annual report 2009 kh.pdf

RBHraCaNacRkkm<úCa KINGDOM OF CAMBODIA

Cati sasna RBHmhakSRt

r)aykarN_ skmμPaBRbyuTæ nwgCMgWeGds_¼kameraK

ANNUAL REPORT 2009

HIV/AIDS & STI PREVENTION AND CARE PROGRAMME

RksYgsuxaPi)al MINISTRY OF HEALTH

mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraK NATIONAL CENTER FOR HIV/AIDS, DERMATOLOGY AND STD

RBHraCaNacRkkm<úCaKINGDOM OF CAMBODIA

Cati sasna RBHmhakSRt Nation Religion King

r)aykarN_ skmμPaBRbyuTæ nwgCMgWeGds_¼kameraK RbcaMqñaM 2009

ANNUAL REPORT 2009

HIV/AIDS & STI PREVENTION AND CARE PROGRAMME

RksYgsuxaPi)al

MINISTRY OF HEALTH

mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraK NATIONAL CENTER FOR HIV/AIDS, DERMATOLOGY AND STD

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matika

k> r)aykarN_TUeTA 1> savta

1>1 esckþIepþIm 1>2 sßanPaBeGBIedmIk énemeraKeGds_ CMgWeGds_ enARbeTskm<úCa

2> RbB½n§RKb;RKg énmCÄmNÐlCati 2>1 vdþénkareFVIEpnkar nigkartamdan rbs;mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nig kameraK 2>2 karcuHhtßelxaelIkic©RbmeRBog 2>3 eKalkarN_ENnaM nig niyamEbbbTRbtibtþi 2>4 vKÁbNþúHbNþal nigsikçasala 2>5 karRKb;RKgKMeragmUlniFisklCMuTI 7 2>6 karGegáttamdan 2>7 kic©RbCMurbs; KNkmμkardwknaMKMerag (Steering Committees) 2>8 karpþl;R)ak;]btßmÖ eTAtamlT§plbMeBjkargar (Incentive Scheme)

x> smiT§plénkarpþl;esva 1> skmμPaBbgáar énemeraKeGds_ ¼CMgWeGds_ sMrab;RbCaCnTUeTA nigRkumRbQmmux 2> esvaEfTaMGñkpÞúkemeraKeGds_ nigGñkCMgWeGds_ 2>1 karpþl;esva

2>1>1 esvaeFVIetsþQamrkemeraKeGds_ edaysμR½Kcitþ nigrkSakarsMgat; 2>1>2 esvaEfTaM nigBüa)alCMgW»kasniym nigkarBüa)aleday»sfRbqaMgnwg emeraKeGds_

- karKaMRTEpñkmnÞIrBiesaFn_

- karcl½tGñkCMgWtamesvaepSg² - karKaMRTEpñk»sf nigsMPar³brikça - ebg¼eGds_ - karrs;ran manCIviteRkaykarBüa)aleday»sfRbqaMgemeraKeGds_

2>1>3 esvaEfTaMGñkCMgWeGds_tampÞH nigtamshKmn_ - esvaEfTaMGñkCMgWeGds_tampÞH (HBC)

- RkumKaMRTrbs;GñkpÞúkemeraKeGds_ (PLHA support groups(SG)

2>2 esvabgáarkarcMlgemeraKeGds_ BImþayeTAkUn 2>3 r)aykarN_km μviFIeqøIytbrYmKña

K> r)aykarN_fvika X> lT§kmμ»sfRbqaMgemeraKeGds_ nig»sfCMgW»kasniym g> karlM)ak nig]bsKÁ c> emeron bTBiesaFn_ q> esckþIsnñidæan Q> ]bsm<½n§ ³

1> sUcnakrsMrab;kartamdan nigvaytMélkmμviFI 2> taragTinñ½y 3> r)aykarN_RbcaMqñaM 2009 énKMeragmUlniFisklCMuTI7

r)aykarN_skmμPaBRbyuT§nwgCm¶WeGds_-kameraK RbcaMqñaM 2009

k> r)aykarN_TUeTA ³

1> savta ³ 1>1 esckIþepþIm

r)aykarN_enH BiBN’naBIsmiT§plEdl)anmkBIkarGnuvtþn_km μviFIbgáar EfTaMnigBüa)alCMgW eGds_-CMgWkameraK enAkñúgKMeragEpnkarRbcaM qñaM 2009. r)aykarN_enH KW)anbBa©ÚlnUvTinñn½y nig Bt’manmkBIRKb;esvaTaMgGs; dUcCaesvaEfTaMnigBüa)alCMgW OI/ART mNÐleFVIetsþQamrkemeraK eGds_edaysμRK½citþ nigrkSakarsMgat; KøIniksuxPaBRKYsar RkumEfTaMGñkCMgWeGds_tampÞH nig esvabgáar karcMlgemeraKeGds_BImþayeTAkUn enATUTaMgRbeTs EdlcgRkgCar)aykarN_RKb;RCugeRCaymYyénkar eqøIytbeTAnwgkarrIkraldalénCMgWeGds_-kameraKkñúgvis½ysuxaPi)alenAkñúgRbeTskm<úCa. karBiBN’na tamEpñkCabnþbnÞab;énr)aykarN_enH KWepþatelIskm μPaBsMxan;² énkarGnuvtþn_km μviFIkñúgqñaMenHKW³ k¦ r)aykarN_TUeTATak;TgnwgskmμPaBsMxan;²énkarRKb;RKgnigsmiT§plénkarGnuvtþn_km μviFI x¦ lT§pl EdlTTYl)anBIkarpþl;esvasuxaPi)al K¦ r)aykarN_énkarcMNayEpñkhirBaØvtßúeRbobeFobnwg KMeragnwg KMeragfvika Edl)anelIkeLIgkñúgqñaMenH X¦ kareFVIlT§km μén»sfCMgW»kasniym nig»sfRbqaMgemeraK eGds_ g¦]bsKÁnanaEdl)anCYbRbTH CaedIm.l.

1>2 sßanPaBeGBIedmIk énemeraKeGds_ CMgWeGds_ enARbeTskm<úCa

RbeTskm<úCaCaRbeTsmYykñúgcMeNamRbeTs xøHEdlmankarFøak;cuHnUvGRtaeRbv:aLg;emeraK eGds_. GRtaeRbv:aLg;énemeraKeGds_ enAkñúgcMeNamRbCaCnTUeTA )anFøak;cuH BI1>2° enAqñaM 2003 mkenARtwm 0>9° enAqñaM 2006 ¬sUmemIlrUbPaBTI1¦.

rUbPaBTI1³ GRtaeRbv:aLg;emeraKeGds_ kñúgcMeNamRbCaCnTUeTA GayuBI15-49qñaM edayEp¥ktamry³kareRbIR)as;Tinñn½yGegátrkGRta eRbv:aLg;emeraKeGds_qñaM2006 nigeyag

tamkarTsSn_TayedayeRbIR)as;m:UEdleGBIedmIsaRsþenAGasIu (Asian Epidemic Model) )anbgðaj[ dwgGRtaeRbv:aLg;emeraKeGds_ kñúgcMeNamRbCaCnTUeTA)anbnþFøak;cuHCabnþeTotBI 0>9° kñúgqñaM2006 mkenA Rtwm 0>8° kñúgqñaM2007 nig 0>7° enAkñúg qñaM2009enH nigmanGñkpÞúkemeraKeGds_cMnYn 57/900 nak; enAqñaM 2009 ¬EdlkñúgenaHman 30/300nak;CaRsþI nig 27/600 nak;Caburs¦ ehIyenA kñuúgqñaM2012 GñkpÞúkemeraKeGds_nwgmancMnYn 51/200nak; ¬EdlkñúgenaHman 26/800nak;CaRsþI nig 24/400 nak;Caburs¦ ¬rUbPaBTI2 nigTI3¦.

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0.60.6

0.70.7

0.7

0.8

0.9

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1

2006 2007 2008 2009 2010 2011 2012

Years

Pe

rce

nt

en

t

rUbPaBTI2³ karTsSn_TayBIGRtapÞúk¬eRbv:aLg;¦emeraKeGds_kñúgcMeNam RbCaCnTUeTAEdlmanGayuBI 15-49qñaM

BIqñaM 2006 dl;qñaM2012 ¬ebIman»sfRbqaMgemeraKeGds_¦

51200.053100

56200579005870061400

67200

26800278002950030300308003220035000

24400253002670027600279002920032200

0

10000

20000

30000

40000

50000

60000

70000

80000

2006 2007 2008 2009 2010 2011 2012

Total Women Men

rUbPaBTI3³karTsSn_TayBIcMnYnGñkpÞúkemeraKeGds_EdlmanGayuelIs BI15qñaMenAkm<úCaBIqñaM 2006-2012

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2> RbB½n§RKb;RKg énmCÄmNÐlCati 2>1 vdþénkareFVIEpnkarnigkartamdanrbs;mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nig kameraK³ EpnkarRbtibtþiRKb;RCugeRCayqaM 2009 vKÁsikçasalasþIBIkarerobcMeFVIEpnkarRKb;RCugeRCaysMrab; qñaM 2009 sMrab;extþ-raCFanITaMg24 EdlCaEpñkmYynkic©RbCMusMrbsMrYl Edl)anerobcMkal BIExFñÚqñaM 2008 edIm,IBinitüemIlnUvlT§plEdl)anGnuvtþkñúg3RtImasdMbUg/ pþl;nUvBt’manGMBI eKalkarN_ENnaM b¤yuT§saRsþfμ I² mYycMnYnEdl)aneFVIkarEksMrYlehIy nigBinitüemIleLIgvij EdrnUvKMerag Epnkarskm μPaBsMrab;qñaM2009. CamYyKñaenHEdr vKÁsikçasalak¾)anerobcMeKaledA ¬ targets) RbcaMqñaMsMrab;fñak;Cati nigfñak;extþ sMrab;qñaM2009 ehIylT§plénvKÁsikçasalaenHKW sMerc)anKMeragEpnkarqñaM 2009 ehIyEdlmanbBa©ÚlnUv inputs and expected outputs

rbs;GgÁkarédKUkargarCamYykmμviFIRbyuT§nwg CMgWeGds_-kameraK enAfñak;extþ-raCFanI . KMerag EpnkarenH nwgRtUvykeTAbBa©ÚleTAkñúgKMeragEpnkarRbtibtþiRbcaMqñaM2009 rbs;RksYgsuxaPi)al sMrab;KaMRTRbB½n§RTRTg;vis½ysuxaPi)al. CacugeRkay KMeragEpnkarRKb;RCugeRCayRBmTaMg KMeragfvikalMGit EdlmanTaMgR)ak;]btßmÖelIkTwkcitþ dl;mRnþIsMrab;qñaM 2009 RtUv)anGnum½t. fvikasrub Edl)anGnum½tTaMgGs;man cMnYn 13>421>391 duløaGaemrik EdlmanRbPBfvika cMnYn 14RbPB epSgKñasMrab;karGnuvtþn_skmμPaBRbyuT§nwgCMgWeGds_ kameraK enAfñak;Cati nig fñak;extþ.

2>2 karcuHhtßelxaelIkic©RBmeRBog enAkñúgqñaMenH mCÄmNÐlCati )ancuHkic©RBmeRBogCamYynigédKUkargardUcCa ³

1> GgÁkar esvasgÁmsuxPaBburs edIm,IGnuvtþKMeragskmμPaBénkarbgáarkarraldalemeraKeGds_¼ CMgWeGds_ nigkareRbIR)as;eRKOgejon BIEx sIha qñaM 2009 rhUtdl; Ex kkdáa qñaM 2012. GgÁkaresvasgÁmsuxPaBburs)anTTYlCMnYyhirBaØvtßúBIGgÁkarxaNa (KHANA) GgÁkarsuxPaB RKYsarGnþrCati ( FHI ) nigGgÁkarPIeGsGay ( PSI ) edIm,IGnuvtþkargarbgáar nigkarTb;sáat; karrIkraldalénemeraKeGds_nigkat;bnßyplb:HBal;kareRbIR)as;eRKOgejon nigeFIVTIpSareRsam Gnam½y kñúgcMeNamRkumRbQmmuxx<s;¬bursRsT,aj;burs GñkeRbIR)as;eRKOgejonn nigRsIþbMerI esvakMsanþsb,ay¦cMnYn09 extþ-raCFanI kñúgenaHrYmman raCFanIPñMeBj )at;dMbg bnÞaymanC½y

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kMBg;FM eBaF×sat; éRBEvg kMBg;qñaMg kMBg;s<W nig éb:lin BIEx sIha qñaM 2009 rhUtdl; Ex kkdáa qñaM 2012.

2> GgÁkar»sfkarIKμanRBMEdn (PSF-CI), BIEx kBaØa qñaM 2008 dl;Extula qñaM 2010 edIm,IBRgwgdl; karRKb;RKg»sfRbqaMgemeraKeGds_ nigCMgW»kasniym rbs;mCÄmNÐlCatiRbyuT§nwgeGds_ esIEs,k nigkameraK enAfñak;RsukRbtibtþiextþ-Rkug eRkamKMeragmUlniFisklCMuTI4 qñaMTI4 TI5 dMNak;kalTI2 BIExkBaØa 2008 dl; ExsIha 2010.

