Śvetana Phase II

CCM Oversight Committee meeting

18th June, 2018

Activities, Budget and Implementation Status

Śvetana

Śvetana Phase I Versus Phase II

Phase I Phase II

States / UT 14 22

Partners 11 11

PF Indicators 3 4

Scope Private Health Sector engagement in PPTCT

program

Both Private and Public sector facilities

Follow up and tracking

Śvetana

Śvetana Phase II Goals and Objectives

• Goal: “Elimination of new HIV infections among children and keeping their mothers alive”

• Project Śvetana will provide technical assistance towards accelerating scale-up of PPTCT coverage in both public and private health sector:

• Increase HIV testing among pregnant women from 85% to 95%

• Increase HIV testing among spouses of positive pregnant women from 74% to 90%

• Increase the proportion of HIV-positive pregnant women on ART from 97% to 100%

• Increase the proportion of HIV-exposed infants who completed their first EID within two months of birth from 51% to 95%

Geographic Coverage: 361 districts of 22 States / UTs

1. Andhra Pradesh

2. Telangana

3. Tamil Nadu

4. Puducherry

5. Kerala

6. Karnataka

7. Maharashtra

8. Goa

9. Gujarat

10. Rajasthan

11. Delhi

12. West Bengal

13. Uttarakhand

14. Himachal Pradesh

15. Jammu and Kashmir

16. Punjab

17. Haryana

18. Chandigarh

19. Andaman and Nicobar Islands

20. Daman and Diu

21. Dadra and Nagar Haveli

22. Lakshadweep

Śvetana

Technical Assistance to Increase HIV Testing Among ANC in Public and Private Health Sector

Training of District Resource Teams to build HIV

testing capacity among peripheral health workers

Strengthen facility based testing and reporting

Establish new FICTC

Non functional to functional FICTC

Non reporting to reporting FICTC

Facilitate VHND and PMSMA testing and

reporting

Advocacy and Sensitization of District and

Block level health officials

Monthly and quarterly review with SACS and

NHM, District level officials

Need based demand generation

Mapping and Enrollment of private health

facilities - PPP – (A, B or C)

Private sector reporting - HIV Pulse

Advocacy and sensitization of

Professional Medical Associations

Engaging with HIV Physicians

Handing holding - Onsite sensitization and

facilitate reporting in SIMS

Facilitate linkages of screened reactive to

ICTC and ART centers

Advocacy for policy on private sector

reporting of HIV

Śvetana

Technical Assistance and Follow-up to increase PPTCT Cascade Retention

Tracking of screened reactive cases for

confirmation

Ensure timely ART initiation/ uptake

Outreach, follow up and tracking of PPW and

spouses

Coordination with SA ICTC

Facilitate strengthening of PALS

Use of due lists and alerts to intensify timely

tracking

Coordination with DAPCU / ART Centers,

Positive networks and other stakeholders

Innovations – IVRS based health education for

PPW and family

Advocacy/ sensitization to reduce stigma

Śvetana

Śvetana

Śvetana Phase II Partners

Partner States

SVYM • Karnataka

Prayas • Maharashtra (six districts)

NCPI + • Chandigarh: Punjab, Jammu and Kashmir, Himachal Pradesh

GSNP + • Gujarat : 18 districts including Daman Diu, Dadra Nagar Haveli

SAATHII Units • Maharashtra : Goa

• Gujarat -18 districts

• Tamil Nadu : Andaman and Nicobar, Puducherry

• Kerala : Lakshadweep

• Telangana : Andhra Pradesh

• West Bengal

• Delhi: Uttarakhand, Rajasthan, Haryana

Śvetana* - shared between states

State Director *

M&E Officer (1) Program Officer

(@ district level,

1 per 4-5 districts)

Administration and Finance Officer* (1)

Program

Manager (1)

Medical

Manager* (1)

State Oversight Committee

Chaired by Project Director, SACS

Field Coordinators

(@ district level,

1 per 2 districts)

