KARNATAKA STAT AID PREVENTION SOCIETY BANGALORE-9
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No. 770. 2nd Main, 4th Cross
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Bangalore - 360 039
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PHASE - II OF NATIONAL ADIS CONTROL PROJECT IS SCHEDULED TO BE
IMPLEMENTED FROM 1st APRIL 1999 IN KARNATAKA. THE PROJECT
IMPLEMENTATION PLAN IS PREPARED AND HEREWITH PRESENTED.
THE PROJECT IS PREPARED AFTER DISCUSSION AND CONSULTATION HELD WITH
THE EXPERTS, VARIOUS RESOURCE PERSONS, NACO PROJECT DIRECTOR, CONSULTANTS
OF THE WORLD BANK, TECHNICAL L1ASON OFFICER AND INSTITUTIONS INVOLVED IN
CARE AND SUPPORT OF HIV / AIDS PATIENTS IN THE STATE.
A REGIONAL WORKSHOP WAS HELD IN BANGALORE FROM 1st TO 3rd SEPT. 1998
IN WHICH PROJECT DIRECTOR, NACO AND STATE REPRESENTATIVES AND
REPRESENTATIVE NON-GOVERNMENTAL ORGANISATIONS, PARTICIPATED AND
DISCUSSED ABOUT THE STATE P.LP.
THIS IS THE. FINAL P.LP. PREPARED KEEPING ALL THE GUIDELINES OF THE WORLD
BANK, AND NATIONAL AIDS CONTROL ORGANISATION, GOVERNMENT OF INDIA.
WE THANK ALL THOSE WHO HAVE HELPED IN PREPARING THIS P.LP. REPORT.
( DR. P.N. HALAGI )
MEMBER SECRETARY
KARNATAKA, STATE AIDS PREVENTION SOCIETY
BANGALORE-9
DATED 7TH DECEMBER 1998
BANGALORE
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EXECUTIVE SUMMARY OF THE PHASE 11 AIDS CONTROL PROJECT :
AIDS Control Programme which at present implemented by State AIDS
Prevention Society will be geared up to face the challenges of HIV/ AIDS epidemic
threatening round the corner with the financial support of World Bank, Government of
India, and Technical guidance of NACO. The state is prepared to launch the II phase of
AIDS Control Project. The deficiency observed during the implementation of 1 Phase
AIDS Control project have been thoroughly analysed and discussed with experts.
administrators, and NGOs and draft PIP for Phase II Project is prepared. It is
suggested to give high priority for specific intervention project both at High risk and
Low risk groups with key role of NGOs in AIDS Prevention and control.
The
Surveillance and blood safety measures will be strengthened, priority will be given to
capacity building and modem programme management principles.The Project
implementation plan under Phase II AIDS CONTROL PROJECT - 1999 - 2004 is
prepared for Karnataka State keeping in view of cultural and social factors of the state
and the activities will be implemented on a time bound basis in all the five years of the
project period. The intervention among commerical sex workers and devadasi system
prevailing areas will be taken up involving active non governmental organisations
which are already having experience in this task.
The truck routes perticularly
highways where truckers from other states from Maharashtra. Tamilnadu. fgndicherry.
Page.3
Kerala, Goa, Andhra Pradesh, which are bordering the state with high prevalance of
HIV/STD infection particualry in Maharashtra, Tamilnadu, Goa, Andhra Pradesh, are
passing though Karnataka state and hence this area needs effective intervention
programmes. Accordingly dedicated non governmental organisations will be involved
under Truckers project and monitoring and
supervision activities under this
component will be intensified in all the five years of the project period and care will be
taken to check the cross border spread of HIV infection and Sexually Transmitted
Diseases among the High Risk Groups.
The Information, Education and Communication materials will be developed based on
the socio cultural factors prevailing in the state covering all the four revenue divisions
i.e., Banagalore division , Mysore division, Belgum division, and Gulbarga division.
The state Highways and other transport network will also be covered for awareness
creation on healthy
life styles and AIDS/STD Prevenition and control.
To create
awareness among the General community including Highschools and Colleges, the co —
operation and co - ordination of all medias print. Electronic and folk medias will be
utilised effectively. The components under AIDS prevention and control particularly.
programme
management,
HIV
Serveillance,
AIDS Case Serveillance,
Sexually
Transmitted Disease Serveillance. STD Control including strengthening of STD Clinics
page. 4
Blood safety. Voluntary testing and counselling, training. Information, Education and
Communication and targetted interventions among high risk and low risk groups will
be given priority during Phase II AIDS Control Project.
The Karnataka State AIDS Prevention society is established and registered under
Karnataka societies Registration Act 1960 during December 1997.
Karnataka is expected to achieve all success in the implementation of II Phase AIDS
Control Project.
Page. 5
KARNATAKA STATE : PHASE II - AIDS CONTROL PROJECT
OUTLINE FOR STATE PROGRAMME IMPLEMENTATION PLAN ;
PROJECT DESCRIPTION:
Background (Situation Analysis)
Karnataka has a total area of 1.92 lakh Sq.Km. with a population of 45 million (1991
Census). Current estimates (1997) of the population in this state is 50 million. The density of
the population in the state is 235 per Sq.Km. The sex ratio is 960 females for 1000 males.
The population of Karnataka is distributed in 27 districts including Bangalore which is
divided into two districts Viz. Urban and Rural. Karnataka has been providing health care
through primary health care centres (1601), community health centers (242), and hospitals
(176). In addition there are a number of private nursing homes, hospitals and Corporate
Medical Institutions which cater to the population. The crude Birth Rate is 23 and the crude
Death Rate is 7.3 per sample registration survey which is well below the National Average.
AIDS Prevention and Control was initiated in the State under the Technical Guidance of
Indian Council of Medical Research during 1987 and one AIDS Surveillance Centre, was
established in the Department of Microbiology, Victoria Hospital/Bangalore Medical College,
Bangalore. The First HIV Sero-positive individual was detected in the State during 1988 and
the First AIDS case was also reported during the same year. Subsequently with the financial
assistance of Government of India during 1989-94, Blood Safety Programme was commenced
and action initiated for strengthening and modernization of Blood banking system in the State
From then onwards HIV Sero-Positive cases and AIDS Cases is being reported every year.
The State AIDS Cell, was established in the Directorate of Health and Family Welfare
Services, Bangalore-9. In May 1992, under the World Bank Assisted - Phase - I Project with
the Financial Assistance and Technical Co-operation of National AIDS Control Organisation.
Ministry of Health and Family Welfare, Government of India, for a period from 1992 to 1998.
No bilateral agencies are providing financial assistance to Karnataka State under AIDS
Control Programme at present. The Karnataka Net Work for People Living with HIV/AIDS
(KNP+) is registered during September 1998 under Kamatak State Societies Registration Act
I960 and is involved actively in .AIDS Prevention & control activities
Major Achievements in Phase I
1. Blood Safety
Blood safety was accorded top priority by Karnataka and 10 (ten) zonal Blood Testing
Centres have been established in the State during Phase I In addition, one Blood Component
Separation Facility - was established at Bangalore. Modernisation of Blood banks was taken
up in a phased manner and to-date a total of 51 Blood Banks which include 37 in the
Government Sector and 14 in the Private Sector have been modernized. Furthermore all the
Licensed Blood Banks (81) in the State are linked to Zonal Blood Testing Centres. A State
Blood Transfusion Council has been established.
Page. 6
2. Surveillance
Until 1992 Surveillance for HIV infection was carried out in the State at the Dept. Of
Microbiology, Bangalore Medical College, Victoria Hospital under the 1CMR guided
programme. Since 1992, two more AIDS Surveillance Centres were established at Department
of Neuro-virology, National Institute Of Mental Health and Neuro Sciences (NIMHANS),
Bangalore and at Department of Microbiology, Kasturba Medical college, Manipal. Sentinnel
Surveillance was initiated in the State among STD patients in 1994 and ANC cases in 1996.
At present Sentinnel Surveillance is being carried out at seven STD clinics and one AnteNatal Clinic across the State. In addition. Five new Sentinnel Sites have been approved by the
NACO recently (three ANCs, one STD clinic and one Drug Deaddiction Centre) and
Surveillance will be initiated at these sites soon.
3. NGO activities
The State has been fortunate to be endowed with highly committed NGOs which have
initiated and carried out excellent work in various spheres of HIV/AIDS, some of which has
been trend-setting for the entire country Viz. :
(i) Intervention among Commercial Sex workers of Bangalore. Unlike other Metropolis and
major cities in the country. Bangalore does not have an organised Red Light District. Yet an
NGO from Bangalore has been able to make significant progress in understanding the
dynamics of commercial sex work and initiate and continue various HIV prevention
programmes for the sex workers since 1993. Similarly is Belgaum Dist. Known for C.S.W, an
N.G.O called BIRD’S (Belgum Integrated Rural Development) project is involved in awamess
and educational activities including condom promotion to the clients.
(ii) Care and Support has been the primary of focus of three NGOs in Bangalore which have
been catering to the health needs of PLWHAs. These NGOs have established good liaison
among themselves as well as with major Government and Private hospitals in the city.
Counseling has been given a major focus by all these three NGOs. One of them is a large
centre (60 beds) devoted to HIV/AIDS as well as substance abusb and is serving as one of the
model centres for the country.
(iii) The Well Women’s Clinic Concept. Realizing the vulnerability of women in HIV/AIDS
epidemic an NGO in Bangalore has taken the initiative of setting up a Well Women’s Clinic
with a view to increase the accessibility of services to women who are vulnerable for HIV
infection through a ‘‘holistic care” approach. This clinic caters to the health needs and focuses
on early detection and management of Reproductive Tract Infections. It also offers counseling
services The success of this three year old venture has inspired another NGO to extend this
concept to several areas across the entire city-a major project termed "‘Suraksha’
(iv) The NGOs, Doctors from Major hospitals caring for PLWHAs and the State AIDS cell
have together recently constituted an informal forum called “AIDS Forum Karnataka ’ (AFK)
This forum will facilitate monitoring of intervention activities. Care and Support, IEC
activities in the field of HIV/AIDS. AIDS forum is organising awamess programme for the
general public on Is1 of every month at public places.
(v) Truckers programme: An NGO in Bangalore has initiated an awareness and prevention
programme for truckers and their helpers at Bangalore and Mangalore. This program has
been successfully implemented since 1994.
Page 7
4, Strengthening of STD Clinics
STD clinics across the State in various districts have been strengthened by providing
drugs, better facilities for diagnosis as well as training of STD specialists and para- medical
staff in HIV/AIDS diagnosis, management and counseling. Syndromic and etiological
approach for the management of STD Cases under STD surviellance activities.
5, IEC activities
Various IEC activities were undertaken during Phase I in the State. They included
those sponsored by the State AIDS cell as well those sponsored by NGOs. These activities
were
developing TV spots and Radio jingles. World AIDS day and Voluntary Blood
Donation Day celebrations, developing Street plays in regional language. Folk Media
activities, NSS sponsored awareness programmes in colleges, NGO sponsored awareness
programmes in schools, colleges and industries and Sensitisation Workshops conducted for
elected representatives and Zilla Panchayath Members at the District Level. An NGO in
Bangalore has set up a HOTLINE for answering queries on various issues pertaining to
HIV/AIDS- this is the third of its kind in the country
6, Training activities
Realising the importance of training the State AIDS cell initiated these activities in 1992 and
has been carrying them out on a regular basis for various sectors including Dist Health Officers
and Dist. Surgeons, Faculty Members of Government and Private Medical Colleges, STD
Specialists, Medical Officers of STD clinics and Paramedical Staff of all District Levels STD
clinics. Faculty Members of Health and Family Welfare Training Centres, Health care
providers and NGOs, Hospital administrators, Zilla parishad members. Dental Surgeons, ESI
doctors. School teachers. Truck drivers etc.
7. State AIDS Control Society - The Second in the country
The State has not lagged behind in setting up the Karnataka State AIDS Prevention Society
It is the only other State to do so after Tamil Nadu and underscores the commitment and the
high priority accorded by the Government of Karnataka towards the prevention of HIV
spread in the State.
CURRENT SITUATION
As seen from the data available, it is noticed that there is a gradual increase of HIV
infection and AIDS cases in the State, more so during the last three years. Serosurveillance
was initiated in 1987 and at that time there was no HIX’ infection detected in the state. By the
end 1988 the HIV seroprevalence rate was 2.5 per thousand samples tested and in 1993 it
was 11.3 per thousand and currently it is 54.8 per thousand samples tested The analysis HIV
Seropostivity rates in the various categories studies indicates that the infection is spreading at
a rapid rate predominantly through the sexual route is the general population.
Page. 8
For instance. Sentinel Surveillance data obtained from seven STD clinics across the state have
shown HIV prevalence as high as 30% and there has also been a slow but steady increase in
the infection among antenatal mothers (0.5%in 1996 to 1.75% in 1998). Several Hospitals are
reporting increasing numbers of AIDS cases in recent times and it is evident that High Risk
behaviour is prevalent almost in all Districts of the State as well as the major Cities like.
Bangalore, Mangalore, Mysore Hubli-Dharwar, Belgaum, Bijapur, Gulbarga and Raichur
(Figures reflected vide Annexure I).
REVIEW OF PAST EXPERIENCE :
Apart from the significant contributions and progress made by the State AIDS Cell
and other agencies including NGOs there were several lessons learnt Karnataka by the end of
Phase I and they are listed below under various headings :
IEC : During Phase I Considerable efforts have been put into creating awareness both by the
State AIDS Cell as well as the NGOs working in the field, yet the socio-cultural and regional
considerations within the various parts of the State have brought forth the following field
realities
(i) need for the development of culture specific, purpose specific ( E g.
Interventions Vs general awareness needs) messages (ii) a need for the development of
messages which are not based on fear (iii) messages for women and children who are more
vulnerable for HIV infection.
Surveillance and Clinical Management : Karnataka has initiated and is successfully carrying
out Sentinnel surveillance since 1994. Yet there is need to expand and strengthen the
Surveillance system. Similarly, HIV testing for voluntary and diagnostic purposes also needs
to be expanded since they are at present three centres are inadequate for a large state.
Moreover all the three testing/Surveillance centres which have been catering to the diagnostic
needs are located in the Southern part of the State.
People Living with HIV/AIDS (PLWHAs) : Specific strategies need to be evolved which
addresses the needs and concerns of PLWHAs. While clinical care and counseling is being
provided for PLWHAs at some centres in the State there is an urgent need to expand these
facilities especially due to the rapid spread of HIV during the last two to three years resulting
in increasing number of symptomatic subjects requiring care. These services must be easily
accessible to all PLWHAs and preferably under one roof which would avoid unnecessary
running around. PLWHAs need to be involved in various activities and decision making bodies
within the State including providing membership in the State AIDS Society Such a move
would serve to empower the PLWHAs.
Blood Safety
A number of issues pertaining to Blood Safety have already been covered
during Phase 1. Yet two issues could not given sufficient attention during Phase I Viz. (1) the
performance and monitoring of the various blood banks strengthened during the Phase could
not be evaluated and (2) sufficient emphasis was not placed on the rationale of using blood .
Quality control of blood banks will be implemented in state, the Microbiology department of
Victoria Hospital Bangalore will be identfied as referral center for quality control assurance.
Page. 9
Program Management : The lack of an AIDS control Society until recently has lead to the
delay in sanctioning of funds for the various activities of the Sate AIDS cell. The lack of
Adequate Staff in the State AIDS cell was another major factor for delay in implementation of
some components of the programme. Similarly, the delay in supply and procurement of
appropriate training materials and modules resulted in a lot of hardship for the various training
programmes as well as IEC activities. The lack of Advocacy within the top Governmental
Sectors also was a major deterrent to the programme.
Intersectoral Co-ordination : This was one area which was not paid much attention during
Phase I due to various administrative and human resource constraints. As a result
Governmental sectors perceived HIV/AIDS as a special issue under the Department of Health
and not as a developmental issue . It also resulted in lack of Co-ordination with NGOs
working in the field leading to a feeling of neglect amongst them.
LIMITATIONS IN IMPLEMENTATING THE PROJECT
1. Supply of drugs on time and continuety of care and treatment
The provision of drugs and other consumables are to be provided to the Centres/Hospitals
On time. The procedural formalities will delay the procurement of itmes. Hence there is a
need to simplify the procurement procedures.
2. Laboratory diagnosis facilities for voluntary testing in all Districs.
The existing three voluntary blood testing centres, two at Bangalore and one at Manipal is
inadfejuate to provide testing and counselling facilities for the entire state and hence there
is a need to establish voluntary testing and counselling facility in all Distric level Hospitals
and Major Hospitals.
3. Lack of full participation by NGO’s.
There is a need to identify and select dedicated NGO’s to take up awamess activities on
HIV/A^JS/STp Control activities and also for care and support. In the 1 Phase project it
is ex^eanced that majority of NGO’s became dropout after the receipt of first instalment
of grants and most of them have not submited the expenditure statement and utilisation
certificate along with thejigprisal certificate from the respective District Health and FW
Officers. And most o^NO^s^ave not complfted the original project(complitlV and
{[uStativefy,
4. Treatment and counselling facilities
There is a need to provide drugs and counsumbles with provision of trained counsellers at
all District Hospitals and Major Hospitals fo(ftrgtment of oppertumstic infections among
people leaving with HIV/AIDS. which was not provided in the f^hase I project.
5. Clear Policy guidelines on testing.
The existing HIV testing policies needs to be spelt out properly and the HIV test Kits
should have highest specificty and sensitivity. There is a need to monitor the private
diagnostic laboratories where they use different kinds of test kits which donot have
uniformity in testing^rocedures There is a need for^standred^guidelines and policies for
the entir^cuntory tor HIV testing procedures.
Page. 10
KEY ISSUES TO BE ADDRESSED IN PHASE II OF THE PROJECT :
1. Interventions:
•
•
•
•
Understand the dynamics of Commercial Sex work within the various parts of the state
and evolve appropriate strategies for intervention among sex workers
To set up intervention programmes for other vulnerable populations in the State (IVDUs,
MSMs, Devadasis etc.)
To replicate the Well Women’s Clinic Concept which has been successful m Bangalore so
as to increase access of health care to women, which in turn would lead to early detection
and management of reproductive tract infections.
The above intervention of CSW’s will be taken up with the help of identified NGO s
alleady working for the area specific intervention projecs.
2. Care and Support:
• To evolve low cost community based Care and Support programmes that can be easily
replicated in the various parts of the State
• To be accountable to PLWHAs and to institutionalise them in the programme.
3. To increase NGO involvement and community participation, especially in the Districts for
intervention and Care and Support projects. NGO participation will be on an ‘equal
partnership’ basis with the State AIDS Prevention Society so as to facilitate better Co
ordination.
4. To strengthen STD services by providing training to doctors in Syndromic management of
STDs at the Taluk level hospitals.
5. To further strengthen the Sentinnel Surveillance system and Voluntary testing facilities as
well as Monitoring the Blood Safety Programme
6. Decentralisation of the programme to the District level by setting up District level Societies.
In high prevelent areas in Mangalore, Belgaum and Bellary.
7. To set up an aggressive Advocacy programme within and outside the Governmental
framework in order to facilitate Inter-Sectoral Co-ordination
PROJECT DEVELOPMENT OBJECTIVES
The efforts to reduce HIV transmission to continue, main focus is given on High risk
groups, low risk groups to reduce the spread of HIB infection, reduce the impact of AIDS.
Morbidity Mortality, Socio-Economic Problems and depletion of Wealth and to Strengthen
Capacity Building to fight challenges posed by HIV/AIDS Epidemic. In Karnataka State
Intervention Programmes among Devadasi system is prevailing in Belgum and other Nonhem
part of the state is planned to be stepped up. The National Highways bordering Maharashtra,
Page. 11
Goajamilnadu, AndhraPradesh and Kerala where large number of Truckers will be travelling
and moving across the border including coastal areas, and heance there is need to check cross
border HIV/STD infection in the community. In addition the other transport networ is a so
planned to be taken care of involving NGO’s for awamess creation activities and treatment
facility for S T D. cases among the highway transport staff.
PROJECT STRATEGIES/COMPONENTS)
COMPONENT I
Targetted Intervention Among High Risk Groups
Sex worker Protection, RTI / STI Programme, Condom Promotion,
Men Having Sex with Men Protection, Migrant Workers Protection,
Women workers Protection, and Truckers Project.
Continuation of Strengthening of STD Clinics.
COMPONENT II Targetted Intervention Among Low Risk Groups.
Blood Safety Programme, Voluntary Testing and Counselling centres.
And Information, Education and Communication
COMPONENT in
Surveillance,
Programme Management, Institutional Strengthening,
Operational Research & Research and Development,
Training Programme.
COMPONENT IV
Low Cost Community Care Centres.
Care and Support.
COMPONENT V
Inter Sectoral Collaboration.
IMPLEMENTATION ARRANGEMENTS
functioning as a society with Head quarters in Bangalore. The society is an independent
autonomous authority vested with full executive and financial powers
the affairs of the society.
Page. 12
The executive immunity of the society is responsible to the general body for efficient running
of the affairs of the society which will meet once in a month or frequently if necessary for
monitoring and supervision of various activities und^AIDS Prevention and control with
financial powers. The president of executive grtfimunity is the secretary to Government of
Karnataka Health and Family welfare Department. The member secretary the society will
be the project Director for AIDS Control project and he will be responsibal for day to day
management affairs of the society and chief executive of the society.
/
The Pattern of staff suggested in the organogram, by the world bank / NACO for Phase II
AIDS Control Project 1999 - 2004 will be createdjilied up shortly in due course.