2>3 eKalkarN_ENnaM/ ÉksarbNþúHbNþal nigniyamEbbbTRbtibtþi enAkñúgqñaMenH mCÄmNÐlCati )anerobcMBinitüEksMrYlnUv eKalkarN_ENnaM nig ÉksarbNþúHbNþal

mYycMnYn dUcCa³ 1> niyamEbbTRbtibtþi sMrab;karbgáar EfTaM nigBüa)albnþ dl;RkumRsþIbMerIesvakMsanþenAkñúgRbeTs

km<úCa Edl)anerobcMedayRkumkargarbec©keTsfñak;CatiRBmTaMg)anBiPakSaBieRKaHeyabl;CamYy édKUGPivDÆn_TaMgGs; nigGñkGnuvtþpÞal;enA fñak;extþpgEdr . niyamEbbTRbtibtþienH ¬TaMgPasa Gg;eKøs nigPasaExμr¦ RtUv)ane)aHBum< nigeFVIkarEckcay nigk¾mandak;enAkñúgeKhTMB½rrbs; mCÄmNÐlCatipgEdr .

2> niyamEbbTRbtibtþi sMrab;karGnuvtþskmμPaBmNÐlmitþCYymitþ sMrab;kumarEdlpúÞkemeraKeGds_ enARbeTskm<úCa Edl)anerobcMedayRkumkargarbec©keTs RBmTaMg)anBiPakSaBieRKaHeyabl; CamYyédKUGPivDÆn_TaMgGs; nigGñkGnuvtþpÞal;enAfñak;extþpgEdr . niyamEbbTRbtibtþienH ¬TaMgPasaGg;eKøs nigPasaEx μr¦ RtUv)ane)aHBum< nigeFVIkarEckcay nigk¾mandak;enAkñúgeKhTMB½r rbs;mCÄmNÐlCatipgEdr .

3> krNIsikSa sþIBIkareqøIytbrYmKñakñúgkarbgáarnigEfTaM Büa)albnþCMgWeGds_nig suxPaBbnþBUC Edl)anerobcMedayRkumkargarbec©keTs. krNIsikSaenH ¬TaMgPasaGg;eKøs nigPasaEx μr¦ RtUv)ane)aHBum< nigeFVIkarEckcay nigk¾mandak;enAkñúgeKhTMB½rrbs;mCÄmNÐlCatipgEdr .

4> eKalkarN_ENnaMCati sIþBIkarbgáar nigEfTaMBüa)alkarbgáeraKtamkarrYmePT nig Rbdab;bnþBUC Edl)anerobcMedayRkumkargarbec©keTs RBmTaMg)anBiPakSaBieRKaHeyabl;CamYyédKUGPivDÆn_ TaMgGs;. eKalkarN_ENnaMenH¬TaMgPasaGg;eKøsnigPasaExμr¦RtUv)ane)aHBum< nigeFVIkarEckcay nigk¾mandak;enAkñúgeKhTMB½rrbs;mCÄmNÐlCatipgEdr .

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2>4 vKÁbNþúHbNþal nigsikçasala edIm,IBRgwgnUvsmtßPaBrbs;mRnIþ nigBRgwgkarsMrbsMrYl kargarenAfñak;extþ nig fñak;Rsuk

vKÁbNþúHbNþaldMbUgnigbMb:n nigkic©RbCMusMrbsMrYlCaeRcIn sMrab;mRnþIsuxaPi)al RtUv)anerobcMeLIgeTAtam EpñknimYy²énKMeragEpnkaryuT§saRsþ EdlmandUcCa³

- vKÁbNþúHbNþalbMb:n cMnYn 3vKÁ dl;GñkGb;rMpÞal; nigmitþGb;rMmitþ sþIBIkarGnuvtþnUvniyamEbb bTfμ I kargarbgáar EfTaMnigBüa)albnþdl;Rkum RsIþbMerIesvakMsanþ enAkñúgRbeTskm<úCa

- kic©RbCMusMrbsMrYlRbcaMtMbn; cMnYn3vKÁ sþIBIkargarbgáarEfTaMnigBüa)albnþdl;RkumRsIþbMerIesva kMsanþ CamYynigKøInikkameraK elIkarynþkarkñúgkarbBa¢ÚnRsþIeTATTYlesvaenAKøInikkameraK

- erobcMvKÁbNþúHbNþalbMb:n cMnYn6vKÁ sþIBIkarRKb;RKgBüa)al karbgáeraKtamkarrYmePTnig Rbdab;bnþBUC edaymanmnÞIrBiesaFn_KaMRT sMrab;RkumnarIEdleFVIkarenAesvakMsanþ Rkumburs Rslaj;burs

- kic©RbCMuRbcaMtMbn;énbNþajGñkEfTaMBüa)al nigmnÞIBiesaFn_CMgWkameraKsMrab;RkumnarIbMerIesva kMsanþ nigRkumbursRsLaj;burs nig RsIempÞH cMnYn5vKÁ.

- vKÁbNþúHbNþal sþIBIkarEfTaMnig Büa)alCMgW»kasniymnigeday»sfRbqaMgnwg emeraKeGds_ sMrab;RkumRKUeBTüEdlBüa)alkumar cMnYn1vKÁ nigkarpþl;RbwkSaBIkarEfTaMnigBüa)alCMgW»kas niymnigeday»sfRbqaMgnwg emeraKeGds_sMrab;kumar cMnYn1vKÁ.

- kic©RbCMuRbcaMtMbn;énbNþajRkumRKUeBTüEdlBüa)alCMgW»kasniymnigeday»sfRbqaMgnwg emeraKeGds_ sMrab;mnusScas; cMnYn3vKÁ.

- kic©RbCMuRbcaMtMbn;énbNþajRkumRKUeBTüEdlBüa)alCMgW»kasniymnigeday»sfRbqaMgnwg emeraKeGds_ sMrab;kumar cMnYn2vKÁ.

- kic©RbCMuRbcaMtMbn;énbNþajRkumEfTaMtampÞH nigtamshKmn_ cMnYn3vKÁ - vKÁbNþúHbNþal ry³eBl3éf¶ sþIBIkareRbIR)as;m:asuIn CD4 FACS Count CUndl;mRnþI

suxaPi)al EpñkmnÞIrBiesaFn_cMnYn10nak; - erobcMvKÁbNþúHbNþal sþIBIbec©keTsmnÞIrBiesaFn_ eFVIesr:UsaRsþ eFVIetsþRsavRCavrkemeraK

eGds_ etsþrkemeraKsVay dl;mRnþImnÞIrBiesaFn_cMnYn 16nak;

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- vKÁbNþúHbNþal cMnYn 4vKÁ sþIBIkarpþl;RbwkSaGMBIemeraKeGds_ nigCMgWeGds_ dl;Gñkpþl;RbwkSa cMnYn86nak; enAmNÐleFVIetsþQamrkemeraKeGds_ nigsMrab;km μviFIeqIøytbrYmKñakñúgkarbgáar nigEfTaM Büa)albnþCMgWeGds_nig suxPaBbnþBUC

- vKÁbNþúHbNþal cMnYn2vKÁ sþIBIkareFVIetsþQamrkemeraKeGds_ dl;Gñkbec©keTsmnÞIrBiesan_ cMnYn 39nak; .

- kic©RbCMuRbcaMtMbn;énbNþajGñkpþl;RbWkSa cMnYn2vKÁ - kic©RbCMuRbcaMtMbn;cMnYn 3vKÁ sIBIkarpþl;Bt’manénrbkKMehIj karGegáttamdanelIGaMgDIkaT½r

RbkasGasnñsMrab;qaM 2008-2009 dl;RkumEfTaMnigBüa)alCMgW»kasniym nigeday»sf RbqaMgemeraKeGds_ nigGgÁkarCaédKU.

- vKÁbNþúHbNþaldMbUgcMnYn 2vKÁ nigbMb:n 1vKÁ dl;mRnþIRKb;RKgTinñn½yfñak;extþ - vKÁsikçasala cMnYn3vKÁ sþIBIkarBRgwgRbB½n§tamdan nigr)aykarN_ nigkarRKb;RKgTinñn½y

sMrab;kmμviFIeGds_kameraK. - vKÁsikçasala cMnYn 3vKÁ sþIBIkarENnaM kñúgkarbMeBjr)aykarN_ nig sMeNIsMu»sf nigsMPar³

Rbtikr - kic©RbCMusMrbsMrYlcMnYn1vKÁ sþIBIkarRKb;RKgnigpÁt;pÁg;»sf nigsMPar³Rbtikr sMrab;karBüa)al

CMgWkameraK edIm,IBRgwgesvaEfTaM Büa)alkarbgáeraKtamkar rYmePTnigRbdab;bnþBUC enAKøInik suxPaB RKYsarextþ-raCFanI TaMg 21 .

- vKÁbNþúHbNþalbMb:ncMnYn1vKÁ sþIBIkarRKb;RKg»sfCMgW»kasniym nig»sfRbqaMgemeraK eGds_

- vKÁsikçasala cMnYn 2vKÁ sþIBIkarKNna»sfCMgW»kasniym nig»sfRbqaMgemeraKeGds_ - vKÁsikçasalasþIBIkarerobcMeFVIEpnkarRKb;RCugeRCaysMrab;qñaM2010sMrab;extþ-raCFanITaMg 24

2>5 karRKb;RKg KMeragmUlniFisklCMuTI 7³ kic©RBmeRBogelIKMeragBRgIkGnþraKmn_ sMrab;bgáar Büa)alEfTaM nigkat;bnßyplb:HBal;edaysar

emeraKeGds_ nigCMgWeGds_ dl;CnrgeRKaH nigRkumRbQmmuxnwgeRKaHfñak;x<s; enAkñúgRbeTskm<úCa rbs;KMeragmUlniFIsklCMuTI7 dMNak;kalTI1 RtUv)ancuHhtßelxa enAéf¶TI 18 Ex tula qñaM 2008 eday mUlniFIskl-hSWENv tMNagRbFankitþiysénKN³kmμakarsMrbsMrYl KMeragmUlniFisklenAkm<úCa

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(CCC Chairman) RbFankariyal½yTTYlCMnYypÞal;BImUlniFiskl¼mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,knigkameraK nigedaytMNagsgÁmsuIvil. Pñak;garTTYlCMnYypÞal;BImUlniFi skl-mCÄmNÐlCati esIEs,k nigkameraK )anerobcMcuHkic©RBmeRBogbnþeTotCamYyPñak;gar TTYlCMnYybnþ enAéf¶TI 2 mkra qñaM 2009. enAkñúgryeBlénkarGnuvtþ 1qñaM enH KMeragenHRtUv)ansMercnUvlT§plKYrCaTIemaTn³ CaBiess kñúgry³eBlcugeRkay Exkkáda-FñÚ qaM 2009 enH. tamkarcgRkgbUksrubénr)aykarN_ Edl)anmkBI Pñak;gaTTYlCMnYybnþ (SRs) TaMgGs; kñgcMeNamsUcnakrcMnYn15 Edl)aneRCIserIs sMrab;raykarN_ enaH)anbgðaj nUvlT§pldUcteTA mansUcnakrcMnYn11 kñúgcMeNamsUcnakrTaMg15enH man 7sUcnakr sMerc)anelIsBITisedAEdlelIkeLIg ¬KWBI 101° eTA 140°¦ nig mansUcnakr 4 EdlsMerc)antam Epnkar ¬KWBI 95° eTA 100°¦ eRBaHlT§plnsUcnakrTaMgenH PaKeRcInKWCalT§plEdl)anmkBIkar GnuvtþkmμviFIbnþ ehIyRtUv)anRbmUlTinin½yTUTaMgRbeTs edayEpñkRKb;RKgTinñn½y énmCÄmNÐlCati dUcCa cMnYnGtifiCnEdl)aneFVIetsþQamrkemeraKeGds_ nigmkTTYlyklT§plvij/ cMnYnGñkCMgWeGds_¬mnusS cas; nigkumar¦ EdlkMBugBüa)aleday»sfRbqaMgemeraKeGds_ cMnYnGñkpúÞkemeraKeGds_ EdlkMBugEfTaM edayRkumEfTaMtampÞH CaedIm¦ nigmansUcnakr2 EdlminsMerc)antamEpnkar ¬KW BI 76° eTA 88°¦.

edayELk mansUcnakrcMnYn 2EdlminTan;lT§plminTan;sMerc)an kñúgenaH man sUcnakr1 EdlsMerc)an 36° eFobeTAnwgTisedAEdl)anelIk KW cMnYnGñkcak;eRKOgejonEdl)ancUlkñúgkmμviFImú¢l sWuraMg nigsUcnakrcMnYn 1eTot minsMerc)anlT§plesaH eRBaHkmμviFI Büa)aleday emtadUn enAmnÞIreBTü mitþPaBEx μrsUevot EdlminTan;)ancab;epIþmdMeNIrkarenAeLIy rhUtmkdl;eBlenH ¬sUmemIlr)aykarN_ lMGitEdlmanP¢ab;enAkñúg ]bsm<n½§TI3 ¦.

