Integrated Counseling & Testing Center

Integrated Counseling and Testing Centre (ICTC) is a GATEWAY to PREVENTION, TREATMENT & CARE. ICTC have the following benefits.

ICTC: Integrated Counselling and Testing centre is a place where a person is counselled and tested for HIV, on his own free will or as advised by a Medical Provider.

  1. Increase awareness about HIV/AIDS and its modes of transmission.
  2. Strengthen prevention and facilitate behaviour change (risk reduction).
  3. Facilitate behaviour change in HIV-positive people.
  4. Counsel HIV-negative clients to remain negative life-long and HIV-positive clients to prevent the further spread of HIV (positive prevention) as well as access the continuum of care services.
  5. Help in acceptance and coping with one’s sero-positive status.
  6. Provide psychosocial support through referral to social peer support through District Level Networks.
  7. Identify the need for PLHIV requiring for prevention of Opportunistic Infection I(OI) prophylaxis and access to ART.
  8. Reduce parent-to-child transmission of HIV.
  9. Screen for TB symptoms and refer patients for diagnosis and treatment.
  10. Facilitate early management of HIV-related infections and STIs.
  11. Encourage orphan care.
  12. Increases the visibility of HIV in communities, thus ‘normalizing’ HIV/AIDS.
  13. The Laboratory Technicians are also performing Syphilis test, for the clients referred from STI clinic.

NOTES ON BASIC SERVICES DIVISION APSACS –ANDHRA PRADESH

  1. Total Andhra Pradesh Population is 4.9 crore. HIV positive people as per records 2,53,709.
  2. The Basic Services Division of APSACS started functioning in Andhra Pradesh State since 1998 with a goal to identify as many people living with HIV/AIDS as early as possible and counselling them appropriately in a timely manner and to refer them for care and support and treatment services to prevent further transmission of HIV infection in the community.
  3. The first critical step of Basic Services division is to detect HIV infected persons in the community and counselling them and to refer the eligible HIV infected persons for Anti-retroviral Treatment.
  4. The primary functions of Basic Services division is to provide HIV testing and counselling services , and Prevention of parent to Child Transmission of HIV infection (PPTCT) services and HIV-TB co-infected cases for referrals to RNTCP –TB division.
  5. The HIV infected people will be referred to DSRC centres for STI/RTI screening and vice-versa.
  6. These services have linkages with Targeted intervention division of APSACS TI-NGOs/Community based organizations, out ward linkages Link worker services with ART centres.
  7. ICTC counsellors extend their weekly outreach services counselling to the HIV infected individual in the community by weekly field visits.
  8. Targeted Intervention NGOs will extend their services by peer-support services to HIV infected individuals in the community.
  9. NACP-IV (2012) envisages integration and scale-up of Basic services delivery to sub-district level and community level through existing infrastructure in the public and private sectors.
  10. Basic Services division – ICTCs/PPTCTs - HIV counselling and testing services have been decentralized to the district, sub-district and block levels.
  11. Stand-Alone-ICTCs are located at the district hospitals and Area hospitals. Facility Integrated-ICTCs are located in Primary Health Centres and Community Health Centres. Public Private Partnership ICTCs/PPTCTs are located in private corporate hospitals. They do HIV screening of patients visiting private hospitals. Mobile-ICTCs are run by NGOs. Mobile ICTCs comprise of a Government vehicle, one counsellor, one lab-technician, driver, and cleaner. They are doing outreach services to identify HIV infected individuals in the community by conducting HIV-screening in the community. At present there are 8 Mobile-ICTCs are functioning in 13 districts of Andhra Pradesh as against sanctioned 15 by NACO.
  12. Currently, in the state, there are 1533 HIV testing and counselling centres. Stand alone ICTCs - 215, Facility Integrated ICTCs - 1131, PPP ICTCs - 177 and Mobile ICTCs - 08.
  13. Here is specified year wise ANC and Non ANC tested and positive data details given below table.
  14. Trainings:
  15. ToT on National HIV counselling and testing services guidelines to DIS, ICTC counsellors and TI-ANMs/Counsellors as two batches

Andhra Pradesh year-wise HIV-testings and Positives from 2010-11 to 2016-17

S.NO Name of the Indicator 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16 2016-17
1 Non-ANC Tested 746066 832223 792438 890174 1054381 1022016 1115287
2 Non-ANC Positive 50288 41831 37831 32710 30852 23960 25319
3 % of Positivity 6.7% 5.0% 4.8% 3.7% 2.9% 2.3% 2.3%
4 ANC Tested 531749 674369 588014 593239 713885 950980 808840
5 ANC Positive 2447 2227 1658 1388 1285 997 916
6 % of Positivity 0.5% 0.3% 0.3% 0.2% 0.2% 0.1% 0.1%
7 Total Tested 1277815 1506592 1380452 1483413 1768266 1972996 1924127
8 Total Postives 52735 44058 39489 34098 32137 24957 26235

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