REEDS VIHAAN
REEDS Vihaan program
BRIEF REPORT ON REEDS VIHAAN PROJECT
NARASARAOPET
Supported by: INDIA HIV/AIDS Alliance, New Delhi.
Report of REEDS Vihaan Program
Name of the CSC : Rural Environment And Education Development Society – (India).
Name of the program : Vihaan Care and Support Program .
Linked ART Centres : Narasaraopet AndChilakaluripet.
Working Mandal’s : 20 Mandals( Narasaraopet, Rompicherla, Savalyapuram,Vinukonda, Nuzendla, Ipur, Bollapalli, Nekarikallu, Piduguralla, Machavaram, Karempudi, Durgi, Macherla, Dachepalli, Gurazala, Veldurthi, Rentachintala , Chilakaluripet, Edlapadu and Nadendla).
Overview of Vihaan Program
Brief overview of Vihaan: India HIV AIDS Alliance (Alliance India) is one of the Principal Recipients (PR) for the Global Fund Round Six RCC Phase II Program. As part of this phase, Alliance India is implementing Vihaan, a national initiative to provide expanded and holistic care and support services for people living with HIV (PLHIV), especially those from high-risk groups, and women and children infected and affected by HIV. The program is designed to enhance access to essential services, support treatment adherence, reduce stigma and discrimination, and improve the quality of life of PLHIV. It thus aims to put in place a quality care and support system that complements HIV prevention and treatment programs already in place.
Working with the overall goal of improving the survival and quality of life of PLHIV, the key objectives of Vihaan include:
- Early linkages to care support & treatment services, supporting the newly-identified PLHIV to enroll into the ART program.
- Improved treatment adherence and education, helping the PLHIV to sustain and manage their treatment regimens.
- Increased early testing and expanded positive prevention activities, contributing to national efforts to prevent HIV transmission and reduce overall burden of disease.
- Improved social protection and wellbeing of PLHIV, by facilitating access to existing social welfare and protection schemes.
- Strengthened community systems and reduced stigma & discrimination, by building skills of community members to advocate for access to stigma- and discrimination-free services.
Service Delivery Mechanism under Vihaan: Care and support services are being delivered to the PLHIV through the following district-based facilities.
Care and Support Centers (CSC): Linked to high-burden ART centers and link ART centers, CSCs serve as a comprehensive unit for supporting the PLHIV on treatment adherence and positive living and creating an enabling environment. CSCs focus on PLHIV retention in HIV care as well as on educating, supporting and linking the community with health care services and social welfare schemes. The facilities provide space for PLHIV to enhance their knowledge and skills, and to booster each other through support-group meetings and counselling. A total of 9221 clients are cover our REEDS CSC.
Services under Vihaan: Broadly, the following services are being provided under Vihaan:
a) Counselling services: It is one of the most important service of CSC is providing information and counseling support on wide-range of issues (psycho-social support, disclosure of HIV status, treatment education and adherence, positive living and positive prevention, nutrition, sexual and reproductive health issues such as family planning and pregnancy, discordant couples, home based care) through one-to-one counseling or couple/family counselling. Children and adolescents living with HIV will also be provided friendly counselling services on HIV status disclosure, ART adherence, and personal hygiene, eating healthy and hygienic food, coping with emotion Counselling services are available at the CSC through trained counselors and messages are reinforced in the field through outreach workers and peer counselors.
b) Outreach services: These services include follow up of PLHIV for treatment adherence, repeat CD4 testing; tracking ‘Lost to follow-up (LFU)’ or ‘Missed’ cases, and motivating family members for HIV testing; reinforcing counselling messages; and providing/facilitating home-based care.
c) Home Based Care Services: PLHIV and their care givers in the family will be trained on basic infection control practices at home, management of general ailments and minor infections at home, and identification of signs and symptoms of health issues requiring immediate medical care. Clients will be provided with information about the nearest available health care facilities and importance of good health seeking behavior.
d) Referrals and linkages: Another important service provided by the CSC is the establishment of linkages and provision of referrals to various service providers in the area for addressing medical and non-medical needs. The PLHIVs are also supported to access and avail social entitlements and social welfare schemes.
e) Advocacy and communication: To create an enabling environment and access to services without stigma and discrimination, CSC will support the PLHIV through various advocacy initiatives at local, state and national levels. A discrimination response team will be set up at the CSC level to respond to incidents of denial of services reported in the area due to discrimination. Quarterly advocacy meetings with various stakeholders and media advocacy events are planned to influence policy.
f) Support group meetings: Support group formation will be facilitated to provide a platform for PLHIV to share their concerns and learn from each other. Regular support group meetings will be organized and information on various themes will be provided to build skills of PLHIV to lead quality life. Every month two support groups conduct in the CSC.