2>6 karGegáttamdan (Surveillance)

1> karGegátrkGRtaeRbvaLg;emeraKeGds_ CMuTI10 ³ BiFIsarviFIsaRsþénkarRbmUlsMNakQam nigeKalkarN_ENnaM sMrab;karGegátrkGRtaeRbv:aLg; emeraKeGds_ CMuTI10 RtUv)anbBa©b;rYcral; nigkarbNþúHbNþal sIþBIkarRbmUlTinñn½y minTan;)anerobcM enAeLIy edaysarmankaryWty:avkñúgkareFVIlT§km μ sMrab;sMPar³ Rbtikr sMrab;kargarGegátenH.

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2> karGegátkarRbRBwtþ pøÚvePT CMuTI8 ³ kMBugBinitü nigerobcMemIleLIgvij nUvBiFIsar kMrgsMnYr sMrab; karGegátkarRbRBwtþpøÚvePT CMuTI8.

3> karGegáttamdan rkkarcMlgEdlmanPaBs‘Maén»sfRbqaMgemeraKeGds_bzm tamry³ threshold

surveyelIGñkEdleTIbnwgqøgf μ I. cab;taMBIkarsikSaenH)ancab;epþImmk sMNakQamRtUv)anRbmUl BImNÐleFVIetsþQamrkemeraKeGds_ cMnYn5kEnøg enATIRkugPñMeBj ¬enAKøInikCatiesIEs,knig kameraK mNÐlsuxPaB 7mkra KøInikr:ak;Twkføa KøInikr:ak;TYleKak nigenAmNÐlsuxPaBcMkarmn mansMNakQam 53 Edlman lT§plviC¢man kñúgcMeNamsMNakQamcMnYn70 EdlRtUvkar sMrab;karsikSaenH ehIysMNakQam 39 Edlman lT§plviC¢man RtUv)anbBa¢ÚneTAeFVIetsþrkPaB suaMenH enAmnÞIrBiesaFn_énRbeTskaNada.

4> kartamdanemIlPaBs‘Maén»sfRbqaMgemeraKeGds_ GaMgDIkaT½rsMrab;RbkasGasnñ ³ edIm,Itamdan emIlPaBs‘Maén»sfRbqaMgemeraKeGds_ karGegáttamdan GaMgDIkaT½rsMrab;Rbkas GasnñCMuTI 1 qaM 2008-2009 RtUv)anerobcMeLIg edayRbmUlTinn½yBIesvaEfTaM nigB)alCMgW »kasniymnig»sfRbqaMgemeraKeGds_ EdlkñúgenaHmankarRbmUlTinñn½yBIbBa¢IcuHeQ μaHGñkCMgW »sfRbqaMgemeraKeGds_ sMrg;bBa¢IGkCMgW ARV Tinn½yenAkgkMuBT½r ¬RbsinebIman¦ bBa¢I»sf nigeFVIkarBinitü emIlelIkarTukdak;»sf ARVenA»sfsßan eFVIkarsMPasn_CamYyRKUeBTüCamYy GñkCMgWEdlkMBug TTYl karBüa)aleday»sfRbqaMgemeraKeGds_CaedIm. edayEp¥kelIlT§pl Edl)anrkeXIjenAqñaM2008 karvaytMélbnÞan;mYy)anerobcMeLIgenAkñúgqñaM2009enH edIm,IBinitü emIlBIktþaEdlmanTMnak;TMng CamYynwgkarNat;CYbrbs;RKUeBTü kñúgcMeNamkumarEdlkMBug Büa)aleday»sfRbqaMgemeraKeGds_. rbkKMehIjénkarGegáttamdan GaMgDIkaT½rsMrab;Rbkas GasnñqñaM 2008-2009 enAkñúgcMeNamesvaEfTaMnigBüa)al OI/ARV TaMg 41 kEnøg niglT§pl énkarvaytMélenH RtUv)anykmkpSBVpSay dl;Rkum OI/ART km μviFIeGds_ mnÞIrsuxaPi)alextþ nig édKUGPivDÆn_.

5> eGds_ qñaM 2031 ³ mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraKénRksYgsuxaPi)al shkarCamYYy RksYgesdækic©nighirBaØvtßú nigGaCJaFrCatiRbyuT§nwgCMgWeGds_ )anerobcMeFVIkarsikSa)a:n;RbmaN

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ry³eBlEvg GMBIsßanPaBemeraKeGds_ nigCMgWeGds_ tMélnighirBaØb,Tan sMrab;karRbyuT§Tb;sáat; nwgkarrIkraldalCMgWeGds_enAkm<úCa dl;qñaM2031 edaymankarcUlrYmBIGñkCMnajrbs;GgÁkar suxPaBBiPBelak GgÁkar UNAIDS nigRkumkargarCaédKUpgEdr. karsikSaenH RtUv)anEbgEck CabIEpñk 1¦> kar)a:n;RbmaNGMBI sßanPaBemeraKeGds_nigCMgWeGds_ RBmTaMgGnþraKmn_epSg²Kña 2¦> tMélsMrab;GnþraKmn_ nimYy² nigTI 3¦> karviPaKGMBIhirBaØvtßú sMrab;karRbyuT§Tb;sáat;nwg karrIkraldalCMgWeGds_enAkm<úCa sMrab;eBlbc©úb,nñenH nigqñaM2031. eKalbMNgénkarsikSa enH KWedIm,IBBaØak;dl;édKUGPivDÆn_ kargarenAkm<úCaTaMgGs; eGay)andwgBItMélEdlnwgRtUvkar sMrab;kargarRbyuT§nwgCMgWeGds_ naeBlGnaKt nigedIm,IyklT§plenH mkBiPakSaCamYyRkum kargarfñak;Cati edIm,IemIlBIkareqøIytbeTAnwgkarrIkraldalkñúgtMélEdlTabehIymanRbsiT§PaB x<s; ehIyBinitüemIlnUvlT§PaBrbs;RbeTseyIg etIGacclnaRbPBfvikamkcUlrYmkñúgkarFana eGaymannirnþPaB kñúgkargarTb;sáat;nwgkarrIkraldal énemeraKeGds_nigCMgWeGds_kñúgry³eBl yUrGEgVg. cMNucsMxan;²énlT§pl rbs;karsikSaenH RtUv)anelIkykmkBiPakSaCamYyédKU kargarGñkGnuvtþn_mkBIRKb;lMdab;fñak; enAsNæaKarkaMbUDIy:aNa kalBIéf¶TI19ExvicäikaqñaM2009.

2>7 kic©RbCMuKN³kmμkardwknaMKMerag (Steering Committee)

enABak;kNþalqñaM 2008 mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraK nig mCÄmNÐlCatiKaMBarmata nigTark )anshkarCamYyédKUkargar nigedaymankarpþl;karKaMRT Epñkbec©k eTs nigEpñkfvika BImUlniFiKøIntun ITM-Belgium nigGgÁkarsuxPaBBiPBelak extþcMnYn2RtUv)an eRCIserIs edIm,IGnuvtþviFIsaRsþeqøIytbrYmKña enAkñúgRsukRbtibtþicMnYn5 ¬RsukRbtibtþíGñkelOg/ kMBg;RtEbk/ RBHesþc nigemsag extþéRBEvg nigRsukRbtibtþiKIrIvgS extþtaEkv ¦ EdlRKbdNþb;mNÐlsuxPaBcMnYn68 . lT§pldMbUgénkarGnuvtþn_km μviFIenH )anbgðajeGayeXIjfaman karekIneLIgéncMnYnRsþImanépÞeBaH mk BinitüépÞeBaHenAesvasuxaPi)almankarekIneLIgénRsþIEdlmkTTYlkarBüa)albgáarTaMgmþay nigkUnrbs; BYkeKEdlRbQmmuxnwgkarqøgBI«Bukmþay nigBRgwgynþkarsMrbsMrYlenAfñak;RsukRbtibtþi EdleFVIeGay kic©shRbtibtþikarrvagesvasuxaPi)alnigRkumEfTaMtampÞH.l. edayEp¥kelIbTBiesaFn_enH RksYg suxaPi)al )anBRgwgBRgIkkmμviFIeqøIytbrYmKñaenH RKbdNþb;dl; 331 mNÐlsuxPaB kñúgRsukRbtibtþi cMnYn22 extþcMnYn9 enAcugqñaM 2009enH .

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edIm,IBRgwgkic©sMrbsMrYl nigpøas;bþÚrbTBiesaFn_KñaeTAvijeTAmk kñúgkarGnuvtþnUvviFIsaRsþsMrab; kargarkareqøIytbrYmKñaenH kic©RbCMuelIkTI2 nigelIkTI3 rbs;KN³kmμkardwknaMKMeragsMrab;kargar kareqøIytbrYmKña kñúgkarbgáarnig EfTaMBüa)albnþ CMgWeGds_nig suxPaBbnþBUC )anRbRBwtþeTACaeTogTat; enAsNæaKarsan;ev. sikçakamRtUv)anGeBa¢IjmkBIfñak;extþ ¬rYmman mnÞIrsuxaPi)alextþ kariyal½yRsuk RbtibtþisuxaPi)al/ mnÞIreBTübEg¥k/ mNÐlsuxPaB/ km μviFIbgáarkarcMlgemeraKeGds_BImþayeTAkUn nig mNÐleFVIetsþQamrkemeraKeGds_¦ tMNagédKUkargar EdlcUlrYmkñúgkargarenH nigtMNagGgÁkar CaédKU EdleFVIkargarEfTaMtampÞH nigtamshKmn_ nigtMNagGgÁkarCam©as;CMnYy ¬dUcCa ITM/Belgium/ mUlniFIKøIntun/ GgÁkarsuxPaBBiPBelak/ GgÁkaryUnIeshV/ UNAIDS, US-CDC)… . eKalbMNgén kic©RbCMuenH KWedIm,IBinitüemIlBIkarrIkcMerInénkarGnuvtþn_nUvKMeragkareqøIytbrYmKña kñúgkarbgáarnigEfTaM Büa)albnþ CMgWeGds_nig suxPaBbnþBUC BiPakSaBIbBaða nig ]bsKÁmYycMnYnEdl)anCYbRbTH enAkñúg karGnuvtþn_knøgmk nigelIkEpnkarsMrab;eBlxagmux CaBiessKWBinitüemIlelIyuT§saRsþsMrab;BRgIk kargar enHeTAGnaKt.

2>8 karpþl;R)ak;]btßmÖedayEp¥kelIlT§plbMeBjkargar (PBSI)

mkdl;cugqñaM 2009enH manmRnþIcMnYn 1/535nak; Edl)anTTYlR)ak; ]btßmÖelIkTwkcitþTaMg enAfñak;Cati nigenAfñak;extþ ¬Rkum OI/ART, RkumRKUeBTüBüa)alkumarmanpÞúkemeraKeGds_ mRnþIpþl;RbwkSa nigeFVIetsþQamrkemeraKeGds_ KøInikkameraK nigRkumkargarRKb;RKgkmμviFIeGds_ ¦ . kñúgcMeNamenaH manmRnþI cMnYn 297nak; Edl]btßmÖ edayKMeragmUlniFisklCMuTI4/ mRnþIcMnYn182nak; TTYlBIKMerag mUlniFisklCMuTI5/ mRnþIcMnYn756nak; TTYlBIKMeragmUlniFisklCMuTI7/ 27nak; BImUlniFIKøIntun/ 21nak; edayGgÁkar AHF/ nig252nak; ]btßmedayGgÁkar UNICEF.

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rUbPaBTI4³ninñakarmRnþIEdlTTYlR)ak;]btßmÖelIkTwkcitþ BIqñaM 2005 dl; 2009

x> smiT§plénkarpþl;esva 1> skmμPaBénkarTb;sáat;CMgWeGds_

enAqñaM 2009 enH manmansuxPaBRKYsar TaMgGs;cMnYn 55 kEnøg ¬ 32 kEnøg RKbdNþb;elI 21 kñúgcMeNam 24extþ-Rkug TUTaMgRbeTskm<úCa ¬elIkElgextþmNÐlKIrI nigRkugEkb¦. kñúgenaHman 23 KøInikEdlRKb;RKgeday GgÁkareRkArdæaPi)al NGOs (RHAC=18 KøInik, Marie Stopes=3 KøInik, MEC=1

KøInik nig PSF=1 KøInik) .

kñúgcMeNam 32 KøIniksuxPaBRKYsarEdlCarbs;rdæaPi)alman 32 KøInik ¬100°¦ Edl)anbMBak; nUv]bkrN_ bEnßmsMrab;mnÞIrBiesaFn_ EdlGaceFVIetsþ RPR nig Basic microscopy . enAkñúgcMeNam KøInikTaMgGs;enH manKøInikcMnYn 30 EdlGacdMeNIrkaredaymnÞIrBiesan_enH)an ¬]bsm<½n§ ³ STI GaMgDIkaT½r 2 ¦. mnÞIrBiesaFn_TaMgenH )anCYyeGayKøInikkameraK EdlminGaceRbIR)as;nUvKMnUsbMRBYjsMrab;kar RKb;RKgEfTaMnigBüa)alCMgWkameraK edayBwgEp¥keTAelIcegáameraKsBaØasMrab;RkumRbCaCn Edlmankar RbQmmuxx<s;[kan; EtRbesIreLIg.

