manGñkCMgWcMnYn 689nak; manlT§plCMgWrebgsYt (BK+/-),
426nak;manlT§plCMgWrebgeRkAsYt (EPTB), 3/278nak; manlT§plGviC¢man nig 126nak;eTot
minTan;)anTTYllT§plenAeLIy .
- 30 -
karRsavRCavrkCMgWrebgenAkñúgcMeNamGñkCMgWeGds_fµIenHenAmankMritTab ¬64/5°¦ edaysarmanesva
OI/ART cMnYn4kEnøg Edlmin)anepJIrr)aykarN_mkEpñkRKb;RKgTinñn½yénmCÄmNÐlCati .
2>2>5 karGnuvtþn_yuT§saRsþ Three "I" karBüa)albgáarCMgWrebgeday»sf Isoniazid (IPT)
enAkñúgRtImasTI3 nigTI4 qñaM2010enH manGñkCMgWeGds_fµI cMnYn 1/340 nak; Edl)ancuHeQµaH enAesva
OI/ART TaMg20kEnøg Edl)ancab;epþImGnuvtþn_nUvyuT§saRsþ Three "I" enH kñúgcMeNamGñkCMgWTaMgGs;
enH manGñkCMgWcMnYn 491nak; )ancab;epþImBüa)albgáareday»sf Isoniazid ¬cMnYn6kEnøgEdleFVIetsþ
TuyEb‘KuylInelIEs,k manGñkCMgW 43nak; nig cMnYn14kEnøgepSgeTot EdlminmankareFVIetsþ
TuyEb‘KuylInelIEs,k manGñkCMgW 448nak;¦.
muncab;epþImkarBüa)aleday»sfRbqaMgemeraKeGds_
enAkñúgRtImasTI4 qñaM2010enH manGñkCMgWeGds_fµI cMnYn 1/373nak; Edl)ancuHeQµaHenAesvaBüa)al
CMgW»kasniym nigkarBüa)aleday»sfRbqMagemeraKeGsd_. kñúgcMeNamGñkCMgW 843nak; Edl
)aneFVIkarBinitüsuxPaBrkeraKsBaØaCMgWrebg manGñkCMgWcMnYn 415nak; Edly:agehacNas;maneraKsBaØa
mYykñúgcMeNameraKsBaØaTaMg3 kñúgry³eBl4s)aþh_knøgmk ¬manRKunekþA k¥k nigEbkejIseCaKxøÜnenA
eBlyb; ry³eBl2s)aþh_knøgmk¦. kñúgcMeNamGñkCMgWEdlmaneraKsBaØaCMgWrebgviC¢manTMag 415nak;
enH man193nak;Edl)aneFVIeraKvinicä½yfamanCMgWrebg (BK+/-) b¤manrebgeRkAsYt ehIymanGñkCMgW
159nak;)ancab;epþImkarBüa)alCMgWrebg cMENk162nak;Edl)ancab;epþImkarBüa)albgáarCMgWrebgeday
»sf Isoniazid (IPT) enaHRtUvbnþ edayGñkCMgWTaMgenaHminTan;maneraKsBaØaCMgWrebg. manGñkCMgWEdl
kMBugBüa)alCMgW»kasniymcMnYn237nak; )aneFVIeraKvinicä½yfamanCMgWrebg (BK+/-) b¤manrebgeRkAsYt
kñúgenaHmanGñkCMgW187nak;)ancab;epþImBüa)alCMgWrebg ehIymanGñkCMgWrebg-eGds_118nak;eTot
)anTTYlkarBüa)albgáareday»sf cotrimoxazole.
karBüa)aleday»sfRbqaMgemeraKeGds_
enAkñúgRtImasTI4 qñaM2010enH manGñkCMgWeGds_;cMnYn 1/300nak; Edl)anTTYlkarBüa)aleday»sf
RbqMagemeraKeGsd_fµI. kñúgcMeNamenH manGñkCMgWcMnYn71nak; Edl)aneFVIeraKvinicä½yfamanCMgWrebg b¤
rebgeRkAsYt ehIykñúgenaHmanGñkCMgW68nak;Edl)ancab;epþImBüa)alCMgWrebg. manGñkCMgWEdlkMBug
- 31 -
Büa)al»sfRbqaMgemeraKeGds_ cMnYn155nak; )aneFVIeraKvinicä½yfamanCMgWrebg (BK+/-) b¤manrebg
eRkAsYt kñúgenaHmanGñkCMgW128nak;)ancab;epþImBüa)alCMgWrebg ehIymanGñkCMgWrebg-eGds_cMnYn
75nak; eTot )anTTYlkarBüa)albgáareday»sf cotrimoxazole.
