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The “Enhanced HIV/AIDS Management Program” is under execution since Dec 2003. The first stage led to Dec, 2008. During the second stage (2009-13), execution of the PC-1 was started in Jan 2009.

The execution of the second stage (2009-13)  PACP will play a role towards accomplishing the following goals by 2013:

To control or opposite the distribute of HIV among the most at threat categories and to keep the outbreak from developing among the connecting categories and the common inhabitants.

To make an atmosphere in the nation where Individuals Residing with HIV can accessibility healthcare and public services and take it easy without experiencing judgment or elegance.

To organize a multisectoral, extensive and maintainable reaction to HIV that is depending on proof, visibility and responsibility and includes the various line ministries, the municipal group and the primary focus on recipients (the PLHIV and the most at threat groups).

TOP Program Components

The elements of the present stage are portrayed as below:

Interventions

Targeted Treatments for most-at-risk communities and connecting categories.

HIV Proper care and Support

Blood Safety

Control of Intimately Passed on Infections

Prevention of Mother or father to Kid Transmitting.

Voluntary Guidance & Testing

Advocacy & Communication

Advocacy

Communication and Stigma Decrease Campaign

Governance & Institutional Framework

Governance

Capacity Building

Programme Management

Monitoring & Assessment of HIV Response

TOP Implementing Mechanisms

To offer extensive HIV treatment and care services for grownups and childrens situations such as free antiretroviral therapy, control over opportunistic attacks, non-reflex counseling and testing (VCT) services and control over acute/chronic proper HIV relevant attacks to HIV + people and their loved ones.Follow up and observe treatment relevant negative effects, toxicities and offer healthcare and emotional assistance in knowing both the illness and treatment requirements.

Provision of incorporated PPTCT interventions in MCH features for all HIV+ females and their loved ones such as threat testing, counseling and secure baby providing options.

Availability and accessibility innovative HIV diagnostics such as CD4 and HIV popular fill testing.

Promote linkages with recommendation services (hospital centered services), group organizations/NGOs and other individuals experiencing HIV/AIDS (PLWHA) to improve accessibility worry and other assistance services (i.e. healthy, financial, social)

To reduce judgment of HIV through approval of HIV + people and make attention of HIV as a curable serious healthcare problem.

TOP Understanding the HIV and AIDS Epidemic

An HIV/AIDS outbreak is identified by the HIV occurrence in the common inhabitants, which is the amount of the inhabitants experiencing HIV. An outbreak is either generalised (HIV occurrence is 1% or more in the common population), focused (HIV occurrence is below 1% in the common inhabitants but surpasses 5% in particular at-risk communities like treating medication customers or sex workers) or low stage (HIV occurrence is not documented at a important stage in any group).

In Punjab as in the rest of the nation, there is a focused outbreak According to the initial review of Circular 4 of HIV/AIDS Tracking Venture (HASP),the occurrence in IDU’s is 37.8%,Hijra sex employees 5.2%,Male sex employees 3.1%,and Women sex employees is 0.6%.

Reported HIV Diagnoses

With revealed determines, each variety indicates an actual beneficial outcome for a individual's HIV analyze. This method of looking at an outbreak can provide an extremely clear picture in terms of real those who have been suffering from the virus, especially when looking at smaller sized areas. However, it is often not a efficient way of evaluating broader styles because many individuals experiencing HIV have never taken an HIV analyze, and not all determines are revealed. However, even in these nations, there are important numbers of individuals who have never taken a analyze and stayed undiagnosed

Another point to remember is that looking at the decades in which individuals examined HIV beneficial does not tell you when they were contaminated - the analyze itself may come many decades after illness occurred. And when looking at HIV reviews, it's important to keep in mind that there might be more than one purpose for styles in the information. A development of determines might not mean that more everyone is becoming contaminated with HIV than in past decades - it might mean, instead, that HIV testing has become more easily available than lately, or that stigmatisation of individuals experiencing HIV has dropped, so more everyone is willing to be examined.

