| Gujarat is in a moderate HIV prevalence state with 6 out of 25 districts falls in category ‘A’ and other four being in ‘B’ category. The recent trend of epidemic indicates that the epidemic has moved to the generalized population as well. For these reasons, the principle strategy for TI is total saturation of High Risk Groups (HRG) in the state. |
| This will be achieved through expanding the reach of Targeted Interventions (TI) through |
- NGOs and CBOs for urban areas and for places with high concentration of HRB and
- Link Workers and Village Level Volunteers for villages having 5000 population.
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| Targeted Intervention activities have been the major activity carried out by Gujarat Sate AIDS Control Society (GSACS) to prevent the spread of HIV/AIDS infection. High risk population like Female Sex Worker (FSW), Man having Sex with Man (MSM), Trans Gender (TG) and bridge population like Truckers, Single Male Migrants (SMM) are main groups targeted for various preventive interventions. The targeted intervention activities have been driven primarily by non-Governmental Organizations (NGOs) and Community based Organizations (CBOs). Currently GSACS / AMCACS implementing 115 TIs out of which 79 are working with core population while remaining 36 are working with bridge population. (Core group includes Female Sex Worker, Male having Sex with Male & Injected Drug Users and Bridge includes Male Migrant & Truckers) |
| Following are the major activities carried out by these NGO partners: |
- Inter personal behavior change communication (BCC)
- Promotion/ distributions of condoms
- Provision of services for Sexually Transmitted Infections (STIs)
- Linkages to Integrated Counseling and Testing Services (ICTC)
- Advocacy for Enabling Environment
- Community Mobilization
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| Table: 1 No. of TIs in the State |
| Sr. No. | Typology | GSACS | AMC-ACS | Total | | 1 | Core Composite** | 41 | 0 | 41 | | 2 | MSM | 15 | 4 | 19 | | 3 | FSW | 11 | 1 | 12 | | 4 | IDUs | 1 | 1 | 2 | | 5 | Migrants | 19 | 9 | 28 | | 6 | Truckers | 6 | 2 | 8 | | 7 | CBO | 2 | 3 | 5 |
| Total* | 95 | 20 | 115 |
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| **providing services to more than one high risk groups | | *Till March 2012 |
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| The total 188002 (FSW-28154, MSM-34563, & MIGRANT-125285) high risk population is covered by these TIs during the financial year 2011-12. |
| District Category | FSW | MSM | Migrant | | Target | Coverage | Target | Coverage | Target | Coverage | | Total (A+B) | 20713 | 18533 | 25757 | 23145 | 130000 | 68351 | | Total (C+D) | 10991 | 9621 | 13317 | 11418 | 60000 | 56934 | | Grand Total* | 31704 | 28154 | 39074 | 34563 | 190000 | 125285 |
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*Excluding AMCAS, March 2012
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| In the Evaluation 2011-12 , out of 89 NGO TIs, 13 TIs fall into A Grades, 52 TIs fall into B grades, 22 TIs fall in to C grades and 2 TIs fall into D Grades (See Table: 2) |
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Table: 2 Performances of TI NGOs in 2011-12:
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| Evaluation rating | 2011-12 (89 TIs) | | No. of TI Project | No. of TI Project | % | | Very Good (A) | 13 | 15 | | Good (B) | 52 | 58 | | Average (C) | 22 | 25 | | Poor (D) | 2 | 2 |
| 89 | 100 |
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Best practices by TI Division-GSACS:
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| Quarterly region wise review of TI projects in presence of senior GSACS officials and District Programme Officer (DPO) of concerned District AIDS Prevention and Control Unit (DAPCU). |
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| Quarterly grading of TI projects performance and feedback system between TI NGOs and TI Division of GSACS. |
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| Developed E- group between SACS and TI partners – used for monthly feedback |
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| Developed Information panels to be put up at DIC. |
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| Liasoning with district health system to extend STI/RTI screening and treatment; HIV/RPR test services. |
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| Start up Opioid Substitution Therapy (OST) at Government Medical College, Surat |
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| Liaisoning with Gujarat Women Economic Development Corporation Ltd for FSWs rehabilitation by Vocational training in various trade. |
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