CASE STUDY OF PARBHANI-MAHARASHTRA.

PPTCT Service in Pvt. Hospitals

  Parbhani district is situated in Marathwada at Maharashtra state. As per the census 2011 the total population of Parbhani district is 18, 35,982. Parbhani district comes in ‘A’ category with a very high number of HRG. The population in the rural area lacks education and holds many superstitions.

In Parbhani there are total 12 brothel situated in the urban as well as rural part of the district which is very high. The prevalence in the general client is more than 3% and in ANC it is 0.79. As far as the HRG population scattered in the district SACS has allotted all the TI (MSM, FSW, MIGRANT) in the district and they are performing well.

Issue PPTCT in the private sector

DAPCU is trying best to coordinate all the activities of the NGO’s, ICTC and ART. In the district, total 42 maternity homes were situated having a very high number of ANC registrations. In private hospital it was most important to avail the HIV testing facility. The HIV prevalence in the ANC was very high as well as the ANC population in the private hospital was untested. SACS has nominated the SAATHII organization to work with DAPCU. The major functioning of SAATHII was to avail the HIV testing facility at private hospitals and tie-up these hospitals to the SACS so that positive ANC could get PPTCT basket. It was a tough challenge in front of DAPCU to establish this concept in the private hospitals as about more than 50% population of ANC registered in the private hospitals. It was most important to provide PPTCT basket to the ANC those who were registered in the maternity home.

Strategy:

DAPCU has called the meeting of entire Gynecologist under FOGSI. SAATHII and DAPCU explained the PPP (Public Private Partnership) concept to the Gynecologists, explained the importance of PPTCT basket to the positive ANC. After the meeting DPO & DS met personally the
Gynecologists, those who had some doubt.

DAPCU provided instant services to the maternity homes those who were tie-up with the SACS. DAPCU has provided kits, consumables and training to the concern PPP.

Out Come:

Till date 17 private hospitals has tie-up with the SACS. At the end of the financial year 2011-12 the cumulative ANC testing of district went above 30%.Out of the total ANC testing more than 50% of ANC testing from the private hospital. MB Pair covered in the district has gone 100% Total 30% ANC has taken the benefit of PPTCT basket from private hospital.