The Criteria for selection of NGO’s for implementation of various activities under Targetted
Intervention Projects will be followed as per the guidelines already provided by NACO. The
Karnataka State have already formed a District Level committee under the chairmenship of the
District Deputy commisioner with District Health and FW Officer of the Districts as member
secretary of the District level committee where in the project proposals of the NCOS Will be
scrutinized and short listed in the district level committee and will be forwarded to state AIDS
prevention society for scrutiny and consideration by the NGO Advisor and officers of the
society which in turn submit the proposals to the executive committee for obtaining approval
and sanction for relase of grant in aid financial assistance to NGO’s for implementation of their
projects in the respective areas. Further a thorough monitoring and supervision of NGO
activities will be taken up by the district committee and also by State AIDS Prevention
Society.
ORGANISATIONAL
ARRANGEMENT FOR IMPLEMENTATION
OF
ACTIVITIES through AIDS Prevention Society at the State Level and to provide technical
advise to Dist. Level, Block level Hospitals on safe Blood, testing and Counseling, STD
Services, Surveillance, Clinical care, and to implement targeted interventions, including
condom promotion and Sex Education.
Specific Responsibilities will be entrusted to the implementing agencies
The
Organogram suggested by NACO. Govt, of India will be followed and action will be taken to
fillup all the posts in the Karnataka State AIDS Prevention Society as per the Organogram
The Dist. Nodal Officers for AIDS at District Level and other functionaries, the Dist
Health and FW. Officer and District Surgeons/Medical Supenntendents/Medical Officer Vc. of
Blood Banks and STD Clinics will be suitably advised on implementation of various activities
on a time bound basis.
Page. 13
SUMMARY OF IMPLEMENTATION PROGRAMME
Major components and activities to be implemented under the project in Karnataka are as
follows:
COMPONENT I: TARGETED INTERVENTIONS AMONG HIGH RISK GROUPS
Targeted Intervention Projects will be planned to be taken up with active involvement of
selected active NGOs giving emphasis to creation of awareness, education, IEC, STD Control
and promotion of condoms among High Risk Groups: CSWs, MSM, migrant workers, women
STD patients and truckers.
Depending on the prevailing risk behaviour groups in the State, intervention project
will be taken up in all the Districts and major cities. This will be area specific and group
specific intervention specific. The type of interventions planned in Phase II for Karnataka are
listed below:
1. Sex worker protection.
2. Protection of women workers.
3. Reduction of STIs amongst women.
4. Protection of migrant workers.
5. Men having sex with men.
6. Awareness and prevention among truckers.
7. Continuation of strengthening of STD Clinics.
The intervention among substance abuse will a part of intervention strategy in
i all the above
sub components.
Page. 14
SEX WORKER PROTECTION
Component 1
Sub Component
Targeted intervention among sex workers
Primary Objective
Behaviour change amongst sex workers leading to
reduction in the risk of HIV infection
Secondary Objectives
1. To undertake a mapping of the sex_ industry—in
Karnataka leading to a district and city-specific
understanding of the dynamics and behaviour of sex
workers and their clients
I
2. To understand and define Safer Sex Negotiation skills
3. To undertake district and city-specific Behaviour
Change Communication Strategies leading to the
promotion of safe sex and STD treatment-seeking j
behaviour amongst sex workers and their clients
4. To reduce the vulnerability of sex workers to social
and legal factors by undertaking a proactive strategy
to assist government and non-govemment institutions
in understanding and dealing with sex workers in
their special circumstances
♦
Strategy
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Page. 15
1
A>*'
The programme will commission ajnapping of the sex ?
industry in Karnataka with the assistance of nodafand /
academic agencies such as the Institute of Social &
Economic Change, Bangalore', and FEVORD-K
(Federation of Voluntary Organisations in Rural
Development-Kamataka)
The programme will involve behavioural scientists and
sex workers to define practical Safe Sex Negotiation
Skills
♦ The programme will involve applied communication
specialists and behavioural scientists in ^the
formulation of manuals that will allow HIV/AIDS
interventionists to
plan
area-specific
BCC
programmes
• -The programme will undertake sensitisation
workshops with elected representatives, bureaucrats,
enforcement officials, NGO representatives and the
media to bring about a more secure environment for
sex workers leading to effective HIV/AIDS control
and prevention interventions.
V Co
Component 1
.
PROTECTION of women workers
Sub Component
Primary Objective
Secondary Objectives
Taraeted intervention for women labour-intensive industrial
units in the unorganised sector - eg: garment factories /
tailoring units
1. To undertake a mapping of all woman labour-intensive
industries in the unorganised sectorm Karnataka leading
[ to a district and’city^specific understanding of the needs
and vulnerability of women in thesejituations
2
To understand and define mechanisms which reduce
women’s vulnerability to sexual harassment in the work
place
Strategy
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Page. 16
i
Reduction of vulnerability to sexual exploitation leading to
reduction in the risk of HIV infection
To undertake industry-specific inten/entions leading to the
reduction of sexual harassment and vulnerability to H
infection of women workers in the unorgamsed sector
The programme will commission a mapping of all woman
labour-intensive industries in the unorganised sector in
Karnataka with the assistance of nodal and academic
agencies such as the Institute of Social & Economic
Changef Bangalore, Shramik Vidyapeeths, and Trade
Union Federations^
The programme wiU involve behavioural scientists, lawyers,
HRD specialists, trade unionists and womeni workers to
in sexual
' define mechanisms that will lead to reduction
i------harassment of women in the work place.
II The pro^amme will involve behavioural scientists, lawyers,
---------- in the
HRD specialists, trade unionists and1 women 1workers
the
reduction of
formulation
of industry-specific
luiiiiuianvu v/i
-j--------- leading
— to
.
sexual harassment of women workers
in
the
unorganise
----sector, and their vulnerability to HIV infection
The programme will undenake sensitisation workshops wirt
industry representatives, trade unionists', labour officials,
enforcement oflfcials, NGO repreTemTtfves and the med.a to
hnntHEout a more secure environment for sex women
waters in the unorgajused^ectoFZleadingjoJffective
HIV/AIDS control and prevention interventions.
s
i
I
I
i
REDUCTION OF STIs AMONGST
WOMEN
Component 1
Sub Component
targeted intervention to reduce the risk of HIV
transmission in women
Primary Objective
To develop a package of educational, syndromic and
clinical STI/RTI services that will provide women a nonstigmatising environment and allow them greater I
capability' to protect themselves from the risk of HIV
infection
Secondary Objectives
1. To create a replicable and gender-sensitive model of
STI/RTI services, involving the concept of a Well
Women’s’ Clinic that allows women to openly access
services without stigma
2. To promote STI prevention/treatment as an HIV
preventative measure amongst women and their
spouses in a manner that is gender-balanced, culturally
sensitive and acceptable
•
Strategy
CX/
A
N4
'
Page. 17
■
Because 60% of all STIs in women are asymptomatic,
and because of cultural factors that does not lend
itself to a safe sex negotiation environment, there is a
need to reach out to the larger society of women
including housewives. The programme will promote a
package of STI/RTI services which because of its
reproductive health framework will allow women to
access the clinics without fear of stigma. The clinics
will also function as district nodal training centres for
syndromic management of STIs.
Bv focusing on reproductive tractI infections, the
programme will reach out to women with information
c / .
about STI and HIV/AIDS in a manner that is
/ - V\ X culturally sensitive. As pan of its extension services,
the programme will also focus on male reproductive
V health and sexual education to create an environment
which both educates males, and makes them willing
partners to responsible behaviour
•
PROTECTION OF MIGRANT
WORKERS
Component 1
Sub Component
Targeted intervention for migrant workers
construction workers, hotel workers, dock workers
Primary Objective
Behaviour change amongst migrant workers leading to
reduction in the risk of HIV infection
Secondary Objectives
1. To undertake a mapping of all migrant worker
activities in Karnataka leading to a district and city
specific understanding of the needs and vulnerability
of migrant workers in these situations
eg
2. To understand and define Safer Sex Negotiation skills
Strategy
0^
^7
< K
• yv
* ■
3. To undertake district and city-specific Behaviour
Change Communication Strategies leading to the
promotion of safe sex and STD treatment-seeking
behaviour amongst migrant workers
The programme will commission a mapping of all
migrant worker activities in Karnataka with the
assistance of nodal and academic agencies such as the
Institute of Social & Economic Change, Bangalore,
Shramik Vidyapeeths, and Trade Union Federations
•
•
The programme will involve behavioural scientists and
sex workers to define practical Safe Sex Negotiation
Skills
The programme will involve applied communication
specialists and behavioural scientists in the
formulation of manuals that will allow HIV/AIDS
BCC
area-specific
plan
to
interventionists
programmes
V
©
Page. 18
Component 1
MEN WHO HAVE SEX WITH MEN
PROTECTION
Sub Component
Targeted intervention among Men who have sex with
Men
Primary Objective
Behaviour change amongst Men who have sex with Men
leading to reduction in the risk of HIV infection
Secondary Objectives
1. To undertake a pilot study in Bangalore leading to a
city understanding of the dynamics and behaviour of
Men who have sex with Men (MSM)
2. To undertake city-specific Behaviour Change
Communication Strategies leading to the promotion
of safe sex and STD treatment-seeking behaviour
amongst Men who have sex with sex
3. To reduce the vulnerability of men who have sex with
men to social and legal factors by undertaking a
proactive strategy to assist government and non
government institutions in understanding and dealing
with sex workers in their special circumstances
4. To promote the formation of a CBO
Strategy
•
The programme will commission a pilot study of Men
who have sex with Men in Karnataka.
•
The programme will involve behavioural scientists and
Men who have sex with Men to define practical Safe
Sex Negotiation Skills
The programme will involve applied communication
specialists and Men who have sex with Men in the
formulation of IEC materials that will allow
HIV7AIDS interventionists to plan area-specific BCC
programmes
The programme will undertake sensitisation
workshops with elected representatives, bureaucrats,
enforcement officials, NGO representatives and the
media to bring about a more secure environment for
Men who have sex with Men leading to effective
HIV/AIDS control and prevention interventions.
•
Page. 19
AIDS Awareness and Prevention Program among Truckers in Karnataka
Overall Goal:
To improve the accessibility to sexual health services for truck drivers &
their helpers, who traverse the State of Karnataka.
SPECIFIC OBJECTIVES:(1) To educate the target group about HIV/AIDS & to remove the misconceptions
regarding the same prevailing among them.
.
(2) Services for prompt detection & treatment of sexually transmitted diseases should be
made available to the target population.
(3) To educate them about proper use of condoms which should be promoted as one o
the most important measures in preventing the spread of this disease.
(4) Condoms free/branded should be made accessible to the target group at all the halt
points & places with high concentration of CSWs.
STRATEGY FOR 5 YEARS:1st Year.(1) An advocacy Meeting to be conducted to sensitise & inform all the authorities at the
district level under whom this project is going to function regionally.
- 2 Months
(2) To identify ideal halt points for intervention throughout Karnataka
- 2 Months
(3) To identify Governmental & Non Governmental Organisations in the respective regions
for planning & implementing the Programme.
- 2 Months
.
,
(4) Sensitive & motivate all the partner Organisations by involving them right from the
planning process in the Project.
- 7th Month
(5) A Workshop to be conducted for developing Project Proposals for all the partner
organisations.
Sth & 9th Months
(6) Proposals to be scrutinized & approved by the Society 10th Months.
(7) Proposals to be approved & partner Organisations to be contracted for implementation
of the Programme 1 Oth Months
2nd Year:(8) In the Pilot phase i.e. i st Year 10-12 Organisations could be contracted.
(9) With the lessons learned in the 1 st Year & to remove & expand the services, many
other organisations could be brought into the network based on the need for the same.
(10) By the end of 2 years, the partner organisations involved in the pilot phase would have
completed one year in the project & other Organisations required to cover all the truck drivers
& helpers throughout Karnataka would have been contracted. The No. of such organisations
to be contracted will be based on the No. of points identified as ideal halt points for interaction
in Karnataka.
Page.20
(11) Periodical training programmes would be conducted in the 1st, 2nd & 3rd Year to
(12) Concerned authorities in the district level should be involved in planning, implementing
& evaluating the progress in the Project at all levels.
.
(13) In the 3rd Year, the focus should be more on behavioural change communication &
counseling with quality based intervention.
4th Year & Sth Year:(14) The 4th & Sth Year should be devoted for sustainability.
INDICATOR OF PERFORMANCE:(T) No of truck drivers interacted with in each month at the specified halt points.
(2) Their level of knowledge about HIV/AIDS assess by random survey at the end of 1st
Year should have improved compared to that at the beginning of the project.
(3) The No. of persons using condoms should increase shown by an increase in the demand
for freely supplied as well as the popular brands sold in the shops.
(4) An increase in the No. of truck drivers visiting the health centres in the halt points tor
STDs
.
n
u
(5) No. of drivers seeking treatment in the earlier stages of STDs should improve.
(6) The No. of drivers who come for follow up should improve.
MONITORING & EVALUATION:-
As mentioned earlier the district level authorities should be involved right from the planning
stage up to the periodical monitoring
.,
of the activities of partner organisations in their region. The society at the state level should
appoint external consultants who would visit the partner organisations periodically m order to
give a feed back on their activities to the society. The society at the state level should conduct
a Meeting at least once in 6 months consisting of the Consultants, representatives from distnc
level society, representatives of the NGO Advisory Committee, members of the Technical
Advisory Committee & members of the state level society. This opportunity should be utilised
to review the progress, to identify any constraints & to plan for further strengthening o t e
Programme in future.
EVALUATION:Each project partner will send a Quarterly Report of the Project to the state level society &
the society based on these reports & indicators as mentioned above will do an evaluation once
in 6 months. Independent evaluation by an outside agency will be taken up
CONSTRAINTS:-
(1) Truckers are highly mobile population so follow up is very difficult.
(2) Most of them are illiterates or semi literates.
(3) Most of them are alcoholics or drug addicts (Opium) which influences their sexual
behaviour.
[Page.21
COMPONENT NO. II
TARGETTED INTERVENTIONS AMONG
LOW RISK GROUPS
BLOOD SAFETY PROGRAMME
1. The Blood Safety programme is an impartant sub - component under component II,
which mainly focusses on complete Blood Transfusion Safety and reduction of HIV
transmission through Blood and Blood products.
The Programme aims at encouraging voluntary Blood donation Movement. The
Karnataka State has established the State Blood Transfusion council during July 1996 and
is made functional
Under Phase - II AIDS Control Project it is planned to continue the existing one
Blood component Seperation Centre and will initiate action for establishment of two New
Centres at Karnataka Institute of Medical Sciences Hubli and M R Medical College
Gulbarga during the second year of the project to ensure the availability of services in the
entire State on a regional basis and are attached to Medical Colleges. The unit cost
required is worked out as per the existing pattern of NACO, and the costing is reflected as
per the World Bank Guide lines vide annexure.
2. ZONAL BLOOD TESTING CENTRES:
The existing Ten Zonal Blood testing Centres will be continued in the II Phase of
the Project. The equipments have already been supplied by NACO during the I - Phase of
project, the requirement of budget for laboratory supplies and consumables is worked out as
per NACO Guide lines and reflected in the prescribed formats. The funds required for salary
component is worked out as per the pay and scale of the State Pattern.
3. Modernisation of Blood Banks
In Karnataka State the Civil works and Equipments supply including the Elisa
Reader and accessaries to the Blood Bankes is taken care of under the Karnataka Health
systems Development Project and the building maintainance and equipment maintainance
will be taken care under K.H.S.D.P and hence, the same is not claimed under phase-II AIDS
Control Project
The funds required for Laboratory supplies and consumables. Salaries of
Laboratory Technicians (Technical Assistants) is worked out as per the existing NACO
Guidelines and States pay scale and cadre etc. and is reflected in the annexure
The training of personnel working in the Blood Banking system is reflected under
Phase-11 Project and a nominal operational contingency expenses is also worked out and
shown in the annexure.
The detailed break-up costing is worked out vide annexure.
Page. 22
I
number of units collected, number of units transfused; number of components requested;
number of components issued; number of HIV infections; number of voluntary donations;
performance in quality assurance program.
The institutions responsible would be all licensed blood banks in the government sector as well
as those in the private sector which have been strengthened under Phase I by the State AIDS
Cell.
Blood Safety
Objective: (i) To monitor the use of blood and emphasise the need for rational use of blood
and blood components.
(ii) To meet all requirements of the state through voluntary donation.
(iii) To establish quality control of blood banking system in co-ordination with Drugs control
department.
Strategies:
It is proposed that by the middle of Phase II, each of the 27 districts of the state would have
one modem blood bank, with component separation facilities. This would be the nodal point
for blood collection, testing and component separation, from where the requirements of the
entire district would be met through distribution centers. All district blood banks in the state
would be monitored using the following parameters:
Additional output supported under various other projects.
1. Building facilities and maintenance and supply of equipment and repairs and maintenance
is taken care under World Bank Assisted Karnataka Health Systems Development Project
2. Blood Bank intelligence system is already established in the state with the support of
Drugs control Department in Karnataka which will monitor licensing and other blood
banking system.
Page. 23
Voluntary Testing and Counseling Centers
OBJECTIVES
TO PROVIDE VOLUNTARY TESTING AND COUNSELING
FACILITIES AVAILABLE AT EACH DISTRICT IN THE STATE
: At present there are only three Voluntary Testing Centres in the State
PROPOSAL
and they are located in the Southern part of the State- two in Bangalore and one in Manipal.
The total number of Districts in the State are 27 and therefore it is proposed to start 25
additional centres during the II Phase, to ensure atleast one voluntary testing center is
established in each district and counsellors in these voluntary testing centers will be entrusted
to NGOS These centres will provide Voluntary Confidential testing. Pre and Post Test
Counseling, and testing for diagnostic purposes. All these centres will be linked one Nodal
centre in the State (Either BMC or NIMHANS) which would conduct monthly quality control
assurance tests by dispatching coded samples. Any centre which does not perform
satisfactorily in the quality assurance programme will be targeted for training and correction of
errors. Each centre would have one Medical Officer, one Technician and one Counselor and
shall be provided with lab and counseling space, ELISA readers. Pipettes, Multichannel
Pipettes, ELISA washer. Centrifuge, pH meter. Stirrers, Glass ware and diagnostic kits for
testing purposes.
Institutions responsible : Medical College Hospitals (Microbiology Departments) or District
Hospital Laboratories or NGOs.
Activities to be undertaken : Recruitment of staff, training of technicians and counselors
(preferably PLWHAs as counselors), provision of condoms, provide counseling, provide
confidential testing, positive networking and Quality assurance testing.
Time frame : Year I - 10 centres. Year II -10 centres. Year III - 5 centres
Assessment Parameters : Appointment of Staff and equipment of Laboratories, Number of
subjects availing testing facilities. Number of individuals counseled, number of HIV tests done.
Quality assurance results, number of persons followed-up, number of persons refereed to other
centres/NGOs, Number of persons given information about HIV, Care and Support
Risks : Sufficient number of persons may not avail facilities at all the centres, breach of
confidentiality and poor follow up
Page. 24
COMPONENT II: INTERVENTIONS AMONG LOW RISK GROUPS
IEC & SOCIAL MOBILISATION :
Information education and communication cuts across various components and interventions.
IEC in the first phase has been general and diffuse, and has been partly successfal in raising
awareness. Now there is a need for systematically designed IEC that addresses the needs and
concerns of specific populations and groups. Earlier IEC efforts focused on providing
information and raising awareness. Although this needs to be sustained, future IEC strategies
need to be culture and location specific, context-based, and aimed at promoting behaviour
change For behaviour change to occur, “correct” knowledge and positive attitudes have to
reinforced, and most importantly, conducive, enabling and supportive environment created.
Therefore one of the major aims of IEC is to mobilise specific groups, communities and the
society in general to become aware, sensitive and participate actively in the design and
implementation of the programme. In other words, create a sense o °^rs 'P
accountability For this to occur advocacy is essential. Specific locally suited IEC materials
will be developed keeping the local socio cultural factors and culturally acceptable to the
cummumity.
IEC
acceptable to them.
The key to successful IEC efforts lies in not only the content of the communication but also
the media “mix” used, and how effective it is in reaching particular segments of society. For
instance, it is well known that mass media is well suited to raising awareness but to bong
about behaviour change there is need for interpersonal communication and interacts
Electronic and print media may be effective in urban areas, but a different strategy,
of folk media -jathas, melas, street plays, may have to be adopted in rural areas, n
and merchandising may be particularly useful in reaching urban youtE IEC is not a one time
activity IEC efforts have to be sustained over time, evolve to meet changing con p .
again these have to be backed bv interpersonal communication, ranging from peer education
intensive counseling to training Electronic media can also be interactive, the. voice■’’espon
svstem is interactive and also has provision for personalising inputs with me inclusion o
counseling. Similarly, videos may be useful for developing skills, e g correct condomi ,
videos can be combined with discussions that allow for clarifications and modifications to su
particular settings and situations. Effective IEC raises expectations and creates demands Jt is
imperative that these be met with the provision of goods and services, such as condoms
health care.
Page.25
IEC strategies have to be designed taking into consideration the local culture and
circumstances, accessibility and credibility of the media. Pre-testing to ascertain the
effectiveness of strategies and messages before large scale implementation is crucial.
Monitoring of implementation and process evaluation with feed back to programmes is
necessary for making mid-course corrections and modifications. Finally, innovative ways of
evaluating behaviour change is needed. Thus, formative, process and outcome evaluation has
to built into the IEC programme.
For providing guidance and resource to the design and monitoring of the IEC programme a
IEC Expert Panels at the State and district levels need to be set-up. Panel members may be
drawn from the field of development communication, public health, and include experts from
intervention components. District level panel should include experts familiar with the local
culture and ethos, as well as district level implementors.
