Samvad hiv helpline

HIV AIDS EPIDEMIC:2012
Where are we and where are we going?

Rotary Club of Nigdi 12/10/2012 1

30 years of HIV Epidemic
1981 TO 2012

 1981-Ist case of AIDS described in homosexuals in
USA.
 1983-Viral etiology determined , Montagnier in
France, Gallo in USA.
 1986-Ist case of AIDS in India ( Bombay)
 And in 2012........

12/10/2012 Rotary Club of Nigdi 2

2012: HIV IS STILL AN ISSUE
 350 lakh people are infected with HIV worldwide

 More than 96% are in low and middle income countries- in Asia
and Africa

 India has 25 lakh people infected with HIV- stands third after Sub
Saharan Africa and Nigeria

 Still 26 lakh new infections occur every year around the world
and 18 lakh deaths from HIV/AIDS.

 6000 young people are dying of HIV every
day 12/10/2012 Rotary Club of Nigdi 3

High Prevalence States
 Andhra Pradesh
 Karnataka
 Maharashtra
 Tamilnadu
 Manipur/ Nagaland

20% of HIV infected are in Maharashtra

High Prevalence Districts

 Thane * Mumbai
 Sangli * Jalgaon
 Pune
 Aurangabad
 Chandrapur
 Latur
 Ratnagiri
 Thane


The problem is……

Behind every one known case there are
10 unknown cases of HIV


BASICS OF HIV/AIDS


WHAT IS HIV?

H HUMAN.
I IMMUNODEFICIENCY.
V VIRUS.


WHAT IS AIDS?

A ACQUIRED.
I IMMUNE
D DEFICIENCY
S SYNDROME.


How HIV Is Transmitted?


Waves in Spread of HIV
Epidemic

Core
Group
Bridge Population-
mostly males

Women &
Children


Symptoms of AIDS.
 HIV infection remain silent for 8 to 10 years

 Unexplained weight loss
 Persistent fever
 Prolonged diarrhea
 Persistent cough
 Skin infections
 Tuberculosis
 Herpes zoster

Diagnosis cannot be made on the basis of symptoms
only.
HIV Blood Test Is Important

HIV MEANS DEATH?

 HIV is no more a fatal disease
 It is a chronic manageable disease like
diabetes, hypertension and asthma


Normal life span after HIV
infection
A- ANTI (AGAINST)
R- RETROVIRAL ( RETROVIRUS)
T –THERAPY (TREATMENT)

TEST AND TREAT
ART

HIV AIDS


HIV IS A “SILENT” DISEASE.
An Epidemic of “Silence”
◦ Social, cultural taboos prevent free discussion

on sexuality and therefore on HIV

◦ People don’t know how and where to access

help

◦ People don’t want to be seen asking

◦ Ignorance leads to panic or indifference


Breaking the silence…..
 Phone is easy to use, its everywhere

 Can get accurate information from experts

 It’s anonymous

 It’s there when you need it

 There is cell phone with about 80% of the
population

Samvad HIV Helpline is a solution

What Does Samvad Helpline
Do?
1. Provides up-to-date and accurate information,

2. Promotes safer behavior

3. Provide referrals to existing services for HIV in the

location of the caller

4. Crisis support: prevents suicides

5. Avenue for venting, provides psychological

support


Sample of questions asked
◦ Am I at risk in my specific situation?

◦ What should I do to live longer?

◦ Where do I get tested?

◦ My daughter’s marriage – what can I do for her?

◦ How do I break the news to my spouse?

◦ How do I register for government schemes?

◦ Can I have children?

◦ How do I protect my wife?


How do we do this?
 Anonymous, confidential service

 Showing empathy and non judgmental attitude

 Understanding the life context of the caller

 Counseling that provides actionable insight not just
for HIV but related life problems too

 Getting to the story behind the story

 Dealing with guilt, anxiety, phobia, anger,
frustration and fear

Journey of Samvad HIV
Helpline
2005-2012


AASHA SAMPARK

CBS

SMS ANKUR


Reminder service
• ART medicine
•CD4 Testing


Why work in the field of HIV at
all?


Why work for HIV patients at all?

People get HIV because of their “wrong
deeds”


We can throw stones at others if we have
never committed a crime in our life 34

Which disease is not
“manmade”?
 Heart disease
 Diabetes
 Cancer
 Blindness
 COPD………….


“There are lot of funds in HIV”
 Recession in US and Europe will
revert the tide of epidemic
 Continued funds will ensure that we
capitalize on the gains of 3 decades of
efforts
 “Hatti nikal gaya, ab punch rah gayi
hai”

 Learn from Leprosy. Its back.

Why spent money on a HIV
helpline?
 Information is power
 It acts as a catalyst for uptake of all
other services
 One rupee spent on prevention will
save Eight rupees on treatment


Thank you
Contact person
Muktaa Charitable Trust

020-26383456
Web : http://www.mcf.org.in
E-mail : contactus@mcf.org.in
Blog: blog.mcf.org.in

Rotary Club of Nigdi 12/10/2012 40

 Tuberculosis
 Cancer
 Infant hearing screening
 Helpline in other health related
issues


◦ 1.8 million new cases occurring every year in India
◦ Every Day more than 5000 develop TB disease
◦ 1000 people die of TB: the highest number in the world .

2 deaths every 3 minutes

Tuberculosis is a treatable and preventable disease.
What is needed is knowledge about the disease

Plan to start TB Helpline by this year end


 India has the highest number of oral cancer cases in the world.

 Of 7-8 lakh registered cancer cases every year, 40% are of oral

cancer. Annually 130,000 people succumb to oral cancer in India.

 60 to 80 % present in advanced stage.

 14 people, mostly young, die of oral cancer every hour.

 Diagnosed early, these premature deaths are preventable


 Approximately 1%-2% of newborns
are born with hearing loss.
 If diagnosed before age of 6 months,
prevent permanent loss of speech,
language, and learning skills
 This project is just yet in idea stage


Thank U


Samvad hiv helpline

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