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National Integrated Biological & Behavioral Surveillance - IBBS
National Integrated Biological & Behavioral Surveillance –( IBBS ) is being implemented
as a strategic focus to strengthen surveillance among High Risk Groups (HRG) and
Bridge population. The key field activities under IBBS include Pre-Surveillance
Assessment (PSA), Sampling Frame Development (SFD), Commuunity Preparation and Data
Collection. Pre – Surveillance Assessment phase has already been completed successfully
with active involvement of UP SACS.
This is an activity of national Importance towards accelerating halting and reversing
of HIV epidemic in India. India is a global first in implementing the survey at
such a large scale and after successful implementation of this Survey our country
will become Torchbearers for rest of world in implementing such a large scale surveillance
program with marginalized and vulnerable population.
All the preparatory activities for the next phase have been completed including
selection of Field research agency (FRA) who will implement the field work. In this
survey we are using CAPI (Computer Assisted Personal Interviewer) for the purpose
of SFD and Main Survey.
Phases of IBBS
|
Field Research Agency (FRA) Allocation
|
SI.No
|
Region Name
|
States
|
Selected FRA
|
|
1
|
AIIMS
|
Uttar Pradesh, Uttarakhand, Bihar, Jharkhand
|
M/s NIELSEN (India) Pvt. Ltd.
|
Case Definitions
|
Group
|
Operational Definition
|
|
Female Sex Workers (FSW)
|
Women, aged 15 years or more, who engaged in consensual sex in exchange money/payment
of money/payment in kind in the last one month.
|
|
Men who have sex with men (MSM)
|
Men, aged 15 years or more, who had anal or oral sex with a male/ hijra partner
in the last one month.
|
|
Transgender (TG)
|
Person, aged 15 years or more, whose self-identity does not conform unamb- iguously
to conventional notions of male or female gender roles, but combines or moves between
these.
|
|
Injecting Drug Users (IDUs)
|
Men, aged 15 years or more, who used any psychotropic (addictive/mind alter- ing)
substance or drug for recreational or non-medical reasons, through injections, at
least once in the last 3 months.
|
|
Male Migrant
|
Men, aged 15-54 years, who do not belong to (is non-native of) the current district
(where interview is being done), moved to the current district for the purpose of
work, moved to any district other than the current district for purpose of work
in the past two years, and return to his place of origin at least once in a year.
|
|
Currently Married Women
|
Currently married women aged 15-49 years .
|
What is a Domains in IBBS
A ‘Domain’ is defined as a geographical unit for which the bio-behavioural estimates
will be generated for a specific risk group.
- Generally, a single district is the basic domain in National IBBS; which are called
Independent domains
- However, if a single district does not have adequate number of HRG to meet the sample
size, neighbouring districts are grouped to form a ‘Domain’. These are composite
domains
- Domain name has been given to each domain. In case of independent domains, the name
of the district will remain to be the name of the domain.
- In case of composite domains, the name of the district contributing the largest
number of HRG to the domain will be used as the name of the domain
Domain wise List for Uttar Pradesh for IBBS Survey is as below :-
|
SI.No
|
Typology
|
Name of Domain
|
Type of Domain
|
Domain Size
|
Total No of Districts in Domain
|
|
Domain Districts
|
|
District-1
|
District-2
|
District-3
|
District-4
|
|
Name
|
Size
|
Name
|
Size
|
Name
|
Size
|
Name
|
Size
|
|
|
1
|
FSW
|
Kanpur Nagar
|
Independent
|
1161
|
1
|
|
|
2
|
FSW
|
Jhansi
|
Composite
|
1023
|
3
|
|
Jhansi
|
523
|
Jalaun
|
250
|
Hamirpur
|
250
|
|
|
|
|
3
|
FSW
|
Jyotiba Phule Nagar
|
Composite
|
1044
|
2
|
|
Jyotiba Phule Nagar
|
603
|
Bijnor
|
441
|
|
|
|
|
|
|
4
|
FSW
|
Gorakhpur
|
Composite
|
1335
|
4
|
|
Gorakhpur
|
482
|
Deoria
|
353
|
Mau
|
250
|
Azamgarh
|
250
|
|
|
5
|
MSM
|
Lucknow
|
Composite
|
1591
|
2
|
|
Lucknow
|
1000
|
Kanpur Nagar
|
591
|
|
|
|
|
|
|
6
|
MSM
|
Etah
|
Composite
|
859
|
2
|
|
|
7
|
MSM
|
Ghaziabad
|
Composite
|
898
|
2
|
|
Ghaziabad
|
600
|
Aligarh
|
298
|
|
|
|
|
|
|
8
|
MSM
|
Allahabad
|
Independent
|
900
|
1
|
|
|
8
|
IDU
|
Kanpur Nagar
|
Independent
|
1372
|
1
|
|
|
9
|
IDU
|
Kanpur Nagar
|
Independent
|
1372
|
1
|
|
|
10
|
IDU
|
Jalaun
|
Composite
|
885
|
3
|
|
Jalaun
|
466
|
Hamirpur
|
219
|
Mahoba
|
200
|
|
|
|
|
11
|
IDU
|
Bareilly
|
Composite
|
737
|
2
|
|
Bareilly
|
371
|
Sahajanpur
|
366
|
|
|
|
|
|
|
12
|
IDU
|
Allahabad
|
Composite
|
1058
|
2
|
|
Allahabad
|
758
|
Varanasi
|
300
|
|
|
|
|
|
|
13
|
TG
|
Kannauj
|
Composite
|
801
|
2
|
|
Kannauj
|
456
|
Bareilly
|
345
|
|
0
|
|
0
|
|
|
14
|
MIG
|
GB Nagar
|
Independent
|
10000
|
1
|
|
|
15
|
CMW
|
Bahraich
|
Independent
|
-
|
1
|
|
|
16
|
CMW
|
Basti
|
Independent
|
-
|
1
|
|
|
17
|
CMW
|
Jaunpur
|
Independent
|
-
|
1
|
|
IBBS Target Group and Sample Size at a glance
|
Risk Group
|
No. of Domains Uttar Pradesh
|
Sample size/ domain
|
Total Sample Size (Uttar Pradesh)
|
|
Female Sex Workers (FSW)
|
4
|
400
|
1,600
|
|
Men who have Sex with Men (MSM)
|
4
|
400
|
1,600
|
|
Injecting Drug Users (IDU)
|
4
|
400
|
1,600
|
|
Trans-genders (TG)
|
1
|
400
|
400
|
|
Male Migrants
|
1
|
12,00
|
12,00
|
|
Currently Married Women
|
3
|
12,00
|
36,00
|
|
Total
|
17
|
-
|
10,000
|
Role of UPSACS
- Overall Facilitation of IBBS implementation in State
- Targeted Intervention and Other NGOs
- DAPCU, District Administration and other stakeholders.
- State and Domain team of Field Research Agency
- DBS Testing Laboratories.
- Regional Institutes
- DAC
- Facilitation of Community Involvement and Adverse Event Management
- To monitor the epidemic of HIV infection
- Monitoring and Supervision