Social Mobilisation
For the behaviour change strategy to be successful, an enabling environment is crucial, for this
involvement of the society is essential. Mobilisation of good will, a sense of vulnerability,
responsibility and the will to participate and act is fundamental. Behaviour change can be only
sustained in a supportive atmosphere, for this there needs to be a change in the social climate,
for instance women can take up decision making roles if social structure and economic roles
enable them to do so.
Advocacy will be the key strategy for social mobilisation. Advocacy to mobilise the support of
policy and decision makers at the state, district and grass root levels, who have the power to
make changes in programmes, laws, and influence attitudes is of the utmost importance. As
HIV/AIDS issues touch up broad social and development concerns these will be linked so that
HIV/AIDS becomes a part of the regular programmes. New scientific and epidemiological
information, lessons from other intervention will inform the development of advocacy
strategies as they develop.
Efforts will be made to draw in the commercial media- cinema, TV., and print to depict
HIV/AIDS issues in a responsible way. Private and public media sectors, and the corporate
sector will be encouraged to participate and contribute to the IEC programme
Key Activities
Activities will include-
Advocacy for policy and decision makers
Awareness campaigns to be reviewed and strengthened
Interactive Voice Response Systems in 5-6 cities
1EC directed towards grass root functionaries and organisations e g. panchayats, mahila
mandals, youth clubs
• Counselor training and support
• IEC for Work Place based interventions
• IEC for interventions with “high risk” and “low risk” groups
• Operation research to support IEC and Advocacy
Page 26.
•
•
•
•
KARNATAKA STATE AIDS CONTROL PROJECT
Phase -II ( 1999-2004)
COMPONENT- III
Component - III of the project consists of surveillance, institutional strengthening an
training, operation and research & programme management. Under component — 3 World
Bank suggested orgonogram for medium sized state is adopted and the staffing patem
suggested will be created and filled up, in addition to secretarial supporting staff which
includes drivers. Group D assistants & others.
The staffing pattern suggested will be filled up on a selection critreria who are already
working under the project with due experience. And . the orgonogram technical and nottechnical staff will be filled up adopting the state cardre pay & scale and the secretarial
assistance and other staff on contract basis will be filled up on a contract basis with a fixed
salary on a need based terms and conditions.
The posts will be filled up on a need based basis without any rigid condition based previous
of field experience under AIDS Prevention & Control activities. The posts of NGO Advisor
and Consultant IEC will be filled up on a contract basis with a fixed salary In addition the
consultancy services will be considered wherever it is required subsequently as per the
World Bank guidelines.
The existing 13 HIV Sentinel Sites will be continued during the second project and an
additional 7 sites will be considered during first year of the poiject ( 1999 - 2000 ) These
sites including 3 STD Clinic, 3 ANC Clinic and 1 Drug Deadiction centres.
Clinics Drugs Deadiction Centre.
STD Clinics ANC
i
1. HIV Sentinel Sites existing
8
2. New Sites Proposed
3
4
1
->
1
And another 6 HIV sentinel sites i.e. 3 STD Clinics & 3 ANC Clinics will be considered
during the 2nd year of the project ( 2000 - 2001 ), during 3rtl year ( 2001 - 2002 ) 4 New STD
Clinic and 3 New .ANC Clinics will be considred in identified high priority area The costing
and other budget requirement is worked out on the basis of earlier guidelines of NACO,
Govt, of India. STD Disease surveillance will be planned in 4 centres during Is1 year of the
poiject and will be continued during 2nd ,3rd, 4th & 5th year.
The surveillance activities will be taken up to know the trends of HIV infection prevelance
among high risk groups and low risk groups over a period of time to plan for future preventive
strategies. The Sentinel sites are identified duly considering al the areas of the State. The
costing towards equipment’s, consumables. Training Honorarium etc., are worked out
based on the previous guidelines of the NACO.
Page. 27.
The Training programme is planned to provide institutional strengthening for the following
categories of Staff in the entire State.
1. Faculty Members of Govt. & Pvt Med. Colleges.
2. Faculty Members of Health & F.W. Training Centres, and ANM & LHV Training
centres
3. Faculty Members of Dental Colleges
4. Doctors.
5. A. N.M s. ( Auxilary Nurses Mid-Wife )
6. M P.W s ( Multi purpose workers )
7. L.H.V s ( Lady Health Visitors )
8. B. H.E s ( Block Health Educators )
9. Staff Nurses.
10. Dental Doctors.
The Training Programme will be taken up at State Level, Regional Level and District
Level
In the first 2 year of the project a refresher training programme will be taken up during the
3rd and 4th year of the project period The costing towards the expenditure involved in the
training programme is worked out on the basis of previous guidelines of NACO, Govt, of
India.
The District level AIDS Control Society, will be established on a priority basis in high
prevelance areas of the following 3 District.
1. Mangalore
2. Belgaum.
3. Bellary.
( Dakshina Kannada )
The Deputy commissioners of the District will be identified as Chairman of the District
AIDS Control Society and the District AIDS Control Society and the District Surgeon
Medical Supenntendent of District Hospital will be identified as Member Secretary and a
nominal honoranuma and other contigencies expenditure, provision is reflected vide .Annex. If
necessary the expansion of establishment of District AIDS control society will be considered in
the subsequent years of the project in other districts.
The unit cost worked out is nominal and the State AIDS prevention society will monitor
the activities of the District Societies and also the remaining areas of the state about the
implementation of various activities.
Page 28
The Unit cost of the budget requirement for the entire porject of 5 years-wise is reflected
in the annexure as per the guidelines of the NACO.
The orgonogram and the pattern of staff suggested in the second project is relfected vide
annexure.
The equipment will be proecured by NACO following LCB procedures. And wherever
consumables and other sundry items are required the state AIDS prevent.on society will
follow LCB procurement as per world bank guidelines.
Page 29
ORGANOGRAM FOR AIDS CONTROL SOCIETY IN MEDIUM SIZED STATES
(Rajasthan, Karnataka, Gujarat, Orissa, Kerala,Assam, Punjab, Haryana, Corportaion of Delhi & Mumbai)
Project Director
___
4
Additioanal Project Director
(Trageted Intervention)
]
JD(IEC)*
AD(Care) *
___ 4
JD (Surveillance,
Training)
r— |DD(Surv, Tri
> DD(STD)
~
AD(STD) |
pAD(CP)*j
ADMN.
OFFICER
Durg
Inspector
Establishment
Officer
| Treasurer]
Audit
Officer
Accounts
Officer
roppg
► DDfVTC) ->| AD(VTC)*
>
Monitoring &
Evaluation
AD* (Coun
-selling)
—►
Statistical
Officer
NGO *
Advisor
| JD(DS) |
Statistical
Asst(2)
> Procurement
Officer
Purchase
Asst.
▼
Store
Keeper
Contracts
Officer
COMPONENT IV: CARE AND SUPPORT
The AIDS II project will have a significant thrust on Care and Support for infected and
affected due to HIV / AIDS. Currently with the growing epidemic, the centrality of prevention
will be care and support. Care in the clinical sense will encompass the spectrum starting from
health maintenance after infection to care during illness (acute and chronic). Health care
settings will be explored and involved to respond to the ever increasing care demands and
needs.
It is well understood that HIV / AIDS is a long term infection and disease. The focus of care
will be life after infection and recovery after illness (Eg.TB and other opportunistic infections)
As in the case of any long term illness (e g. diabetes) HIV / AIDS care will begin from home
care move on to institutional care to be continued as home care again complemented by
medical units, counseling centres, short / long stay homes, hospices, self help groups leading
to self care and self help. In the involvement of people living with HIV and AIDS is
paramount in determining the nature of care that is needed. This can also include affected
family members and other individuals.
One of the critical aspects of care is emotional and psychological care that arises out of the
diagnosis, fear and needs arising due to trauma of repeated illness. Hence Counseling will be a
very important component of the care continuum. At this point it needs to be strongly stressed
that counseling is a process and not an event, as is some times conceived hence adequate
provisions needs to be incorporated.
In this process of providing care and support, therefore there are elements such as, clinical
management, nursing care, counseling, home care, hospice care, action to protect individuals
from discriminatory practices, services for meeting social support needs
It is important to look at existing health care system an accommodating changes with in the
systems to respond appropriately to address the health care needs of people living with HIV /
AIDS. It is imperative that the different levels work well together to provide a continuum of
care which is comprehensive and holistic.
The efficient functioning of the holistic care continuum depends on
a) Process / procedures of health care reference between hospitals, testing facilities,^blood
banks, NGOs, CMBOs, Doctors other paramedical staff. Government Bodies
Departments, companies (corporate public sector undertakings) etc
b) Process / procedures for referral of people with HIX / AIDS and their families tor social
support (apart from the above mentioned there is a requirement to tram, facilitate and
support other NGOs, institutions, missionary organisations to provide the mtrastucture.
facility and support
c) Supervision of existing staff by appropriate personnel and facilitating on going training as
per need.
d) Collaboration and Coordination between and among Government agencies Non
Government and private sector responses in health, social and community based care
activities.
<
Page30
Complementary to care is support, “support for people living with HIV and their families
This can be interpreted as social support, economic support, support for positive living,
support towards enabling and sustaining productivity there by reducing the care burden on
the state. Much of this can be achieved by involving community groups, community
organisations and spontaneous groupings of people living with HIV/AIDS. Hence, support in
the context of care provides a social safety net for the infected, e g. legal support, support
needed because of spouses death or due to destitution, support for children orphaned due to
parents death ( home and education), support for vocational training and skills development
to sustain income, job opportunities in compassionate grounds, support for reintegration of
individuals in broken families. Care ensures recovery form illness and support provides for
rehabilitation in pursuit of a quality of life.
By strengthening the existing care facilities in various district head quarters, both in
government sector non Government sector, non government and private sector the first step
to ensure access to care for opportunistic infections will be established (Note : The above
mentioned strategy should be also equally incorporated in the urban sector )
Various levels of training for care providers in the fore said sectors will be conducted
to standardise care procedures and promote quality service and ethical practices in providing
care for people living with HIV/AIDS.
For effective treatment programme drugs that will be used for treating opportunistic
infections including TB will be made available to NGOs, CBOs, Government care settings and
other non governmental institution that provide care for PLWH/A
Hospital care will be in the form of interim care and acute care and not as institutional
care that will be for prolonged duration. Hence, all care providing centres will engage in out
reach training for promoting home care program with adequate emphasis on social
restructuring and ongoing support. This will be in conjunction with non-govemment and
private sector agencies
Current communitv based care programmes will be examined to explore the scope of
involving government functionaries, other NGOs, CBOs and other institutions
in
incorporating HIV care in their programmes
With in the care and support programme, a nutrition component that will enable
care gives to provide nutrition information, nutritional product support for PLWH/A to
promote well being ill be added.
Page 31
There is evidence that there is an increasing trend of infection among pregnant mothers.
Under the guidance of the NACO, a therapeutic intervention program that will provide for
AZT to positive pregnant mothers will be examined and implemented in a phased manner
Since pulmonary tuberculosis is emerging as the twin epidemic and there are
successful
programmes to deal with TB at the community level, linkage with those
programmes and instituting new Anti TB initiatives will minimise the morbidity due to HIV
and TB. Drugs for treating PTB will be made available through various care outlets and
proper monitoring to minimise drug resistance to TB will be part of the initiative. Revival
of the diarrhea will be one of the out reach home care initiatives thereby averting possible
morbidity and mortality.
The concept of hospice care has been well established in Karnataka and the State can
take pride in being the first to do so tcFreeedom
Foundation Trust” an NGO has been
dealing with alcoholism drug addiction and HIV /AIDS . The above mentioned organization
have been pioneers in this area it is now considered to be the ideal model to be replicated in
other parts of the country. Though the institution and the model can be upgraded and
supported recently two other NGOs Samraksha and Snehadan have started the same in a
small way. Similar kind of mini facilities can be incorporated in other parts of the states
Indigenous therapies for care will be explored and encouraged with good markers
identified for success. Eg. Ayurvedha, Siddha, Homeopathy etc. Research on therapeutic
significance of various approaches in clinical care will be encouraged and successful initiatives
will be replicated.
Page 32
COMPONENT V: INTERSECTORAL CO-ORDINATION
Intersectral collaboration with Public and Private Sector
Health Sector Plays an important part in any community based intervention Progra"is
for successful implementation of AIDS control project other rela'ed.^°^
’
Urban Development Women and Child welfare Prisons and Jatls Soc.al We
great role incarnating the sperfez intervention strategy The first phase of the AID c
project lacks This Component effective intersectional condition between different core
Departments and between Government and Private is really needed It is suggested to have
representetivesof these sectors at the State level and district level and it is
fonn
subcommittees at different implementation levels like District, State and
The role of each sector will be specifically defined. The same also app
PY g
representative of N40’s Who have successfully implement AIDS control project in the cost .
to 5.
Private Sector is an important component especially in this state as large work force is
engaged in this activity this includes private factors, other establishments like. Industries.
Urban Industries, Private sectors and Junior colleges etc..
BEL ni’ffl^'filffiL^BEl^^and^t’s pl^^dTo ^eTelop^^tra'te^^OT^warene^s^elative^In
Sapfi^th the management Educational Department especially secondary Education,
will be involved in awareness activities and to train the teachers and peer educators
The strategy to implement sector specter activity will be planned both at state level and
district level as per to need This component of Intersectral coloration with public andI private
“1 s expected to cost Rs. 5.36 crores. The phasing of the activity .s enclosed with details
of costings and calculations is enclosed wide annexare.
Page 33
PROCUREMENT PLAN
In the Karnataka State AIDS prevention society procuring the equipments, vehicles,
furnitures, consumables, stationaries, etc., which are not supplied by NACO by
adopting the purchase prucedures of NACO vide their letter dated 23-09-1992. The
tender notification is made in leading daily newspapers and the formalities of
procurements are followed as per NACO guidelines.
For STD Clinics/ Blood Banks the equipments are supplied by NACO and the
consumables of Blood Banks and STD Medicens to STD Clinics. Further a technical
committee will be formed by the society and the procurements procedures for items
costing around Rs. 15 lakhs the method of local competitive bidding will be followed and
for items costing above Rs. 15 lakhs the method of National bidding will be followed and
for itmes costing less then Rs. 10 lakhs the method of calling sealed quotations from
minimum three or four local firms will be followed.
Under Phase II AIDS Control Project the procurement load will be considerable and
hence will be handled by qualified trained staff and the technical committee for
procurement process will scrutinise all procedures for local shopping, National
Competitive bidding and local competitive bidding. The annual maintenance contract
for equipments wiil be arranged by the Karnataka state AIDS Prevention society for all
the equipments including those already supplied by NACO after the expiry of N ACO s
contract.
The civil works under Phase II project are minimum and relats to renovation and
extension facilities for counseling facilities STD Clinics and also at voluntary7 testing and
counseling centers. The new construction under civil works are already being taken up
under world bank assisted Karnataka Health System Development Projects.
Page.34
The maintenance of the buildings are under taken by Public Works Department of the
State Government out of State Funds.
The local consultants are proposed to be employed on honorarium not exceeding
Rs. Fifteen thousand per month by the Karnataka State AIDS Prevention Society
which will be done by fixing guidelines and aggrementand will be selected and
appointment by the executive committee of the society duly advertising in leading daily
newspapers fixing of guidelines qualifications, age etc. For selection of NGO’s for
targetted interventions the NACO Guidelines already existing will be followed.
In Karnataka state District Level committee under the chairmanship of the Deputy
commissioner of the district with District Health and Family Welfare officer as Member
Secretary is already formed in all the District.
Step. 1 : These District Committees will short list and scrutinise the project proposal of
NGO’s and forward to Karnataka State AIDS Prevention Society.
Step. 2
Subsequently the Karnataka State AIDS Prevention Society officials will
examine and scrutinise the project and will be submitted to the executive committee.
Step. 3
The executive committee of the society will examine for giving approval and
sanction of the grant in aid.
Step 4. The financial assistance to NGO’s will be released in the form of grant in aid by
obtaining grant in aid bills and payees receipt with an agreement on a judicial stamp
paper. The funds will be released in two or three instalments.
Page. 35
MONITORING AND EVALUATION OF PHASE II AIDS
CONTROL PROJECT 1999-2004
•
The monitoring will be done by Karnataka State AIDS Prevention Society.
•
Monthly monitoring will be taken up and will be reviewed in the executive
committee meeting and general body of the society.
•
Monitoring of the activities under all the components will be done by an expert
committee under Karnataka State AIDS Prevention society.
•
Financial monitoring of activities including the grants received from NACO and
World Bank will be monitor by the accounts wing of the society and also by
identified Charted Accountant/ Accountant General.
•
Quarterly financial expenditure statement will be submitted to NACO and World
Bank.
•
An independent agency will be identified and entrusted for periodical evaluation of
the Phase If AIDS Control Project.
•
Performance indicated will be developed for different component of the Phase II
Project.
•
W orld Bank Mission review will be taken up once in six month by World Bank or
NACO.
•
Mid-term review will be taken up by the World Bank some time in December 2002.
•
Monthly monitoring formats will be computerised showing both physical and
financial activities under taken in the Phase II project.
•
Project completion report will be submitted after six months after completion ot the
Phase II project.
Page. 36
ANNEXURE - I
IMPLEMENTATION ACTIVITIES DETAILS
COMPONENT I
TRAGETTED INTERVENTIONS AMONG HIGH RISK GROUPS.
Sub component:- Sex workers Protection Programme
Secondary Objectives : 1
To undertake a mapping of the sex industry in Karnataka leading to a district and
city-specific understanding of the dynamics and behaviour of sex workers and their clients
Level of
Implemenfn
Process
Sub-Process
implementor
Inst resp
for Implim.
Activities to be undertaken
State AIDS
Society
establishment
of Terms of
reference for
the study in
consultation
with AIDS
Interventionists
, NGO bodies,
enforcement
agencies,
concerned
government
departments
Identification and
selection of an
appropriate
research institution
Researchers
Selected
Research
institution
i.
ii.
Page 37
iii.
iv.
v.
vi.
vii.
viii.
ix
setting up of ToR
identification of research
institution
pilot study in 1 urban/rural
district
analysis of findings
revision of ToR
implementation of State study
presentation of findings and
recommendations to a
Professional Review Body
Publishing of report
Dissemination of report
Time
frame
Assessment
Parameters___________
Yr 1
•
•
•
•
•
systematic district mapping of
the sex industry in Karnataka
identification of sexual
interests of clients
understanding of the
economics of the sex
industry
identification of special
interest groups: transsexuals,
MSM, Devadasis etc
identification of area-specific
key behavioural factors
determining the nature of the
sex industry
Risks
lack of
Cooperation
from members
of the sex
industry and
enforcement
agencies
researcher
insensitivity to
sex worker /
client
behaviours
COMPONENT I
Secondary Objectives : 2
To understand and define Safer Sex Negotiation skills
Level
of
Implement’n
Process
Sub-Process
Implementor
Activities to be undertaken
Time
frame
NGO
Inst resp
for
Implim.
establishment of
Terms of
reference for the
study in
consultation with
behavioural
scientists, sex
workers,
transsexuals,
MSM and NGOs
involved with
AIDS
Interventions
Identification and
selection of an
appropriate
research
institution
Researchers, sex
workers and
NGO field staff
Selected
Research
institution
i.
ii.
iii.
iv
v.
vi.
Yr1
setting up of ToR
identification of research institution
pilot study
analysis of findings
revision of ToR
implementation of study across all
groups requiring Safer Sex
Negotiation Skills
vii. presentation of findings and
recommendations to a Professional
Review Body
viii. Publishing of report
ix. Training workshops to implement
report recommendations
Assessment
Parameters
identification of all
groups requiring Safer
Sex Negotiation Skills
identification and
understanding of
existing factors that
constrain Safer Sex
negotiation
understanding of the
skills required for Safe
Sex negotiation
Trainings undertaken
Field testing of skills
learnt and used
Risks
socio
economic
factors which
make Safe
Sex
Negotiation
an alien
concept
lack of
support and
understandin
g from pimps
I madams
researcher
insensitivity
to sex worker
I gender
realities
Page 38
COMPONENT I
Secondary Objectives :
3
To undertake district and city-specific Behaviour Change Communication Strategies
leading to the promotion of safe sex and STD treatment-seeking behaviour amongst sex
workers and their clients
Level of
Implement’n
Process
Sub-Process
Implementor
Inst resp
for Implim.
Activities to be undertaken
Time
frame
Assessment
Parameters_______
Risks
1. Brothel/
Lodge/
Street /
Community
Education and
Promotion of safe
behaviours
Inter-personal
communication,
condom promotion
and health care
referrals
NGO
counsellor /
coordinator, field
staff, and
Peer educators
NGO
concerned
i.
Recruitment of 1 Counsellor /
coordinator, 2 field staff and 10
peer educators to work with 200
sex workers under street-based
sex trade conditions
Yrl-YiS
Number of Counsellor / co
ordinators trained and
working in field
of
lack
empathy
amongst
staff
ii.
iii.
iv.
v.
vi
vii.
1
Page.39
Recruitment of 1 Counsellor /
coordinator, 2 field staff and 10
peer educators to work with 500
sex workers in brothels
Training for NGO counsellor / co
ordinator, field staff and peer
educators
Development and production of
BCC materials
Outreach travel for education
Condom transportation/storage
and distribution
STD education/referrals
Number of field educators
trained and deployed
Number of peer educators
trained and deployed
sex worker-related BCC
materials developed and
produced
Number of condoms
distributed and used
Number of Sex Workers
counselled
Number accessing STD
services
lack of Peer
Educators
Peer
Educator
turnover
inconsistent
Condom
supply
COMPONENT
Secondary Objectives : 4
To reduce the vulnerability of sex workers to social and legal factors by undertaking a proactive
strategy to assist government and non-government institutions in understanding and dealing with sex
workers in their special circumstances
Level of
Implement*!)