Admin Assistant

Structure of State Technical Assistance Units

Śvetana

S.No

State SU/SR Partner

Core Team in place

PO & FCs on board

% HR on board

Core Team

Trained

PO & FCs

Trained on

1 AP / TS SU 4 32 97% √ √

2 KL / LK SU 2 12 100% √ √

3 TN/ PY SU 5 18 100% √ √

4 KA-SVYM SR 4 19 96% √ √

5 MH /GA SU 4 30 100% √ √

6 MH / Prayas SR 4 8 100% √ √

7 RJ/DL/HR/UK SU 5 73 100% √ √

8 Gujarat SU SU 4 23 96% √ √

9 WB SU 5 26 100% √ √

10 GUJ –GSNP+ SR 4 20 100% √ √

11 J&K /HP/ CH/ PB SR4 53 98%

√ √

Total (Board Vs Budgeted) 45/48 314/321 359/369 44 307

Recruitment and Training Status

Śvetana

National Level Meetings

Support Letters Received

From NACO

Introduction to Śvetana Phase

II

Śvetana phase II strategies and

support needed from states

Use of HIV Pulse for private

sector reporting

From NHM

Letter on Śvetana Phase II to

all State Health Societies

Stakeholder Meetings

Multiple meetings with

NACO on phase II

strategies

Two meetings with NHM

for introducing Śvetana

Phase II

Conducted meetings with

other PRs for coordination

Śvetana

New partners selected MoU signed with SRs and Letter of Understanding (LoU) with SUs

(4 SRs and 7 SAATHII State Units)

Development of Standard Operating Procedures (SOP) & M&E framework – through participatory and consultative workshops with partners

Situational assessment through secondary data analysis

Śvetana Phase II Preparatory Activities

Śvetana

Start-Up and Advocacy Meetings with Key Stakeholders

StateOrientation of SACS

on Śvetana Phase II

Śvetana Phase II

Orientation of State

NHM

Support Letter sent by

SACS to DAPCU/DHS

SOC

Conducted

Sensitization of State

FOGSI/PMAs on Śvetana

Phase II

AP √ √ √ √

CH √ √

DL √ √ √ √

GJ √ √ √ √ √

HP √ √ √

HR √ √ √

JK √ √ √ √

KL √ √ √ √ √

KA √ √ √ √

MH √ √ √*

PB √ √ √

PY √ √

TN √ √ √ √* √

TS √ √ √

UK √ √ √ √

WB √ √ √ √* √

Total 16 11 14 8 9

Śvetana

• Private maternity facilities mapped and enrolled - 80% (19,300 out of 24,056)

• 225 Facility level sensitization meetings conducted and trained 1,353 health care providers

• 23 District Level Sensitization and experience sharing meetings with 974 health care providers

Progress of State Implementation Activities

• 409 Coordination meeting s with SACS/ DAPCU / other stakeholder

• 5,894 Technical Assistance visits to public and PPP ICTC to streamline HIV testing and reporting in SIMS

• 249 Participation in DAPCU Monthly meetings

• 3240 Follow-up contacts of positive pregnant women were conducted by

FCs and POs

Śvetana

• 8982 private facilities (51% of 17,500) enrolled in HIV pulse

• 40% of Facilities are reporting

• 300,979 ANC testing reported in HIV Pulse -Jan-Apr 2018

• 81 PPW identified and referred to ICTC

Scale-Up of Private Facility Enrollment in HIV Pulse

• Low-cost technology-based

solution for ensuring regular

reporting from private sector

facilities

• Allow private facilities to

submit reports using SMS or

web-based/on line submission

via the website HIVPulse.org/

Mobile app for android &

Iphone users

Śvetana

Progress on Output Indicators

Target

Jan – Sept 2018

Achievement

Jan-April 2018

Data Source

PPTCT 1: Pregnant women

who know their HIV status

8,389,967 3,864,244 (46%) SIMS

HTS 1: Spouses of Positive

pregnant women (PPW) who

know their HIV status

80% of PPW 1455*/ 2544

(57%)

