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Integrated Counselling and Testing Centre

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ICTC is a place where a person is counseled and tested for HIV, on his own free will or as advised by a medical provider and confidentiality strictly maintained for all the clients. Although Voluntary Couseling is a key function, the ICTCs form a pivotal link between all other services provider under NACP for the PLHIV like linkage to MCH services, ART services, STI services, PPTCT services and legal services. HIV-TB co-infection diagnoses, linkage to community and access to condoms are some of the other services available at ICTCs.

Types of ICTC:

  • Stand Alone ICTC : A full-time counselor and laboratory technician on Contract Basis
  • Facility Integrated ICTCs : Existing staff such as the auxiliary nurse midwife (ANM)/ laboratory technician (LT)/pharmacist are expected to undertake HIV counseling and testing.
  • ICTC-PPP : Established in Private Sector Hospital and their Staff will do the Counseling & Testing SACS Provides training to staff, HIV Testing kits on availability & Logistic Support.

The testing facilities have been rapidly scaled up from 217 in financial year 2012-13 to 409 in the financial year 2014-15.

Sr. No. Type of facility Number
Stand Alone ICTC
1 Department of Microbiology, Medical Colleges 10
2 Department of OBG, Medical Colleges 10
3 District Hospital (male) 83
4 District Hospital (female) 66
5 CHC 233
6 Central jail 03
7 Central JALMA Institute 01
8 S.G.P.G.I. 01
9 Trust Hospital 01
10 TB Hospital 02
FICTC (CHCs, PHCs) 168

The overall goals of the PPTCT programme

National PPTCT programme recognizes the four elements integral to preventing HIV transmission among women and children. They are :

Prong 1: Primary prevention of HIV, especially among women of childbearing age

Prong 2: Preventing unintended pregnancies among women living with HIV

Prong 3: Prevent HIV transmission from pregnant women infected with HIV to their child

Prong 4: Provide care, support and treatment to women living with HIV, her children and family

The National PPTCT programme adopts a public health approach to provide these services to pregnant women and their children. This approach seeks to ensure equitable access to high-quality PPTCT services at the grass-root level while taking into account what is feasible on a large-scale within available health infrastructure, human and financial resources.

Goals of National PPTCT programme are:

  • Primary prevention of HIV, especially among women in child-bearing age.
  • Integration of PPTCT interventions with general health services such as basic antenatal care (ANC), sexual reproductive health and family planning, EID, Paediatric ART and Adolescent Reproductive and Sexual Health (ARSH), TB and STI/RTI services.
  • Strengthening postnatal care of the HIV-infected mother and her exposed infant
  • Provide the essential package of PPTCT services.

Providing lifelong antiretroviral therapy (ART) to all HIV-infected pregnant women-

HIV transmission is known to occur during pregnancy, delivery and breast-feeding. It is estimated that without any intervention the risk of transmission of HIV from infected mother to her child is between 20 to 45%. But with effective use of Anti-retroviral (ARV) drugs, this risk reduces significantly.

ARV prophylaxis using SD-NVP is highly effective in reducing risk of transmission from about 45% to less than 10%, the 10% uncovered risk is unacceptably high since paediatric HIV can be eliminated if currently available drugs are used effectively. The NACO therefore recommends use of more efficacious ARV regimens, using multiple drugs for PPTCT. These regimens can reduce transmission to less than 5% if started early in pregnancy and continued throughout period of delivery and breast feeding