Process
Sub-Process
Implementor
Inst resp
for Implim.
Activities to be
undertaken________
Time
frame
Assessment
Parameters______
Risks
Government and
NGO institutions
dealing with sex
workers
sensitisation
workshops
and IEC
helping GO and
NGOs to adapt
their mandates to
respond
sensitively to the
special
circumstances
that sex workers
live in
NGO
Coordinator/
KSAPS
Co-ordinator
NGO /KSAPS
i.
ii.
sensitisation workshops
redefining workshops for
existing institutional
mandates
Advocacy of individual
cases
Yr1-Yr5
consistent and positive
access to sex workers in
their working environments
Refusal by
GO/NGO
authorities to
participate
Page.40
iii.
No of institutions that have
adapted themselves to
dealing with sex workers in
their special circumstances
COMPONENT I
Sub component
STI/RTI SERVICES
Secondary Objectives :
1
To create a replicable and gender-sensitive model of STI/RTI services,
involving the concept of a Well Womens’ Clinic, that allows women to
openly access services without stigma
Level of
Implement’n
Process
Sub
Process
implementor
Inst resp
for
Implim.
Activities to be undertaken
Time
frame
Risks
District NGOs/
DSAS
establish
qualitative
STI/RTI
services for
women
Assess
ment
Parameters
establish district
training and
extension
services for
syndromic
management of
STIs
District
team
NGOs
DSAS
i.
Yr1 -Yr5
•
clinic space may not be
available in the District
hospital premises
Page.41
STI/RTI
I
recruit and train 1 coordinator +1
Woman Doctor +1 counsellor +1
lab technician +1 community
organiser to provide STI/RTI
services to 20 women/day
ii.
identify site for clinic, preferably
within District Hospital premises
iii. equip clinic with required
instruments and lab materials
iv. provide a structured environment
in which all women have access
to education while waiting, and
counselling immediately after
consultation/examination
v.
practice DOTS for first intake of
medicines.
vi
Because of the average cost of
Rs 350/woman/treatment arrange
for free medicine support for an
effective service, leading to
providing demonstration/training
services to other medical
practitioners in the district
vii. provide referrals as necessary
VIii. conduct monthly Planning and
Training services for syndromic
management of STIs/RTIs
•
•
•
•
•
establishment of
district training
and service
units
provision of
package of
STI/RTI
services
no of women
accessing these
services and
followed up
Planning and
training
sessions held
no of other
medical facilities
supported in the
district
referral links
established
cost of treatment makes
replicability without access to
free medicines difficult
finding suitable Woman
Doctor
poor repeat attendance
lack of interest from
management of existing
health services
COMPONENT I
Secondary Objectives : 2
To promote STI prevention/treatment as an HIV preventative measure amongst women and their
spouses in a manner that is gender-balanced, culturally sensitive and acceptable
Level of
Implement’n
Process
Sub-Process
Implementor
Inst
resp
for
Implim.
Activities to be undertaken
Time
frame
District NGOs/
DSAS
establishment
of promotional
activities
development of
appropriate I EC
materials for both
women and men
RTI/STI Team
NGO
i.
Yr1-Yr5
establishing referral
links
Page 42
ii.
preparation and production of
IEC materials
awareness programmes with
men and women on women and
male reproductive health, sex
education, STI/RTI symptoms,
and services available
Assessment
Parameters
No of IEC materials
designed, produced,
distributed
No awareness
programmes held
No women accessing
clinic
No spouses
counselled, referred
Risks
lack of participation
cultural factors not
overcome
spousal support not
available
COMPONENT I
Sub component:- MSM PROGRAMME
Secondary Objectives : 1
To undertake a pilot study in Bangalore leading to a city understanding of the dynamics and
Behaviour of Men who have sex with Men ( MSM )
Level of
Implemenfn
Process
Sub-Process
implementor
Inst resp
for Implim.
Activities to be undertaken
Time
frame
Assessment
Parameters___________
Risks
NGO
establishment
of Terms of
reference for
the study in
consultation
with AIDS
Interventionists
NGO bodies,
gay activists
Identification and
selection of an
appropriate NGO
Researchers
Selected
NGO
i
ii
setting up of ToR
identification of research
institution
pilot study in 1 urban district
iii
analysis of findings
iv
revision of ToR
v
vi. implementation of study
vii presentation of findings and
recommendations to a
Professional Review Body
viii. Publishing of report
ix. Dissemination of report
Yr1
•
lack of
Cooperation
from MSM
Page.43
•
•
systematic city mapping of
MSM in Bangalore
identification of sexual
interests of MSM
identification of area-specific
key behavioural factors
determining the vulnerability
of Men who have sex with
Men to the risk of HIV
transmission
researcher
insensitivity to
MSM
Negative legal
environment
COMPONENT
Secondary Objectives : 2
To undertake city-specific Behaviour Change Communication Strategies
leading to the promotion of safe sex and STD treatment-seeking behaviour amongst Men
who have sex with Men
Level of
Implemen
Process
Sub-Process
Implementor
Inst resp
for Implim.
Activities to be undertaken
Time
frame
Assessment
Parameters_______
Risks
1. Street /
Community
Education and
Promotion of safe
behaviours
Inter-personal
communication,
condom promotion
and health care
referrals
NGO
counsellor /
coordinator, field
staff, and
Peer educators
NGO
concerned
i.
Recruitment of 1 Counsellor /
coordinator, 2 field staff and 10
peer educators to work with 100
MSM under street-based
conditions
Yr1-Yr5
Number of Counsellor / co
ordinators trained and
working in field
of
lack
empathy
amongst
staff
ii.
iii.
iv
v.
vi.
Training for NGO counsellor / co
ordinator, field staff and peer
educators
Development and production of
BCC materials
Outreach travel for education
Condom transportation/storage
and distribution
STD education/referrals
Number of field educators
trained and deployed
Number of peer educators
trained and deployed
MSM -related BCC materials
developed and produced
Number of condoms
distributed and used
Number of MSMs counselled
Number accessing STD
services
Page.44
lack of Peer
Educators
Peer
Educator
turnover
inconsistent
Condom
supply
COMPONENT I
Secondary Objectives : 3
To reduce the vulnerability of MSM to social and legal factors by undertaking a proactive
strategy to assist government and non-government institutions in understanding and dealing with sex
workers in their special circumstances
Level of
Implemen
Process
Sub-Process
Implement©
r________
Inst resp
for Implim.
Activities to be
undertaken________
Time
frame
Assessment
Parameters
Risks
Government and
NGO institutions
dealing with MSM
sensitisation
workshops
and I EC
helping GO and
NGOs to adapt
their mandates to
respond
sensitively to the
special
circumstances
that MSM live
under
NGO
Co-ordinator/
NGO
i.
ii.
sensitisation workshops
redefining workshops for
existing institutional
mandates
Advocacy of individual
cases
Yr1-Yr5
consistent and positive
access to MSM
environments
Refusal by
GO/NGO
authorities to
participate
Activities to be
undertaken________
Time
frame
Assessment
Parameters_______
Risks
Yearly, as
per
project
cycle
Number of persons
provided skills
Documention for registration
prepared
CBO registed
NGOs not
willing to
iniatate
Inappropriate
members form
group
Hi.
Secondary Objectives : 4
To promote formation of CBOs
Level of
Implemen
Process
Sub-Process
Implementor
Inst resp
for Implim.
NGO
Identify
leadership
Provide training
Formation of
support groups
NGO functionary
Peers
NGO
Page.45.
Skills training
ii Meetings for consensus
ill. Formation of care group
iv. CBO formation
No of institution/NGOs that
have adapted themselves to
dealing with MSMs in their
special circumstances
COMPONENT I
Subcompoment:- MIGRANT WORKERS PROTECTION PROGRAMME
Secondary Objectives :
1
To undertake a mapping of all migrant worker activities in Karnataka leading to a
district and city-specific understanding of the needs and vulnerability of migrant
workers in these situations
Level of
Implement
Process
Sub-Process
implementor
Activities to be undertaken
State AIDS
Society
Inst resp
for Implim.
establishment of
Terms of reference
for the study in
consultation with
migrant workers,
Industry
representatives,
trade unionists, the
labour department,
lawyers, activists ,
NGOs working with
AIDS
Identification and
selection of an
appropriate
research institution
Researchers,
migrant workers
Selected
Research
institution
i.
ii.
iii.
Page.46
iv.
v.
vi.
vii.
viii.
ix.
setting up of ToR
identification of research institution
pilot study migrant labour-intensive
industries in the unorganised sector
in 1 district
analysis of findings
revision of ToR
implementation of State study
presentation of findings and
recommendations to a Professional
Review Body
Publishing of report
Dissemination of report
Time
frame
Assessment
Parameters_______
Yr1
3-6mths
•
•
systematic district and
industry-wise mapping
of migrant labourintensive industries in
Karnataka
identification of needs
and vulnerabilities of
migrant workers,
especially women
Risks
lack of
Cooperation
from
management of
these industries
researcher
insensitivity to
migrant worker
realities
COMPONENT
I
Secondary Objectives : 2
To undertake district and city-specific Behaviour Change Communication
Strategies leading to the promotion of safe sex and STD treatment-seeking
behaviour amongst migrant workers
Level of
Implemen
Process
Sub-Process
Implementor
Activities to be undertaken
Education
and
Promotion
of safe
behaviours
Inter-personal
communication
condom promotion
and health care
referrals
NGO
counsellor /
coordinator, field
staff, and
Peer educators
Time
frame
NGO
concerned
Assessment
Parameters
Risks
1. Migrant
worker
sites
Inst resp
for Implim.
i.
Yr1- Yr5
Number of Counsellor /
co-ordinators trained
and working in field
lack of empathy
amongst staff
ii.
iii.
iv.
v.
vi.
Recruitment of 1 Counsellor /
coordinator, 2 field staff and 10 peer
educators to work with 250 migrant
workers
Training for NGO counsellor / co
ordinator, field staff and peer educators
Development and production of BCC
materials
Outreach travel for education
Condom transportation/storage and
distribution
STD education/referrals
Number of field
educators trained and
deployed
Number of peer
educators trained and
deployed
migrant worker-related
BCC materials
developed and
produced
Number of condoms
distributed and used
Number of migrant
workers counselled
Number accessing
STD services
Page 47
lack
of Peer
Educators
Peer
Educator
turnover
inconsistent
Condom supply
COMPONENT
I
Sub component:- WOMEN WORKERS PROTECTION PROGRAMME
Secondary Objectives : 1
To undertake a mapping of all woman labour-intensive industries in the
unorganised sector in Karnataka leading to a district and city-specific
understanding of the needs and vulnerability of women in these situations
Level of
Implemenfn
Process
Sub
Process
implementor
Inst resp
for
Implim.
Activities to be undertaken
Time
frame
Assessmen
t
Parameters_______
Risks
State AIDS
Society
establishment
of Terms of
reference for
the study in
consultation
with women
workers,
Industry
representative
s, trade
unionists, the
labour
department,
lawyers,
women
activists, ,
NGOs
working with
AIDS
Identification
and
selection of
an
appropriate
research
institution
Researchers,
women workers
Selected
Research
institution
i.
ii.
iii.
setting up of ToR
identification of research institution
pilot study women labour-intensive
industries in the unorganised sector
in 1 district
analysis of findings
iv
revision of ToR
v.
vi. implementation of State study
vii. presentation of findings and
recommendations to a Professional
Review Body
viii. Publishing of report
ix. Dissemination of report
Yr1
(3-6mths)
•
lack of
Cooperation
from
management
of these
industries
Page.48
•
systematic district
and industry-wise
mapping of women
labour-intensive
industries in the
unorganised sector in
Karnataka
identification of needs
and vulnerabilities of
women workers
researcher
insensitivity
to woman
worker
realities
COMPONENT I
Secondary Objectives : 2
To understand and define mechanisms which reduce women’s vulnerability to sexual
harassment in the work place
Level of
Implement’n
Process
Sub-Process
Implementor
Inst
resp
for
Implim.
Activities to be undertaken
KSAPS
establishment of
Terms of
Reference for a
study to
understand and
define
mechanisms to
deal with sexual
harassment in
consultation
with women
workers,
Industry
representatives,
trade unionists,
the labour
department,
lawyers, women
activists, ,
NGOs working
with AIDS
Interventions
Identification and
selection of an
appropriate
research institution
Researchers,
committee
members
Selected
Research
institution
i.
ii.
iii.
iv.
Page. 49
v.
vi.
vii.
viii
ix.
setting up of ToR
identification of research institution
literature survey
presentation of options to
committee members
operationalisation of recommended
mechanisms
piloting of mechanisms with
volunteer industries
presentation of findings and
recommendations to a Professional
Review Body
Publishing of report
Training workshops to implement
report recommendations
Time
frame
Yr1
Assessment
Parameters
identification of
existing legal,
social
mechanisms
understanding of
the use and
limitations of these
mechanisms
pilots undertaken
Trainings
undertaken
Risks
nonacceptance by
management
lack of support
and
understanding
from woman
workers
researcher
insensitivity to
women worker
I gender
realities
COMPONENT
I
Secondary Objectives : 3
To undertake industry-specific interventions leading to the reduction of sexual
harassment and vulnerability to HIV infection of women
workers in the
unorganised sector
Level of
Implement'n
Process
Sub-Process
Implementor
Activities to be undertaken
Time
frame
Assessment
Parameters
Risks
women labourintensive
industries in the
unorganised
sector
Inst resp
for
Implim.
establishment
of womensupportive
mechanism at
shop floor level
management/
worker education
leading to
participative
processes
NGO field staff,
and
women worker
representatives
NGO
concerned
l.
Yrl-YrS
Number of Coordinators
trained and working in
field
lack
of
management
/worker support
Number of field
educators trained and
deployed
lack
of
empathy
amongst staff
Number of
peer/representative
educators trained and
deployed
legal hurdles in
following
up
sexual
harassment
cases
ii.
iii.
iv.
v.
Recruitment of 1 coordinator, 10
field staff and
peer/representative educators to
work with women workers in the
unorganised sector
Training for co-ordinator, field
staff and peer/representative
educators
Development and production of
BCC, legal literacy materials
Outreach travel for education
STD education/referrals
women worker-related
BCC/legal literacy
materials developed and
produced
Number of Women
Workers counselled
No of sexual
harassment cases
followed up
Number accessing STD
services
Page.50
COMPONENT I
SUB COMPONENT: Truckers Awareness Program
Basic Objectives : 1. To Educate Truckers about HIV/AIDS and remove misconception
To Provide sen ice for prompt detection and treatment for STD/RTI
2.
Educate Truckers about proper use of condoms
3.
To provide condoms to Truckers Across the State free of cost.
4.
Level of
Implementation
Process
Sub-Process
Implementer
State & District
&NGO
Identify'
NGOs
Identify /HALT
Points across
High ways
K AP S/D.A.PS
Invite proposals
from NGOs /
CBOs
Scrutinise
Proposals
O’ to
p
Oo
\ \v
Instn.
Resp. For
Implm
NGOs/
CBOs
Activities To be
Undertaken
Time Frame
Identification of NGOs
Identification of Halt
points
Training and recruitment
of staff by NGOs / CBOs
Providing STD sendees
along Highways
Providing Medicines and
condoms
Preparation of relavenl
I EC material and conduct
Perodic training for staff
Y1 to Y5
Assessment Parameters
Number of Truckers
contacted KAP Studies
among truckers
Number of Truckers
availing STD Services
Number of STD
Service points
functional on Highways
Number of condom
supplied
Number of Truckers
reporting for folowup
Risks
Truckers are
mobile,
No change in
behaviour.
No followup
COMPONENT I
Sub component:*
Basic Objectives
Substance Abuse
1. To encourage behavior change leading to reduction of HIV/ AIDS infection among abusers
Level of
Implementation
Process
Sub
process
Implementer
KSAPS
DAPS
NGO
INDENTIFY
NGOs
Establish
the need
in
Districts
NGOs
DAPS
KSAPS
Institution
Responsible for
Implementation
NGO/
CBO
Activities to be under taken
Time
Frame
Identify NGO/CBO responsible
Establish centre/units across the
state
Y1 to
Y5
Assessment Parameter
No. of persons
availing services &
No. of NGO/CBO
units established &
active.
Risks
Relapse
May not
avail
sendees
Recruit train and employ staff
Provide medicine and
conselling services
Provide networking and rcferal
sendees with other agencies
Provide training to other
agencies
Creating peer systom for
implementation
Mobilisation of Social support
Page 52
Feed Back from
implementing
agencies about the
component
Recovery rate from
sub-stance abuse
and incidence of
safe sex behaviour
Involvement and
feed back from
positive people
Number of subjects
on follow up.
Community
insensitivity
Marginalisa
tion of
positive
people.
COMPONENT -II
TARGETTED INTERVENTION AMONG LOW RISK GROUP
Blood safety programme.
Sub Component:-
Blood Component Seperation Centre
Basic Objectives :
To emphasize rational use of blood.
To Prevent HIV Transmission though Blood and Blood Products.
To Ensure Blood & Blood Products available to all Districts.
Level of
Implementation
State Level
Process
Identify
Blood Banks
to provide
Blood
Component
seperation
facilities at
State Level
& other
places
Sub-Process
Implementer
Intiatc
procurement
procedure for
supply of
Equipments
and
Consumbales.
K.S.A.P.S and
Major Hospital
Blood Banks
Identify
Technical
staff. Blood
Bank Officers
Technical
Assistants
Install
equipment to
make
functional
Page. 53
Instn. Resp.
For Implm.
Major Hospitals
& Medical
Colleges
Activities To be Undertaken
Recurments of staff
Training of Blood Bank
Officers and Technicians
Supply of Consumables for
Component seperation.
storage and distribution to
peripharal centres.
Conduct tests for HIV and
other Blood borne
pathogens
Providing Training &
information on rational use
of Blood and Blood
products in the District.
Time
Frame
Y1 to Y5
Assessment Parameters
No. of Units
collected
Number of
Componant
seperation carried
out.
Number Transfused.
Number Distributed
to peripheral centres
No. of Training
programmes
conducted and No.
trained.
Number of HIV &
other infection
detected.
Risks
Lack of
supplly of
consumables
on time.
COMPONENT II
: BLOOD SAFETY PROGRAMME
Sub Component:
ZONAL BLOOD TESTING CENTRES
Basic Objectives:- To prevent HIV transmission through Blood - To emphasise rational use of BLOOD
Level of
Implementation
State level &
Regional Level
Process
Identify
Blood
Banks to
provide
Z.B.T.C.
Facilities
Sub process
Implementer
Initiate
procedures for
supply of
Equipment and
consumblcs
K.S.A.P.S&
Hospitals with
ZBTC Facility
To idenlih
Technical staff
Blood Bank
format to be
Supplied
Institution
Responsible for
Implementation
Major Hospitals
State/Dist./
Medical
colleges
Activities to be under
taken
Assessment
Parameter
Y1 to
Number of
Units
collected
Recruit stafT
Training of staff
Y5
Supply of
consumables
Conduct tests for
HIV and other Blood
borne pathogens
Review activities of
Blood Banks linked
to ZBTCs both Govt,
and private Voluntaty
Blood
Banks
Conduct Voluntary
blood donation
camps, collection /
storage/.
Page. 54
Time
Frame
Number of
Blood units
distributed
Number of
Blood Borne
disease
detected
Risks
Lack of
supply of
consumables
on time.
Non-coordination of
private
Voluntary
Blood Banks
COMPONENT II
BLOOD SAFETY PROGRAMME
Sub Component - Modernisation of Blood Banks
Basic Objectives - To prevent HIV transmission through Blood-to ensure safe Blood transfussion through Voluntary Blood donation
Level of
Implementation
Process
State Level &
District Level
•
Identify
Hospital to
Provide
Blood Bank
facilities at
State level
District Level
and
Block Lex el
places
Suh process
Implementer
Initiate
procurement
procedures for
supply of
consumables/
equipements
KSAPS&
Major/Dist.
Hospital
Institution
Responsible for
Implementation
Major/Dist./Block
Level Hospitals
Activities to be under
taken
•
•
Recruit Staff
Training of Blood
Bank officer /staff
•
Supply of
consumables/
equipments
•
Collection / storage
and distribution
•
Conduct Voluntary
Blood Donation
Camps
Conduct tests for
HIV and other
Blood borne
pathogens
Page. 55
4
Time Frame
Yl to Y5
Assessment
Parameter
Number of
units
collected &
distributed
for
transfusion
Number of
Blood borne
diseases
detected
Number of
voluntary
Blood
Donation
camps
conducted
Risks
Lack of
supply
consumbles
&
equipments
on time
COMPONENT II
_____ Objective:-
VOLUNTARY TESTING AND COUNSELLING CENTRES.
To provide voluntary testing, a nd counselling services for HIV in each district of Karnataka
To provide confidential testing and counselling services
To facilitate networking of positive people in the districts
To supplement and strengthen S1I/RTI interventions
Secondary
Objectives
1.
2.
3.
Level of
Implementation
Process
Sub
process
Implementer
State Level
Establish
qualitative
HIV testing
and
counselling
facilities
Establish/
strengthen
District
laboratories
and
integrate
with Dt
STI/RT1
services
K.S.A.P S. &
District
Voluntary
testing team
&
District Level
Page 56
Institution
Responsible
for
Implemention
District
Hospital
/Medical
College
Activities to be undertaken
Time Frame
Assessment
parametres
Recruit and train VTC team
in testing and confidentiality
(1 Medical Officer +1
technician)
2. Identify site for VTC Lab
(preferably within district
hospital/ medical college
3. Adapt existing facilities
4. Equip the VTC Labs
5. Provide confidential testing
facilities
6. facilitate networking of
Positive people at district
level
7. provide trainings on
universal precautions for
HCWs
8 Provide appropriate referrals
9
Participate in State Quality
Assurance Programme
10. Develop and produce VTCspecific IEC materials
Year 1 -Year 5
► No of patients
tested
» No patients pre
test, post-test
counselled
» No of Universal
Precautions
trainings held
» Assessment of
VTC quality and
confidentiality
though feed back
from Positive
people
• No of Positive
People groups
established
• No of Positive
People facilitated to
access sendees
1.