2>2>6 karmanépÞeBaH nigkarrMlUt ³
enAkñúgRtImasTI4 qñaM2010enH manGñkCMgWeGds_fµICaRsþI cMnYn763nak; Edl)ancuHeQµaHenAesvaBüa)al
CMgW»kasniym nigBüa)aleday»sfRbqMagemeraKeGsd_ ehIykñúgenaHmanGñkCMgWeGds_CaRsþIcMnYn
45nak; manépÞeBaH. mkdl;cugRtImasenH kñúgcMeNamGñkCMgWCaRsþIcMnYn4/583nak; EdlkMBugBüa)al
CMgW»kasniym manRsþI 47nak;manépÞeBaH nigkúñgenaHman42nak; )anTTYl»sf ARV sMrab;karbgáar
karcMlgemeraKeGds_BImþayeTAkUn . manGñkCMgW4nak; )anraykarN_fa )anrlUtkUnedayÉkÉg nig
1nak;eTot)aneFVIkarrMlUt.
enAkñúgRtImasTI4 qñaM2010enH manGñkCMgWeGds_CaRsþI cMnYn711nak; Edl)anTTYlkarBüa)aleday
»sfRbqMagemeraKeGsd_fµI ehIykñúgenaHmanGñkCMgWeGds_CaRsþIcMnYn 46nak; manépÞeBaH. mkdl;cug
RtImasenH kñúgcMeNamGñkCMgWCaRsþIcMnYn 20/603nak; EdlkMBugTTYlkarBüa)aleday»sfRbqaMg
emeraKeGds_ manRsþI 58nak;manépÞeBaH . manGñkCMgW5nak; )anraykarN_fa )anrlUtkUnedayÉkÉg nig
2nak;eTot)aneFVIkarrMlUt.
2>2>7 karrs;ran manCIviteRkaykarBüa)aleday»sfRbqaMgemeraKeGds_ ³
Tinñn½yénkarrs;ranmanCIvitEdl)anykmkeFVIkarviPaKenH KW)anBIesvapþl;karBüa)aleday»sfRbqaMg
emeraKeGds_sMrab;mnusScas; cMnYn30 kEnøg enAqñaM 2009 nig 2008 nig 24 kEnøg enAqñaM 2005.
Tinñn½yénkarrs;ranenH enAelIesvaBüa)aleday»sfRbqaMgemeraKeGds_sMrab;kumar minGacykmkeFVI
karviPaK)aneTenAkñúgqñaMenH.
Indicators mnusSeBjv½yGayu
cab;BI15qñaM eLIg
12 month survival
PaKryénGñkCMgWeGds_mnusSeBjv½y EdlenArs; eRkay
karBüa)aleday»sf ARV kñúgry³eBl 12Ex
86/4°
- 32 -
cMnYnGñkCMgWeGds_mnusSeBjv½y EdlenArs; eRkay
karBüa)aleday »sf ARV kñúgry³eBl 12Ex
3 076
cMnYnGñkCMgWeGds_mnusSeBjv½y Edl)ancab;epþIm
karBüa)aleday»sf ARV kñúgqñaM 2008 rYmTaMgGñksøab;
nigGñke)aHbg;karBüa)al
3 559
24 month survival
PaKryénGñkCMgWeGds_ mnusSeBjv½y EdlenArs;
eRkaykarBüa)aleday»sf ARV kñúgry³eBl 24Ex
83/6°
cMnYnGñkCMgWeGds_ mnusSeBjv½y EdlenArs;eRkay
karBüa)al eday»sf ARV kñúgry³eBl 24 Ex
2 922
cMnYnsrubénGñkCMgWeGds_ mnusSeBjv½y Edl)ancab;epþImkar
Büa)aleday»sf ARV kñúgqñaM 2007
3 494
60 month survival
PaKryénGñkCMgWeGds_ mnusSeBjv½y EdlenArs;eRkaykar
Büa)aleday »sf ARV kñúgry³eBl 60Ex
77/9°
cMnYnGñkCMgWeGds_ mnusSeBjv½y EdlenArs;eRkaykarBüa)al
eday»sf ARV kñúgry³eBl 60 Ex
2 765
cMnYnsrubénGñkCMgWeGds_ mnusSeBjv½y Edl)ancab;epþImkar
Büa)aleday»sf ARV kñúgqñaM 2005
3 545
taragTI 3³ GRtars;ranmanCIviténGñkCMgWeGds _ eRkaykarBüa)aleday»sf ARV kñúgry³eBl 12Ex/ 24Ex nig 60Ex
