Page 3 of 7PCI has undertaken projects to complete the continuum of care through linkages with relevant projects in Tamil Nadu, thus providing holistic care and support with PLHIV. The projects include:
Community Care Center
The Community Care Center is a project implemented by PCI with support from Tamil Nadu State AIDS Control Society (TANSACS). It is a short term inpatient nursing care facility, acting as a bridge between hospital and home care. The main objective of the care center is to deliver a continuum of care. This involves the promotion of early detection of HIV, focus on the effective treatment of opportunistic infections, reduce mother–to–child transmission of HIV and strengthen the referral services to enable PLWHA to avail specialized services like CD4 testing and Anti retroviral therapy when needed.
The Community Care Centre provides 24 hours medical care, nutrition support, counseling support, behavior modification programs, training for caregivers, recreational activities and referral services.
The Bill and Melinda Gates Foundation–AVAHAN–VHS–TAI
PCI is implementing a community driven prevention program in Salem district that reaches out to female sex workers and their clients. The project is a multi donour inititibe of Bill and Melinda Gates Foundation , AVAHAN initiative, VHS and the Tamil Nadu AIDS Initiative. It aims to promote behavior change and reinforce safer sexual practices among female sex workers as well their clients, and refers those suspected to be included to the PATHWAY program for home–based care.
The project identifies and mobilizes antenatal mothers for counseling and testing, providing anti–retroviral therapy to positive mothers and children, follow–up services for safe institutional delivery, and nutritional support. Pregnant women are referred to the Integrated Voluntary Counseling Centre. If a patient is found positive, follow up activities are pursued.
The GFATM III is a Tamil Nadu State AIDS Control Society (TNSACS) funded initiative through which the state of Tamilnadu aims to increase the demand for prevention, care and support for HIV and TB through community mobilization and partnership building. PCI operates this program in the district of Salem through outreach workers, some of whom are to be placed in the STD (Sexually Transmitted Disease) department and Integrated Voluntary Counseling Centre of Salem and Mettur Government Hospital, while others coordinate in the field.
Pediatric AIDS Initiatives
With the support from Clinton HIV/AIDS Initiative (CHAI) and implementing through NACO a comprehensive pediatric initiative is run, through which a greater number of children living with HIV/AIDS benefit. The comprehensive care and treatment package includes psycho-social, nutritional, medical, and transportation support. Clinton HIV/AIDS Initiative role includes forecasting and procuring the pediatric ARVs for 10,000 children, linking of children living with HIV/AIDS to the nearest anti-retroviral therapy centers, and partnering with non-governmental organizations providing home based care and support to children living with HIV/AIDS. PCI was selected in April 2007 as one of the lead partners through which the care and support components will be rolled out. PCI has been selected as it is currently implementing the home and community based HIV/AIDS care and support programs in Andhra Pradesh, Maharashtra, Manipur, and Tamil Nadu. Nagaland has extensive experience in implementing the home and community based care and support programs with a special focus on children.