Yrl = 10 Dis
Yr2= 10 Dts
Yr3 = 5 Dts
Yr3-5 = 25 Dts
Operational
Risks
Services
may not
be
accessed
uniformly
space ma
not be
available
COMPONENT II
Subcomponent: - I.E.C. INFORMATION EDUCATION AND COMMUNICATION
Basic Objectives:
Level of
Implementation
Process
State/Districts
and Blocks
Identify
agencies
for
developing
IEC
materials
1. To develop culture specific, region specific materials for HIV/AIDS/STD awareness
2. To develop positive messages w hich focus on safer sexual practices and not on fear.
3. To disseminate HIV/AIDS awareness message using all forms of Media__________
Sub process
Implementer Institution
Activities to be under taken
Responsible for
Implementation
a. Identify agencies KSAPS &
NGOs/CBOs
1. Set up committees state and
for each Medias
DAPS
DHFWOs
Dist. Level
(Print. Electronic
and Folk)
2. Recruit IEC consultants
b.
c.
d.
Page 57
Identify NGO
and other
partners
Formation of
state & Dist
Level
Committees
involving NGOs
Contraction,
execution to
NGO/pri\ate
agencies.
3.
Development of IEC materials
4.
Conduct training programmes
for NGO/CBO
5.
Distribution of materials
Broadcasting / Telecasting /
staging nodal activities
Time
Frame
Assessment
Parameter
Risks
Y1 to
Y5
1.Quality of material
developed
-Fear based
messages
2.Feed back from
community
Misconception
-Lack of response
from /NGOs /
public in the
Districts
3.Feed back from
positive people
4.Number and type of
materials developed
6.
Contract material Development
5.No. of district
committees and NGO
formed
7.
Field testing of materials
developed
6.No. of positive
people involved
8.
Involve positive people
(PLWHA) for awareness
activities
7. No.of KAP studies
conducted.
9.
Plan for KAP studies
COMPONENT II
SUB COMPONENT:- Character building , Sexual Education and HIV/AIDS Awareness
Basic Objectives : - To Provide value education to promote Safer sexual behaviour among the adolescent and youth
Level of
Implementation
State & District
Process
Sub-Process
Implementer
Training of
Teachers
across the
State
Conducting
training of
Teachers
NGOs /Trained
Teachers teams
K.S.A.P.S
Activities To be
Undertaken_________
• Identify NGOs for
Training Teachers
NGOs
•
Instn. Resp. For
Implm________
Providing
curiculum
Educational
Institutions
Time
Frame
Y1 to
Y5
Assessment Parameters
Number of Teachers
trained / No. of Schools
implementing
programme.
Incorporation of
curiculum into
school syllabus.
No. of peers involved.
No. of IEC materials
dc\ eloped and
distributed
Promoting ParentTeachers. student Teachers activities.
Involve NGOs
Invohc
Education
Dept, and
Institutions
Type of Training
imparted
Creating peer
system leading to
implimentation
Undertake studies to
asses impact of training
(Sexual behaviour) &
Substance abuse.
Community out
reach.
•
Page. 58
Development of age.
Gender, target
specific kits for
implementation
(IEC material)
•
Type of curricluation
Developed.
Risks
a)
Misconsceptions
about HIV/AIDS
b)
Rigidity’ among
tcachers/Institution
c)
Resistance
to Change
COMPONET III
SUB-COMPONET- Surveillance
OBJECTIVE - To asess trends of HIV infection to plan for future preventive strategies.
Level of
Implemention
State level
District level
Process
Plan HIV
Sentinel
Surveillance
in High risk
& low risk
groups
SubProcess
Identify HIV
Sentinel
sites,
workout
budget
requirement
Identify
testing
Laboratoris
Implementors
Karnataka
State AIDs
Prevention
Society
Institutions responsible
for implementation
Major Hospitals. Dist.
Hospitals. Medical
Colleges. Premier
Institutions.
Activities to be taken up
Identifysites with High Risk Groups & Low Risk
Group Population.
Provide equipments. Consumables to Sentinel
sites, and Testing Laboratories/ Visit to Sites,
Organise training to pcrsonel engaged in Sentinel
Surveillance work. Providing reporting formats
Methodology:- Folloyving HIV Sentinel
Surveillance protocol of NACO with unlinked
unnonymous testing procedures, sample size of
250-400 for High Risk & 400 for low Risk group
for the period of 6 to 8 weeks
Analysis & feed Back:- Snivel lance reports to be
received immediately after the survey.
Data interpretation & analy sis.
Issue feed back
Follow up action - To use data to plan for future
strategy' for AIDS Prevention & Control
Page. 3 9
Time
Frame
Y1 to
Y5
Two
rounds
of
Survey
in all
the HIV
Sentinel
sites
each
year.
Assessment
parameter
Frequent visit to
sites and
Testing
Laboratory and
supen ision of
work during the
survey
Trends of HIV
Prevalence in
different sites
and populations
groups.
Follow up
action
RISKS
1. Lack of
supervision
2. Delay in
Commence
ment
3. Lack of
interest by
staff in the
sites
4. Delay in
reporting
5. Absence
from work
COMPONENT III
SUB COMPONENT: Programme management
Basic Objectives
To provide Technical and Management support for planning and implementation of AIDS control programme in karnataka state.
Strenthening of Karnataka State AIDS Prevention Society.
Level of
Implementation
State Level by
KSAPS
Process
Sub-Process
Implementer
Placement of
Staff &
Provision of
infrastructure
Identification
of posts and
creation of
posts.
K.A.P.S
Selection &
Appointment
of staff as per
organogram b\
Deputation
from Govt. &
also b\
contractual
basis
Instn. Resp.
For Implm
KAPS /
DHS/
DME.
Activities To be Undertaken
1)
F
Selection & appointment of
staff as per organogram
Assessment Parameters
Risks
Number of staff in
position / Vacancy etc...
Lack of
dedication and
timely
attention and
action by staff
( Both
Technical and
managerial
staff)
2) Training of Staff
Number of staff Trained
3)
Purchase of office furniture
and office Equipment (one
time)
Vcihiclc / furniture /
equipment purchased.
installed and made
functional
4)
Purchase of vehicle & POL
maintenance
VI to Y5
5) Telephone. Fax. E-mail
Computer, etc., procurement /
installation
6)
Page. 60
Time
Frame
Preparation of Annual action
plan & Budgeting etc..
Physical tragets and
financial tragets and
achievements as per
implementation plan
COMPONENT-III
SUBCOMPONENT - PROGRAMME MAN AGEMENT / ESTABLISHEMENT OF DISTRICT LEVEL AIDS PREVENTION SOCIETIES (DAPS)
Basic objectives: - To decentralise the process of planning and implementing AIDS Control Activities in High HIV Prevalent Districts.
Level of
Implementation
Process
District level
Set up
District
level
Society
Sub process
Implementor
District
Deputy
Commissioner/
DAPS
Registration
of District
Societ}
Placement &
training of
staff
Institution
Responsible for
Implementation
Di st. Deputy
Commissioner /
DAPS
Activities to be under taken
Prepare Bye-laws and Register
the Society
e
Appointment of project
Director
Mamber / Secretary and others.
payment of Honorarium
Selection of Secretarial
assistance staff and payment of
Honorarium
Meet POL & Travel cost
/Contingency Expcnces
Training of staff
Prepare plan for specific
activities
t
•
Page. 61
Time
Frame
Y1
Y1
Yl to
Y5
Yl to
Y5
Y1
Yl
toY5
Assessment Parameter
Number of staff in
position/Vacancy
etc..
Number of staff
Trained
Vehiclc/fumiture/
Equipment
Purchased
Installed and
made functional
Physical targets
and financial
targets and
achievements
Risks
Frequent
Transfer of
Deputy
Commissionc
as they arc
IAS officers
Lack of
competent
staff
Lack of
response by
NGOs and
other Depts.
COMPONENT - III
Programme Management
Subcomponent: Inter Departmental Co-ordiantion
To have a Co-ordinated response to H1V/AIDS Prevention & Control.
Basic objective
Level of
Implementation
Process
Sub-Proccss
Implementcr
Director AIDS
Prevention
Society in 6
Districts.
Formation
of District
AIDS
Prevention
Committee
Quality review
meeting
District level
socicty/committce
& NGOs
Institution
Responsible for
Implementation
District levlel
socicty/committce
Activities To Be
Undertaken
Women & Child
Development
Deportment.
NGO Co-ordination &
specific activites to be
taking.
Formation of District
committee other
Deportments & NGOs
Page.62
Time
Frame
Y1 to
Y5
Assessment
Parameters
Selection
performation
indicotors.
Risks
Lack of
participating
in the
meeting
Review of MIS.
Lack of coordinationg
among other
Deportment
& NGOs.
COMPONENT III
Subcomponent:- Programme management
BASIC OBJECTIVES: To have effective DA TA on Management of AIDS CONTROL PROGRAMME
Level of
Implementation
Process
Sul) process
Implementor
Karnataka State
AIDS Prevention
Society
Development
and
implementation
of management
information
system
Identify and sclcci
priority areas for MIS
such as reporting
formats of
1 STD Clinic
2. Condom issued
3. Blood Banks
4
Scro-Survcil lance
report
5 Sentinel
Surveillance
report
6. AIDS Case
Surveillance
report
7. NGO formal
8 Training
9 Expenditure
MMR
Project Director
KSAPS/Techni
cal officers
Page. 63
Institution
Responsible for
Implementation
Karnataka State
AIDS Prevention
Society
Activities to be
under taken
Time
Frame
Assessment
Parameter
Risks
Prepare reporting
formats
Y1 to Y5
Number of MIS
formats received
Month ly/Quartcrly
Reviews taken up
Incomplete
reports
Print and supply
Analysis of
reports and
remarks, feed
back
To meet
contingency and
Office expenses
Feed Back reports sent
Delay in
submission
/receipts of
reporting
formats
Q
COMPONENT IH
Subcomponent:- Programme management. Monitoring & Evaluation
Objective:- To assess Progress/ Impact of the implementation of various activities on AIDS Prevention & Control.
Level of
Implementation
State level
Regional
Level.
Process
Study of
process and
impact
evaluation
Sub process
Set-up
internal
evaluation
sub
committee
Identify
independe
nt external
Agcncv to
take up
evaluation
Implcmentcr
Karnataka
State AIDS
Prevention
Society
Institution Responsible for
Implementation________
• Karnataka state AIDS
Prevention society.
Independent evaluation
agency & Reserch
Institution
Activities to be under
taken_________________
• Review of activities by
Technical Officers of
K.S.A.P.S. and
Review of Activities
records, Registers at
KSAPSZ Field level
Centres/ NGO
activities by External
independent
evaluation Agency
Review of reports.
Time
Frame
• End of
Y2&
End of
each
year
from
Y2to
Y5
Assessment
Parameter
• Number of
Evaluation
study takenup.
Number of
Review
meeting on
Evaluation
report and
Action taken.
Fellow-up
measures.
Monitoring of
Performance
Indicators.
Page. 64
Risks
Lack of
Competency to
take up
evaluation work
Cost factor and
Timely
completion of
evaluation by
cxteranal
independent
evaluation
Agency.
It may be
difficult to
assess impact in
First 2 years.
COMPONENT-III
SUB-COMPONENT - TRAINING
OBJECTIVE: - To update knowledge and skills of the staff on AIDS Prevention and Control including STD control /AIDS Case Diagnosis and
Management
Level of
Implementation
State level.
Regional level.
District level.
Proces
Sub processes
Implcmcntcr
Organise &
Conduct
Training
Programme
Identfy
Institution to
conduct
Training
Karnataka
state AIDS
Prevention
Society
Procurement
of Training
Materials.
Modules.
Printing and
supply
Prepare
training
schedule &
guidelines
Institution Responsible
for Implementation
Karnataka State
AIDS Prevention
Society/NIMHANSZ
Medical
colleges/Hcalth
&FW Training
Centres.
LHV/ANM Training
Centres.
•
District Training
Teams
State Lexel/ Dist.
Level and
Regional Level
Activities to be under
taken_____________
• Prepare Training
schedules
Y1 to Y3
Identify Category of
staff to be trained
Refresher
Training
in Y4
Workout number to
be trained &
Number of Batches
to be trained
No. of session to be
taken up
Work-out Budget
Assessment Parameter
Training load to be
assessed
Identify target group
for training
Issue directions for
holding training
session and
Deputation order /
Circular
Page 65
Time
Frame
Pre-test Post-test
Questionair during
training session
Number of visits by
officers of KSAPS &
TOTs Core-Members
during training
session
Number of training
during each year
No. of training
session held for each
year & No. of
category trained.
Number of refresher
training session
conducted
Number trained
category wise.
Risks
Lack of
avalability of
Training
modules in time
Lack of
Participation of
core trainers
Lack of
participation by
trainees
Lack of
Coordination by
training centre.
COMPONENT IV
LOW COST COMMUNITY CARE CENTRE / CARE AND SUPPORT.
Secondary Objectives :
1
To enable People Living With HIV/AIDS to receive medical, nursing and
psychosocial care and support through supplementing existing health care
services with the establishment of nodal HIV-specific primary (home-based),
secondary (out-patient clinic), tertiary (hospital beds) and hospice facilities
Level of
Implement’n
Process
Sub-Process
implementor
Inst resp
for Implim.
Activities to be undertaken
Time
frame
State AIDS
Society/NGOs
Assess
ment
Parameters
esybalish HIVspecific services
establish district
training and
extension services
District C&S team
KSAPS/
NGOs
i.
recruit and train 1 coordinator +1
counsellor +1 nurse +1 community
worker team to manage 64
PLWHAs/week (10 clinic + 24 home
based + 20 hospital outreach + 10
respite) +1 nurse + 2 care assts + 1
house parent +1 cook as hospice
staff
ii.
psychosocial and emotional support
iii. nursing support
iv. medicine support
v. out-patient facility
vi. tertiary (hospital) links
vii. hospice
Vlii. community, material and financial
support
ix. referrals as necessary
X. Planning and Training services for
other care providers
Yr1-Yr5
•
Page.66
•
•
•
•
•
establishment of
district units
provision of
package of
services
no of PLWHAs
supported and
followed up
Planning and
training
sessions held
no of other care
facilities
supported in the
district
referral links
established
Risks
lack of
interest from
management
of existing
health
services
existing policy
emphasis on
prevention
may lead to
lower priority
for care
COMPONENT IV
Secondary Objectives : 2
To enable People Living With HIV/AIDS and those close to them to deal with the effects of
HIV/AIDS by organising them into self help groups
Level of
Implement’n
Process
Sub-Process
Implementor
Activities to be undertaken
Time
frame
Assessment
Parameters
NGOs
PLWHAs
Inst resp
for
Implim.
establishment
of self help
groups
motivating and
identifying suitable
motivated PLWHAs
willing to take
responsibility
PLWHAs
NGO
i.
ii.
Yr1-Yr5
No of SHGs
formed
No PLWHAs
members
mutual
support
issues
identified
issues
resolved
issues
represented
programmes
undertaken
links with
network of
positive
people
and
Page. 67
iii.
iv.
v.
vi.
vii.
viii
ix
group formation
physical space and conducive
environment for group meetings
group facilitation
sharing and emotional support
identification of PLWHA issues
resolution of PLWHA problems
represntation of PLWHA issues
education on Positive Living
institutional funding for SHG
programmes
Risks
lack of
participation
loss of
confidentiality
incompatibility
hostility from
larger society
Component
- V :
Inter Sectoral C ollaboration
Sub Component: - Inter Departmental Co-ordination (Govt, and Public Sector)
Basic Objectives:- Two sort out specific issues and to co-ordinate implementation activities
Level of
Implementation
Process
State Level &
District Level
Formation of State
Level and Dist.
Level Committees
Sub process
Identify Depts./
Public sector,
under taking.
education. Urban
Development
Social Welfare.
Labour. Women
& Child
Development.
NGOS./HAL.
IIT. BEL. Il l
HMT.BEML
BHEL. NGEF
L&T industries &
factories etc
Implementation
Project Director
K..S.APS&
' officers.
, Projects Director
I D A.P.S.
I Officers
Institution
Responsible for
Implementation
Activities to be
under taken
Setting up the
/committees
Involve
positive
people
KSAPS
&
DAPS
•
Quarterly
meeting.
Review the
issues,
follow-up
action.
Address for
co-ordianlion
of each sector
to implement
the required
activities
Page.68
Time Frame
Y1 to Y5
Assessment
Parameter
Risks
Number of
review
meeting held
in each year
Absence of
Members of
the
Committee
Feed Back
from positive
people
Lack of Co
ordination
Action taken
on each
meeting out
come
Number of
specific
issues
resolved.
Delay in
timely
action.
ANNEXURE II
BUDGET
DETAILS
2004
KSAPS PIP PHASE II AIDS CONTROL PROJECT 1999 -
KARNATAKA
TOTAL SUMMARY
Rs. In Millions
YEAR 3
YEAR 4
YEAR 5
TOTAL
RC
YEAR 2
IC
YEAR 1
80.437
67.505
64.911
341.355
337.665
3.690
73.790
COMPONENT
I
54.712
55.540
47.277
45.695
53.126
187.967
31.843
233.662
II
45.876
COMPONENT
35.301
30.735
25.556
50.200
48.917
137.288
III
46.979
187.488
COMPONENT
29.147
28.769
129.249
IV
31.329
4.000
22.943
125.249
17.061
10.742
10.503
53.600
V
12.590
5.800
11.570
47.800
8.195
215.197
185.406
945.354
109.385
210.346
835.969
158.790
175.615
TOTAL
19.61
18.58
100%
PERCENTAGE
22.76
11.58
22.25
88.42
16.80
COMPONENT
COMPONENT
I
KSAPS PIP PHASE II AIDS CONTROL PROJECT 1999 - 2004
KARNATAKA
TOTAL SUMMARY
Rs. In lakhs
YEAR 1
YEAR 2
YEAR 3
YEAR 4
YEAR 5
TOTAL
IC
RC
COMPONENT
I
547.12
737.90
804.37
675.05
649.11
3413.55
3376.65
36.90
COMPONENT
II
318.43
531.26
555.40
472.77
458.76
2336.62
1879.67
456.95
COMPONENT
III
469.79
489.17
353.01
307.35
255.56
1874.88
1372.88
502.00
COMPONENT
IV
170.61
229.43
313.29
291.47
287.69
1292.49
1252.49
40.00
COMPONENT
V
81.95
115.70
125.90
107.42
105.03
536.00
478.00
58.00
TOTAL
1587.90
2103.46
2151.97
1854.06
1756.15
9453.54
8359.69
1093.85
[PERCENTAGE
16.80
22.25
22.76
19.61
18.58
100%
88.42
11.58
■
i
i
i
KSAPS PIP 98-BUDGET 1999-2004 KARNATAKA
COMPONENT I
Targetted Interventions Among High risk groups
Rs. In lakhs.
Sex worker
STI
Condom
Men having
Migrant
Women
T ruckers Total
protection
RTI
Promotion
Sex with
Workers
Worker
Project
programme
Programme
Men
Programme
Protection
Programme
Code
Cost Center
IC
INVESTMENT COST
IC 01
Civil Works (R)
IC 02
Civil Works (Ext)
IC 03
Professional servcice
10.00
10.00
20.00
150.00
6.50
30
30.00
6.50
10
20.00
30.00
10.00
IC04
Furniture
43.50
2.86
46.36
IC 05
Equipment (medical)
39.67
0.80
40.47
13.05
1.60
14.65
IC06
Equipment (other)
IC 07
Vehicle
IC08
Medical Lab supplies
IC09
Medicines
IC 10
Supplies (others)
IC 11
HMIS
2.50
2.50
0.25
0.25
0.25
5.00
10.75
IC 12
IEC
217.50
21.75
9.52
87.50
20.30
15.40
371.97
IC 13
Training
67.86
78.30
21.84
27.30
47.46
54.00
296.76
IC 14
Local Consultants
IC 15
Studies
17.40
10.00
10.00
10.00
10.00
5.00
15.00
50.00
334.08
100.00
2.00
1.17
10.18
7.25
10.00
10.00
100.00
434.08
14.00
114.00
20.00
20.00
2.00
50.00
IC 16
Workshops
10.00
15.00
5.00
IC 17
Fellowships
6.00
8.00
5.00
3.00
4.00
4.00
30.00
IC 18
NGOs
275.10
320.01
103.6
108.50
215.6
658.30
1681.11
636.36
932.36
176.38
281.73
329.86
2.00
10.50
SUB TOTAL IC
RC
112.00
50.00
907.96
3376.66
RECURRENT COST
Salaries of Additional
RC 01
Staff
RC 02
Operational Expenses
RC 03
Building Maintenance
RC 04
Equipment maintenance
RC 05
Vehicle maintenance
2.00
23.50
TOTAL IC
638.36
955.86
18/9/98 2.00 P.M
page.69
15.500
13.00
SUBTOTAL RC
RC
3.00
3.00
112.00
176.38
281.73
332.86
j
8 40
21 40
8.40
36.90
916,36
3413.55
KSAPS PIP 98 - BUDGET 1999-2004 KARNATAKA
COMPONENT I
Rs. In lakhs.