CabEnßmeTAelIkargarrbs;KøIniksuxPaBRKYsar mNÐlsuxPaBcMnYn 210 kEnøgenAkñúgRsukRbtibtþi cMnYn 70 kñúg 20 extþ )anpþl;esvaBinitüCMgWkameraKedayBwgEp¥keTAelIcegáameraKsBaØa. mkdl;cugqñaM 2009 enH mNÐlsuxPaBEdlpþl;esvaBinitüCMgWkameraKedayBwgEp¥keTAelIcegáameraKsBaØa kñugenaHrYm mankarBieRKaHCMgWcMnYn 5/076 nak; Caburs nig 33/955 nak; CaRsþI )anraykarN_ mkEpñkRKb;RKg Tinñn½yénmCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraK. kñúgcMeNamGñkCMgWbursEdl)an

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raykarN_ BIcegáameraKsBaØaCMgWkameraK cMnYn 4/489krNI kñúgenaHman 4/092krNI ¬91/2°¦ mankar hUrxÞúHtambgðÜrenam/ man326krNI¬17/3°¦mandMe)AelIRbdab;bnþBUC nig 71krNI¬1/6°¦sirman; elIRbdab;bnþBUC. karBinitüCMgWkameraKedayBwgEp¥k elIcegáameraKsBaØacMeBaHRsþIcMnYn 31/032 krNI; man 16/239krNI ¬52/3°¦ manCMgWrlakTVarmasnig)anBüa)al/ 12/821 krNI ¬41/3°¦ manCMgW rlakTVamasnigmat;s,Ún/ 1>770 krNI ¬5/7°¦ manCMgWrlakEb:lvIsnig 185krNI ¬0/6°¦dMe)A elIRbdab;bnþBUC.kñúgenaHmanédKUEdl)ankMNt;GtþsBaØaNfaman eraKsBaØa nig)anBüa)aledayBwgEp¥k elIcegáameraKsBaØaenaHman 4/237 nak; Cabursnig 5/391 nak; CaRsþI.

mkdl;cugqñaM2009 karBieRKaHCMgWenAtamKIønikkameraKTaMg53kEnøg EdlmanKøInikcMnYn 32kEnøg Carbs;rdæaPi)alnigKøInikGgÁkareRkArdæaPi)alcMnYn21 ¬KøInikm:arIsþúbextþekaHkug)anepJIrr)aykarN_mkkan; EpñkRKb;RKgTinñn½y enARtImasTI4 2009 ¦ rYmmankarBieRKaHCMgWTaMgGs; 211/187 elIk [kñúgenaHman 19/502 nak;Caburs nig5/545 MSM/ 146/452 nak;CaRsþIEdlmankarRbQmmuxTabnig39>688 nak; Ca®sþIeFVIkarenAesvakMsanþpÞHbn (BEWs) nig eFVIkarenAesvakMsanþeRkApÞHbn (NBEWs) ¬28/450 nak; CaRsþIeFVIkarenAesvakMsanþpÞHbn 11/238nak; CaRsþIeFVIkarenAesvakMsanþeRkApÞHbn¦ nwgmancMnYn 21>108 nak; mkeFVIkarBinitü tamdanbnþCaerogral;Ex ¬ rUbPaBTI 5 ¦.

23,19321,639

28,450

20,176

11,750 11,238

0

5000

10000

15000

20000

25000

30000

2007 2008 2009

Total visit of BEW Total visit of NBEW

rUbPaBTI 5: RsþIeFVIkarenAesvakMsanþpÞHbn nigbMerIesvakMsanþeRkApÞHbn Edl)aneTABinitüsuxPaBenA KøInikkameraK/ BIqñaM 2007 dl; qñaM 2009

KøInikGgÁkarm:arIsþúbcMnYnBIr kñúgcMeNambIkEnøg BuMman)aykarN¾ elIlElg Et m:arIsþúb extþekaHkug )anepJIrr)aykarN¾ rbs;xøÜnmkkan; EpñkRKb;RKgTinñn½y NCHADS enARtImasTI 4 qñaM 2009.

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KøIniksmaKmEfTaMsuxPaBRKYsarkm<úCa (RHAC) CaKøInikmYyEdlTTYlkarcab;Garm μrN_ nig)an TTYlGtifiCn PaKeRcInCaRsþIempÞH rWRsþIEdrmankarRbQmmuxTab cMENkÉKøInikTaMg 32 rbs;rdæaPi)al )anpþl;esvaPaKeRcIncMeBaHRsþIbMerIesvakMsanþ. KøInikGgÁkar MEC )anTTYlGtifiCnEdr)anmkeFVIkarBinitü PaKeRcInCa bursRsLaj;burs (MSM) .

kñúgqñaM 2009 enHKøInikTaMg 53 kEnøg kñúgenaHcegáameraKsBaØaCMgWkameraKEdl)anraykarN_ manGñkCMgWburscMnYn 13/288 krNI EdlmkeFVIkarBinitüCMgW bBa¢ak;fa 11/930 krNI ¬89/8°¦ man karhUrxÞúHtambgðÜrenam/ 99 krNI ¬0/7°¦ hUrxÞúHtamrn§KUf/ 827 krNI ¬6/2°¦ dMe)AelIRbdab;bnþ BUC¼rn§KUf/ 368 krNI ¬2/8°¦ sirman;elIRbdab;bnþBUC¼rn§KUf/ 52 krNI; ¬0/4°¦ehImRkelon. cegáameraKsBaØaCMgWkameraK Edl)anraykarN_kñúgcMeNam MSM cMnYn 1>156 krNI man 740 krNI ¬64>0°¦mankarhUrxÞúHtambgðÜrenam 112 krNI ¬9/7°¦ hUrxÞúHtamrn§KUf nig 103 krNI ¬8/9°¦ dMe)AelIRbdab;bnþBUC ¼rn§KUf.

KøInikTaMg53kEnøg cMeBaHRsþIEdlmankarRbQmmuxTab kñúgenaHcegáameraKsBaØaCMgWkameraKEdl )anraykarN_ cMnYn152/987krNI;/ man126/286krNI;¬82/5°¦manCMgWrlakTVamas/ 24/557krNI; ¬16/1°¦ manCMgWrlakTVamasnigmat;s,Ún/ 641 krNI ¬0/4°¦manCMgWrlakEb:lvIs/ 1>035 krNI ¬0/7°¦ dMe)AelIRbdab;bnþBUC¼rn§KUf nig 468 krNI ¬0/3°¦ sirman; elIRbdab;bnþBUC¼rn§KUf.

enAcugqñaM 2009 kñúgcMeNamRsþIbMesvakMsanþenAtampÞHbncMnYn 4/756 nak; )anmkeFVIkarBinitü elIkdMbUg enAKøInikkameraKmancMnYn 3>892 krNI; ¬81/8°¦ RtUv)anvinicä½yfamanCMgWkameraK Edlkñúg enaHman 1>775 krNI ¬37>3°¦ manCMgWrlakmat;s,Ún . cMnYnRsþIrksuIpøÚvePTedaypÞal; 6/482 nak; )anmkBinitütamdanbnþenAKøInikkameraKCaRbcaMEx kñúgenaHman 2>295 krNI ¬35/4°¦ RtUv)anvinicä½yfa manCMgWkameraK/ EdlkñúgenaHman 1>265 nak; ¬19/5°¦ manCMgWrlakmat;s,Ún ¬]bsm<½n§ ³ STI GaMgDIka T½r1 ¦. kñúgqñaM2009enH RsþIbMerIesvakMsanþcMnYn 13/824 nak; )anmkeFVIkarBinitüelIkdMbUgenAKøInik kameraK mancMnYn 9/827 krNI ¬81/8°¦RtUv)anvinicä½yfamanCMgWkameraKEdlkñúgenaHman 4/548krNI; ¬32/9°¦ manCMgWrlakmat;s,Ún. cMnYnRsþIbMerIesvakMsanþ 14/626 nak; )anmkBinitütamdanbnþ

- 18 -

enAKøInikkameraKCaRbcaMExkñúgenaH man 5/880 krNI¬40/2°¦ RtUv)anvinicä½yfa manCMgWkameraK/ Edl kñúgenaHman 2>514 krNI ¬17/2°¦ manCMgWrlakmat;s,Ún .

cMnYnlT§pl RPR etsþ TaMgGs; 12/600 etsþEdl)aneFVIkñúgqñaM 2009 enAmnÞIrBiesaFn_rbs; KøInikTaMg 32 rbs;rdæaPi)al nig cMnYn 2 eTotCarbs;GgÁkareRkArdæaPi)al PSF nig MEC kñúgenaHmanEt 155 ¬1/2°¦)anrkeXIjman RPR viC¢man.

kñúgqñaM 2009enH KøIniksuxPaBRKYsar )anbBaöÜnGtifiCneTAkan;esva VCCT cMnYn 9/247 nak;/ GñkpÞúkemeraKeGds_nigGñkCMgWeGds_cMnYn 63nak; eTAkan;mNÐl OI/ART/ 249nak; eTAkan;esvaEfTaM épÞeBaHmuneBlsMral nig 176 nak; eTAkan;esvaBnüarkMeNIt. kñúgenaHEdr KøIniksuxPaBRKYsark¾)an TTYlGtifiCnBIesvaepSg²pgEdrdUcCa³)anTTYlGtifiCncMnYn675nak; BIesvaVCCT/ 304nak;mkBIesva OI/ART/ 301 nak; mkBIesvaBinitüépÞeBaHmuneBlsMral nig 141nak; mkBIesvaBnüarkMeNIt.

2>1>1> esvapþl;RbwkSa nigeFVIetsþQam edaysμR½KcitþnigrkSakarsMgat; (VCCT)

cMnYnmNÐlpþl;esva VCCT mankarekIneLIgy:agxøaMgkñúgry³eBl 9qñaMcugeRkayenH /KWBI 12 kEnøg enAqñaM 2000 dl; 233 kEnøg dl;cugqñaM 2009 ¬]bsm<½n§³ VCCT GaMgDIkaT½r 1¦¬rUbPaBTI6¦ .

233229220216212

197

140

109

7451

3612

7610

50

100

150

200

250

1995 1996 1997 2000 2002 2003 2004 2005 2006 2007 2008 Q12009

Q22009

Q32009

Q42009

Years

Nu

mb

er o

f si

tes

2009 Target 235

rUbPaBTI 6³ ninñakaréncMnYnmNÐleFVIetsþQamrkemeraKeGds_BI qñaM 1995 dl; qñaM 2009

- 19 -

kñúgcMeNam mNÐl VCCT TaMg233kEnøgenH man 208 kEnøg EdlRKb;RKgedayrdæaPi)al/ 25 kEnøgCarbs;GgÁkareRkArdæaPi)al ¬GgÁkarr:ak; RHAC, GgÁkar Marie Stopes, GgÁkar MEC nig GgÁkar mNÐlénkþIsgÇwm Center of Hope¦.

karpþl;RbwkSaeFIVetsþrkemeraKeGds_dMbUg (PITC) RtUv)anÉkPaBelIÉksareKalkarN_ Edl)ancuH htßelxaedayRksYgsuxaPi)al kñúgExkBaØa qñaM2006 enAmNÐlsuxPaBNaEdlmanesva VCCT . buKÁlikbMerIkarEpñkEfTaMsuxPaBesIñsMueFIVetsþrkemeraKeGds_ cMeBaHGñkmkkan;mNÐlmuneBlsMral (ANC)/ GñkCMgWkameraK/ GñkCMgWrebg nig GñkCMgWNaEdlmaneraKsBaØa HIV / pþl;Bt’manmuneBleFIVetsþ nigpþl; b½NÑbBa¢ÚnedIm,IcUleTAkan;esva VCCT b¤ bUmQamrYcbB¢ÚaneTAkan;mNÐl VCCT. kareFIVetsþQamrk emeraKeGds_RtUv)aneFIVenAmNÐl VCCT dUcCakar pþl;RbwkSaeRkayeBleFIVetsþ .

kñúgqñaM 2009 enH/ GtifiCn VCCT TaMgGs;cMnYn 498/389 nak; ¬edayrab;bBa©ÚlcMnYn 133/511 mkBIesvakarBarkarcMlgemeraKeGds_BImþayeTAkUn PMTCT énmCÄmNÐlCatiKaMBarmata nigTark NMCH¦/ man 241/282 nak; ¬48/4°¦ )ans½μRKcitþmkedayxøÜnÉg/ 147/460nak; ¬29>6°¦ RtUv)anbBa¢Únmkedaykm μviFIBinitüépÞeBaHmunsMral (ANC)/ 6/457nak; ¬1>3°¦RtUv)anBa¢ÚnmkedayKIønik kameraK/ 25/064 nak; ¬5>0°¦ RtUv)anbBa¢ÚnmkedaykmμviFIkMcat;eraKrebg/ 25/827nak; ¬5>2°¦ RtUv)anbBa¢ÚnmkedayRkumEfTaMtampÞH(HBC/NGO)/ 22/380nak; ¬4/5°¦RtUv)anbBa¢Únmkedayesva BinitüCMgWTUeTA/ 1>133nak; ¬0>2°¦ RtUv)anbBa¢ÚnmkedayesvaEfTaMkumar/8/173nak;¬1>6°¦ RtUv)an bBa¢ÚnmkedayesvasmÖB/ 2>630nak; ¬0>5°¦ RtUv)anbBa¢Únmkedaykm μviFIEpnkarRKYsar nig 17/983nak;¬3>6°¦ RtUv)anbBa¢ÚnmkedayesvaepSg²eTot ¬rUbPaBTI 7¦.