Estimated HIV Prevalence

According to UN reviews there are 97,000 to 1, 25,000 HIV Positive individuals in Pakistan. Thus there is an approximated 50,000 PLHIV in Punjab. However the count of revealed HIV Positive situations in Punjab is 2926.

In most situations, HIV occurrence cannot be perfectly identified from revealed situations because many attacks are undiscovered or unreported. The best reviews are mainly in accordance with the results of reviews of large categories of individuals.In a nation with a generalised outbreak (a innovative stage of illness in the whole population), the nationwide calculate of HIV occurrence are usually mainly depending on reviews of expectant mothers participating antenatal treatment centers. Many research that HIV occurrence among expectant mothers participating treatment centers is generally very similar to occurrence in the adult inhabitants as a whole.According to R4 review, the occurrence of ANC is 0.003%.

Population centered reviews are useful because they tell us how occurrence differs according to sex, competition or other features, but they are usually not the primary source of nationwide occurrence reviews. One purpose for this is that inhabitants centered reviews are much more complex and expensive than antenatal surveys

In a nation with a low-level or focused outbreak (where great levels of illness are found only in particular groups), the nationwide calculate of HIV occurrence is mainly depending on information gathered from communities most at threat - usually sex employees, treating medication customers or men who have sex with men - and on reviews of the sizes of the communities at risky and at low threat. Reports of HIV determines and AIDS fatalities may also be taken into account.

Estimated HIV Incidence

'HIV incidence' is the variety of new HIV attacks in the inhabitants during a certain interval of time. Individuals who were contaminated before that interval frame are not included in the complete, even if they are still in existence.

National reviews of HIV occurrence are usually created by computer designs and are depending on reviews of HIV occurrence. Such designs apply a set of presumptions such as the success duration of those contaminated with HIV and the mother-to-child transmission amount. Trends in HIV occurrence among youngsters and youngsters can provide a difficult idea of occurrence because attacks among this team are likely to have been lately obtained.

Understanding HIV Prevalence and Incidence Trends

In the early decades of a common HIV outbreak, occurrence improves quickly because many everyone is becoming contaminated and few are passing away. However occurrence cannot improve permanently - gradually the loss of life amount (number of fatalities per year) improves to equivalent the occurrence amount (number of new attacks per year), and so occurrence gets to a optimum.

A development of HIV occurrence is not actually a indication of unable protection strategies. Besides a development of occurrence, it could outcome from any of the following:

The loss of life amount has dropped because of developments in treatment and care (this has occurred in high-income countries).The loss of life amount has dropped because less contaminated everyone is passing away due to war, starvation or other causes that had disproportionately impacted people experiencing HIV.

The loss of life amount has dropped due to an previously fall in occurrence (on average, people endure for a moment interval after becoming contaminated, so occurrence styles have a late impact on loss of life trends).

More people experiencing HIV are immigrating than are emigrating (this impacts a variety of high-income countries).

The study prejudice has modified.

Equally, a fall in HIV occurrence is not actually a indication of effective protection strategies, as it could outcome from an improve in the variety of fatalities.It is even possible for HIV occurrence to improve at some point when HIV occurrence is reducing - for example, in a group that is quickly scaling-up antiretroviral treatment supply while also making developments to protection activities. The fall in the variety of new attacks might then be outweighed by the impact of individuals living longer.

TOP Details of Solutions Available

Medical Care

HIV/AIDS relevant medical care (acute and serious control over HIV/AIDS)

Management of Opportunistic infections

Provision of Antiretroviral therapy (ART)

In-patient keep entrance facility

Referral to professional services (i.e. healthcare, medical, childrens, obstetrics-gynecology, emotional, dental etc)

Pediatric care

PPTCT interventions such as C-section, secure distribution, baby providing counseling, and ARV prophylaxis

Counseling Services

Pre-test counseling

Post-test counseling

Individual, partners, family and team counseling

Out-reach professional therapists (PLWHA volunteers)

Referral to COs/NGOs for assistance services and PLWHA groups

Laboratory/Diagnostics

HIV ELISA

CD 4 and HIV popular fill PCR testing ( only available at PIMS, Shaukat Khanum Hospital and Sindh Solutions Hospital)