Sub component:- Targetted Intervention Among High Risk Groups
Year 1
Year 2
Year 3
Year 4
Year 5
Grand Total
Civil Works ( R )
2.50
4 50
1.50
1.00
0.50
10.00
IC 02
Civil Works (Ext)
1.63
2.92
0.98
0.65
0.32
6.50
IC03
Professional Services
15.00
30.00
37.50
37.50
30.00
150.00
46.36
Code
Cost Center
IC
INVESTMENT COST
IC 01
IC04
Furniture
13.91
23.18
4.63
2.32
2.32
IC05
Equipment (medical)
10.12
14.16
10.12
4.05
2.02
40.47
IC 06
Equipment (other)
3.66
5.12
3.66
1.48
0.73
14.65
IC 07
Vechicles
IC08
Medical Lab supplies
5.00
7.50
12.50
12.50
12.50
50.Q0
IC09
Medicines
43.41
65.11
108.52
108.52
108.52
434.08
22.80
114.00
2.15
10.75
IC 10
Supplies (other)
22.80
22.80
22.80
22.80
IC 11
HMIS
2.15
2.15
2.15
2.15
IC 12
IEC
37.21
92.99
92.99
74.39
74.39
371.97
37.09
22.26
296.76
4.00
4.00
20.00
50.00
50.00
IC 13
Training
103.87
89.02
44.52
IC 14
Local Consultants
4.00
4.00
4.00
IC 15
Studies
10.00
10.00
10.00
10.00
10.00
IC 16
Workshops
10.00
10.00
10.00
10.00
10.00
IC 17
Fellowships
6.00
9.00
9.00
3.00
3.00
30.00
336.22
1681.11
IC 18
RC
NGOs
252.18
336.22
420.27
336.22
SUBTOTAL IC
543.44
728.67
795.14
667.67
641.73
3376.65
1.54
3.88
3.88
3.10
3.10
15.50
2.14
5.35
5.35
4.28
4.28
21.40
SUBTOTAL RC
3.68
9.23
9.23
7.38
7.38
36.90
TOTAL IC + RC
547.12
737.90
804.37
675.05
649.11
3413.55
RECURRENT COST
Salanes of Additional
RC 01
Staff
RC02
Operational expences
RC 03
Building Maintenance
RC 04
Equipment maintenance
RC 05
Vehicle Maintenance
_18/9/98 11.15
page. 70
KSAPS PIP 98 - BUDGET 1999-2004 KARNATAKA
COMPONENT I
Targetted Interventions Among High risk groups
Rs. In lakhs
Sub component: Sex Workers Protection
Code
Cost Center
IC
INVESTMENT COST
IC 01
Civil Works (R)
IC02
Civil Works (Ext)
IC 03
Professional serveice
IC 04
Furniture
IC05
Equipment (medical)
IC06
Equipment (other)
IC 07
Vehicle
IC08
Medical Lab supplies
IC09
Medicines
IC 10
Supplies (others)
IC 11
HMIS
5 Units
10 Units
20 Units
26 Units
26 Units
Year 1
Year 2
Year 3
Year 4
Year 5
Grand Total
3.00
6.00
7.50
7.50
6.00
30.00
1.00
1.50
2.50
2.50
2.50
10.00
0.50
0.50
0.50
0.50
0.50
2.50
IC 12
IEC
21.76
54.37
54.37
43.50
43.50
217.50
IC 13
Training
23.75
20.36
10.18
8.48
5.09
67.86
IC 14
Local Consultants
IC 15
Studies
3.48
3.48
3.48
3.48
3.48
17.40
IC 16
Workshops
2.00
2.00
2.00
2.00
2.00
10.00
IC 17
Fellowships
1.20
1.80
1.80
0.60
0.60
6.00
IC 18
NGOs
41.26
55.02
68.78
55.02
55.02
275.10
SUBTOTAL IC
97.95
145.03
151.11
123.58
118.69
636.36
0.20
0 50
0.50
0.40
0 40
2.00
SUBTOTAL RC
0.20
0.50
0.50
0.40
0.40
2.00
TOTAL IC + RC
98.15
145.53
151.61
123.98
119.09
638.36
RC
RECURRENT COST
Salaries of Additional
RC 01
Staff
RC 02
Operational Expenses
RC 03
Building Maintenance
RC 04
Equipment maintenance
RC05
Vehicle maintenance
18/9/98 2.30 P.M
page. 71
KSAPS PIP 98 - BUDGET 1999-2004 KARNATAKA
Targetted interventions Among High Risk Groups
COMPONENT I
Sub component:-
RTI & S T I,
SERVICES
Rs. In lakhs
Year 1
Year 2
Year 3
Year 4
Year 5
Grand Total
Civil Works (Ext)
1.62
2.94
0.97
0.65
0.32
6.50
IC03
Professional serveice
3.00
6.00
7.50
7.50
6.00
30.00
IC04
Furniture
13.05
21.75
4.35
2.18
2.17
43.50
IC05
Equipment (medical)
9.92
13.88
9.92
3.96
1.99
39.67
IC06
Equipment (other)
3.27
4.57
3.26
1.30
0.65
13.05
IC 07
Vehicle
IC08
Medical Lab supplies
1.00
1.50
2.50
2.50
2.50
10.00
IC09
Medicines
33.41
50.11
83.52
83.52
83.52
334.08
IC 10
Supplies (others)
IC 11
HMIS
0.50
0.50
0.50
0.50
0.50
2.50
IC 12
IEC
2.17
5.44
5.44
4.35
4.35
21.75
IC 13
Training
27.40
23.49
11.74
9.79
5.88
78.30
IC 14
Local Consultants
IC 15
Studies
2.00
2.00
2.00
2.00
2.00
10.00
IC 16
Workshops
3.00
3.00
3.00
3.00
3.00
15.00
IC 17
Fellowships
1.60
2.40
2.40
0.80
0.80
8.00
IC 18
NGOs
48.01
64.00
80.00
64.00
64.00
320.01
SUBTOTAL IC
149.95
201.58
217.10
186.05
177.68
932.36
1.05
2.62
2.63
2.10
2.10
10.50
1.30
3.25
3.25
2.60
2.60
13.00
SUBTOTAL RC
2.35
5.87
5.88
4.70
4.70
23.50
TOTAL IC + RC
152.30
207.45
222.98
190.75
182.38
955.86
Code
Cost Center
IC
INVESTMENT COST
IC 01
Civil Works (R)
IC 02
RC
RECURRENT COST
Salanes of Additional
RC01
Staff
RC 02 Operational Expenses
RC 03 Building Maintenance
RC 04 Equipment maintenance
RC05 Vehicle maintenance
18/9/98 4.30 P.M
page 72
KSAPS PIP 98
-BUDGET 1999-2004 KARNATAKA
COMPONENT I Targetted Interventions Among High Risk Groups
Rs. In lakhs.
Sub component:- Condom
Promotion
Code
Cost Center
Year 1
IC
INVESTMENT COST
IC 01
Civil Works (R)
IC02
Civil Works (Ext)
IC 03
Professional Services
IC04
Furniture
IC05
Equipment (medical)
IC06
Equipment (other)
IC 07
Vechicles
IC08
Medical Lab supplies
IC09
Medicines
IC 10
Supplies (other) Condoms
IC 11
HMIS
IC 12
I EC
IC 13
Training
IC 14
Local Consultants
IC 15
Studies
IC 16
Workshops
IC 17
Fellowships
IC 18
NGOs
I—
[RC
SUBTOTAL IC
1----------I
Year 2
Year 3
Year 4
Grand Total
Year 5
-
2.00
2.50
2.50
2.00
10.00
1.00
20.00
20.00
100.00
20.00
20.00
20.00
0.40
0.40
2.00
0.40
0.40
0.40
21.40
22.40
22.90
22.90
22.40
112.00
I
I
1RECURRENT COST
t
Salanes of Additional
RC01
Staff
+
RC 02
[ Operational expences
t
RC 03
Buikkng Maintenance
4
RC04
Equipment maintenance
RC05
Vehicle Maintenance
I
1
SUBTOTAL RC
[TOTAL IC + RC
19/9/98 10.20 A.M
page. 73
21.40
22.40
22.90
22.90
22.40
112.00
KSAPS PIP 98 - BUDGET 1999-2004 KARNATAKA
COMPONENT I Targetted Interventions Among High Risk Groups
Sub component:- Men having Sex with Men
Code
Cost Center
IC
INVESTMENT COST
IC01
Civil Works ( R )
IC02
Civil Works (Ext)
IC03
Professional Services
IC04
Furniture
IC05
Equipment (medical)
Rs. In lakhs.
Year 1
Year 2
Year 3
Year 4
Year 5
Grand Total
2.00
4.00
5.00
5.00
4.00
20.00
1.00
1.50
2.50
2.50
2.50
10.00
IC06
Equipment (other)
IC 07
Vechicles
IC08
Medical Lab supplies
IC09
Medicines
IC 10
Supplies (other)
IC 11
HMIS
0.05
0.05
0.05
0.05
0.05
0.25
IC 12
I EC
0.96
2.38
2.38
1.90
1.90
9.52
IC 13
Training
7.64
6.55
3.28
2.73
1.64
21.84
IC 14
Local Consultants
IC 15
Studies
0.24
0.24
0.23
0.23
0.23
1.17
IC 16
Workshops
1.00
1.00
1.00
1.00
1.00
5.00
IC 17
Fellowships
1.00
1.50
1.50
0.50
0.50
5.00
IC 18
NGOs
15.54
20.72
25.9
20.72
20.72
103.6
SUBTOTAL IC
29.43
37.94
41.84
34.63
32.54
176.38
29.43
37.94
41.84
34 63
32.54
176.38
RC
RECURRENT COST
Saianes of Additional
RC 01
Staff
RC 02
Operational expences
RC 03
Building Maintenance
RC04
Equipment maintenance
RC05
Vehicie Maintenance
T
t
SUBTOTAL RC
TOTAL IC + RC
19/9/98 10.40 A.M
page. 74
KSAPS
PIP 98 - BUDGET
COMPONENT I
1999-2004 KARNATAKA
Targetted Interventions Among High Risk Groups
Sub componentMIGRANT WORKER PROTECTION PROGRAMME
Code
Cost Center
IC
INVESTMENT COST
IC 01
Civil Works ( R )
IC 02
Civil Works (Ext)
IC 03
Professional Services
IC04
Furniture
IC05
Equipment (medical)
IC06
Equipment (other)
IC 07
Vechicles
IC08
Medical Lab supplies
IC09
Medicines
IC 10
Supplies (other)
IC 11
HMIS
Rs. In lakhs.
Year 1
Year 2
Year 3
Year 4
Year 5
Grand Total
3.00
6.00
7.50
7.50
6.00
30.00
0.50
0.75
1.25
1.25
1.25
5.00
0.05
0.05
0.05
0.05
0.05
0.25
IC 12
IEC
8.76
21.87
21.87
17.50
17.50
87.50
IC 13
Training
9.56
8.19
4.09
3.41
2.05
27.30
IC 14
Local Consultants
IC 15
Studies
2.03
2.03
2.04
2.04
2.04
10.18
IC 16
Workshops
2.00
2.00
2.00
2.00
2.00
10.00
IC 17
Fellowships
0.60
0.90
0.90
0.30
0.30
3.00
IC 18
NGOs
16.28
21.70
27.12
21.70
21.70
108.50
SUBTOTAL IC
42.78
63.49
66.82
55.75
52.39
281.73
RC
RECURRENT COST
I
Salaries of Additional
RC01
Staff
RC02
Operational expences
RC 03
Building Maintenance
RC04
Equipment maintenance
RC05
Vehicle Maintenance
SUBTOTAL RC
TOTAL IC + RC
18/9/98 10.50 AM
page. 75
I
42.78
63.49
66.82
55.75
52.89
281.73
KSAPS
COMPONENT I
PIP 98 - BUDGET 1999-2004
KARNATAKA
Targetted Interventions Among High Risk Groups
Rs. In lakhs.
Sub component:- WOMEN WORKERS PROTECTION
Year 1
Year 2
Year 3
Year 4
Year 5
Grand Total
1.00
2.00
2.50
2.50
2.00
10.00
1.50
2.25
3.75
3.75
3.75
15.00
HMIS
0.05
0.05
0.05
0.05
0.05
0.25
IC 12
I EC
2.01
5.08
5.08
4.07
4.06
20.30
IC 13
Training
16.62
14.23
7.12
5.94
3.55
47.46
IC 14
Local Consultants
IC 15
Studies
1.45
1 45
1.45
1.45
1.45
7.25
Code
Cost Center
IC
INVESTMENT COST
IC01
Civil Works ( R )
IC 02
Civil Works (Ext)
IC 03
Professional Services
IC04
Furniture
IC05
Equipment (medical)
IC06
Equipment (other)
IC 07
Vechicles
IC08
Medical Lab supplies
IC09
Medicines
IC 10
Supplies (other)
IC 11
IC 16
Workshops
2.00
2.00
2.00
2.00
2.00
10.00
IC 17
Fellowships
0.80
1.20
1.20
0.40
0.40
4.00
IC 18
NGOs
32.34
43.12
53.9
43.12
43.12
215.6
SUBTOTAL IC
57.77
71.38
77.05
63.28
60.38
329.86
0.30
0.75
0.75
0.60
0.60
3.00
SUBTOTAL RC
0.30
0.75
0.75
0.60
0.60
3.00
TOTAL IC + RC
58.07
72.13
77.80
63.88
60.98
332.86
k
RC
RECURRENT COST
Salaries of Additional
RC01
Staff
RC 02
Operational expences
RC03
Building Maintenance
RC04
Equipment maintenance
RC05
Vehicle Maintenance
18/9/98 11.5 A.M
page. 76
KSAPS PIP 98 - BUDGET 1999-2004 KARNATAKA
COMPONENT I Targetted Interventions Among High Risk Groups
Subcomponent:- TRUCKERS PROJECT
Rs. In lakhs.
Year 1
Year 2
Year 3
Year 4
Year 5
Grand Total
2.50
4.50
1.50
1.00
0.50
10.00
Professional Services
2.00
4.00
5.00
5.00
4.00
20.00
IC04
Furniture
0.86
1.44
0.28
0.14
0.14
2.86
IC05
Equipment (medical)
0.20
0.28
0.20
0.08
0.04
0.80
IC06
Equipment (other)
0.40
0.56
0.40
0.16
0.08
1.60
IC 07
Vechicles
IC08
Medical Lab supplies
IC09
Medicines
10.00
15.00
25.00
25.00
25.00
100.00
IC 10
Supplies (other)
2.80
2.80
2.80
2.80
2.80
14.00
IC 11
HMIS
1.00
1.00
1.00
1.00
1.00
5.00
IC 12
I EC
1.54
3.85
3.85
3.08
3 08
15.40
IC 13
Training
18.90
16.20
8.10
6.75
4.05
54.00
IC 14
Local Consultants
4.00
4.00
4.00
4.00
400
20.00
IC 15
Studies
0.40
0.40
0.40
0.40
0.40
2.00
IC 16
Workshops
IC 17
Fellowships
0.80
1.20
1.20
0.40
0.40
4.00
IC 18
NGOs
98.74
131.66
164.58
131.66
131.66
658.30
SUBTOTAL IC
144.14
186.89
218.31
181.47
177.15
907.96
0.84
2.10
2.10
1.68
1.68
8 40
SUBTOTAL RC
0.84
2.10
2.10
1.68
1.68
8.40
TOTAL IC + RC
144.98
188.99
220.41
183.15
178.83
916.36
Code
Cost Center
IC
INVESTMENT COST
IC01
Civil Works ( R )
IC 02
Civil Works (Ext)
IC 03
RC
(RECURRENT COST
Salaries of Additional
RC01
Staff
RC 02
Operational expences
RC 03
Building Maintenance
RC04
Equipment maintenance
RC05
Vehicle Maintenance
18/9/98 11.15
page.77
4
KSAPS PIP 98 BUDGET 1999 - 2004 KARNATAKA
COMPONENT II
Targetted
Inerventions Among Low Risk Groups.
Rs. In Lakhs
Cost Center
Code
IC
INVESTMENT COST
IC01
Civil Works (R)
IC 02
Civil Works (Ext)
IC 03
Professional Serveices
IC 04
Furniture
IC 05
Equipment (medical)
IC 06
Equipment (Other)
IC 07
Vehicles
IC 08
Medical Lab supplies
IC 09
Medicines
IC 10
Supplies (Others)
IC 11
Blood Safety
VTC
IEC
TOTAL
7.00
7.00
10.00
10.00
7.00
7.00
76.19
76.19
7.39
119.95
127.34
326.14
251.60
74.54
HMIS
5.00
5.00
10.00
20.00
IC 12
IEC
30.00
40.00
930.00
1000.00
IC 13
Training
40.00
20.00
IC 14
Local Consultants
3.00
3.00
4.00
10.00
IC 15
Studies
10.00
15.00
5.00
30.00
IC 16
Workshops
5.00
5.00
20.00
30.00
IC 17
Fellowhships
5.00
10 00
10.00
25.00
IC 18
NGOs
30.00
71.00
50.00
151.00
455.79
264.93
1158.95
1879.67
RC 01 Staff
154 95
200 00
RC 02 Operational Expenses
27.00
35 00
15.00
5.00
196.95
240.00
20.00
456.95
652.74
504.93
1178.95
2336.62
SUB TOTAL IC
RC
60.00
RECURRENT COST
Salaries of Additional
354 95
20 00
82.00
RC 03 Building Maintenance
RC 04 Equipment Maintenance
20.00
RC 05 Vehicle Maintenance
SUB TOTAL RC
TOTAL IC + RC
17/9/98
page.78
KSAPS PIP 98 -BUDGET 1999-2004 KARNATAKA
COMPONENT II
Targetted Interventions Among Low Risk Groups.
Rs. In Lakhs
Cost Center
Code
Year 1
Year 2
Year 3
Year 4
Year 5
Grand Total
IC
INVESTMENT COST
IC 01
Civil Works (R)
IC 02
Civil Works (Ext)
1.75
3.15
1.05
0.70
0.35
7.00
IC03
Professional Serveices
1.00
2.00
2.50
2.50
2.00
10.00
IC04
Furniture
2.10
3.50
0.70
0.35
0.35
7.00
IC05
Equipment (medical)
19.05
26.66
19.05
7.62
3.81
76.19
IC06
Equipment (Other)
31.83
44.57
31.83
12.73
6.38
127.34
IC 07
Vehicles
IC08
Medical Lab supplies
32.61
48.94
81.53
81.53
81.53
326.14
IC09
Medicines
IC 10
Supplies (Others)
IC 11
HMIS
4.00
4.00
4.00
4.00
4.00
20.00
IC 12
IEC
100.00
250.00
250.00
200.00
200.00
1000.00
IC 13
Training
21.00
18.00
9.00
7.50
4.50
60.00
IC 14
Local Consultants
2.00
2.00
2.00
2.00
2.00
10.00
IC 15
Studies
6.00
6.00
6.00
6.00
6.00
30.00
IC 16
Workshops
6.00
6.00
6.00
6.00
6.00
30.00
IC 17
Fellowhships
5.00
7.50
7 50
2.50
2.50
25.00
IC 18
NGOs
22.65
30.20
37 75
30.20
30.20
151.00
254.99
452.52
458.91
363.63
349.62
1879.67
SUB TOTAL IC
RC
RECURRENT COST
Salaries of Additional
RC 01
Staff
53.24
53.24
70 99
88 74
88.74
354 95
RC 02
Operational Expenses
8.20
20 50
20.50
16.40
16.40
82.00
RC03
Building Maintenance
RC 04
Equipment Maintenance
2.00
5.00
5.00
4.00
4 00
20.00
RC 05
Vehicle Maintenance
63.44
78.74
96.49
109.14
109.14
456.95
318.43
531.26
555.40
472.77
458.76
2336.62
SUB TOTAL RC
TOTAL IC + RC
page. 79
KSAPS PIP 98 BUDGET 1999 -2004 KARNATAKA
COMPONENT II
Targetted Interventions Among Low Risk Groups.
Subcomponent:- Blood Safety
Rs. In Lakhs
Code
Cost Center
Year!
Year 2
Year 3
Year 4
Year 5
Grand Total
19.05
26.67
19.05
7.62
3.80
76.19
25.16
37.74
62.90
62.90
62.90
251.60
IC
INVESTMENT COST
IC 01
Civil Works (R)
IC 02
Civil Works (Ext)
IC 03
Professional Serveices
IC 04
Furniture
IC 05
Equipment (medical)
IC 06
Equipment (Other)
IC 07
Vehicles
IC 08
Medical Lab supplies
IC 09
Medicines
IC 10
Supplies (Others)
IC 11
HMIS
1.00
1.00
1.00
1.00
1.00
5.00
IC 12
IEC
3.00
7.50
7.50
6.00
6.00
30.00
IC 13
Training
14.00
12.00
6.00
5.00
3.00
40.00
IC 14
Local Consultants
0.60
0.60
0.60
0.60
0.60
3.00
IC 15
Studies
2.00
2.00
2.00
2.00
2.00
10.00
IC 16
Workshops
1.00
1.00
1.00
1.00
1.00
5.00
IC 17
Fellowhships
1.00
1.50
1.50
0.50
0.50
5.00
IC 18
NGOs
4.50
6.00
7.50
6.00
6.00
30.00
71.31
96.01
109.05
92.62
86.8
455.79
SUB TOTAL IC
RC
RECURRENT COST
Salaries of Additional
RC 01
Staff
23 24
23.24
30.99
38.74
38 74
154 95
RC 02
Operational Expenses
2.70
6 75
6 75
5 40
5.40
27 00
RC 03
Building Maintenance
RC 04
Equipment Maintenance
1 50
3.75
3.75
3.00
3.00
15.00
RC 05
Vehicle Maintenance
27.44
33.74
41.49
47.14
47.14
196.95
98.75
129.75
150.54
139.76
133.94
652.74
SUB TOTAL RC
TOTAL IC + RC
17/9/98
page.80
KSAPS PIP 98 -BUDGET 1999-2004 KARNATAKA
COMPONENT II Targetted Interventions Among Low Risk Groups.
