Nagaland State Aids Control Society
ADOLESCENCE EDUCATION PROGRAMME (AEP)
The State Council of Educational Research and Training (SCERT) has rolled out AEP program from class 5-8 since 2005 and Nagaland Board of School Education (NBSE) has rolled out the AEP since 2007 from class 9-12.Adapting/incorporating the National AIDS Control Organisation (NACO) module to the existing module called Life Skills.
The Objectives of the programme are to Enhance knowledge level of adolescents tofacilitate informed decisions with regard to Adolescent Reproductive and Sexual Health (ARSH); Strengthen life-skills for translation of knowledge into responsible actions, enabling young people to protect themselves from and to cope with risky situations they encounter in their lives and; Prevention of new infections of HIV/AIDS among youths.
In the FY 2014-15, 234 teachers from Wokha and Mokokchung districts were trained; covering a total 117 schools which includes both the Government and Private schools.
It may be mentioned that even the Youth Directors/Leaders and Sunday school teachers (FBO) of different churches participates in the training.
The teachers were trained in a batch wise; where, District Education Officer (DEO), Chief Medical Officer (CMO), Deputy CMO, Medical Officer (MO), Doctors and Subject specialists on Adolescent Health were the resource persons (facilitators).
The Topics on Life skills education, Understanding Adolescents, Basic of HIV/AIDS, Gender and Gender roles, Substance Abuse, Teenage pregnancy and its consequences and the use of Question box technique were covered.
HOME BASED CARE TRAINING
The two days training on Home Based Care for the PLHIV community was conducted by NSACS at Phek, Kiphire, Noklak and Mokokchung. The main resource person for the training was Dr. Joyce Z. Angami, a renowned social Activist and an expert in the field of HIV/AIDS.
The training on Home Based Care (HBC) was conducted in the Districts of Phek, Kiphire, Tuensang & Mokokchung in coordination with the respective DAPCUs & DLNs. The Rationale for conducting the training in these districts is because of the fact that the prevalence rate in these districts are very high and the geographical location is such that the accessibility to the available services for people who are residing in the remote part of the district is very difficult.
Also, the training was conducted based on the feedback that was received from the participants during the training that was conducted in the district of Peren during the last financial year.
Objectives:
(i) To make the trainees understand and equip them with knowledge on how to treat common illnesses, at home.
(ii) Less burden on institutional expenses because of patients being taken care from home for illnesses which do not require treatment from a trained medical Doctor.
Phek:
The training at Phek was conducted on the 8th & 9th of September, 2014 at the conference hall of Chief Medical Officer, Phek. The Deputy CMO (DACO) also came and attended the training. During the training he also highlighted to the participants about the importance of the hospital delivery and shared about the scheme of Janani Suraksha Yojna (JSY).
Role play was performed on the second day by the participants based on the scenario on how to treat an AIDS patient at home and how to overcome stigma & discrimination and also the role of Doctor, nurse and family members.
Later in the evening, the NSACS team met with the ADC of Phek and highlighted to him about the purpose of the training and the current situation of the prevalence of HIV in Nagaland and in particular about Phek. He thanked the team of NSACS for the initiative and also requested to conduct more such trainings for the benefit of all the PLHIV.
Kiphire:
The training at Kiphire was conducted on the 11th & 12th of September, 2014. Many of the participants expressed that they have benefitted from the training. The participants appreciated the resource persons and pointed out that the knowledge on treating abscess and making simple home-made cures for treating common illnesses were significant learning from the training. The 2-day training not only equipped the PLHIVs on Home Based Care but also gave them a platform to come together, an opportunity to share their issues, difficulties, clarify queries and learn from each other.
After the training, the NSACS team along with the DPO, DAPCU & the President of the DLN met with the Assistant Labor Commissioner, Kiphire and discussed with him regarding the Building and other Construction Workers Act. He highlighted that the registration process for the same is under way and that he will try and enroll the beneficiaries from the PLHIV community. He also shared that, this Act gives Insurance to the beneficiaries as well as gives maximum benefit and protection to the workers. The team also visited Users Network called Survivors and interacted with the President and the members. Later, the team along with the Users Network went to the OST Center, Kiphire and interacted with the MO and the counselor. During the discussion it was decided that take away dosage to the clients will no longer be entertained.
Noklak, Tuensang:
The training at Noklak, Tuensang District was conducted on the 15th & 16th of September, 2014. On the 14th of September, 2014, NSACS team along with Dr. Joyce Z. Angami and TI Counsellor visited six homes of the CLHIVs. During the interaction, it was learnt that with the closure of CCC in their area they thought that the free supply of ART medicine has been stopped which has resulted in default cases, the team came across a pregnant HIV positive mother who was 19 years old whose husband has left her. She had also stopped her ART treatment but we encouraged her to visit the Hospital at the earliest to console with the doctor and to ensure hospital delivery to safe the baby from being infected.
The training at noklak was attended by 45 PLHIV members. On the second day, recap of the previous day was shared by Mr. Tarepnokcha Jamir with participation from the trainees. The sessions on basic of HIV/AIDS, Prevention from Parent to Child Transmission & Basic of Home Based Care were repeated as requested by the trainees.
Mokokchung:
The training at Mokokchung District was conducted on the 18th & 19th of September, 2014 at the Conference Hall of Hotel Metsuben. The participants were welcomed by Mr. Molo, DIS. He urged the participants to overcome personal stigma and discrimination and also to share to others what they learn from the training. The training was imparted, like in all the other districts, with an aim to benefit and equip the PLHIV on how to treat common illness at home and thereby improve their health. The resource person, Dr. Joyce Z. Angami, spoke on: Basic of HIV/ AIDS: Modes of transmission i.e. through sharing of infected needles and syringes, unprotected sex, infected mother to child, infected blood transfusion; prevention and myths & misconceptions; Home Based Care: Opportunistic infections like Diarrhoea & Tuberculosis, balanced diet, proper sleep, exercise and positive mental health; Prevention of parent to child transmission; Grief Counseling: HIV related deaths: Dying at home and helping out patients and supporting them.