sMrab;karBüa)al ART enAqñaM 2009/ 2008 nig 2005
2>3 kmµviFIeqøIytbrYmKña
mkdl;cugqñaM2010 manRsukRbtibtþicMnY60 Edl)anGnuvtþkmµviFIeqøIytbrYmKñaenH KWmanRbB½n§
r)aykarN_TaMgGs; EdlBIExmkra dl;ExFñÚqñaM 2010enH manRsþImanépÞeBaH srubcMnYn 168/826nak;
Edl)anmkTTYlesvaEfTaMépÞeBaHelIkTI1 enAesvaEdlmankmµviFIeqøIytbrYmKña nigtamry³karcuHGb;rM
kñúgenaHmanRsþIcMnYn 134/377nak; ¬79/59°¦)aneFVIetsþQamrkemeraKeGds_ nig manbþIb¤édKUcMnYn
27/340nak; EdlsµRK½citþeFVIetsþQamrkemeraKeGds_Edr ¬16/19°énRsþImanépÞeBaH)aneFVIetsþQam
- 33 -
rkemeraKeGds_CamYybþIb¤édKUrbs;BYkeK¦. kñúgcMeNamRsþIcMnYn 168/826nak; Edl)aneFVIetsþQam
rkemeraKeGds_enaH manRsþI263nak; ¬0>15°¦ EdlmanpÞúkemeraKeGds_ nigRsþImanépÞeBaH cMnYn
85nak; Edl)andwgBIlT§plrbs;xøÜnfa manpÞúkemeraKeGds_enaH ehIy)ancUlrYmenAkñúgkmµviFIeqøIytb
rYmKña.
Casrub manRsþImanépÞeBaHEdlmanpÞúkemeraKeGds_ cMnYn 256nak; Edl)anmksMralkUnrbs;BYkeK
enAEpñksmÖBEdlmankmµviFI PMTCT. kñúgcMeNamRsþICamþay cMnYn 232nak; ¬90/62°¦ )anTTYl»sf
ARV sMrab;karbgáarkarcMlgemeraKeGds_BImþayeTAkUn kñúgenaHman 173nak; ¬74/56°¦ )ankMBug
TTYlkarBüa)aleday»sfRbqaMgemeraKeGds_ (HAART) nigman 59nak; ¬25/43°¦ Edl)anTTYl
»sf ARV sMrab;bgáarEtenAeBlQWeBaHsMralEtmþg. kñúgcMeNamTark 250nak; EdlekItBImþayman
pÞúkemeraKeGds_ enAEpñksmÖBEdlmankmµviFI PMTCT enHmanTark 224nak; ¬89/6°¦ )anTTYl
karbgáareday»sfRbqaMgemeraKeGds_KW »sf NVP .
2>4 esvaEfTaMGñkCMgWeGds_enAtamshKmn_ (Community-based Services)
esvaEfTaMGñkCMgWeGds_tampÞH (HBC services)
RtImasTI4 qñaM 2010 man RkumEfTaMtampÞH cMnYn 356Rkum EdlRKbdNþb; 848 mNÐlsuxPaB
enAkñúgRsukRbtibtþicMnYn71 enAkñugextþcMnYn19 (]bsm<½n§³ HBC GaMgDIkaT½r1¦. enAkñúgRtImasenH extþ
RBHvihar BuMmanr)aykarN_rbs;RkumEfTaMeT eRBaHGgÁkarEdl)anGnuvtþelIkargarEfTaMenH )ancb;KMerag
kñúgkarRKbdNþb;nigEfTaMGñkpÞúkemeraKeGds_nigGñkCMgWeGds_ ehIynigkMBugrkGgÁkarfµImkCMnYs ¬rUbPaBTI
16¦.
- 34 -
rUbPaBTI 16³ ninñakarénRkumEfTaMtampÞH (HBC teams) BIRtImasTI 4 qñaM 2008 rhUt RtImasTI 4 qñaM 2010
RkumEfTaMtampÞH (HBC) TaMgGs;)anCYyEfTaM KaMRT]bßmÖdl;GñkpÞúkemeraK GñkCMgWeGds_skmµcMnYn
31/127 nak ; (]bsm<½n§³ HBC GaMgDIkaT½r 2) kñúgenaHGñkEdl)aneFVIkarcuHbBa¢ITTYlkarBüa)alCMgW»kas
niym(OI) mancMnYn 8/513 nak; nigGñkCMgW ART Edl)aneFVIkarcuHbBa¢Iman 22/614nak; .