Subcomponent:-
Voluntary
Testing and Counselling
Centre
Rs. In Lakhs
Cost Center
Code
Year 1
Year 2
Year 3
Year 4
Year 5
Grand Total
1.75
3.15
1.05
0.70
0.35
7.00
2.10
3.50
0.70
0.35
0.35
7.00
1.85
2.59
1.85
0.74
0.36
7.39
7.45
11.18
18.64
18.64
18.63
74.54
IC
INVESTMENT COST
IC 01
Civil Works (R)
IC 02
Civil Works (Ext)
IC 03
Professional Serveices
IC04
Furniture
IC05
Equipment (medical)
IC06
Equipment (Other)
IC 07
Vehicles
IC08
Medical Lab supplies
IC09
Medicines
IC 10
Supplies (Others)
HMIS
1.00
1.00
1.00
1.00
1.00
5.00
IC 11
IEC
4.00
10.00
10.00
8.00
8.00
40.00
IC 12
Training
7.00
6.00
3.00
2.50
1.50
20.00
IC 13
Local Consultants
0.60
0.60
0.60
0.60
0.60
3.00
IC 14
Studies
3.00
3.00
3.00
3.00
3.00
15.00
IC 15
Workshops
1.00
1.00
1.00
1.00
1.00
5 00
IC 16
Fellowhships
2.00
3.00
3.00
1.00
1.00
10.00
IC 17
NGOs
10.65
14.20
17.75
14.20
14.20
71.00
IC 18
42.40
59.22
61.59
51.73
49.99
264.93
SUB TOTAL IC
RC
------ i
RECURRENT COST
40.00
50.00
---j
50 00
200.00
Salanes of Additional
|
RC 01
Staff
30.00
30.00
Operational Expenses
3.50
8 75
8.75
7.00
7 00
35.00
RC 02
RC 03
Building Maintenance
Equipment Maintenance
0.50
1.25
1.25
1.00
1.00
5.00
RC 04
RC 05
Vehicle Maintenance
34.00
40.00
50.00
58.00
58.00
240.00
76.40
99.22
111.59
109.73
107.99
504.93
SUB TOTAL RC
TOTAL IC + RC
17/9/98
page. 81
KSAPS PIP 98 -BUDGET 1999 -2004 KARNATAKA
COMPONENT II Targetted Interventions Among Low Risk Groups.
Subcomponent:- I. E . C
(Information, Education & Communications )
Rs. In Lakhs
Code
Cost Center
Year!
Year 2
Year3
Year 4
Year 5
Grand Total
1.00
2.00
2.50
2.50
2.00
10.00
29.99
41.98
29.98
12.00
6.00
119.95
IC
INVESTMENT COST
IC 01
Civil Works (R)
IC 02
Civil Works (Ext)
IC 03
Professional Serveices
IC 04
Furniture
IC05
Equipment (medical)
IC06
Equipment (Other)
IC 07
Vehicles
IC08
Medical Lab supplies
IC09
Medicines
IC 10
Supplies (Others)
IC 11
HMIS
2.00
2.00
2.00
2.00
2.00
10.00
IC 12
IEC
93.00
232.50
232.50
186.00
186.00
930.00
IC 13
T raining
IC 14
Local Consultants
0.80
0.80
0.80
0.80
0.80
4.00
IC 15
Studies
1.00
1.00
1 00
1.00
1.00
5.00
IC 16
Workshops
4.00
4.00
4.00
4.00
4.00
20.00
IC 17
Fellowhships
2.00
2.00
2.00
2.00
2.00
10.00
IC 18
NGOs
7.50
10.00
12.50
10.00
10.00
50.00
141.29
296.28
287.28
220.30
213.80
1158.95
2.00
5.00
5.00
4.00
4 00
20.00
2.00
5.00
5.00
4.00
4.00
20.00
143.29
301.28
292.28
224.30
217.80
1178.95
SUB TOTAL IC
RC
RECURRENT COST
Salaries of Additional
RC 01
Staff
RC02
Operational Expenses
RC03
Building Maintenance
RC 04
Equipment Maintenance
RC05
Vehicle Maintenance
SUB TOTAL RC
TOTAL IC + RC
17/9/98
page. 82
KSAPS
PIP 98 - BUDGET 1999 -2004
COMPONENT III
KARNATAKA
Survillance, Programme Management and Training
Institutional strengthing & Operational Research and
Research & Development.
Rs. In lakhs
Surveillance
Programme management.
Training
Total
Institutional Strengthing
Code
Operational Rsearch, &
Cost Center
Research and Development
IC
INVESTMENT COST
IC 01
Civil Works (R)
IC 02
Civil Works (Ext)
IC03
Professional services
IC04
Furniture
IC05
Equipment (Medical)
IC06
Equipment (other)
IC 07
Vehicles
IC08
Medical Lab supplies
IC09
Medicines
IC 10
Supplies (Others)
IC 11
HMIS
5.00
20.00
25.00
20.00
20.00
12.00
12.00
107.28
107.28
5.00
IC 12
IEC
20.00
IC 13
Training
10.00
IC 14
Local consultants
IC 15
Studies
IC 16
10.00
5.00
20.00
10.00
20.00
50.00
988.60
998.60
10.00
10.00
15.00
500
20.00
Workships
10.00
30.00
10.00
50.00
IC 17
Fellowships
20.00
20.00
20.00
60.00
IC 18
NGOs
204.28
125.00
1043.60
1372.88
SUBTOTAL IC
RC
RECURRENT COST
Salaries of Additioani
RC 01
217.00
217 00
8.00
250.00
258 00
2.00
3.00
staff
RC 02 Operational Expences
RC 03
Building Maintenance
RC 04
Eqipment maintenance
5 00
17 00
17 00
RC05 Vehicle maintenance
10.00
SUBTOTAL RC
10.00
487.00
5.00
502.00
TOTAL IC + RC
214.28
612.00
1048.60
1874.88
21/9/98 10.35 A.M
page. 83
KSAPS
COMPONENT
PIP 98 - BUDGET 1999 -2004
III
KARNATAKA
TOTAL
Rs. In lakhs
Year 1
Year 2
Year 3
Year 4
Year 5
Grand Total
Professional services
2.50
6.25
6.25
6.00
2.00
IC05
Equipment (Medical)
3.00
4.20
3.00
1.00
1.20
5.00
1.00
25.00
Furniture__________
5.00
10.00
0.60
12.00
IC 06
IC07
Equipment (other)
Vehicles
IC 08
Medical Lab supplies
10.73
16.09
26.82
26.82
26.82
107.28
IC 09
IC 10
Medicines
4.00
4.00
20.00
12.50
10.00
4.00
10.00
Code
Cost Center
IC
INVESTMENT COST
IC 01
IC 02
Civil Works (R)
IC 03
IC04
Civil Works (Ext)
20.00
Supplies (Others)
IC 11
IC 12
HMIS
4.00
I EC
5.00
4.00
12.50
IC 13
Training
349.51
299.58
149.79
124.83
74.89
50.00
998.60
IC 14
IC 15
IC 16
IC 17
Local consultants
2.00
2.00
2.00
2.00
2.00
10.00
Studies
4.00
10.00
12.00
4.00
10.00
18.00
4.00
10.00
Fellowships
4.00
10.00
18.00
20.00
Workships
4.00
10.00
6.00
6.00
60.00
408.74
385.37
238.36
196.10
144.31
1372.88
32.55
25.80
32.55
64.50
43.40
64.50
54.25
54.25
217.00
51.60
51.60
258.00
2.00
2.00
10.00
3.40
111.25
3.40
111.25
17.00
502.00
307.35
255.56
1874.88
IC 18
NGOs_______
SUBTOTAL IC
RC
50.00
RECURRENT COST
Salaries of Additioanl
RC01
staff
RC 02
Operational Expences
RC 03
Building Maintenance
RC 04
Eqipment maintenance
1.00
2.50
RC 05
Vehicle maintenance
4.25
SUBTOTAL RC
1.70
61.05
103.80
2.50
4.25
114.65
TOTAL IC + RC
469.79
489.17
353.01
page.84
KSAPS
PIP 98 - BUDGET 1999 -2004
KARNATAKA
COMPONENT III
Rs. In lakhs
SUBCOMPONENT:- SURVEILLANCE
Year 1
Year 2
Year 3
Year 4
Year 5
Grand Total
0.50
1.00
1.25
1.25
1.00
5.00
3.00
4.20
3.00
1.20
0.60
12.00
10.73
16.09
26.82
26.82
26.82
107.28
HMIS
1.00
1.00
1.00
1.00
1.00
5.00
IC 12
IEC
2.00
5.00
5.00
4.00
4.00
20.00
IC 13
Training
3.50
3.00
1.50
1.25
0.75
10.00
IC 14
Local consultants
IC 15
Studies
3.00
3.00
3.00
3.00
3.00
15.00
IC 16
Workships
2.00
2.00
2.00
2.00
2.00
10.00
IC 17
Fellowships
4.00
6.00
6.00
2.00
2.00
20.00
IC 18
NGOs
29.73
41.29
49.57
42.52
41.17
204.28
0.80
2.00
2.00
1.60
1.60
8.00
0.20
0.50
0.50
0.40
0.40
2.00
SUBTOTAL RC
1.00
2.50
2.50
2.00
2.00
10.00
TOTAL IC + RC
30.73
43.79
52.07
44.52
43.17
214.28
Code
Cost Center
IC
INVESTMENT COST
IC01
Civil Works (R)
IC 02
Civil Works (Ext)
IC 03
Professional services
IC 04
Furniture
IC05
Equipment (Medical)
IC 06
Equipment (other)
IC 07
Vehicles
IC 08
Medical Lab supplies
IC 09
Medicines
IC 10
Supplies (Others)
IC 11
SUBTOTAL IC
RC
RECURRENT COST
Salaries of Additioanl
RC 01 staff
RC 02 Operational Expences
RC 03 Building Maintenance
RC 04 Eqipment maintenance
RC 05 Vehicle maintenance
21/9/98 10.15 A.M
page. 85
KSAPS
PIP 98 - BUDGET 1999 -2004
KARNATAKA
COMPONENT III
SUB COMPONENT:-
Programme Management Institutional Strengthening
Operational Research and Research & Development
Rs. In lakhs
Code
Cost Center
IC
INVESTMENT COST
IC 01
Civil Works (R)
IC02
Civil Works (Ext)
Year 1
Year 2
Year 3
Year 4
Year 5
Grand Total
IC03
Professional services
2.00
4.00
5.00
5.00
4.00
20.00
IC04
Furniture
6.00
10.00
2.00
1.00
1.00
20.00
IC 05
Equipment (Medical)
IC06
Equipment (other)
ICO? Vehicles
IC 08 Medical Lab supplies
IC 09
Medicines
IC 10
Supplies (Others)
IC 11
HMIS
2.00
2.00
2.00
2.00
2.00
10.00
IC 12
I EC
1.00
2.50
2.50
2.00
2.00
10.00
IC 13
Training________
IC 14
Local consultants
2.00
2.00
2.00
2.00
2.00
10.00
IC 15
Studies
1.00
1.00
1.00
1.00
1.00
5.00
IC 16
Workships
6.00
6.00
6.00
6.00
6.00
30.00
IC 17
Fellowships
4.00
6.00
6.00
2.00
2.00
20.00
IC 18
NGOs
24.00
33.50
26.50
21.00
20.00
125.00
RC 01 staff
32.55
32.55
43.40
54.25
54.25
217.00
RC 02 Operational Expences
25.00
62.50
62.50
50.00
50.00
250.00
RC 04 Eqipment maintenance
0.30
0.75
0.75
0.60
0.60
3.00
RC 05 Vehicle maintenance
1.70
4.25
4.25
3.40
3.40
17.00
SUBTOTAL RC
59.55
100.05
110.90
108.25
108.25
487.00
TOTAL IC + RC
83.55
133.55
137.40
129.25
128.25
612.00
SUBTOTAL IC
RC
RECURRENT COST
Salaries of Additioanl
RC 03 Building Maintenance
21/9/98 10.00 A.M
page.86
KSAPS
PIP 98 - BUDGET 1999 -2004
KARNATAKA
COMPONENT III
SUBCOMPONENT:- TRAINING
Rs. In lakhs
Year 1
Year 2
Year 3
Year 4
Year 5
Grand Total
HMIS
1.00
1.00
1.00
1.00
1.00
5.00
IC 12
IEC
2.00
5.00
5.00
4.00
4.00
20.00
IC 13
Training
346.01
296.58
148.29
123.58
74.14
988.60
IC 14
Local consultants
IC 15
Studies
IC 16
Workships
2.00
2.00
2.00
2.00
2.00
10.00
IC 17
Fellowships
4.00
6.00
6.00
2.00
2.00
20.00
IC 18
NGOs
355.01
310.58
162.29
132.58
83.14
1043.60
Code
Cost Center
IC
INVESTMENT COST
IC 01
Civil Works (R)
IC 02
Civil Works (Ext)
IC 03
Professional services
IC04
Furniture
IC05
Equipment (Medical)
IC06
Equipment (other)
IC 07
Vehicles
IC 08
Medical Lab supplies
IC 09
Medicines
IC 10
Supplies (Others)
IC 11
SUBTOTAL IC
RC
RECURRENT COST
]
Salaries of Additioani
RC 01
t
staff
1
RC 02 Operational Expences
RC 03 Building Maintenance
0.50
1.25
1.25
1.00
1.00
5.00
SUBTOTAL RC
0.50
1.25
1.25
1.00
1.00
5.00
TOTAL IC+ RC
355.51
311.83
163.54
133.58
84.14
1048.60
RC 04 Eqipment maintenance
RC 05 Vehicle maintenance
21/9/98 10.25 A.M
page 87
KSAPS
COMPONENT
1999 - 2004
KARNATAKA
PIP 98
BUDGET
IV
Low cost community care centre /
Hospices & Care and Support.
Rs. In lakhs
Low cost community care
centre & establishment
of Hospices____________
care & support
including Treatment
charges
Total
Code
Cost Center
IC
INVESTMENT COST
IC 01
Civil Works ( R )
IC 02
Civil Works ( Ext)
IC 03
Professional Services
IC 04
Furniture
IC 05
Equipment (medical)
IC06
Equipment (other)
IC 07
Vehicles
20.65
IC 08
Medical Lab supplies
10.00
44.10
54.10
IC 09
Medicines
110.40
656.75
767.15
IC10
Suplies ( Others)
IC 11
HMIS
5.00
5.00
10.00
IC 12
I EC
30.00
20.00
50.00
IC 13
Training
30.00
20.00
50.00
IC 14
Local Consultants
5.00
5 00
10.00
IC 15
Studies
10.00
10.00
20.00
IC16
Workshops
10.00
10.00
20.00
IC 17
Fellowships
10.00
15.00
25.00
IC 18
NGOs
130.59
70.00
200.59
SUBTOTAL IC
386.64
865.85
1252.49
5.00
5.00
10.00
5.00
5.00
10.00
RC
15.00
10.00
25.00
20.65
RECURRENT COST
Salaries of Additional
RC 01
Staff
RC 02
Operational Expenses
RC 03
Building Maintenance
RC 04
Equipment maintenance
RC 05
Vehicle maintenance
12.00
8.00
20.00
SUBTOTAL RC
22.00
18.00
40.00
TOTAL IC + RC
408.64
883.85
1292.49
23/9/98 9.40 A M
page. 88
PIP 98
KSAPS
BUDGET
COMPONENT
IV
Sub component:
Care and Support
Including
1999 - 2004
Treatment
KARNATAKA
Charges
Rs. In lakhs
Year 1
Year 2
Year 3
Year 4
Year 5
Grand Total
1.00
2.00
2.50
2.50
2.00
10.00
Medical Lab supplies
4.41
6.62
11.03
11.02
11.02
44.10
IC 09
Medicines
65.68
98.51
164.19
164.19
164.18
656.75
IC 10
Suplies ( Others)
IC 11
HMIS
1.00
1.00
1.00
1.00
1.00
5.00
IC 12
IEC
2.00
5.00
5.00
400
4.00
20.00
IC 13
Training
7.00
6.00
3.00
2.50
1.50
20.00
IC 14
Local Consultants
1.00
1.00
1.00
1.00
1.00
5.00
iC 15
Studies
2.00
2.00
2.00
2.00
2.00
10.00
IC 16
Workshops
2.00
2.00
2.00
2.00
2.00
10.00
IC 17
Fellowships
3.00
4.50
4.50
1.50
1.50
15.00
14.00
14.00
70.00
865.85
Code
Cost Center
IC
INVESTMENT COST
IC 01
Civil Works ( R )
IC 02
Civil Works ( Ext)
IC 03
Professional Services
IC 04
Furniture
IC 05
Equipment (medical)
IC 06
Equipment (other)
IC 07
Vehicles
IC 08
IC 18
NGOs
SUBTOTAL IC
RC
10.50
14.00
17.50
99.59
142.63
213.72
205.71
204.20
0.50
1.25
1.25
1.00
1.00
5.00
RECURRENT COST
Salaries of Additional
RC 01
Staff
RC 02
Operational Expenses
RC 03
Building Maintenance
RC 04
Equipment maintenance
0.50
1.25
1.25
1.00
1.00
5.00
RC 05
Vehicle maintenance
0.80
2.00
2.00
1.60
1.60
8.00
SUBTOTAL RC
1.80
4.50
4.50
3.60
3.60
18.00
TOTAL IC + RC
101.39
147.13
218.22
209.31
207.80
883.85
page. 89
PIP 98
KSAPS
COMPONENT
BUDGET
1999 - 2004
KARNATAKA
IV
Sub component: low cost community care centres & establishment of Hospices
Rs. In lakhs
Year 1
Year 2
Year 3
Year 4
Year 5
Grand Total
1.50
3.00
3.75
3.75
3.00
15.00
Vehicles
12.39
4.13
2.07
1.03
1.03
20.65
IC08
Medical Lab supplies
1.00
1.50
2.50
2.50
2.50
10.00
IC09
Medicines
11.04
16.56
27.60
27.60
27.60
110.40
IC 10
Suplies (Others)
IC 11
HMIS
1.00
1.00
1.00
1.00
1.00
5.00
Code
Cost Center
IC
INVESTMENT COST
IC 01
Civil Works ( R )
IC02
Civil Works ( Ext)
IC03
Professional Services
IC04
Furniture
IC05
Equipment (medical)
IC06
Equipment (other)
IC 07
IC 12
3.00
IEC
7.50
7.50
6.00
6.00
30.00
2.25
30.00
IC 13
Training
10.50
9.00
4.50
3.75
IC 14
Local Consultants
1.00
1.00
1.00
1.00
1.00
5.00
IC 15
Studies
2.00
2.00
2.00
2.00
2.00
10.00
IC 16
Workshops
2.00
2.00
2.00
2.00
2.00
10.00
IC 17
Fellowships
2.00
3.00
3.00
1.00
1.00
10.00
IC 18
NGOs
19.59
26.12
32.65
26.12
26.11
130.59
75.49
386.64
SUBTOTAL IC
RC
67.02
76.81
89.57
77.75
0.50
1.25
1.25
1.00
1.00
5.00
0.50
1.25
1 25
1.00
1.00
5.00
RECURRENT COST
Salaries of Additional
RC01
Staff
RC02
Operational Expenses
RC 03
Building Maintenance
RC 04
Equipment maintenance
RC05
Vehicle maintenance
1.20
3.00
3.00
2.40
2.40
12.00
SUBTOTAL RC
2.20
5.50
5.50
4.40
4.40
22.00
TOTAL IC + RC
69.22
82.31
95.07
82.15
79.89
408.64
23/9/98 10.10 A M
page. 90
t
■
■
PIP 98
KSAPS
COMPONENT
IV
BUDGET
1999 - 2004
KARNATAKA
Low Cost Community Care Centre, Hospices Care and Support
Rs. In lakhs
Code
Cost Center
IC
INVESTMENT COST
IC01
Civil Works ( R )
IC 02
Civil Works ( Ext )
IC 03
Professional Services
Year 1
Year 2
Year 3
Year 4
Year 5
Grand Total
2.50
5.00
6.25
6.25
5.00
25.00
IC 04
Furniture
IC 05
Equipment (medical)
IC 06
Equipment (other)
IC 07
Vehicles
12.39
4.13
2.07
1.03
1.03
20.65
IC 08
Medical Lab supplies
5.41
8.11
13.53
13.53
13.52
54.10
IC09
Medicines
76.72
115.07
191.79
191.79
191.78
767.15
IC 10
Suplies ( Others )
IC 11
HM IS
2.00
2.00
2.00
2.00
2.00
10.00
IC 12
I EC
5.00
12.50
12.50
10.00
10.00
50.00
6.25
3.75
50.00
IC 13
Training________
17.50
15.00
7.50
IC 14
Local Consultants
2.00
2.00
2.00
2.00
2.00
10.00
IC 15
Studies
4.00
4.00
4.00
4.00
4.00
20.00
4.00
4.00
20.00
2.50
2.50
25.00
IC 16
Workshops
4.00
4.00
4.00
IC 17
Fellowships
5.00
7 50
7.50
IC 18
RC
NGOs
30.09
40.12
50.15
40.12
40.11
200.59
SUBTOTAL IC
166.61
219.43
303.29
283.47
279.69
1252.49
1.00
2 50
2.50
2.00
2.00
10.00
1 00
2.50
2.50
2.00
2.00
10.00
RECURRENT COST
Salaries of Additional
RC 01
Staff
RC 02
Operational Expenses
RC 03
' Building Maintenance
RC 04
RC 05
{Equipment maintenance
Ivehicle maintenance
2 00
5.00
5.00
4.00
4.00
20.00
RC
4.00
10.00
10.00
8.00
8.00
40.00
TOTAL IC + RC
170.61
229.43
313.29
291.47
287.69
1292.49
SUBTOTAL
J
23/9/98 10.10 A M