- 20 -

VCCT Pre-Test Clients in 2009

Pediatric Care Service, 0.2%

General Medicine, 4.5%

Maternity Service, 1.6%

BS/FP, 0.5%

HBC/NGO, 5.2% TB Services, 5.0%

STD Clinic, 1.3%

Self Referred, 48.4%

Others, 3.6%ANC, 29.6%

rUbPaBTI 7³ ninñakaréncMnYnGtifiCnEdl)aneFVIetsþQamenAmNÐl VCCT EdlbBa¢ÚnBIesvaepSg² kñúgqñaM2009

cMnYnsrubénGtifiCnEdl)anmkeFVIetsþrkemeraKeGds_kñúgqñaM2009enH man 484/019 nak; kñúgenaHman 363/799 CaGtifiCnmkBIesva VCCT, 22/419 nak;CaGñkCMgWrebg/ 113/238 nak; CaRsþImanépÞeBaH ¬97/777 BIsßabn½rdæ nig 15/461 mkBIKøInik RHAC¦ nig 23/832 nak; Caburs EdlCaédKUrbs;RsþImanépÞeBaH 22/443 BIsßabn½rdæ nig 1389 mkBIKøInik RHAC¦.

enAkñúgrUbTI8 taragelx1 bgðajBIninñakar niglkçN³énGtifiCn VCCT nigGñkCMgWrebgEdl)aneFVI etsþQamrkemeraKeGds_enAmNÐl VCCT / tUrelxenHKWminrab;bBa©ÚlCamYynigRsþImanépÞeBaHeT. cMnYn srubénGtifiCn BI VCCT nigGñkCMgWebg Edl)aneFVIetsþQamrkemeraKeGds_enAesva VCCT kñúgqñaM 2009 mancMnYn 363/799 nak; ¬rUbPaBTI8¦.

- 21 -

rUbPaBTI 8³ ninñakaréncMnYnRbCaCnEdl)aneFVIetsþQamrkemeraKeGds_enAesva VCCT BIqñaM 2006 dl; qñaM 2009

cMnYnsrubénGtifiCn VCCT nigGñkCMgWrebgEdl)aneFIVetsþrkemrkemeraKeGds_ kñúgqñaM 2009 enH man 206/784nak; ¬56>8°¦CaRsIþ nig 331/873nak; ¬91/2°¦ manGayucab;BI 15-49qñaM ¬]bsm<½n§³ VCCT GaMgDIkaT½r 2¦ ¬taragTI1¦.

GtifiCnEdlmkeFVIetsþQamrkemeraKeGds_ People tested for HIV N= 363,799 No. (%)

GtifiCnEdlmanlT§plQamviC¢man People tested HIV positive

N= 10,974 No. (%)

Gayu (Age)

≤14 years 11,519 (3.2%) 1,085 (9.9%)

15-49 years 331,873 (91.2%) 9,239 (84.2%) > 49 years 20,407 (5.6%) 650 (5.9%)

ePT (Sex)

Rbus 157,015 (43.2%) 5,283 (48.1%)

RsI 206,784 (56.8%) 5,691 (51.9%)

taragTI 1³ lkçN³énGtifiCnEdl)aneFVIetsþQamrkemeraKeGds_enAesva VCCT / kñúgqñaM 2009

- 22 -

enAqñaM 2009 enH/ 99>2° ¬cenøaH BI 80>5°-100° enARKb;esva VCCT TaMgGs; ¦ énGtifiCn EdleFIVetsþrYc)anTTYlyklT§plrbs;BYkeKeday)anqøgkat;karpþl;RbwkSaeRkayeBleFIVetsþ ¬]bsm<½n ³ VCCT GaMgDIkaT½r 3¦.

rhUtdl;cugqñaM 2009 enH/ RbCaCncMnYn 498/389nak; enATUTaMgRbeTs/ man25/064 nak; ¬5>0°¦ RtUv)anbBa¢ÚnmkBIkmμviFIrebg ¬rUbPaBTI 9¦.

11,424

14,463

19,608

25,064

0

5,000

10,000

15,000

20,000

25,000

30,000

Year 2006 Year 2007 Year 2008 Year 2009Num

ber

of V

CC

T c

lien

ts w

ho w

ere

refe

rred

by

the

TB

pro

gra

m

rUbPaBTI 9³ ninñakaréncMnYnGtifiCnEdl)aneFVIetsþQamenAmNÐl VCCT EdlbBa¢ÚnBIkmμviFIrebg cab;BI qñaM 2006 dl; qñaM2009

kñúgqñaM2009/RbCaCncMnYnsrub363/799nak; énGtifiCn VCCT nigGñkCMgWrebgTaMgGs;man10/974nak; (3%) RtUv)anrkeXIjmanqøgemeraKeGds_viC¢manenAtammNÐlVCCTTUTaMgRbeTs ¬rUbPaBTI 10¦.

11.7

3.03.9

5.7

8.1

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

Year 2005 Year 2006 Year 2007 Year 2008 Year 2009

HIV

pre

vallen

ce (%

)

rUbPaBTI 10³ ninñakarénGRtakarqøgemerakeGds_sMrab;GtifiCnEdl)aneFVIetsþQamenAesva VCCT BIqñaM 2005 dl; qñaM 2009

- 23 -

2>1>2- esvaBinitü nigBüa)alCMgWeGds_ (OI and ART Services)

bc©úb,nñenHman 52 mNÐlsuxPaB )anpþl;esvakarBüa)alCMgW»kasniym (OI) nigkarBüa)al eday»sfRbqaMgemeraKeGds_ (ART) enAkñúg21 extþ-Rkug. kEnøgpþl;esvakarBüa)alCMgW»kasniym (OI) nigkarBüa)aleday»sfRbqaMgemeraKeGds_ (ART) TaMg 52 kEnøgenaHRtUv)anTTYlkar]btßmÖeday rdæaPi)al nigGgÁkarminEmnrdæaPi)alCaédKUmYycMnYntUc. kñúgcMeNamesvaBüa)alTaMg 52 kEnøgenaH man 29 kEnøg)anTTYlBinitü nigBüa)alCMgWCUnkumarpÞúkemeraKeGds_. enAkñúgcMeNamRsukRbtibtþicMnYn 39 mankEnøgpþl;esvaBüa)aleday »sfRbqaMgemeraKeGds_ (ART) y:agehacNas;mYykEnøg ¬]bsm<½n§³ HFBC GaMgDIkaT½r 1¦. ¬rUbPaBTI 11¦

CD4 Count Available (6) OI/ART Site (52) ▲Pediatric Site (29)

rUbPaBTI 11³ TItaMgénmNÐlsuxPaBEdlBinitünigBüa)alCMgW OI/ART Kitmkdl;ExFñÚqñaM2009

- 24 -

karKaMRTEpñkmnÞIrBiesaFn_ karrab;cMnYnekasika CD4 man 67/740 krNI enAkñúgqñaM2009 EdleFVIeLIgenA 6 kEnøg KWenA

extþtaEkv extþkMBg;cam extþ)at;dMbg extþéRBEvg¬mnÞIreBTübEg¥kGñkelOg¦ enAviTüasßanCatiRsavRCav suxPaBsaFarN³ (NIPH) ¬PñMeBj¦ nigmYykEnøgeTotEdleTIbnwgcab; epþImdMeNIrkarenARtImasTI4 qñaM2009 enHKWenAextþbnÞaymanC½y. karrab;cMnYnekasika CD4 k¾manpgEdr enAviTüasßan)a:sÞ½r ¬PñMeBj¦ mancMnYn 1>986krNI. kareFVIetsþPaKryén CD4 sMrab;kumarRtUv)aneFVIenAviTüasßan)a:sÞ½r nigenA viTüasßanCatiRsavRCavsuxPaBsaFarN³ (NIPH) RkugPñMeBj . enAkñúgrUbPaBxageRkamenH bgðaj[ eXIjfamankarFøak;cuHbnþic ebIeRbobeObeTAqñaM 2008 edaysarmankarxVHRbtikr¬rUbPaBTI12¦.

44,851

63,53571,159 67,740

0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

80,000

2006 2007 2008 2009

1,9862,5463,502

5,080

CD4 tested at 5 Sites Government CD4 tested at IPC

rUbPaBTI 12³ ninñakaréncMnYnkrNIeFIVetsþrab;ekasika CD4 Edl)aneFIVeLIgenA 5 kEnøg edayeRbIm:asIun FACScounts eRbobeFobeTAnigcMnYnkrNIeFIVetsþrab;ekasika CD4 Edl)aneFIVeLIgenAviTüasßan)a:sÞ½r cab;BIqñaM2006 dl;;qñaM2009

kMNt;cMNaM³ cMnYnmNÐleFIVetsþrab;ekasika CD4 edayeRbIm:asIun FACScounts (Goverment sites) manEt 4 kEnøg BIqñaM 2006-2007 nigmYykEnøgeToteTIbnwgdMeNIrkarenARtImasTI 2 qñaM 2009

enAkñúgqñaM2009 enH enAviTüasßanCatiiRsavRCavsuxPaBsaFarN³min)aneFVI HIV RNA viral load

eT edaymUlehtuxVHRbtikr EdlkareFVIetsþenaHsMrab;EtKøIniksuxPaBsgÁmb:ueNÑaH edayELkman HIV

RNA viral load cMnYn 5/232 krNI )aneFVIetsþenAviTüasßan)a:sÞ½rkm<úCa (IPC).

- 25 -

410 00

1000

2000

3000

4000

5000

6000

7000

8000

9000

2008 2009

7,258

5,232

HIV RNA Viral Load tested at NIPH HIV RNA Viral Load tested at IPC

rUbPaBTI 13³ ninñakaréncMnYnkrNIeFIVetsþ RNA viral load viTüasßanCatiiRsavRCavsuxPaBsaFarN³eRbobeFobeTAnig

cMnYnkrNIeFIVetsþ RNA viral load Edl)aneFIVeLIgenAviTüasßan)a:sÞ½r cab;BI qñaM2008 dl;qñaM2009

kareFVIetsþ DNA PCR man 656 krNI)aneFVIeLIgenAviTüasßanCatiiRsavRCavsuxPaBsaFarN³Edl)anrk eXIj 71 krNITTYllT§plviC¢man nigenAviTüasßan)a:sÞ½rman DNA PCR cMnYn 802 krNI)aneFVIetsþ .

400

656

0

200

400

600

800

1000

1200

1400

1600

2008 2009

428

802

DNA PCR tested at NIPH DNA PCR tested at IPC

rUbPaBTI 14³ ninñakaréncMnYnkrNIeFIVetsþ DNA PCR viTüasßanCatiiRsavRCavsuxPaBsaFarN³ eRbobeFobeTAnigcMnYnkrNIeFIVetsþ DNA PCR Edl)aneFIVeLIgenAviTüasßan)a:sÞ½r cab;BIqñaM2008 dl; qñaM2009

- 26 -

enAcugqñaM2009enH GñkCMgWskm μsrubcMnYn 37/315nak; EdlkñúgenaHman 33/667nak; Ca mnusSeBjv½ynig3/638 nak; Cakumar)anTTYl ART ¬rUbPaBTI 15/ 16¦¬]bsm<½n§³ HFBC GaMgDIkaT½r 3¦. edayeyageTAtam Asian Epi-Modal 2006-2012 enAcugExFñÚqñaM2009 enHmanmnusSeBjv½ycMnYn 33/667 nak; es μ Inig 94/4° nigkumarcMnYn 3/638nak; esμInig 5/6° EdlcMnYntYrelxenHelIseTAnig cMnYn )a:n;sμanRbEhl Ca 35/644 énGñkCMgWEdlRtUvkarkarBüa)aleday»sfRbqaMgemeraKeGds_ (ART)

kñúgqñaM 2009 .

1 2 411

5251

49

44

32

71 3 22,230

974

664

9

5,

26,

31,999

37,315

12,355

20,131

0

10

20

30

40

50

60

2001 2002 2003 2004 2005 2006 2007 2008 Q4-2009

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of site Number of Active Patients on ART

rUbPaBTI 15³ ninñakaréncMnYnesvaBüa)alCMgW nig GñkCMgWskmμTTYl)ankarBüa)aleday»sfRbqaMgemeraKeGds_

BIqñaM 2001 dl;RtImasTI4qñaM2009

33,677

28,932

24,123

18,344

11,284

5,522

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

2004 2005 2006 2007 2008 2009

3,6383,0762,5411,787452 1,071

Adult Child

rUbPaBTI 16³ ninñakaréncMnYnGñkCMgWskmμCamnusSeBjv½y nigkumar BIqñaM2004 dl;qñaM2009

- 27 -

enAcugRtImasTI4qñaM2009enH kñúgcMeNamGñkCMgWskm μEdlTTYl)ankarBüa)aleday»sfRbqaMgemeraK eGds_ (ART) manRsþIcMnYn 52/6° ¬17/713¦nig mnusSeBjv½yCaburscMnYn 47/4>° .enAtammNÐl pþl;esvaBüa)alCMgWTaMgGs; manGñkCMgWfμIcMnYn 2>136nak; ¬rab;bBa©ÚlTaMgkumar 190nak;¦ )anTTYlkar BinitünigBüa)alCMgW»kasniym . nigmanGñkCMgWfμ IcMnYn 1>607nak; ¬rab;bBa©ÚlTaMgkumar 181nak;¦ )an cab;epþImTTYlkarBüa)aleday»sfRbqaMgemeraKeGds_(ART) kñúgRtImasTI4 qñaM2009 ¬rUbPaBTI 17¦. cMnYnGñkCMgW»kasniymfμ ImankarfycuHbnþicCagRtImasTI3kñúgqñaM2009 edayELkcMnYnGñkCMgWTTYlkar Büa)al eday»sfRbqaMgemeraKeGds_ (ART) k¾mankarfycuHbnþicenARtImasTI4qñaM2009enHEdr.

