Introduction
The PPTCT plus is a project that reaches out to HIV infected ANCs & PNCs, infected & affected children, and affected families, since January 2006. It is anticipated that the unique out reach component of this intervention will bridge the gap between the target segment and PPTCT services, and in the process minimize the rate of transmission of infection from parent to child.
Aears of operation
PPTCT out-reach program is being implemented in Government hospitals in 8 districts, 22 divisions of Andhra Pradesh. (Mahabubnagar, Ranga Reddy district, Medak, Bodan, Nizamabad, Adilabad, Nuzvidu, Srikakulam and Hyderabad).

Goal
To enhance access to HIV services among the general population & promote follow up services for positive women.
Objectives
• To advocate institutional positive deliveries
. To effectively implement Nevirapine administration in institutional and non-institutional deliveries.
. To provide positive mothers with child rearing information
. To enhance follow-up services, and work towards developing sustainable linkages at the community level
.
Activities and interventions
Counseling services, Education, Community organization, Linkages and Coordination
SHG Intervention
PPTCT out-reach program is being implemented in Government hospitals in 8 districts, 22 divisions of Andhra Pradesh. (Mahabubnagar, Ranga Reddy district, Medak, Bodan, Nizamabad, Adilabad, Nuzvidu, Srikakulam and Hyderabad)
Summary of Key Achievements ICTC centers
S. No |
Activities |
Planned |
Achieved |
1 |
No. of Areas Covered under Outreach |
5154 |
4132 |
2 |
No. of ANCs referred for institutional support |
342132 |
203267 |
3 |
No. of ANC positive mothers referred to ART Center |
1898 |
1779 |
4 |
PNC+ |
1898 |
1834 |
5 |
No. of Mothers who received NVP |
1834 |
1703 |
6 |
Family planning |
1898 |
596 |
7 |
Total number of partners tested |
1898 |
1752 |
8 |
Total number of children tested |
1703 |
586 |
9 |
Number of Support Group Meetings conducted |
3732 |
6093 |
|
Other activities conducted by the project |
|
|
10 |
Number of Sreemanthams conducted |
|
42 |
11 |
Number of Well Baby Shows conducted |
|
8 |
12 |
Bold Doctors’ campaign |
|
8 |
13 |
Women’s forums |
|
4 |
Future Plan
• Expansion of PPTCT Plus services to Private hospitals
• Strengthening peer education
• Formation of Health committee
• Strengthening Mothers’ forum
• Replicating PPTCT plus activities in new sites
Case Studies/ Success Stories
Mr. Laxman, 30 years old, and his wife are residents of Hyderabad. They were tested for HIV and both were diagnosed as positive. The couple was provided counseling in Niloufer Hospital after the wife conceived, and was followed up by out reach workers until her delivery. She was blessed with a baby girl and both mother and child were given NVP. The couple decided to undergo the procedure for Family Planning, and then opted for top feed for the child. After some time their family members came to know their status and none came forward to support them. Later he was diagnosed with TB, and started regular treatment
Due to ill health and stigma & discrimination from family members, he was unable to go to work regularly, and lost his job. The couple found it difficult to feed themselves andtheir child due to financial constraints, and developed suicidal tendencies. They wanted to give the child up for adoption. They approached the Out reach worker, seeking help.
The couple was provided with a job, and is now a part of the PPTCT plus family, rendering their services to other PLHAS.