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Health Policy Issues and Health Programmes in ... - Amazon S3

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National <strong>Health</strong> Programme <strong>in</strong> UttaranchalFor voluntary counsell<strong>in</strong>g <strong>and</strong> test<strong>in</strong>g, at present there are only two VCTC centres—one at DoonHospital (Dehradun) <strong>and</strong> the other at Base Hospital (Na<strong>in</strong>ital). A proposal is be<strong>in</strong>g sent for 12more VCTCs so that each district has its own VCTC. Voluntary counsell<strong>in</strong>g is offered for just Rs 10<strong>and</strong> is free if the client is referred by a government doctor.There are also plans for AIDS care. Capacity build<strong>in</strong>g for low-cost community-based care has tobe built up for better care <strong>and</strong> support of AIDS cases. Drugs for <strong>in</strong>fections have to be madeavailable at hospitals. All cases of HIV/AIDS should be treated <strong>in</strong> general hospitals, as <strong>in</strong> the caseof other ailments. Confidentiality <strong>and</strong> privacy of the HIV patients is to be ma<strong>in</strong>ta<strong>in</strong>ed.Counsell<strong>in</strong>g should form an <strong>in</strong>tegral part of management of HIV/AIDS cases. There is also aneed to tra<strong>in</strong> family members <strong>in</strong> tak<strong>in</strong>g care of HIV patients.For the strengthen<strong>in</strong>g of the programme, surveillance strategy is to be planned, followed by itsmonitor<strong>in</strong>g <strong>and</strong> evaluation. Sent<strong>in</strong>el surveillance was conducted between August <strong>and</strong> October2001 <strong>in</strong> four STD sites <strong>and</strong> two ANC sites. This year it will be conducted <strong>in</strong> these six sites betweenAugust <strong>and</strong> October 2002. Tra<strong>in</strong><strong>in</strong>g of staff at the VCTC, blood banks, <strong>and</strong> STD cl<strong>in</strong>ics is to becarried out.75

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