2,5542,413 2,469

2,5592,437

2,265 2,2692,388

2,136

0

500

1,000

1,500

2,000

2,500

3,000

Q4-07 Q1-08 Q2-08 Q3-08 Q4-08 Q1-09 Q2-09 Q3-09 Q4-09

1,685 1,743

1,538

1,897

1,603 1,634 1,584

1,861

1,607

New Patients on OI Care New Patitents on ART

rUbPaBTI 17³ ninñakaréncMnYnGñkCMgW»kasniym nigGñkCMgWBüa)aleday»sfRbqaMgemeraKeGds_fμ I

BIRtImasTI4qñaM2007 dl; RtImasTI4qñaM2009

enAkñúgqñaM 2009 cMnYnGñkCMgW»kasniymfμ I mancMnYn 9>058 nak; nigcMnYnGñkCMgWEdlTTYlkarBüa)aleday »sfRbqaMgemeraKeGds_fμImancMnYn 6/686 nak;. rUbPaBénGñkCMgW»kasniymf μI nigcMnYnGñkCMgWEdl TTYlkarBüa)aleday »sfRbqaMgemeraKeGds_fμI mancMnYnticCagqñaM 2008 edayrYmTaMgGñke)aHbg;kar Büa)al Gñksøab; nigGñkbBa¢ÚnecjpgEdr.

- 28 -

13,945

12,698

9,8789,058

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

16,000

2006 2007 2008 2009

8,888

7,850

6,781 6,686

New Patients on OI Care New Patitents on ART

rUbPaBTI 18³ ninñakaréncMnYnGñkCMgW»kasniym nigGñkCMgWBüa)aleday»sfRbqaMgemeraKeGds_fμ I

tamqñaM BIqñaM2006 dl;qñaM2009

manCMgW»kasniymskm μcMnYn 8/462nak; CamnusSeBjv½y nig 1>550nak; Cakumar EdlminTan; manlkçN³smRsbsMrab;TTYlkarBüa)aleday»sfRbqaMgemeraKeGds_enAeLIyeT enAcugRtImasTI4qñaM 2009enH. kñúgcMeNamGñkCMgWTaMgGs;man 5>192nak; ¬61/3°¦CaRsþIEdlPaKeRcInbþIrWédKUrbs;BYkeK )anTTYlkarBüa)alCMgW OI/ ART eRcInqñaMmkehIy.

cMnYnsrubénGñkCMgW»kasniymCamnusSeBjv½ycMnYn1>638nak;nigkumarcMnYn285nak;manlkçN³ smRsbnwgTTYl)ankarBüa)aleday»sfRbqaMgemeraKeGds_ EtBMuTan;)anTTYlenAcugRtImasTI4 qñaM 2009 enHenAeLIy .

karcl½tGñkCMgW tamesvaepSg² enAcugqñaM2009 enH/ manGñkCMgWcMnYn 1953 nak; EdlTTYl)ankarBüa)aleday»sfRbqaMg

emeraKeGds_ (ART) RtUv)anbBa¢ÚnecjeTAkan;esva ART fI μ EdlsißtenACitpÞH b¤kEnøgrs;enArbs;BYkeK . ehIykñúgenaHEdrmankEnøgBüa)aleday»sfRbqaMgemeraKeGds_cMnYn 10 EdlmanGñkCMgWskmμTTYl)an

- 29 -

karBüa)aleday»sfRbqaMgemeraKeGds_eRcInCag1/000nak;.enAmnÞIreBTümitþPaBEx μr-sUevot¬PñMeBj¦ manGñkCMgWskmμEdlTTYl)ankarBüa)aleday»sfRbqaMgemeraKeGds¾cMnYn 3/632 nak;.

3- karKaMRTEpñk»sf nwg smÖar³brikça

enAcugqñaM2009enH RKb;esva ART TaMgGs; )aneFVIr)aykarN_cMnYnGñkCMgWtamrUbmnþ»sf ART nimYy². evC¢bBa¢aeRbIR)as;rUbmnþ»sfPaKeRcIn KW d4t+3TC+NVP, d4t+3TC+EFV nig AZT+3TC+NVP eday man 4>1 ° énmnusSeBjv½y nig 5>2 ° énkumarRtUv)anTTYlrUbmnþ»sf PI-Based ¬taragTI 2¦ .

rUbmnþénkareRbIR)as;»sf ARV mnusSeBjv½y N= 34,631*

No. (%)

kumar N= 3,412* No. (%)

d4t+3TC+NVP 14,892 43.0 % 2,637 77.3 %

d4t+3TC+EFV 4,500 13.0 % 421 12.3 %

AZT+3TC+NVP 8,897 25.7 % 139 4.1 % AZT+3TC+EFV 3,053 8.8 % 31 0.9 %

PI-based regimens 1,430 4.1 % 176 5.2 %

Other regimens 1,859 5.4 % 8 0.2 %

*Tinñn½yrUbmnþénkareRbIR)as;»sf min)anRtwmRtUvBitR)akdCak;EsþgeTAnwgcMnUntYrelxrbs;GñkCMgW ART eT .

taragTI 11 ³ evC¢bBaa¢sþIBIkareRbIR)as; nwgkarEckcayrUbmnþ»sfRbqaMgemeraKsMrab;GñkpÞúkemeraK HIV enAkm<úCa kñúgRtImasTI 4 qñaM 2009

kareFVIetsþRsavRCav rkCMgWrebgelIGñkCMgWeGds_f μI enAkñúgRtImas TI3 nigTI44 qñaM2009 enH manGñkCMgWeGds_fμ IEdl)ancuHeQ μaHenAkEnøgEdlpþl;

esvaBüa)alCMgW»kasniym nigTTYlkarBüa)aleday»sfRbqMagemeraKeGsd_mancMnYn 4/524nak; Edl kñúgenaHmanGñkCMgW»kasniym cMnYn 2/842nak; )aneFVIetsþRsavRCavrkCMgWrebg. kñúgcMeNamGñkCMgW 2/842nak; )aneFVIetsþRsavRCavrkCMgWrebgenH manGñkCMgW cMnYn 475nak; manlT§plCMgWrebgsYt (BK+/-) nig 193nak;eTot manlT§plCMgWrebgeRkAsYt (EPTB) . manGñkCMgWEdl )aneFVIetsþRsavRCav rkCMgWrebgehIymanlT§plGviC¢man man cMnYn 2008 nak; .

- 30 -

karrs;ran manCIviteRkaykarBüa)aleday»sfRbqaMgemeraKeGds_ ³ Tinñn½yénkarrs;ranmanCIvitEdl)anykmkeFVIkarviPaKenH BIesvapþl;karBüa)aleday»sfRbqaMgemeraK eGds_sMrab;mnusScas; cMnYn21 kEnøg sMrab;karBüa)al ART enAqñaM 2008 nig2007 nig 19 kEnøgsMrab; karBüa)al ART enAqñaM 2006 nig 13kEnøgsMrab;karBüa)aleday ART enAqñaM 2005. Tinñn½yénkar rs;ranenH )aneFVIkarviPaKenAelIesvaBüa)aleday»sfRbqaMgemeraKeGds_sMrab;kumar cMnUn 8kEnøg enAkñúgqñaM 2008. All <15 15 +

PaKryénGñkCMgWeGds_ ¬mnusScas; nigkumar¦EdlenArs; eRkaykarBüa)aleday »sf ARV kñúgry³eBl 12Ex

87.4% 93.9% 86.7%

cMnYnGñkCMgWeGds_ ¬mnusScas; nigkumar¦EdlenArs; eRkaykarBüa)aleday »sf ARV kñúgry³eBl 12Ex

3,179 321 2,858

12 month survival

cMnYnGñkCMgWeGds_ ¬mnusScas; nigkumar¦ Edl)ancab;epþIm karBüa)aleday»sf ARV kñúgqñaM 2008 rYmTaMgGñksøab; nigGñke)aHbg;karBüa)al

3,638 342 3,296

PaKryénGñkCMgWeGds_ mnusScas; EdlenArs;eRkaykar Büa)aleday »sf ARV kñúgry³eBl 24Ex

77.7%

cMnYnGñkCMgWeGds_mnusScas; EdlenArs;eRkaykarBüa)al eday»sf ARV kñúgry³eBl 24 Ex

2,571

24 month survival

cMnYnsrubénGñkCMgWeGds_ mnusScas; Edl)ancab;epþImkar Büa)aleday»sf ARV kñúgqñaM 2007

3,310

PaKryénGñkCMgWeGds_mnusScas; EdlenArs;eRkaykar Büa)aleday »sf ARV kñúgry³eBl 36Ex

72.0%

cMnYnGñkCMgWeGds_mnusScas; EdlenArs;eRkaykarBüa)al eday»sf ARV kñúgry³eBl 36 Ex

2,923

36 month survival


4,062

48 month survival

PaKryénGñkCMgWeGds_mnusScas; EdlenArs;eRkaykar 70.3%

- 31 -

Büa)aleday »sf ARV kñúgry³eBl 48Ex cMnYnGñkCMgWeGds_mnusScas; EdlenArs;eRkaykarBüa)al eday»sf ARV kñúgry³eBl 48 Ex

1,349


1,919

taragTI 3³ GRtars;ranmanCIviténGñkCMgWeGds_ eRkaykarBüa)aleday»sf ARV kñúgry³eBl 12Ex/ 24Ex/ 36Ex nig 48 Ex sMrab;karBüa)al ART enAqñaM 2008/ 2007/ 2006 nig 2005

2>1>3- esvaEfTaMGñkCMgWeGds_enAtamshKmn_ (Community-based Services)

esvaEfTaMGñkCMgWeGds_tampÞH (HBC services)

enAcugqñaM 2009 CalT§plRkumEfTaMtampÞH (HBC Teams) )anGnuvtþn_km μviFIenHenA 67 RsukRbtibtiþ kñúgenaHman 742 mNÐlsuxPaB rYmTaMg mNÐlsuxPaBb:usþ 1kEnøg RBmTaMgman 328 Rkum (]bsm<½n§³ HBC GaMgDIkaT½r1 ) (rUbPaBTI19) kMBugeFVIkargarEfTaMtampÞH (]bsm<½n§³ HBCGaMgDIkaT½r 4) enAkñúgextþ-RkugcMnYn 18 EdlmanesvaEfTaMbnþ (CoC).

328375343320271

244

337 323

742706

675678686680

716

689

0

50

100

150

200

250

300

350

400

Q1-08 Q2-08 Q3-08 Q4-08 Q1-09 Q2-09 Q3-09 Q4-09

400

450

500

550

600

650

700

750

800

Number of Teams Number of HC covered by HCB Teams

rUbPaBTI 19³ ninñakarénRkumEfTaMtampÞH (HBC teams) BIRtImasTI 1 qñaM 2008 rhUt RtImasTI 4qñaM 2009

- 32 -

RkumEfTaMtampÞH (HBC) TaMgGs;)anCYy]bßmÖdl;GñkpÞúkemeraK¼GñkCMgWeGds_skm μcMnYn 27/567 nak; (]bsm<½n§³ HBC GaMgDIkaT½r 2) kñúgenaHGñkEdl)aneFVIkarcuHbBa¢ITTYlkarBüa)alCMgW»kas;niym (OI) man cMnYn 9/142 nak; nigGñkCMgW ART Edl)aneFVIkarcuHbBa¢Iman 18/425nak;. RkumKaMRTrbs;GñkpÞúkemeraKeGds_ (PLHA SG)

kñúgRtImasTI 3qñaM 2009 enH enAkñúgRbeTskm<úCa manRkumKaMRTrbs;GñkpÞúkemeraKeGds_ (PLHA SG)

cMnYn 919 RkumkMBugnwgbnþeFVIskmμPaB. RkumKaMRTrbs;GñkpÞúkemeraKeGds_ (PLHA SG) TaMgGs;enaH manenAkñúg extþ-Rkug cMnYn 15 nig RkugPñMeBj ¬RbPB³ r)aykarN_ CPN+). cMnYnGñkpÞúkemeraKeGds_; Edl)anCYy]btßmÖedayRkumKaMRTrbs;GñkpÞúkemeraKeGds_ (PLHA SG) man 36/893nak; enAkñúg RtImasTI 3 qñaM 2009 ¬rUbPaBTI 20¦.