SIMS

PPTCT 2: Positive Pregnant

women on ART

97% of PPW 2168 / 2544

(85%)

SIMS

PPTCT 3: Exposed infants

completed EID within 2

months

70% of eligible 2298 (First EID

Completed)

SIMS

*Spouses of Newly detected cases on ART

Śvetana

Phase – II Budget

Cost Category Budget INR Budget USD

Human Resources (HR) 30,72,70,735 47,27,242

Travel related costs (TRC) 10,56,92,950 16,26,045

External Professional services (EPS) 63,60,000 97,846

Infrastructure (INF) 1,42,500 2,192

Non-health equipment (NHP) 23,51,665 36,179

Communication Material and

Publications (CMP)28,00,620 43,086

Programme Administration costs (PA) 3,04,99,216 4,69,219

Total 45,51,17,686 70,01,811

Śvetana

Fund Allocation By Recipients

Entity Name Total- USD Total- INR In Crores INR %

Solidarity and Action Against The HIV Infection in India-PR 11,68,682 7,59,64,313 7.60 17%

State Unit - West Bengal 4,89,360 3,18,08,414 3.18 7%

State Unit - Tamilandu and Pondicherry 4,65,367 3,02,48,876 3.02 7%

State Unit- Kerala 2,66,948 1,73,51,631 1.74 4%

State Unit - Andhra Pradesh and Telangana 6,30,318 4,09,70,648 4.10 9%

State Unit - Gujarat 5,24,103 3,40,66,664 3.41 7%

State Unit - Maharashtra & Goa 6,49,540 4,22,20,103 4.22 9%

State Unit - RJ, DL, HR and Uttarakand 10,81,263 7,02,82,075 7.03 15%

SR-Swamy Vivekananda Youth Movement- Karnataka 5,02,418 3,26,57,197 3.27 7%

SR-Prayas- Pune, Maharashtra 2,25,383 1,46,49,875 1.46 3%

SR-GSNP+- Surat, Gujarat 2,73,621 1,77,85,343 1.78 4%

SR-CH, PJ, HP and J&K 7,24,808 4,71,12,546 4.71 10%

Total 70,01,811 45,51,17,685 45.51 100%

Śvetana

SAATHII – PR + 7 SUS + 4 SRS Budget Vs Actuals

Cost Grouping Budget Overall Budget (Jan-

Jun18)

Overall Exp

(Jan-May18)

1.0 Human Resources (HR) 4,83,45,567 2,81,17,815

1.4 Other HR Costs 10,95,796 2,51,464

2.0 Travel related Costs (TRC) 2,52,50,303 98,28,213

8.0 Infrastructure 1,42,500 17,700

9.0 Non Health Equipment 24,08,445 1,66,388

11. Program Administration Cost 48,16,171 28,19,299

External Professional Services 1,20,000 16,73,599

Communication Material and Publications 13,32,580 836

GRAND TOTAL 8,35,11,362 4,28,75,314

COST GROUP WISE

Thank You!

Śvetana

Technical Assistance Activities by State

Indicator TN /

PYKL KA AP TS MH GA GUJ WB RJ DL HR UK Total

TA visits to PPP and FICTC 495 299 1293 724 721 1387 42 331 201 219 151 31 0 5894

Participation in DAPCU Monthly meetings 30 9 49 23 15 81 0 15 4 14 9 0 0 249

Coordination meeting s with SACS/

DAPCU / other stakeholders0 5 28 16 1 37 0 112 74 128 21 40 0 409

Sensitization meetings conducted 1 4 39 9 5 162 2 3 0 0 0 0 0 225

Number of Health care Providers trained

through handholding0 8 585 77 39 520 6 118 0 0 0 0 0 1353

No of District Level Sensitization

meetings / and Experience Sharing

Meetings conducted and attended

8 6 0 2 7 1 1 1 2 0 0 0 0 23

Health Care Providers Sensitized 496 83 0 15 308 0 0 72 0 0 0 0 0 974