page. 91
KSAPS
PIP 98 BUDGET 1999 - 2004 KARNATAKA
COMPONENT V
Inter Sectoral Collaboration
Rs. In lakhs
Grand Total
Year 1
Year 2
Year 3
Year 4
Year 5
3.25
4.55
3.25
1.30
0.65
13.00
Medical Lab suplies
3.80
5.70
9.50
9.50
9.50
38.00
IC 09
Medicines
5.00
7.50
12.50
12.50
12.50
50.00
IC 10
Supplies (Others )
IC 11
H M I S
1.00
1.00
1.00
1.00
1.00
5.00
IC 12
I EC
10.50
26.25
26.25
21.00
21.00
105.00
IC 13
Training
12.25
10.50
5.25
4.37
2.63
35.00
IC 14
Local Consultants
3.00
3.00
3.00
3.00
3.00
15.00
IC 15
Studies
2.00
2.00
2.00
2.00
2.00
10.00
IC 16
Workshops
11.00
11.00
11.00
11.00
11.00
55.00
IC 17
Fellowhships
2.40
3.60
3.60
1.20
1.20
12.00
IC 18
NGOs
21.00
28.00
35.00
28.00
28.00
140.00
SUBTOTAL IC
75.20
103.10
112.35
94.87
92.48
478.00
2 85
:■ 80
4.75
4 75
c.25
6 60
6.60
Code
Cost Center
IC
INVESTMENT COST
IC 01
Civil Works ( R )
IC 02
Civil Works ( Ext)
IC 03
Professional Services
IC 04
Furniture
IC 05
Equipment ( Medical )
IC06
Equipment ( other)
IC 07
Vehicles
IC 08
IRC
RECURRENT COST
Salaries of Additional
SRC 01
Staff
2.85
;RC 02
Operational Expenses
3 -J
RC 03
Building Maintenance
T
I
T
0.60
1.50
1.50
1.20
1.20
6.00
SUBTOTAL RC
6.75
12.60
13.55
12.55
12.55
58.00
TOTAL IC + RC
81.95
115.70
125.90
107.42
105.03
536.00
RC 04
Equipment maintenance
RC 05
Vehicle maintenance
23/9/98 11.30 A M
page. 92
KSAPS
PIP 98 BUDGET 1999 - 2004 KARNATAKA
COMPONENT V
Inter Sectoral Collaboration
Rs. In lakhs
Code
Cost Center
IC
INVESTMENT COST
IC01
Civil Works ( R)
IC 02
Civil Works (Ext)
IC 03
Professional Services
IC 04
Furniture
IC 05
Equipment ( Medical)
IC 06
Equipment (other)
IC 07
Vehicles
IC 08
Medical Lab suplies
38.00
IC 09
Medicines
50.00
IC 10
Supplies (Others)
IC 11
HM IS
5.00
IC 12
I EC
105.00
IC 13
Training_______
35.00
IC 14
Local Consultants
15.00
IC 15
Studies
10.00
IC 16
Workshops
55.00
IC 17
Fellowhships
12.00
IC 18
NGOs
140.00
SUBTOTAL IC
478.00
RC
13.00
RECURRENT COST
Salaries of Additional
RC 01
Staff
19.00
RC 02
Operational Expenses
33.00
RC 03
Building Maintenance
RC 04
Equipment maintenance
RC 05
Vehicle maintenance
6.00
SUBTOTAL RC
58.00
TOTAL IC + RC
536.00
23/9/98 11.15 A.M
page 93
KSAPS PIP PHASE II AIDS CONTROL PROJECT 1999 - 2004
KARNATAKA
TOTAL SUMMARY
Rs. In lakhs
YEAR 1
YEAR 2
YEAR 3
YEAR 4
YEAR 5
TOTAL
IC
RC
COMPONENT
I
547.12
737.90
804.37
675.05
649.11
3413.55
3376.65
36.90
COMPONENT
II
318.43
531.26
555.40
472.77
458.76
2336.62
1879.67
456.95
COMPONENT
111
469.79
489.17
353.01
307.35
255.56
1874.88
1372.88
502.00
COMPONENT
IV
170.61
229.43
313.29
291.47
287.69
1292.49
1252.49
40.00
COMPONENT
V
81.95
115.70
125.90
107.42
105.03
536.00
478.00
58.00
TOTAL
1587.90
2103.46
2151.97
1854.06
1756.15
9453.54
8359.69
1093.85
PERCENTAGE
16.80
22.25
22.76
19.61
18.58
100%
88.42
11.58
;
l.lf
Page. 94
:.\l
KSAPS PIP PHASE II AIDS CONTROL PROJECT 1999 - 2004
KARNATAKA
TOTAL SUMMARY
Rs. In Millions
YEAR 1
YEAR 2
YEAR 3
YEAR 4
YEAR 5
TOTAL
IC
RC
COMPONENT
I
54.712
73.790
80.437
67.505
64.911
341.355
337.665
3.690
COMPONENT
II
31.843
53.126
55.540
47.277
45.876
233.662
187.967
45.695
COMPONENT
III
46.979
48.917
35.301
30.735
25.556
187.488
137.288
50.200
COMPONENT
IV
17.061
22.943
31.329
29.147
28.769
129.249
125.249
4.000
COMPONENT
V
8.195
11.570
12.590
10.742
10.503
53.600
47.800
5.800
TOTAL
158.790
210.346
215.197
185.406
175.615
945.354
835.969
109.385
PERCENTAGE
16.80
22.25
22.76
19.61
18.58
100%
88.42
11.58
21/9/98 4.40 p.m
Page. 95
ANNEXURE III
TRAINING PLAN
KSAPS PIP 98 BUDGET 1999 - 2004 KARNATAKA
COMPONENT III
Sub component:- TRAINING
Rs. In lakhs
Code
IC 11
IC 12
Item
Cost Center
Description of the item
Calculation and Costing
HMIS
Reporting formats
As per Tender
Printing & supply
Quotation
5.00
1.00
1.00
Prining and supply of
As per Tender notification
20.00
10.00
10.00
IEC
Sub totals Total
Year 1
Year 2
Year 3
1.00
Year 4
1.00
resource Modules
IC 13
TRAINING
Trainers Training
Faculty Member of Govt./ Pvt. Enclused as per annexore
Medical colleges, and
27.00
HFWTC, LHV/ANM
Training school,
Dental colleges
1. Doctors
52.80
52.80
2. ANMS / FHW
43.12
39.12
3. MPWS /HA (M)
18.48
18.48
12.936
4. LHVS ( HA (F))
12.936
5. BHES
7.392
3.08
6. Staff nurshing
39.984
39.98
7. Private Doctors / ISM
57.448
60.20
10.948
6.44
41.36
14.48
60.20
51.60
211.608
166.245
and RM PS
8. Dental Doctors
9. Refresher Trainig
(All catagery)
21/9/98
page.96
12.53 P.M
Year 5
1.00
Officer in charge
NATIONAL AIDS CONTROL PROJECT
1999-2004
PHASE-II
TRAINING PLAN
To be Trainers
1.
STATE LEVEL
Faculty Members of Medical Colleges
-Govt. & Private
Duration
No. of batches
at 30 per batches
Total No.
Training of Trainers
600
20
7
2.
Faculty of Health & F.W.
Training - ANMs, LHVs
Training school
ANM
LHV
100
3.
Faculty of Dental College
40x20
800
Four days
30
20
DISTRICT LEVEL / REGIONAL LEVEL
SL. Distlevel
NO. Category
1 DOCTORS
2 A.N.M.S.
3 M.P.W.S
4 L.H.V.S
5 B.H.E.S
6 Staff Nurses
7 Private Doctors/
+ ISM/RMPs
8 Dental Doctors
NO. to be Duration No. per
ofTrg. Batch
trained
Total No.
of. Batches
I Years
II Year
III Years
167
60
127
60
42
10
42
47
175
17
175
5000
8000
5000
2500
1000
2500
5 days
2 days
2 days
2 days
2 days
3 days
30
30
30
30
30
30
267
167
84
34
84
60
140
60
42
24
42
20000
800
1 day
1 day
30
30
667
27
167
15
COURSE
FECILITATOR:
Doctors
PMWs
page. 97
1
1
per
per
5 Trainees
5 Trainees
IV Year
47
HONOURARIUM
Rs.400/- per day + TA
V Year
REGIONAL LEVEL AND DISTRICT LEVEL TRAINING
SI. No. Place of
Category
No. to be No. per
Trained
Training
Batch
No. of
Duration of
Batches
Training
No. of Course
Total No. of Batches to be
facilitators
Trained Per Year
required
I Year
II Year
III Year
IV Year
V Year
per batch
(1 per 5 Trainees )
501
47
1 District Level
Doctors
5000
30
167
5 days
60
60
2 Distnct Level
A.N.M.S
8000
30
267
2 days
140
127
3 District Level
M.P. Ws
5000
30
167
2 days
60
60
LHVs
2500
30
84
2 days
42
42
252
4 District Level
BHEs
1000
30
34
2 days
24
10
102
5 District Level
Staff Nurses
2500
30
84
3 days
52
42
252
6 Regional Level
7 District Level
Private Doctors,
20,000
30
667
1 days
167
175
800
30
27
1 days
15
17
801
501
47
175
150
2001
ISM Doctors &
RMPs
8 Regional Level
page. 98
Dental Doctors
81
TRAINING OF TRAINERS AT STATE LEVEL 1999 -2004
1 State Level
Total batches 20
Amount per batch
I Year
(Private & Govt.) 4 days
Rs. 20.00 Lakhs
Rs. 1.00 Lakhs
Rs. 20.00 Lakhs
Faculty of HFTC
Total batches 7
ANM/LHV Trg.
Rs. 7.00 Lakhs
Rs. 1.00 Lakhs
Rs. 7.00 Lakhs
Total
Rs. 27.00 Lakhs
Faculty of
Medical College
2 State Level
Faculty of Dental
Colleges
page 99
II Year
111 Year
IV Year
V Year
I - BUDGET ESTIMATE/COSTING UNDER TRAINING COMPONENT ( 1999-2004)
i.
District Level
Doctors 5 days
2.
District Level
3.
Regional
Level
Private
Doctors/ISM
Doctors &
RMPs
One day
Dental
Doctors
4.
Regional
Level
Staff Nurses
5.
District Level
ANMS
Page. 100
Amount per
batch-of 30
Rs.0.88 Lakhs
Amount per
batch
Rs. 0.344
Lakh
Amount per
batch 0.644
lakhs
Amount per
batch
0.952 Lakhs
Amount per
batch
Rs.0.308
Lakhs
Total batches 167
Rs. 146.96 Lakhs
I Year
Rs. 52.8 Lakhs
II Year
Rs. 52.8 Lakhs
III Year
Rs. 41.36 Lakhs
Total batches 667
Rs. 229.448
Lakhs
57.448
60.20
60.20
Total batches 27
Rs. 17.388 Lakhs
10.948
6.44
Total batches 84
79.968
39.984
39.984
Total batches 267
Rs. 82.236 Lakhs
43.12
39.116
______ Rs. In lakhs.
IV Year
Wear
51.60
co; .
(Rs. IN LAKHS)
District Level
Multipurpose
worker
HA(M)
7.
District Level
L.H.V.S
8.
District Level
B.H.E.S
Amount per
batch
Rs. 0.308
Lakhs
Amount per
batch
Rs. 0.308
Amount per
batch
___ Rs. 0,308
TATAL REQUIREMENT PER YEAR
lo
V
00
Page. 101
Total batches 167
Rs. 51.436 Lakhs
I Year
Rs. 18.48
Lakhs
II Year
Rs. 18.48
Lakhs
Total batches 84
Rs. 25.872 lakhs
12.936 lakhs
12.936 lakhs
Total batches 34
Rs. 10.472 lakhs
7.392 lakhs
3.08 lakhs
243.108
233.036
III Year
Rs. 14.476
Lakhs
116.036
IV Year
51.60
Wear
BUDGET ESTIMATE - TRAINING OF TRAINER AT STATE LEVEL
TA and DA etc. expenses per batch of 30
(Per batch 30)
A.
B.
C.
D.
E.
F.
TA Per head Rs. 1,500x30
DA Rs. 200/- per day - for four days Rs. 800 x 30
Refreshement / Coffee / Snacks Rs. 50 Per head (30 + 10) Rs. 50 x 40
Training materials at Rs. 50 Per head 40 x 50
OHP / TV. VCP Slide project hire Rs. 1000/- per day x 4
Secretarial Asst. I Miscellaneous and Contingency etc.
45,000.00
24,000.00
8,000.00
2,000.00
4,000.00
5,000.00
80,000.00
1. Honorarium for Course facilitators Rs.400 x 4 x 6
9,600.00
2. TA for C.F. at Rs. 1500/- per C.F. (average) only for out station
facilitators for 4 experts.
Grand Total
6,000.00
Rounded off To Rs. 1,00,000/- (Rupees One lakh only)
page. 102
Rs.
95,600.00
TRAINING OF TRAINERS, DENTAL DOCTORS/STAFF NURSES - STATE LEVE / REGIONAL LEVEL - FOR THREE DAYS
1. TA at Rs.1,500 per head
Rs.1,500 x 30
2. DA at Rs.200/- per head per day for 3 days
Rs.200 x 20 x 3
18,000.00
3. Refreshements at Rs.50 per day for 3 days
Rs.50 x40 x 3
6,000.00
Rs.50 x 40
2,000.00
Rs.45,000.00
+ 10 supporting staff
4. Training materials at Rs.50 per head
5. OHP / TVVCP slide projector hire charges & arrangments
at Rs. 1000/- per day for three days
3,000.00
6. Secretarial Assistance / Misc. Contengency/stationery
at Rs.5000/- per batch
5,000.00
Total
Course facilitators
(1 for 5 )
A. Honorarium / DA at Rs. 400/- per day
Rs.400 x6 x 3
7,200.00
B. TA at Rs. 1,500/-per person
Rs.1,500x6 '
9,000.00
GRAND TOTAL
page. 103
79,000.00
Rs.
95,200.00
FOR FIVE DAYS
DISTRICT LEVEL DOCTORS - PER BATCH OF 30
Rs.
1. TA at Rs. 500/- per head
Rs.500 x 30
15,000.00
2. DA at Rs. 200/- per head
Rs.200 x 30 x 5
30,000.00
3. Refreshement at Rs. 50 per head
Rs. 50 x 40 x 5
10,000.00
Rs.50 x 40
2,000.00
Rs.1000 x 5
5,000.00
Cofee/snacks: Five days + 10 supporting staff
4. Training meterials at Rs. 50/- per head
5. OHP/ TV/VCR slide projector for hire charges &
arrangements at Rs.1000/- per day for five days
6. Secretarial Asst./ Misc./ Contengency/
stationery etc.
5,000.00
Rs. 5000/-
Total
67,000.00
1. Course Facilitators (1 per five trainees) .. 6 (six)
a. Honorarium / DA at Rs.400 per day per person Rs.400 x 6 x 5
b. TA at Rs.1500/- per head for 6 C.F.s
Rs.1,500 x 6
GRAND TOTAL
page.104
12,000.00
9,000.00
88,000.00
BUDGET PER BATCH OF 30
In Rs.
DCOTORS
COURSE FECILITATORS -6
DENTAL DOCTORS
DA 400 x6x1
= 2400.00
PVT / ISM Doctors & Staff Nurse
TA 1500x6
= 9000.00
Rs. 11400.00
1) TA-500X30
15,000.00
2) DA-200X30
6,000.00
Total
29,000.00
3) Refreshement
2,000.00
+
11,400.00
4) TRG. Materials Rs. 50 x 40
2,000.00
Rs.
40,400.00
5) TV/VCR Slide
1,000.00
Rs. 50 per batch + supporting
Staff rs. 50 x 40
Projectors & Lighting
arrangement 1000 x 1
6) Secretaril assistance 3000 x 1
3,000,00
29,000.00
page. 105
i
TRAINING FOR DOCTOR ( PRIVATE IISMZ RMPs )
1. TA at Rs.500/- per head
Rs.500 x 30
Rs.15,000.00
2. DA at Rs.200/- per day
Rs.200 x 30 x 1
Rs. 6,000.00
3. Refreshments charges
at Rs.50 per head Rs.50 x 40
Rs. 2,000.00
4. Training materials
Rs. 2,000.00
5. OHP/TV, VCR Slide project and other arrangements per day Rs. 1000/-
Rs. 1,000.00
6. Secretarial Asst. And Contegency and stationery
Rs. 3,000.00
Rs.29,000.00
Course Fecilitators (1 for 5 ) - 6
A. Honorarium/DA at Rs. 400 x 6 x 1
Rs. 2,400.00
B. TA at Rs.500 for six Fecilitatiors Rs.500 x 6
Rs. 3,000.00
GRAND TOTAL
page. 106
Rs.34,400.00
TRAINING FOR DENTAL DOCTORS ( ONE DAY)
Rs.45,000.00
1. TA at Rs.1500/-x 30 (per head Rs. 1500/-)
2. DA at Rs.200/- per day head Rs.200 x 30 x 1
6,000.00
3. Refreshments charges Rs.50 per head Rs. 50 x 40 (30+10)
2,000.00
4. Training materials
2,000.00
5. OHP / TV VCP Slide projector and other arrangements per day Rs.1000/-
1,000.00
6. Secretarial Asst. /Contengency/stationary etc.
3,000.00
59,000.00
Course Fecilitators (1 for 5 ) -6
A. Honorarium/DA Rs.400 x 6 x 1
2,000.00
B. TA at Rs. 1500/- x 2 for outsiders only
3,000.00
GRAND TOTAL
page. 107
<
I
644,000.00
TRAINING FOR PARA - MEDICAL STAFF OF 30 PER BATCH -
DISTRICT LEVEL
1. TA at Rs. 200 per head
Rs.200 x 30
6,000.00
2. DA at Rs. 100 per head (two days )
Rs.100 x 30 x2
6,000.00
3. Refreshments at Rs.50/- per head for 2 days
Rs.50 x 40 x 2
4,000.00
+ 10 suporting staff
4. Training materialsat Rs.50/- per head Rs. 50 x 40
2,000.00
5. OHP/TV VCR slide progect and other arrangements
at Rs. 1000/- per day for Two days
2,000.00
6. Secretarial Asst. And contengency and Stationery
3,000.00
Course fecilitators ( 1 for 5 ) - 6
A. Honorarium / DA at Rs.400/- per day per person for
Two days Rs.4000 x 2 x 6
4,800.00
B. TA at Rs.1500/- for out station feceilitators (two persons)
3,000.00
Four Members ( Local) - Nil
GRANT TOTAL
page. 108
30,800.00
REFRESHER TRAINING AFTER 2ND YEAR OF THE PROJECT
( 30 Participants per batch )
Dist. Level
Duration
No. of batches
3rd Year
4th Year
Sth Year
1) Doctors
2 Day
167 batches
100
67
0
2) ANM
1 Day
267 batches
1253
142
0
3) MPW
1 Day
167 batches
100
67
0
4) LHV
1 Day
84 batches
42
42
0
5) BHE
1 Day
34 batches
34
0
0
6) Staff Nurse
1 Day
84 batches
42
42
0
7) Dental Doctros
1 Day
27 batches
27
0
0
1 Day
667 batches
367
300
0
8) PVT/ISM
Doctors RMP
page. 109
REFRESHER TRAINING BUDGET
1) Doctors
Rs.9.408 lakhs
Rs.9.408 lakhs
Rs.7.616 lakhs
Rs. 11.298 lakhs
Rs. 11.298 lakhs
Rs.7.263 lakhs
667 Batches
Rs.179.423 lakhs
Rs.98.723 lakhs
Rs.80.70 lakhs
TOTAL
Rs.211.608 lakhs
Rs.166.245 lakhs
TOTAL :
page. 110
Rs. 15.008 lakhs
27 Batches
Rs.7.263 lakhs
8) PVT/TSM Doctors RMPS
Rs.22.40 lakhs
84 Batches
Rs.22.596 lakhs
7) Dental Doctors
Rs.31.808 lakhs
34 Batches
Rs.7.616 lakhs
6) Staff Nurse
Rs.28.00 lakhs
84 Batches
Rs.18.816 lakhs
5) BHE
Rs. 18.023 lakhs'
167 Batches
Rs.37.408 lakhs
4) LHV
Rs.26.90 lakhs
267 Batches
Rs.59.808 lakhs
3) MPW
4th Year
167 Batches
Rs.44.923 lakhs
2) ANM.S
3rd Year
Rs.377.853 lakhs
5th Year
t C
^** ••*'
f OR OTHER PARA MEDICAL STAFF
(Budget for one batch of 30 participants)
COURSE FACILITATORS
1) TA
200x30
6000-00
2) DA
100x30
3000-00
DA
400X6X1 = 2400-00
3) Refreshement
50x40
2000-00
TA
1500X2
4) Trg. Materials
50x40
2000-00
1000x1
1000-00
3000x1
3000-00
=
5400-00
5) OHR/TV VCR etc.
Hire charges
6) Secretarial
Assistance
Rs.
17000-00
TOTAL
17000-00
5400-00
22400-00
page.111
3000-00
- Media
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