E-Newsletter of MSACS "Nirdhar" (Issue II-July-August2018)

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lrr fua;_k.k jkgrs-
jQX.kkP;k vk;q";ekukr
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eq[ki="V lkStU; & HIV Info
À
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egkjk"V! jkT; ,M@l fu;a_k.k laLFkk
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,pvk;Oghlg tx.kkjs
jQX.k vkrk loZlkekU;
thou txw 'kdrkr
eq[; ekxZn'kZd
Jh-ifjey flag] Hkk-iz-ls
izdYi lapkyd
eq[; laiknd
jekdkar xk;dokM
milapkyd] vk;bZlh
laikndh; eaMG
Jh-lqjs'k lkjaxdj]
lglapkyd] foRr
MkW-izdk'k HkksbZ]
lglapkyd] j-l-ls
MkW-fo-i-ckohLdj]
lglapkyd] eqyHkwr lsok
MkW-izeksn nsojkt]
lglapkyd] lh,lVh
MkW-,y-,l-pOgk.k]
milapkyd] fleq
MkW-yksds'k xHk.ks]
lglapkyd] Vhvk;
Jh-foiqy is[kGs]
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laiknu Lkgk:;d
Jherh v{krk eksjs&eqGhd]
foHkkxh; lgk:;d] vk;bZlh
;k vadkr
laikndh;----3
Bk.ks o iq.ks ;sFks DyLVj /kksj.kklaca/kh cSBd----5
V!hV vkWy & lglapkyd] lh,lVh foHkkx----7
Test & Treat strategy ----8
ftYgkLrjkojhy ,vkjVhfo"k;d fHkarhfp_ks ---9
dfork---10
ftYgkLrjh; ,pvk;Ogh$,M@l laosnhdj.k midze---11
,pvk;Ogh$,M@l Tkutkx=rh lans'k---12
Tkutkx=rh NikbZ lkfgR; uequs---13
eksrkGk] cqy

laikndh;
,pvk;Ogh$,M@lfo"k;hps 2030 i;Zr UNAIDS ;kauh fnysY;k
90&90&90 mfn@n"V lkdkj.;kP;k vuq"kaxkus ,Sfrgkfld fu.kZ; Hkkjr
ljdkj o uWdks] uoh fnYyh ;kaP;kekiQZr ?ks.;kr vkyk vkgs- ;k
fu.kZ;keqGs vkrk loZ ,pvk;Oghlg tx.kk`;k jQX.kkauk ,vkjVh
vkS"k/kksipkj eksiQr feGr vkgs-
,pvk;Ogh fo"kk.kw gn@ikj dj.;klkBh uWdks o egkjk"V!! jkT;
,M@l fu;a_k.k laLFkk dV@Vhcn@/k vkgs- egkjk"V! jkT; ,M@l fu;a_k.k
laLFksvraxZr jkT;krhy 73 ,vkjVh dsanzkekiQZr rlsp 177 fyad
,vkjVh dsanzkr eksiQr ,vkjVh vkS"k/kksipkj miyC/k djQu ns.;kr
;srks- ,vkjVh vkS"k/kksipkj fu;fer ?ksrY;kus ,pvk;Ogh fo"kk.kwaoj
lrr fu;a_k.k jkgrs] vk;q";ekukr ok< gksrs] tksMhnkjkl ,pvk;Ogh
lalxkZpk /kksdk deh gksrks rlsp M!x jsf>kLValpk /kksdk ns[khy deh
gksrks-
,pvk;Ogh gk vktkj ,dk Chronic illness tls e/kqesg] mPPk
jDrnkc ;klkj[kk vkgs- ,pvk;Ogh ladze.k jQX.kkP;k 'kjhjkr ok

1 st 90
90 VDds
yksdkauk R;kaph
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ikfgts-
2 nd 90
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ekfgr vlYksY;ka
iSdh 90 VDds
O;Drhauh ,vkjVh
vkS"k/kksipkj ?ksryk
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3 rd 90
,vkjVh mipkj
?ksr vlysY;ka
O;DrhaiSdh 90 VDds
jQX.kkapk Ogk;jy
yksM deh >kkyk
ikfgts-
4