After the training, NSACS team visited Care and Support Centre (CSC) under Vihaan Project and met with the President and members of District Level Network of Mokokchung district. The team also visited Care Counselling Centre and Care & Support Society, NGOs implementing TI projects.
Demonstration:
A session on how to make ORS and Bleach solution using items available at home was demonstrated by Dr. Joyce Z. Angami in all the four trainings.
Sexually Transmitted Infections (STI)/Reproductive Tract Infections (RTI)
Sexually Transmitted Infections and Reproductive Tract Infections (STIs/RTIs) are important public health problems in the country. The prevention, control and management of STI/RTI are a well recognized cost effective strategy for controlling the spread of HIV/AIDS in the country as well as to reduce reproductive morbidity among sexually active population. The vision of STI/RTI control and prevention program during National AIDS Control Programme Phase-IV is to provide quality standardized STI/RTI services at all levels of health system through convergence with NRHM and Private Sector, especially focusing women, adolescents and marginalized population.
Services available in the State under NSACS:
| No. of Designated STI/RTI Clinic (DSRC) | 12 | All District Hospital including Police Referral Hospital, Chumukidema |
| No. of Designated STI/RTI Clinic (DSRC) | 12 | All District Hospital including Police Referral Hospital, Chumukidema |
| State Reference Center (SRC) | 1 | Naga Hospital Authority, Kohima |
| Public Private Partnership (PPP) | 1 | Christian Institute of Health Science & Research, (CIHSR) Dimapur) |
Drop-in-centre for High Risk Groups and Bridge Population provides services like recreation facilities, Free needle and syringe for injecting Drug Users, STI clinic, condom, counselling on behaviour change, linkages to ICTC, ART,DOTs and social protection scheme, waste disposal management, IEC material related to HIV, Drug abuse and related service, Opioid Substitution Therapy. Total established under NSACS with NGOs and at Public settings across the State are as follows:
| District | IDU | FSW | MSM | Core Composite (IDU+FSW+MSM) | Bridge | Total TI | Total OST centres for IDU |
| Dimapur | 7 | 2 | 1 | 0 | 2 | 12 | 5 |
| Kohima | 3 | 1 | 2 | 6 | 4 | ||
| Mokokchung | 4 | 1 | 4 | 9 | 4 | ||
| Mon | 3 | 2 | 5 | 1 | |||
| Tuensang | 4 | 3 | 7 | 3 | |||
| Peren | 3 | 3 | 2 | ||||
| Zunheboto | 2 | 1 | 3 | 3 | |||
| Wokha | 2 | 1 | 3 | 3 | |||
| Phek | 1 | 1 | 2 | 3 | |||
| Kiphire | 1 | 1 | 1 | ||||
| Longleng | 2 | 2 | 2 | ||||
| TOTAL | 31 | 2 | 3 | 15 | 2 | 53 | 31 |
Nagaland HIV/AIDS Scenario
Adult HIV Prevalence rate: 0.73%
| ICTC Status | ||||||
| Particulars | 2014-15 (Till January 2015) | Cumulative since 1999 | ||||
| G. Clients | ANC | Total | G. Clients | ANC | Total | |
| Blood screened | 66252 | 14676 | 80928 | 574278 | 162258 | 736536 |
| HIV positive | 1333 | 176 | 1509 | 16011 | 1733 | 17744 |
| MBP Nevirapine | 106 | 973 | ||||
| Children (≤14 yrs) | ||||||
| 2014-15 | Cumulative-since Oct 2007 | |||||
| Male | Female | Total | Male | Female | Total | |
| Blood screened | 1801 | 1664 | 3276 | 12217 | 12153 | 24181 |
| HIV positive | 64 | 67 | 125 | 348 | 366 | 708 |
| AIDS Case Surveillance – Since 1994 | ||||||
| AIDS cases reported | 2014-15 | Cumulative | AIDS related deaths | 2014-15 | Cumulative | |
| Adult | Male | 32 | 449 | |||
| Female | 25 | 345 | ||||
| Male | 263 | 3188 | Children | Male | 2 | 36 |
| Female | 256 | 2754 | Female | 1 | 30 | |
| Total | 519 | 5942 | Total | 60 | 860 | |
| ART Since 2004 | ||||||||||
| Indicators | Cumulative | Alive & On ART | ||||||||
| Registered in ARTC | 11773 | Adult | Children | Total | ||||||
| Ever Started On ART | 6481 | Male | Female | TS/TG | Male | Female | ||||
| Death of Patients on ART | 765 | 2434 | 2551 | 4 | 135 | 144 | 5268 | |||
| STD (2014-15) | BLOOD BANK (2014-15) | |||||||||
| Typology | Attended | Treated | VBD Camps Donation | 1829 | ||||||
| DSRC | 4907 | 2751 | Voluntary Donation | 4904 | ||||||
| NGO TI | 54196 | 1418 | Replacement Donation | 1669 | ||||||
| Total | 59103 | 4169 | Total Collection | 8402 | ||||||
Note:
- Clients = Clients Excluding Pregnant Woman
ANC = Pregnant woman
- ICTC = Mobile ICTC
The year 2014-15 starts from the month of April ’14
Source: CMIS/SIMS
