In India, less than 30% of the estimated 43,000 positive pregnant women receive PPTCT services. Low coverage of PPTCT is mainly attributed to unavailability of these services in the large and diverse private (for-profit and non-profit) health sector, which handles 44% of institutional deliveries through thousands of facilities. In order to reduce this coverage gap, SAATHII, with funding support from the Global Fund for TB, AIDS and Malaria initiated, in October 2015, Project Svetana, a 14-state scale up of its private sector initiative, focusing on public-private partnerships. This work builds on over a decade of SAATHII's private sector engagement supported by Elizabeth Glaser Pediatric AIDS Foundation (EGPAF), MAC-AIDS Foundation, and Johnson and Johnson (J&J) Read More..
SAATHII's work since 2002 to expand Prevention of Parent to Child Transmission (PPTCT) programs in the private healthcare sector, has made us aware of challenges in reaching out to pregnant women living with HIV, and mother-baby pairs, in order to ensure timely initiation of anti-retroviral treatment for the mothers, prophylaxis for the infant, and completion of Early Infant Diagnosis and other steps in the cascade. Problems related to timely completion and retention in the PPTCT cascade are pervasive. They are particularly acute when women seek antenatal care in the private healthcare sector and need to visit multiple points of care (maternity, pediatrics, government integrated counseling and testing centres (ICTC) and ART centres). In 2016, SAATHII began a partnership with Janssen Global Public Health, an initiative of the Janssen Pharmaceutical Companies of Johnson & Johnson. The initiative, named m-Maitri, aims to complement on-the-ground efforts at ensuring retention in the PPTCT cascade with Interactive Voice Messaging (IVR) to consenting pregnant women and mother-baby pairs until the babies reach 18 months of age. Read More here
COPE: Complementary Project for Elimination of Pediatric HIV
COPE complements the efforts of Svetana, SAATHII's private sector PPTCT initiative, in five of the 14 Svetana states: Andhra Pradesh, Telangana, Tamil Nadu, Maharashtra and Karnataka. It does so by placing a cadre of outreach staff called PPP Field Coordinators (FCs) to promote uptake of PPTCT services in districts where the number of positive pregnant women and mother-baby pairs is high. COPE is being implemented in partnership with Swami Vivekananda Youth Movement (SVYM) in Karnataka, Prayas-Pune in six districts of Maharashtra, and state units of SAATHII in Andhra Pradesh, Telangana, Tamil Nadu and the non-Prayas districts of Maharashtra.
The project focuses on 1068 HIV positive pregnant women as per the current Svetana coverage, a pre-Svetana cohort of 1000 and an expected 500 newly diagnosed women during Oct 15 –Mar 16 period. A total of 60% of the Svetana cohort is located in the 32 Svetana districts where COPE is being implement. Project COPE works towards enhancing ART initiation for women testing positive, and completion of early infant diagnosis.
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As part of the Public Private Partnerships Program in Andhra Pradesh, as well as the Prevention of Parent to Child Transmission (PPTCT) program, a SACS-funded Mobile Integrated Counseling and Testing Centres (ICTC) is being operated in the Nizamabad district of Andhra Pradesh. The purpose of the ICTC is to reach the unreached Most At Risk Populations (MARPs) and pregnant women with HIV counseling and testing services. Read More..