Bk.ks o iq.ks ftYg;karxZr ;s.kk`;k egkuxjikfydk ;kaps vkjksX; vf/kdkjh ;kaph cSaBd
fn-11 tqyS 2018 jksth ek- Jh- ifjey flag] Hkk-iz-ls-] izdYi lpakyd] ejk,fula ;kaP;k
v/;{krs[kkyh uoh eqacbZ egkuxjikfydk ;sFks laiUu >kkyh- ;ke/;s eq[;r% Bk.ks ftYg;krhy
7 egkuxjikfydk (uoh eqacbZ] Bk.ks] dY;k.k & Mksafcoyh] fHkoaMh] mYgkluxj] fejk&HkkbZanj]
olbZ & fojkj) vkf.k iq.ks o fiaijh & fpapoM egkuxjikfydk v'kk ,dw.k 9 egkuxjikfydkaps
vkjksX; vf/kdkjh rlsp CTO ('kgj fVch vf/kdkjh) cSBdhdfjrk mifLFkr gksrslnj
cSBdhe/;s Bk.ks o iq.ks ftYg;kae/;s ,pvk;Ogh$,M@l fo"k;h DyLVj /kksj.k jkcowu
egkuxjikfydk ifj{ks_kkr ,pvk;Ogh$,M@lph rikl.kh o ,vkjVh vkS"k/kksipkj fo"k;h
tutkx=rh rlsp midze jkcfo.;kdfjrk fu/khP;k rFkk brj lgdk;kZdfjrk loZ egkuxjikfydk
;kaps lgdk;Z vko';d vlY;kps ek- izdYi lapkyd ;kauh lkafxrys] R;kl izfrlkn
Eg.kwu loZ egkuxjikfydsP;k vkjksX; vf/kdkjh ;kauh lgerh n'koZyh vlwu ejk,fula o
ftYgk ,M@l fu;a_k.k iFkd ;kaP;k lacaf/kr vf/kdk`;k'kh feGwu /kksj.k jkcfo.;kps vk'oklu
ns.;kr vkys vkgslnj
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lgdk;Z ykHkys] rlsp uoh eqacbZ MkW- /kUorh ?kkVxs] CTO vkf.k vkjksX; vf/kdkjh MkW- n;kuan
dVds ;kaP;k lgdk;kZus cSBd ikj iMyh- lnj cSBdhdfjrk ejk,fulaps foHkkx izeq[k]
,uthvks] Mkidw] fyadstsl o lg;ksxh laLFkkps izfrfu/kh mifLFkr gksrs-
5

6

fujksxh vk;q"; tx.;kps eqyHkwr gDd gs tls loZlkekU;
ek.klkpk vf/kdkj vkgs- rlsp vf/kdkj gs ,pvk;Ogh lg
tx.;k`;k O;Drhyk ns[khy vkgs- gs loZ ,pvk;Ogh$,M@l vWDV P;k
vuq"kaxkus 'kD; >kkys vkgs- Hkkjr ljdkjus ,pvk;Ogh$,M@l vWDV
lu 2017 iklwu dsanzkr ikfjr dsyk vkgs- ,pvk;Ogh lg tx.kk`;k
jQX.kkalkBh gk ,d eksBk o ,sfrgkfld fu.kZ; vkgsvkt
,pvk;Ogh gk vktkj ,dk Chronic illness tls e/kqesg]
mPPk jDrnkc ;klkj[kk vkgs- ,pvk;Ogh ladze.k jQX.kkP;k 'kjhjkr
ok

The National HIV/AIDS preogramme, has always committed to strive towards providing universal
access to comprehensive, equitable, stigma free and quality care, support and treatment services
to all People Living with HIV (PLHIV) with an integrated approach. India is signatory to
UN strategy of 90:90:90 and aims at ending HIV/AIDS epidemic as public health threat by 2030.
keeping all PLHIVs on treatment will play a vital role in achieving ambitious target of reaching
second 90 i.e. 90% of PLHIV who know their status are put on treatment.
India has adopted most awaited policy decision of “Treat All” on 28th April, 2017 in Delhi.
Hon’ble Union Minister of Health and Family Welfare, Shri Jagat Prakash Nadda announced Test
& Treat policy, marking it as an important landmark in the history of Public Healthcare programmes.
Since the first case of HIV was reported in the country in 1986, country’s response to HIV has
been strong, consistent and ever improving, which has been acclaimed globalyy . Provision of life
saving Antiretroviral (ARV) drugs, free of cost with public health system, is one of the major pillars.
In the year 2004, Antiretroviral Therapy (ART) was initiated for patients with CD4 count less
than 200 cell/mm. This was revised to 350 cells/mm in 2012 and 500 cells/mm in 2015 based on
the scientific evidences and recommendations by Technical Resource Groups (TRG). The Nation
has also rolled out option B + in 2014, providing ART to all pregnant and breast feeding women
regardless of CD4 count, to save new born of HIV infection from mother, Other groups like
children below 5 years of age, HIV infected with co-morbidities like TB, Hepatitis B & C and
Kala Azar and patients in who clinical stage 3/4 are being provided with ART.
Currently1.05 million PLHIV are taking ART through a network of ART centers and 1100
Link ART Centers. HIV care services in addition to first line therapy includes second &
third line ART, prophylaxis, diagnosis - Management of Opportunistic infections ,
including TB, Daily Anti - TB treatment through single window approach psycho social
support - follow up, individualized - thematic counseling positive living positive
prevention and linkages to various social beneficiary schemes. These services are one
of the motivating factors that encourage people to come forward and get tested.
India’s HIV programme has a firm faith in quality and in addition to evidence
based scale up of facilities, there has been regular updates in technical guidelines
pertaining to “when to start” and “what to start” keeping program in pace with
global developments and recommendations.
HIV prevalence at the national level has continued a steady decline from an estimated
peak of 0.38% in 2001-03 through 0.34% in 2007 and 0.28% in 2012 to
0.26% in 2015. There has been a decline of 67% in estimated new infection since
2000 against a global average of 35%. The life saving ART has improved numerous
lives and country has decreased estimated AIDS related deaths by 54% since
2006-07 against a global average of 41%.
India has been praised globally for its achievements and looked upon for its best
practices to be replicated in the other countries. Involvement of community has
been the strength of the program.
As a way forward, the programme aims to continue providing quality healthcare
services to all under care by introducing
differentiated services delivery models, introducing patient centric approach at
the treatment centers and continuing adoption of evidence based best practices in
the field of HIV/AIDS.
Source: NACO website
8