36893371713696936588383783833337809361663538831460

05000

1000015000200002500030000350004000045000

Q2-07 Q3-07 Q4-07 Q1-08 Q2-08 Q3-08 Q4-08 Q1-09 Q2-09 Q3-09

rUbPaBTI 20³ ninñakarcMnYnGñkpÞúkemeraK nigGñkCMgWeGds_ Edl)anCYy]btßmÖeday PLHA Support GroupsBIRtImasTI 2 qñaM 2007 dl; RtImasTI 3qñaM 2009

2/2> esvakarBarkarcMlgemeraKeGds_BImþayeTAkUn (PMTCT) ¬Tinñn½ypþl;edaymCÄmNÐlCati KaMBarmata nigTark¦

cab;BI Exmkra dl;Ex FñÚ qñaM2009 manRsþIEdlépÞeBaHRbmaNcMnYn 348/536nak; TUTaMgRbeTs km<úCa kñúgenaHmanRsþIcMnYn 146/453nak; ¬42>0°¦)aneFVIetsþrkemeraKeGds_ ehIy)anTTYlyk

- 33 -

lT§plrbs;BYkeK ¬HFBC:GaMgDIkarT½r7¦. cMnYnRsþIRbmaNCa 2/475 nak; CaRsþImanépÞeBaHehIypÞúk emeraKeGds_kñúgqñaM2009/ manRsþIcMnYn 798nak; ¬32>3°¦ )anTTYl»sf ART sMrab;karsMralkUnenA esvakarBarkarcMlgemeraKeGds_ BImþayeTAkUn (PMTCT) ¬HFBC:GaMgDIkarT½r8¦. kñúgcMeNamRsþIman épÞeBaHTaMgGs; manRsþIcMnYn 482nak; ¬60>0°¦ )anTTYlkarbgáaeday»sf ART sMrab;karEfTaMsuxPaB BYkKat;/ RsþIcMnYn139nak; )anTTYlkarbgáareday»sfART BIrmuxbBa©ÚlKña/ RsþIcMnYn 162nak; )anTTYl karbgáareday»sfART EtmYymux Kt;KW NVP nigRsþIcMnYn 15nak; )anTTYlfñaMepSg² ¬UNGASS:

GaMgDIkarT½r¦. cab;taMgBITinñn½yEdl)anRbmUl sMrab;kar bgáareday»sf ART manEtmþayEdlpÞúkemeraK eGds_eTEdl)anTTYlsMrab;karsMralkUnenAesvasuxPaBsaFarN³ dUecñHcMnYn»sf ART Edl)anpþl; eGayKWsßitenAeRkamkMriténkar)a:n;sμanenAeLIy. manTarkTaMgGs;750nak; Edl)anekItBImþayEdl manpÞúkemeraKeGds_enAesvasMralkUnrbs;rdæcab;BIExmkra dl; ExFñÚ qñaM2009/ TarkcMnYn 730nak; )an TTYlkarbgáareday»sf ARV EdlkñúgenaHrYmTaMgTark 729 nak; )anTTYl»sf ARV BIrmuxbBa©ÚlKña NVP nig ZDV nigmanTarkEt 1nak;Kt; Edl)anTTYl»sf NVP mYymux. dUecñHkar)a:n;sμan KW29° ¬730¼2/475¦éncMnYnTarkEdl)anekItBImþayEdlmanpÞúkemeraKeGds_ kñúgqñaM2009 )anTTYlkarbgáar eday»sf ART enAesvakarBarkarcMlgemeraKeGds_BImþayeTAkUn (PMTCT) .

cMnYnRbCaCnsrubEdl)anpþl;edayRksYgEpnkarN_ edayEp¥keTAelIkareFVICMerOnkñúgqñaM2009 dUcxageRkam³ cMnYnsrubénRbCaCnkm<úCaqñaM2009 = 13/614/706 nak; ¬CMerOnqñaM2009¦ dUecñHcMnYn)a:n;sμanénRsþImanépÞeBaHkñúgqñaM2009 = 348/536 nak; RbsinebIGRtaRBagkMeNItKW 25/6 sMrab; 1000 nak; kar):an;sμanBIeRbva:Lg;emeraKeGds¾qñaM2009 kñúgcMeNamKøInikBinitüépÞeBaHmuneBlsMral (ANC) nig TTYlBI NCHADS = 0/71° cMnYn)a:n;s μanénRsþImanépÞeBaHEdlpÞúkemeraKeGds¾kñúgqñaM2009 = 2/475nak;

2-3 Tinñn½yénkm μviFIeqøIytbrYmKña r)aykarN_mkBIkarGnuvtþn_km μviFIeqøIytbrYmKña enARsukRbtibtþi5/ BIEx mkra dl;ExFñÚ qñaM 2009³

KMeragviFIsaRsþeqøIytbrYmKña ¬Link Response¦Edl)ancab;epþImGnuvtþenAkñúgRsukRbtibtþcMnYn 5 enABak;kNþalqñaM 2008 ¬RsukRbtibtþiKIrIvgS extþtaEkv nigRsukRbtibtþiGñkelOg/ kMBg;RtEbk/ RBHesþc nig emsagextþéRBEvg¦. cab;BIExmkra dl;Ex FñÚ qñaM 2009 manRsþImanépÞeBaHsrub cMnYn 21/373 nak;

- 34 -

Edl)anmkTTYlesvaEfTaMépÞeBaHelIkTI1 enAesvaEdlmankmμviFIeqøIytbrYmKña nigtamry³karcuHGb;rM kñúgenaHmanRsþI cMnYn18/372nak; ¬85/9°¦)aneFVIetsþQamrkemeraKeGds_ nigmanbþIb¤édKU cMnYn 4/314 nak; EdlsμRK½citþeFVIetsþQamrkemeraKeGds_Edr ¬23/4° énRsþImanépÞeBaH(aneFVIetsþQam rkemeraKeGds_ CamYybþIb¤édKUrbs;BYkeK¦. kñúgcMeNamRsþI cMnYn18/372nak; Edl)aneFVIetsþQamrk emeraKeGds_enaH manRsþI29nak; ¬0>16°¦EdlmanpÞúkemeraKeGds_ nig RsþImanépÞeBaHcMnYn 19 nak; Edl)andwgBIlT§plrbs;xøÜnfa manpÞúkemeraKeGds_enaH )ancUlrYmenAkñúgkmμviFIeqøIytbrYmKña. Casrub cab;BIExmkra mkdl;ExFñÚ qñaM 2009 manRsþImanépÞeBaHEdlmanpÞúkemeraKeGds_ cMnYn30nak; Edl)anmksMralkUnrbs;BYkeK enAkñúgRsukRbtibtþiEdlmankmμviFIeqøIytbrYmKñaTaMg5enH. kñúgcMeNam RsþICamþayTaMgenaH man29nak; ¬96>6°¦ )anTTYl»sfRbqaMgemeraKeGds_ AZT Prophylaxies kñúg kMLúgeBlmanépÞeBaHnig¬26nak;¬86>6°¦)anTTYlkarBüa)aleday»sfRbqaMgemeraKeGds(HAART). kñúgcMeNamTark26nak; EdlekItBImþaymanpÞúkemeraKeGds_ enAesvaEdlmankmμviFIeqøIytbrYmKñaenH manTark 25nak; ¬96>1°¦ )anTTYlkarbgáareday»sfRbqaMgemeraKeGds_ KW 24 nak; )aneRbI»sf NVP nig ZDV kñúgry³eBl1s)þah_ nig Tark1nak; eTót kñúgry³eBl 4s)þah_ nigmanTark 3nak; )ansøab;.

r)aykarN_mkBIkarGnuvtþn_km μviFIeqøIytbrYmKña enARsukRbtibtþiTaMg22/ BIEx tula dl;ExFñÚ qñaM 2009³ cab;BIExkkáda qñaM 2009 mk kmμviFIeqøIytbrYmKña )anBRgIkrhUtdl; 22RsukRbtibtþi . Kitcab;BI

Extula mkdl;ExFñÚ qñaM 2009 manRsþImanépÞeBaHsrub cMnYn 27/151 nak; Edl)anmkTTYlesvaEfTaMépÞ eBaHelIkTI1 enAesvaEdlmankmμviFIeqøIytbrYmKña nigtamry³karcuHGb;rMkñúgenaHmanRsþIcMnYn 20/909nak; ¬76/9°¦)aneFVIetsþQamrkemeraKeGds_ nigmanbþIb¤édKU cMnYn 3/461 nak; EdlsμRK½citþeFVIetsþQam rkemeraKeGds_Edr¬16/5°énRsþImanépÞeBaH)aneFVIetsþQamrkemeraKeGds_CamYybþIb¤édKUrbs;BYkeK¦.

kñúgcMeNamRsþI cMnYn29/909nak; Edl)aneFVIetsþQamrkemeraKeGds_enaH manRsþI54nak; ¬0>25°¦ EdlmanpÞúkemeraKeGds_ nigRsþImanépÞeBaHcMnYn 15 nak; Edl)andwgBIlT§plrbs;xøÜnfaman pÞúkemeraKeGds_enaH ehIy)ancUlrYmenAkñúgkmμviFIeqøIytbrYmKña.

- 35 -

K> r)aykarN_fvika r)aykarN_enH bgðajTaMgBIrEpñkkarcMNay smamaRténkarEbgEckfvikaEdl)anGnum½tehIy enAkñúgKMeragEpnkar nigsmiT§iplénskmμPBEdlmanenAkñúgEpnkar EdlCaGaMgDIkaT½rsMxan;sMrab; smiT§iplEdlsMerc)an. r)aykarN_enHrYmbBa¢ÚlTaMgRbPBsMxan;² énkarpþl;CamUlniFisMrab;RKaMTkmμviFI rbs;mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraK dUcCaKMeragmUlniskl¬CMuTI 7/ TI 4 nigTI5¦ US-CDC, ITMDGDC, CHAI, UNSW/CTAP, WB, AHFWHO nig FHI .

enAkñúgtaragénkarcMNay Edl)anelIkykmkenH manEtkarcMNayEdlmanenAkñúgRbB½n§ KNenyürbs;mCÄmNÐlCatib:ueNÑaH. TaMgenHrYmbBa©ÚlTaMgkarcMNayCak;EsþgEdlRtUv)ancay nig )an kt;RtakñúgkMLúgeBlénqñaM. b:uEnþcMeBaHr)aykarN_karcMNayfvikaEdl]btßmÖ edayGgÁkar FHI, KWmanEt enAfñak;CatiEtb:eNÑaH ehIycMeBaHkarcMNayenAfñak;RsukRbtibtþimYycMnYnenaH BMu)anelIkykmkbgðaj CUnenAkñúgtarag enHeT.

taragTI 3³ segçbkarcMNaytamRbPBfvika EdlRKb;RKgedaymCÄmNÐlCati kñúgqñaM 2009 Sources Annual Plan

Annual Expenditures

A %

GFATM-R7 $ 5,636,198 $ 1,749,707 31%

GFATM-R4 $ 5,477,331 $ 4,527,544 83%

GFATM-R5 $ 190,039 $ 296,357 156%

US-CDC $ 849,724 $ 735,667 87%

UNSW/CTAP $ 260,000 $ 224,412 86%

WHO $ 113,465 $ 189,195 167%

FHI $ 22,300 $ 11,403 51%

CHAI $ 495,059 $ 189,9996 38%

AHF $ 198,161 $ 156,188 79%

CIPRA $ 55,000 $ 126,325 230%

WB $ 50,000 $ 263,309 527%

ITM DGDC $ 70,820 $ 81,408 115%

- 36 -

Grand Total $ 13,482,391 $ 8,551,510 63%

X> kareFVIlT§kmμén »sfCMgW»kasniym nig»sfRbqaMgnwgemeraKeGds_ »sfRbqaMgnwgemeraKeGds_ ³ lT§kmμén»sfRbqaMgnwgemeraKeGds_ edaykariyal½yPñak;garTTYlCMnYypÞal; (PR/MoH) nig EpñkKaMRTRbB½n§RTRTg;vis½ysuxaPi)al (HSSP) sMrab;mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nig kameraK enAkñúgqñaM 2009 enH srubmantMél 4/705/095 duløaGemrik . lT§kmμén»sfRbqaMgnwg emeraKeGds_enH )an]btßmÖKaMRTeday RbPBfvikasMxan;FM² cMnYn2 KW KMeragmUlniFisklCMuTI4 (GFATM

R4), FnaKarBiPBelak (WB). bEnßmelIenHeTot mUlniFiKøIntun k¾)anpþl;CMnYynUv»sfRbqaMgemeraK eGds_ sMrab;kumardl; mCÄmNÐlCatiEdr. cMENkfvikaenAkñúgKMeragmUlniFisklCMuTI7 minTan;)aneRbI R)as;sMrab;TijenA»sfCMgW»kasniym nig»sfRbqaMgnwgemeraKeGds_enAeLIy fvikaenHnwgeRbIsMrab;Tij »sfenH enAkñúgRtImasTI 3 qñaM 2010 xagmuxenH.

Sources Amounts

GFATM (R4 &5) $ 3,322,465.89

WB $ 263,309

CHAI $ 1,119,320*

Total $ 4,705,094.89

*Donation of pediatric ARV formulations by Clinton Foundation to NCHADS.

»sfCMgW»kasniym ³ lT§kmμén»sfRbqaMgnwgemeraKeGds_ edaykariyal½yPñak;garTTYlCMnYypÞal; (PR/MoH) sMrab;

mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nig kameraK enAkñúgqñaM 2009 enH srubmantMél 253/875 duløaGemrik Edl]btßmÖedayKMeragmUlniFisklCMuTI4 nigkareFVIlT§kmμ»sfenH elIkTI2 Edlnwgcab;epþImcuHkugRta enAcugExFñÚ qñaM 2009 EdlmanfvikasrubcMnYn 275/647 duløaGaemrik Edl]btßmÖedayKMeragmUlniFisklCMuTI4 Edr.