General lab diagnostics

Radiological support

Facility to send out specific assessments to NIH referrals laboratory

Pharmacy

Inventory of Antiretroviral medicines

Medications for opportunistic attacks & STIs such as some common antibiotics

Nutritional Counseling

Daily calorie requirements

Efficient usage of sources to meet calorie requirements

Healthy way of life choices

Educational materials

Referral to healthy assistance possibilities if needed

TOP Contacts

Office of Punjab AIDS Management Program

First Ground,5 Montgomery Road,Lahore

Phone no: 042-99201098 / 042-99200982

Fax No: 042- 99203394

TOP HIV/AIDS Treatment Centers

Special healthcare middle OPD Space no 4

Mayo Hospital Lahore

Ph #:042-37048843

Special healthcare middle OPD Space no 34

Jinnah  Hospital Lahore

Ph #:042-99231400-23

Special healthcare middle Medical Device IV,

Services/SIMS Hospital, Lahore

Ph #:042-99203402-24 ext 3068

Special Clinic for Children, Pediatric Device 1

Services/SIMS Hospital, Lahore

Ph #:042-99203402-24 ext 3208

Special healthcare middle, Medical OPD

DHQ Hospital, Sargodha

Ph #: 048-9230569

Special healthcare middle, Medical OPD

DHQ Hospital, Dera Ghazi Khan

Ph #: 064-9260224

Special healthcare middle, First Ground Urgent Ward

DHQ Hospital, Gujrat

Ph #: 053-9260101-5

Infectious Disease Clinic

Shaukat Khanum Hospital, Lahore

Ph #: 042-35945100-9

TOP Voluntary Private Guidance and Examining (VCT) Centers

VCT Center,

Services Hospital, Lahore

VCT Center,

Government Said Mitha Hospital, Lahore

Contact No. 0331-4123957

VCT Center,

DHQ Hospital, DG Khan

VCT Center,

DHQ Hospital, Sargodha

VCT Center,

Allied Hospital, Faisalabad

VCT Center,

Nishtar Hospital, Multan

VCT Center,

DHQ Hospital,Gujrat

VCT Center,

THQ Hospital, Jalalpur Jattan, Region,Gujrat

VCT Center,

Benazir Bhutto Shaheed Hospital,Rawalpindi.

Contact No. 051-5564008

TOP HIV/AIDS Tracking Centers

Institute of Public Health,

Lahore

Ph #: 042-37500482

Pathology Lab, Jinnah Hospital,

Lahore

Ph #: 042-99231400-23

Main Medical Lab, Mayonnaise Hospital,

Lahore

Ph #: 042-99211100-9

Pathology Lab, Allied Hospital,

Faisalabad

Ph #: 041-99210095

Department of Pathology, Nishter Medical College,

Multan

Ph #: 061-9200234-37 ext 2068

Pathology Division, BV Hospital,

Bahawalpur

Ph #: 062-9250435

DHQ Hospital,

Sargodha

Ph #: 048-9230341-2

DHQ Hospital,

DG Khan

Ph #: 064-9260220

Sheikh Zayed Hospital,

Rahim Yar Khan

Ph #: 068-9230161

DHQ Hospital,

Jhelum

Ph #: 0544-9270258

DHQ Hospital,

Gujranwala

Ph #: 055-9200109-10

DHQ Hospital,

Gujrat

Ph #: 053-9260101-5

TOP List of PPTCT  Centres

PPTCT Coordinator

PPTCT website,Gynae Device 3

Services Hospital, Lahore

Contact No.042-9203402-24 ext 3090

PPTCT Coordinator

PPTCT Site, Gynae Device 2

Lady Willingdon  Hospital, Lahore

Contact No.042-7659001 ext 2448

PPTCT Central Individual,

PPTCT website,Gynae Department

DHQ Hospital, Gujrat

Contact No.053-9260115

PPTCT Coordinator

PPTCT website,Gynae Department

DHQ Hospital, D.G.Khan

Contact No.064-9260224