K> r)aykarN_fvika
r)aykarN_enH bgðajTaMgBIrEpñkkarcMNay smamaRténkarEbgEckfvikaEdl)anGnum½tehIy
enAkñúgKMeragEpnkar nigsmiT§iplénskmµPBEdlmanenAkñúgEpnkar EdlCaGaMgDIkaT½rsMxan;sMrab;
smiT§iplEdlsMerc)an. r)aykarN_enHrYmbBa¢ÚlTaMgRbPBsMxan;² énkarpþl;CamUlniFisMrab;RKaMTkmµviFI
rbs;mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraK dUcCaKMeragmUlniskl¬CMuTI 7/ TI 4 nigTI5¦
US-CDC, ITMDGDC, CHAI, UNSW/CTAP, CIPRA nig AHF .
enAkñúgtaragénkarcMNay Edl)anelIkykmkenH manEtkarcMNayEdlmanenAkñúgRbB½n§
KNenyürbs;mCÄmNÐlCatib:ueNÑaH. TaMgenHrYmbBa©ÚlTaMgkarcMNayCak;EsþgEdlRtUv)ancay nig )an
kt;RtakñúgkMLúgeBlénqñaM.
343
375
337
323328
342 331
353356
675
706
716689
742761
786
841 848
400
450
500
550
600
650
700
750
800
850
900
290
300
310
320
330
340
350
360
370
380
Q4-08 Q1-09 Q2-09 Q3-09 Q4-09 Q1-10 Q2-10 Q3-10 Q4-10
Number of Teams Number of HC covered by HCB Teams
- 35 -
taragTI 4³ segçbkarcMNaytamRbPBfvika EdlRKb;RKgedaymCÄmNÐlCati kñúgqñaM 2010
Sources Annual Plan Annual
Expenditures A %
GFATM-R7 $ 9,643,775 $ 7,377,787 77%
GFATM-R4 $ 7,330,814 $ 1,092,705 15%
GFATM-R5 $ 581,488 $ 238,302 41%
US-CDC $ 800,587 $ 732,101 91%
UNSW/CTAP $ 100,000 $ 92,763 98%
CHAI $ 303,458 $ 154,693 51%
AHF $ 146,283 $ 143,731 98%
CIPRA $ 80,000 $ 67,289 84%
ITM- DGDC $ 58,654 $ 75,898 129%
Grand Total $ 19,045,269 $ 9,980,269 52%
X> karlM)ak nig]bsKÁ
- karBinitüQamrkemeraKeGds_ mankaryWty:av rhUtdl;dMNak;kalTI 3 nigTI4 Edlvivtþn_eTArk
CMgWeGds_enAEtbgáeGaymanbBaða CaBiessBak;B½n§eTAnwgRkumRbQmmuxx<s; (MARP) EdlRtUv
TTYlkarBüa)aleGay)ansmRsm.
- edaysarmankaryWty:avkñúgkarTMlak;fvika nigkarGnum½telIkaresñIsuMeFVIniy½tPaBfvika eFVIeGay
mankaryWty:avkñúgkarGnuvtþnUvskmµPaBcaM)ac;xøH² nigtMrUveGayeFVIkarpøas;bþÚrnUvKMeragEpnkar
CaeRcIndg nigCaehtueFVIeGaysl;fvika.
- EbbbTénkareFVIlT§kmµmanPaBsµúRKsµaj yWty:av CaehtueFVIeGaymankaryWty:avkñúgkarGnuvtþ
skmµPaBxøH dUcCakarRbmUlTinñn½y sMrab;karGegátrkGRtaeRbv:aLg;rkemeraKeGds_ sMrab;qñaM
2010 nigGaceGaymankarlM)akkñúgkarRKb;RKg»sfRbtikrnigsMPar³brikçar dUcCamankarxVHxat
nUvsMPar³Rbtikr HIV test enAkEnøgxøH .
- 36 -
- tMrUvkarkñúgCIvitrs;enArbs;GñkTTYlplenAkñúgshKmn_manTMhMFM minGacbMeBj[)anRKb;RKan;
eRBaH fvikarbs;KMeragmankMrit .
