Country Report on Access to Treatment

1
Country Report on Access to Treatment

• Ng.Ratan Singh

2
Source NACO
3
Number of PLHA on ART as on 28th February 2006
Source NACO
4
Source NACO
5
Number of PLHAs who are eligible to be put ART in
India as on 31st May 2005 5,00,000
Gap in availability of the treatment 4,64,578

• This alarming gap in the need and availability of
  treatment for PLHAs can only be bridged if there
  is a timely involvement of a range of
  stakeholders like PLHAs networks and other
  community members including private sector.

Source NACO
6
Name of ART Roll Out Centre

• 1. Sir JJ hospital, Mumbai, Maharashtra2.
  Institute of Thoracic Medicine and Chest
  diseases, Tambaram, Chennai 3. Regional
  Institute of Medical Sciences (RIMS), Imphal,
  Manipur 4. Bangalore Medical College Hospital,
  Bangalore, Karnataka 5. Osmania Medical College
  Hospital, Hyderabad, Andhra Pradesh6. Ram
  Manohar Lohia (RML) Hospital, New Delhi7. LNJP
  Hospital, New Delhi8. District Naga Hospital,
  Kohima, Nagaland

Source NACO
7

• A listing of the additional 17 hospitals, where
  ART centres are being located is
• Madras Medical College , Chennai, Tamil Nadu
• District Hospital , Nammakal, Tamil Nadu
• Government Medical College , Madurai , Tamil Nadu
• Government Medical College , Vizag, Andhra
  Pradesh
• Government Medical College , Guntur , Andhra
  Pradesh
• Government Medical College , Sangli, Maharashtra
• B J Medical College , Pune, Maharashtra
• Government Medical College , Nagpur , Maharashtra
  
• Karnataka Medical College , Hubli, Karnataka
• Mysore Medical College , Mysore , Karnataka
• Jawaharlal Nehru Hospital , Imphal, Manipur
• Government Medical College , Ahmedabad, Gujarat
• Government Medical College , Panaji, Goa
• PGIMER, Chandigarh , Punjab
• Calcutta Medical College , Kolkatta
• SMS Hospital ,Jaipur, Rajasthan

Source NACO
8

• Drugs available in the Centre.
• 1st Line regimen
• (Zidovudine, Stavudine, Lamuvudine)
• (Neviripine, Efavirenz)
• No 2nd line regimen
• No pediatrics doses available

Source NACO
9
. Name of the Treatment Unit ART Centre,
RIMS Imphal Code no. Name of the District
Imphal West Name of the State Manipur

Report for the month
2006
March
10
(No Transcript)
11

• Name of the Treatment Unit Jawaharlal
  Nehru Hospital, Imphal.
• Name of the District Imphal East
• Name of the State
  Manipur

Report for the month
March 2006
12
(No Transcript)
13
(No Transcript)
14
Source RIMS J.N. Hospital
15
PATIENTS TAKING BOTH HIV/TB DRUGS AS ON 29TH
MARCH, 2006
PATIENTS HAVING HBsAg/HCV/HCVHBsAg out of 989
CLIENTS
Source RIMS J.N. Hospital
16

• SASO
• 25 PLHAs are on ART on subsidized rate
• Care Foundation
• 35 PLHAs are on ART on subsidized rate

17
Issues of ART

• 1st Line regimen
• NRTI- (Zidovudine, Stavudine, Lamuvudine)
• NNRTI- (Neviripine, Efavirenz)
• No 2nd line regimen
• No pediatrics doses available
• Counselors are not trained on Treatment
  Preparedness
• Centres are not client friendly
• No follow up
• No treatment option HCV
• Charging CD4 count Rs.500/-
• No facilities for other Lab. Monitoring like LFT,
  ALT, CT Scan etc.

18
Thank You
It is not matter "HOW LONG WE LIVE" but
important is "HOW WELL WE LIVE"
19
(No Transcript)
20
(No Transcript)
21
ART CENTRE, JAWAHARLAL NEHRU HOSPITAL,
IMPHAL District wise distribution of ART Clients
as on 29th March, 2006
Source J.N. Hospital
22
(No Transcript)
23
(No Transcript)