| Project Staff | |||||
| S.No | Name of the CSC Staff | Designation | Contact Number | Date of Joining | Reason for Vacant |
| 1 | MFH Baig | Project Director | 9390599949 | 01-12-2018 | |
| 2 | SD M Gouse | Project Coordinator | 9248802524 | 01-06-2013 | |
| 3 | D Swetha | Health Promoter | 9505176658 | 01-09-2022 | |
| 4 | SkAhamadun | Health Promoter | 7013527149 | 01-06-2013 | |
| 5 | K Venkateswari | Health Promoter | 6303583650 | 01-07-2019 | |
| 6 | Sk Latif | Health Promoter | 7013244720 | 01-04-2021 | |
| 7 | SkMaimunnisa | Health Promoter | 9154499903 | 12-09-2021 | |
| 8 | A Sandhya | Health Promoter | 9133624911 | 01-09-2022 | |
| 9 | T Ravi Teja | Health Promoter | 7569624757 | 01-11-2021 | |
| 10 | S Yallamanda | Health Promoter | 6300758825 | 01-10-2022 | |
| 11 | A Lakshmi | Health Promoter | 8919940424 | 01-10-2022 | |
| 12 | N Gopi | Health Promoter | 939833942 | 01-10-2022 | |
| 13 | R Gnana Akhil | Health Promoter | 7702914391 | 01-12-2022 | |
| 14 | Sk. Siraj | Health Promoter | 8096720360 | 01-10-2022 | |
| 15 | S Jaya Lakshmi | Health Promoter | 9502932678 | 01-10-2022 | |
| 16 | D Raghava Reddy | Health Promoter | 8985876234 | 01-10-2022 | |
Registrations (cumulative)
| S. No | Indicator | In Numbers |
| 1 | Total Active Care at the ART Centre (3.10 from ART MPR) | 9385 |
| 2 | No of MIS Cases at ART (3.8 from ART MPR) | 102 |
| 3 | No of LFUs at ART Centre (3.9 from ART MPR) | 682 |
| 4 | Active care at the CSC (A.6 from CSC MPR) | 9291 |
HIV-TB co-infection: (2022)
| S.No | Indicator | Total | |
| 1 | Number of Hiv- TB Co-infectionShared | 45 | |
| 2 | Number of Followed-up months and retained | 45 | |
| Total | 45 | ||
HIV testing of spouse/Partner and family members (2022)
| Indicator | In Numbers |
| Total Family members eligible for testing | 57 |
| Family members got tested & received the test report | 57 |
| Total family members found HIV positive | 0 |
| Total HIV positive clients linked with ART center | 0 |
TB Screening among PLHIV (2022)
| Indicator | In Numbers | Reason for not Screening , Not linking to ART and ATT |
| Active care at CSC | 9291 | |
| Screened for TB symptoms (4S) | 9270 | |
| Found TB symptoms and referred for testing | 212 | |
| Client tested for TB | 212 | |
| Found TB +ve | 9 | |
| Pulmonary | 7 | |
| Extra Pulmonary TB | 2 | |
| MDR TB | 0 | |
| Linked to ART | 9 | |
| Initiated on ATT | 9 |
Linkages to social welfare scheme (2022)
| Name of Scheme | Number of People linked with scheme | Remarks |
| Gagananna Housing Scheme, Ammavodi,YSR Bhima | 8750 | |
| Gagananna Housing Scheme, Ammavodi,YSR Bhima | 8750 | Availed the scheme benefits |
| Total | 8750 |
Stigma and Discrimination cases reported(2022)
| Name of the CSC | District | SD cases reported | SD cases responded | Major forms of decimation |
| REEDS | Guntur | 20 | 20 | At work Places and House hold settings. |
Performance in LFU tracking (2022)
| Name of the ART | Target
ART center MPR (3.8) |
Line list received by CSC | Line list Contacted | Indefinite outcome | Definitive outcome | Brought Back |
| Narasaraopet | 1500 | 1500 | 1500 | 76 | 1424 | 980 |
| Chilakaluripet | 25 | 25 | 25 | 0 | 25 | 23 |
Performance in MIS cases tracking (2022)
| Name of the ART | Target
ART center MPR (3.9) |
Line list received by CSC | Line list Contacted | Indefinite outcome | Definitive outcome | Brought Back |
| Narasaraopet | 758 | 334 | 334 | 148 | 186 | 106 |
| Chilakaluripet | 102 | 279 | 279 | 49 | 230 | 212 |
Reasons for Indefinite outcomes (Agreed to Visit & others):
ART-CSC coordination meeting (2022)
| S. NO | Name of the ARTC | Number of meeting to be conducted | Number of Meeting conducted | Reason of variance |
| 1 | Narasaraopet | 12 | 12 | 0 |
| 2 | Chilakaluripet | 12 | 12 | 0 |
| 3 |
Local Resource Mobilization (2022)
| S. No | Type of support (education/nutrition/clothes/financial) | No. of PLHIVs benefitted | CASH | KIND* | TOTAL (in INR) |
| 1 | Nutrition Support | 500 | 0 | 500 | 250000 |
| 2 | New Clothes Support | 100 | 0 | 1000 | 100000 |
| 3 | Education Support | 10 | 0 | 5000 | 50000- |
| Total | 610 | 0 | 4,00,000/- |