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10

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11

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i;kZ;] izfrca/k gkp mik;
Don’t cry, Don’t die when AIDS
comes near Say Good bye.
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lq[kh thoukpk noMw udk ekSdk
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eksrkGk & vk;lhVhlh xzkeh.k jQX.kky; eksrkGk ft-cqyMk.kk ;kaP;k orhus lu
2018&19 ;k o"kkZe/ks ,p-vk;-Ogh-,Ml ;k vktkjkfo"k;h lektkrhy rGkxkGki;ZrP;k
yksdkauk tutkx=rh dj.;kP;k n="Vhdksukrqu ,d ukfoU;iq.kZ midze jkcfo.;kr vkyk- R;ke/ks
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lektkrhy izR;sd O;Drhyk gk vktkj dlk iljrks]dlk iljr ukgh]R;kojhy izfrca/kkRed
mik; o ,vkjVh vkS"k/kkps egRo ;k fo"k;hph cslhd ekfgrh vlkoh Eg.kqu xkokrhy
izkFkfed vkjksX; dsanz]midsanz]xzkeiapk;r]o brj lkoZtfud fBdk.kh ;k ekfgrh iQydkps
vukoj.k dj.;kr vkyslokZr
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orhus ,dgh jQi;k [kpZ dj.;kr vkysyk ukgh-rj R;klkBh eksrkGk rkyqdk vk;lhVhlh
leqins'kd Jh xtkuu ygkls o iz'kkra Jh v'kksd egkys ;kauh izR;sd izkFkfed vkjksX; dsanz]
midsanz ps oSn;dh; vf/kdkjh o ,-,u-,e]rlsp izR;sd xkopk ljiap o xzkelsodkaph HksV
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eksfgespk eq[; mnns'k vkgs-
15

16

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18

lnj efgyk vk/kkjph ykHkkFkhZ vlwu rhph
ygku 12 o"kkZph eqyxh gh lkroh e/;s
f'kd.kkjh vlwu] rhyh frpk vkf.k vkbZpk
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f'kok; vkJe'kkGsr Bso.kkjh vlk iQrok
dkkkyh gksrh- ukryxkauh
okGhr Vkdysyh vkbZ vkf.k frph eqyxh
vki.kkal U;k; feGsy ;k vk'ksoj
vk/kkjP;k dk;kZy;kr jMr clY;k gksR;kvk/kj
laLFksus iuosy egkuxjikfydsP;k
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lHkkirh Jherh n'kZuk HkksbZj ;kauk iQksu
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eqyhyk usmQu R;kauh HksV ?ksryh vkf.k R;kauk
efgysP;k vkf.k frP;k eqyhph dgk.kh
lkafxryh- dsoG vkbZyk ,pvk;Ogh
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oafpr dj.;kr ;sr vkgs- vkf.k ekxsgh ;k
vkJekdMwu nksu ,pvk;Ogh eqykauk 'kkGsrwu
dk

Awareness about
Cluster activity at RTO Office
Thane
Tkkyuk
UAanqjckj
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,vkjVhpk vkS"k/kksipkj-
[kjks[kjp vo?;k egkjk"V!kr ,pvk;Ogh lalfxZrkaph deh >kkysyh la[;k y{kkr ?ksrk]
egkjk"V!krhy ,M@l fueqZyu dk;Zdzekpk lektkrhy fofo/k Lrjkoj iksgpysyk iz;Ru ;k dk;Zdzekkl
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dkexkj izf'k{k.k ykrwj
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DAPCC uanqjckj
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\ dsoG iqLrdh Kkukis{kk {ks_kvuqHkokojhy lkfgR;kyk izk/kkU; ns.;kr ;sbZy-
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