| |
 |
Care support and treatment (CST) plays a vital role in managing the HIV infected in every state of the disease. It is one of the most important component of National AIDS control Program(NACP). By providing better care support and treatment services are focused at providing better Quality of life for people infected with HIV. Tamil Nadu is a pioneer in providing CST services, the GHTM Tambaram was one of the first centers in India to provide free ART role out in 1st April 2004 and subsequently the free second line second line ART was rolled out in Jan 2008. Today there are are various institutions provide CST services in Tamil Nadu Monitored by TANSACS. The details and Facilities are as follows. |
| |
| S No. |
Heads |
No.of functional centers as on 31st January 2012 |
| 1 |
ART Centers |
43 |
| 2 |
Community Care Centers |
30 |
| 3 |
Link ART Center |
90 |
| 4 |
Center of Excellence |
1 |
| 5 |
ART Plus Centers |
3 |
| 6 |
Regional Pediatric Center of Excellence (RPC) |
1 |
|
| |
| ART Centers: |
| In Tamil Nadu currently there are 42 + 1(CMC, Vellore – Public Private Partnership) fully functional ART Centers, with a total of 1,91,301 patients in HIV care, 94,193 patients ever started on ART & a total of 58,952 patients currently on ART ( as on Jan 31st 2012 ). The state average for LFU of ART patients is 4018 (3.02%) |
 |
| |
| |
| Centers of Excellence (CoE) |
| Under NACP III, it was planned to establish Centers of Excellence in HIV/AIDS in the country. |
| Rationale of CoE was |
 |
to shift ART programto chronic patient management approach. |
|
Address the issues surrounding long term adherence and HIV drug resistance require constant training and upgrading of knowledge and skills among providers. |
|
To address the need for capacity building of good quality, skilled and knowledgeable healthcare providers. |
|
Serve as models in HIV/AIDS care and support. |
|
| In Tamil Nadu We have One CoE & one RPC |
| 1. Government Hospital of Thoracic Medicine, Tambaram, Chennai, CoE and |
| 2. ICH Chennai, Egmore, Regional Pediatric Center of Excellence (RPC). |
| |
| ART Plus Centers: |
| As per NACP III ART plus centers were planned to provide second line ART patients apart from CoEs and conduct District AIDS Clinical Expert Panel (DACEP) to . In TamilNadu, as per AAP 2010-11, three ART Plus centers to be operationalized. At present 1 ART plus center (Salem ART) is fully functional and 2 More Centers (Tirunelveli and Madurai) were sanctioned by NACO. |
| |
|
| |
| Institutions with CD 4 machine: |
| There are 31 CD4 machines as on 1st December 2011 |
| S.No |
Name of Institute |
Supplied By |
Volume Load
(High = More than 500 tests/month)
(Low = less than 500 tests /month) |
| 1 |
GHTM, Tambaram |
NACO |
High |
| 2 |
Madurai |
NACO |
High |
| 3 |
Salem |
NACO |
High |
| 4 |
Thanjavur |
NACO |
High |
| 5 |
CMC, Vellore |
NACO |
High |
| 6 |
MMC |
NACO |
High |
| 7 |
Tirunelveli |
NACO |
Medium |
| 8 |
Villupuram |
NACO |
Low |
| 9 |
Theni |
NACO |
Medium |
| 10 |
Trichy |
NACO |
High |
| 11 |
Coimbatore |
NACO |
High |
| 12 |
Dharmapuri |
NACO |
Medium |
| 13 |
Thoothukudi |
NACO |
Low |
| 14 |
Krishnagiri |
NACO |
High |
| 15 |
Virudhunagar |
NACO |
Low |
| 16 |
Thiruvallur |
NACO |
Low |
| 17 |
Namakkal |
NACO |
High |
| 18 |
Nagapattinam |
NACO |
Low |
| 19 |
Sivagangai |
NACO |
Low |
| 20 |
Kanyakumari |
NACO |
Low |
| 21 |
Dindigul |
NACO |
High |
| 22 |
Erode |
NACO |
High |
| 23 |
Chengalpattu |
NACO |
Low |
| 24 |
Vellore |
NACO |
High |
| 25 |
Thiruvannamalai |
NACO |
Low |
| 26 |
Ramanathapuram |
NACO |
Low |
| 27 |
Thiruvarur |
NACO |
Low |
| 28 |
Cuddalore |
NACO |
Low |
| 29 |
Perambalur |
NACO |
Low |
| 30 |
Pudukottai |
NACO |
Low |
| 31 |
Nilgris(Ooty) |
NACO |
Low |
|
| |
| Link ART Centers: |
| To minimize the travel need for the patients stable on ART, authorized Drug Distribution Centers called Link ART centers are created and located near the patients residence. These centers are linked to a Nodal ART center within accessible distance. There are 90 link ART centers have been approved for the TN state in 2011-12 AAP for Tamil Nadu. Currently there are 84 LACs functional in Tamil Nadu. |
|