- karyWty:avkñúgkarGnum½telIkarpþl;R)ak;]btßmÖ (POC scheme) cab;BIExkkáda qñaM2010 mkTl;
eBlenH nWgGacCH\T§iBldl; staff performance CaBiessenAkEnøgpþl;esva.
g> emeron bTBiesaFn_
- karsMrbsMrYl nigkic©shkarl¥ CamYyRKb;édKUGPivDÆn_TaMgGs; GaCJaFrEdndI esvasuxaPi)alRKb;
lMdab;fñak; nigshKmn_ KWCaKnøWH énkarGnuvtþn_kmµviFI)aneCaKC½y.
- PaBCaédKUrvagmCÄmNÐlCatiRbyuTænwgCMgWeGds_ esIEs,k nigkameraK mCÄmNÐlCatiKaMBar
matanigTark nigmCÄmNÐlCatikMcat;eraKrebg nighg;sin KWCakargarrYm d ¾mansarsMxan;y:ag
xøaMg kñúgkarRbyuTæRbqaMgnwgCMgWeGds_ nigkarrYmshkarKñakñúgkarGnuvtþskmµPaBenAtamRsuk
Rbtibtiþ EdlnwgRtUvBRgwgbEnßm edIm,IQansMerc)annUveKaledAshsvtSenAqñaM 2015 xagmux .
- karGb;rM enAkñúgshKmn_ nigRkumeKaledAcMNuc Gac[BYkeKGacyl;dwgBIsuxaPaB Bt’man nig
esvasuxaPi)al nigGackat;bnßydl;karerIseGIg dl;RkumRbCaCnRbQmmuxx<s;.
- CMrujeGayRkumRbQmmuxx<s; mkeRbIR)as;esva eGds_ kameraK vaCakarcaM)ac; nigGacFana
eGayRkumenHGacmkTTYlesva)anCaskl.
c> esckþIsnñidæan
CarYmmCÄmNÐlCati nigédKUTaMgGs;)ansMercswgEtRKb;eKaledAEdl)anelIkeLIgkñúgqñaM2010
enH ehIyeyIgGacsnñidæanfakareFVIkargarCamYyédKU kñúgkarbgáar EfTaM nigBüa)alCMgWeGds_ enAkñúg
RbeTskm<úCa nwgQansMerc)aneCaKC½yeTAGnaKt. b:uEnþeTaHCay:agenHk¾eday KYrEtFana[)annUv
karKaMRTTaMgfvika nigneya)ay EdlGaceFVI[karRbyuT§Tb;sáat;nwgkarrIkraldalénCMgWeGds_ )aneCaK
C½y. RbsinebIédKUGPivDÆn_dkkarCYyKaMRTdl;kargarRbyuT§Tb;sáat;nwgkarrIkraldalénCMgWeGds_enH
elOneBk eFVIeGayRbeTskm<úCaCYbRbTH nwgkarlM)akkñúgkarxMRbwgERbgeFVIeGaymannirnþPaBelIkargarTb;
sáat;nwgkarrIkraldalénCMgWeGds_enH.
- 37 -
q> TisedAnaeBlxagmux ³
mCÄmNÐlCati nigédKUTaMgGs;nwgBinitüemIleLIgvijnUv viFIsaRsþfµI²enH edIm,IBRgwgkareRbIR)as;
eRsamGnam½yrbs;RkumRsþIbMerIesvakMsanþ CamYynigsgSarrbs;BYkeK. bc©úb,nñenH mCÄmNÐlCati rYmCa
mYynigédKUTaMg edIm,IerobcM concept note EdleFVIeGaymannUvesvaBnüarkMeNIt enAesva OI/ART,
enAKøInikkameraK edIm,ICMrujeGayGñkpÞúkemeraKeGds_ GñkCMgWeGds_ nigRsþIbMerIesvakMsanþ mkTTYlesva
BnüakMeNItenH.
bc©úb,nñenH RbeTskm<úCakMBugcab;epþImGnuvtþnUvyuT§saRsþ 5 Is (Intensify Case Finding,
Isoniazide Prophylaxis Treatment, Infection Control, Integration into health service delivery and
Initiate early of ART) edIm,IeFVIeGaykmµviFIrebg¼eGds_manPaBRbesIreLIg/ erobcMeFVIsmhrNkmµ
Tinñn½y (VCCT, STI and OI/ART) eTAkñúgRbB½n§Bt’mansuxaPi)al/ edaymankarCYyBI PEPFARE
nigédKUkñúgkarerobcMGtþsBaØaNEtmYy (unique Identified) GñkCMgWEdlkMBugTTYlkarBüa)aleday»sf
RbqaMgemeraKeGds_/ nigkMBugbegáInkarGnuvtþnUvviFIsaRsþeqøIytbrYmKña.