- 37 -

g> karlM)ak nig]bsKÁ o edaysarkarGnuvtþc,ab;RbqaMgnwgkarCYjdUrmnusSenARbeTskm<úCa EdleFVIeGaymankarb:HBal;dl;

GnþraKmn_énkmμviFIeRbIR)as;eRsamGnam½y100°esvabMerIpøÚvePT enAtampÞHbnRtUv)anbiTEdlCaehtu eFVIeGaycMnYnRsþIbMerIpøÚvePTenAtampÞHbn mankarfycuH ehIy)anpøas;bþÚrBIRsþIbMerIesva pøÚvePTenAtam pÞHbn eTAbMerIkargarenA esvakMsanþnana dUcCaenAxaraGUex m:asSa eborhÁaDin CaedIm. ktþaTaMgenH eFVI[mankarlM)ak sMrab;skm μPaBcuHGb;rMpÞal; dlRsþIbMerIpøÚvePTenAtampÞHbn Edlbc©úb,nñenH eKGac eFVI)anEtenAelIRsþIbMerIesvakMsanþb:ueNÑaH.

o tMrUvkarkñúgCIvitrs;enArbs;GñkTTYlplenAkñúgshKmn_manTMhMFM minGacbMeBj[)anRKb;RKan; eRBaH fvikarbs;KMeragmankMrit .

o karsMercrbs;raCrdæaPi)alkm<úCa kñúgkarbBaÄb;min[manR)ak;]btßmÖcab;BIéf¶TI1Exmkra qñaM2010 enH mCÄmNÐlCati k¾dUcCaédKUd¾éTeTotEdr nWgGacCH\T§iBldl;karGnuvtþKMerag enAkñúgRtImaseRkay.

c> emeron bTBiesaFn_ - karsMrbsMrYl nigkic©shkarl¥CamYyRKb;Pñak;garTTYlCMnYypÞal;TaMgGs; edIm,IFanadl;karGnuvtþ

KMeragmUlniFIskl - karsMrbsMrYl nigkic©shkarl¥ CamYyRKb;édKUGPivDÆn_TaMgGs; GaCJaFrEdndI esvasuxaPi)alRKb;

lMdab;fñak; nigshKmn_ KWCaKnøWH énkarGnuvtþn_km μviFI)aneCaKC½y

- karGb;rM enAkñúgshKmn_ nigRkumeKaledAcMNuc Gac[BYkeKGacyl;dwgBIsuxaPaB Bt’man nig esvasuxaPi)al nigGackat;bnßydl;karerIseGIg dl;RkumRbCaCnRbQmmuxx<s;.

q> esckþIsnñidæan CarYmmCÄmNÐlCati nigédKUTaMgGs;)ansMercswgEtRKb;TisedAEdl)anelIkeLIgkñúgqñaM2009 enH ehIy eyIgGacsnñidæanfakareFVIkargarCamYyédKU kñúgkarbgáar EfTaM nigBüa)alCMgWeGds_ KWGacnwgsMerc )annUvkarTTYl)annUvesvaCaskl kñúgqñaM 2010 xagmuxenH. b:uEnþ eTaHCay:agenHk¾eday KYrEtFana[ )annUv karKaMRTTaMgfvikanigneya)ay EdlGaceFVI[karRbyuT§Tb;sáat;nwgkarrIkraldalénCMgWeGds_ )an eCaKC½y.RbsinebIédKUGPivDÆn_dkkarCYyKaMRTdl;kargarRbyuT§Tb;sáat;nwgkarrIkraldalénCMgWeGds_enH elOneBk eFVIeGayRbeTskm<úCaCYbRbTH nwgkarlM)akkñúgkarxMRbwgERbgeFVIeGaymannirnþPaBelIkargarTb; sáat;nwgkarrIkraldalénCMgWeGds_ enH.

- 38 -

]bsm<½n§TI1³ sUcnakrsMrab;kartamdannigvaytMélkmμviFI sUcnakrsMrab;esvaEfTaM nigBüa)alCMgWkameraK RbePT TisedA qñaM

2009 No. (%)

lT§pl qñaM 2009 No. (%)

1 smamaRténRsþIrksuIpøÚvePTenAtampÞHbn Edl)aneFVIeraKvinicä½y fa manCMgWrlakmat;s,Ún kñúgeBlmkBinitütamdanRbcaMEx enAKøInikkameraK

Outcome 14% 22>0%

2 cMnYn KøInikkameraKEdlmanmnÞIrBiesaFsMrab; RPR etsþnig microscopy basic (UA 34) Output 28

32

3

PaKryénRsþIrksuIrbresvakMsanþ Edl)anTTYlesvaBinitü tamdanCMgW RbcaMExenAKøInikkameraK

Output BEW:95%

NBEW:50%

*BEW:154.8%

NBEW:123.3%

* The number of percentage of entertainment services workers who use STI services monthly is over 100%, due to the number of entertainment workers who comes visited the clinic by themselves not transferred by EW network.

sUcnakr sMrab;kmμviFIEfTaM nigBüa)albnþ CoC RbePT TisedA qñaM

2009 N (%)

lT§pl qñaM 2009 N (%)

1 cMnYnsrubRsukRbtibtþiEdlmanesvaEfTaMBüa)albnþ Output 43 39 2 cMnYnesvaEfTaM nigBüa)albnþ Edlman esvaBüa)aleday»sf

RbqaMgnwgemeraKeGds_ Output 53 52

sUcnakrsMrab;esva eFVIetsþQam VCCT

RbePT TisedA qñaM 2009

N (%)


1 cMnYnmNÐleFVIetsþQamEdlmankarGnuBaØat (license) ehIydMeNIr kar enAkñúgEpñksaFarN³ nigKøInikrbs;GgÁkarminEmnrdæaPi)al (non-profit)

Output 235 233

2 cMnYn nigPaKryénmnusSeBjv½y ¬Gayu 15-49qñaM¦ Edl)an Outcome 380/000 363/799 BI Ex

TTYlkarpþl;RbwkSa nigeFVIetsþQamrkemeraKeGds_ ¬5 °¦ mkra dl; FñÚ 2009

3 PaKryénHtifiCnEdl)anmkTTYlyklT§pletsþ tamry³kar pþl;RbwkSaeRkayeBleFVIetsþrkemeraKeGds_

Output 98 ° 99/2 °

4 cMnYn nigPaKryénGtifiCnEdlman lT§plemeraKeGds_ viC¢man )anbBa¢Ún eTAkEnøgpþl;karBüa)alCMgW»kasniym nigeday»sf RbqaMgemeraKeGds

Output 80 ° 74/1 °

sUcnakrsMrab;esvaEfTaM enAkñúgmnÞIreBTü (HFBC)

RbePT TisedA qñaM 2009 N (%)

lT§pl qñaM2009 N (%)

1 PaKryénGñkCMgWeGds_EdlenArs; eRkaykarBüa)aleday »sf ARV kñúgry³eBl 12Ex

Impact >85 °

A:86>7° C:93>9°

2 cMnYn nigPaKryén RsukRbtibtþiEdly:agehacNas; manesva pþl;karBüa)aleday»sfRbqaMgemeraKeGds_ mYykEnøg (UA

23)

Output 39

A:39 C:29

39 A:39 C:29

3 PaKryénesvaEfTaMnigBüa)alCMgWeGds_dl;kumarEdl)aneRbI esvaetsþrab;bnÞúkemeraK (eg PCR) sMrab;kareFVIeraKvinicä½y (UA

2) Output 100 °

4 PaKryénesvaBüa)al OI/ ART EdlmanesvaBüa)albgáar eRkayBIman eRKaHfñak;énkarqøg (UA 17)

Output 100 °

5

cMnYn nigPaKryénGñkpÞúkemeraKeGds_ nigGñkCMgWeGds_ Edl kMBugBüa)al eday»sfRbqaMgemeraKeGds_ (UA 24) Output

mnusSeBjv½y 31/344

+ 4/300 kumar srub 35/644

mnusSeBjv½y 33/677

+ 3/688 kumar srub 37/315

6 cMnYnRsukRbtibtþiEdly:agehacNas;man esvapþl;karbgáar karcMlgemeraKeGds_ BImþayeTAkUn mYykEnøg (UA 10)

Output 68 ¬90 °¦ 67 ¬88 °¦

7 cMnYn nigPaKryénRsþImanépÞeBaH )aneFVIetsþQamrkemeraK eGds_ nigmkTTYlyklT§pl (UA 6)

Output 50 ° 42>0°

8 cMnYn nigPaKry énRsþImanépÞeBaHEdl)anmkBinitüépÞeBaH ehIy)anTTYlkarBüa)albgáareday»sfRbqaMgemeraKeGds_

Outcome 40 ° 32>3 °

sMKal;³ - cMeBaHsUcnakrTI6/ 7 nigTI8 Tinnñ½y)anmkBImCÄmNÐlCatiKaMBarmatanigTark

(C ARVP) edIm,Ikat;bnßykarqøgemeraKeGds_BImþayeTAkUn (UA 11)

9

PaKryénGñkCMgWeGds_; EdlkMBugBüa)al eday»sf ARV

ehIye)aHbg;kartam dan kñúgry³eBl12Ex eRkaycab;epþIm Büa)al

Outcome >80 ° >80 °

10 PaKryénGñkCMgWeGds_ EdlenAbnþkarBüa )aleday »sf ARV tamrUbmnþBüa)al CYrTI1 kñúgry³eBl 12Ex eRkaycab; epþImBüa)al

Outcome >80 ° >80 °

11 cMnYnnigPaKryénGñkCMgWeBjv½yfμ IEdl )anmkTTYlkarEfTaM nigBüa)alCMgWeGds_ Edl)aneFVIkarRsavRCavrkCMgWrebg enAeBlmkBinitüelIkdMbUg

Output 90 ° 63 °

12 cMnYn nigPaKryénGñkCMgWeBjv½yfμ IEdl )anmkTTYlkarEfTaM nigBüa)alCMgWeGds_ Edl)aneFVIkarRsavRCavrkCMgWrebg enAeBlmkBinitütamdan (WHO UA Indicator)

Output 90 °

13 PaKryénGñkmanemeraKeGds_viC¢man EdlmankrNICMgWrebg ehIy)anTTYl karBüa)alCMgWrebg nigCMgWeGds _ (WHO UA

indicator) Output 80 °

- cMeBaHsUcnakrTI9 nigTI10 lT§pl)anmkBIkarGegáttamdanénsUcnakrRbkasGasnñ - cMeBaHsUcnakrTI11 lT§plTabedaysarlT§plenH min)anrab;bBa©ÚlnUv

karRsavRCavtamry³eraKsBaØa (Symptom screening) eLIy manEtr)aykarN_ RsavRCavedayBinitükMhak nigftsYt (TB screened by smear and chest X Ray)

sUcnakr esvaEfTaMtampÞH

RbePT TisedA qñaM 2009 No (%)


1 cMnYnRkumEfTaMtampÞH EdlkMBugpþl;esvaEfTaM nigKaMRTdl; GñkpÞúkemeraKeGds_ nigGñkCMgWeGds_

Output 300 328

2 cMnYn GñkpÞúkemeraKeGds_ nigGñkCMgWeGds_ EdlKaMRTedayRkum EfTaMtampÞH

Output 28/000 27/567

4 cMnYn nigPaKryénmNÐlsuxPaB EdlmanRkumEfTaMtampÞH KaMRT Output 750 ¬80°¦ 742 ¬79°¦ én

én 942 mNÐlsuxPaB

942

sUcnakr EpñkGegáttamdan

RbePT TisedA qñaM 2009 No. (%)


1 cMnYnkarGegátQamrkGRtaeRbv:aLg;énkarqøgemeraKeGds_ Edl)aneFVI niglT§plsMrab;karGnuvtþn_km μviFI

Output CMu TI10 kMBugdMeNIkar CMu TI10

sUcnakr EpñkRsavRCav



1 cMnYnkarsikSaRsavRCav Edl)aneFVI Output 2 4

1. Predict study 2. IRD Study 3. Adherence study 4. Depression study Note: IRD, Adherence and Depression study have been finished in mid 2009 and the result

will be disseminated in 2010

sUcnakr EpñkEpnkar tamdan nigr)aykarN_

nigEpñkRKb;RKgTinñn½y



1 PaKryénRbPBfvikacMbg²Edl)an bBa©Úl eTAkñúgKMeragEpnkarRKb;RCug eRCay RbcaMqñaM

Output 90° 90°

2 cMnYnGgÁkarminEmnrdæaPi)al nig édKU GPivDÆn_ )ancuHkic©RBmeRBog elIKMerag EpnkarRbcaMqñaM Tak;Tg nwgkarGnuvtþn_km μ viFIRbyuT§nwg CMgWeGds_ nig CMgWkameraK

Output 45 43

3 cMnYnr)aykarN_ RbcaMRtImas nig RbcaMqñaM Edl)anerobcM nig EbgEck

Output 5 5

4 cMnYnextþEdlmanEpñkRKb;RKg Tinñn½y Output 20 20

annual report 2009 kh.pdf

Documents

Transcript of annual report 2009 kh.pdf