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About this ‘Information Reference Book-Volume II’ The Swagati Project, initiated through the Avahan Project of the Bill and Melinda Gates Foundation (BMGF), works with communities of female sex workers (FSWs), men who have sex with men (MSMs) and the transgendered (TG) in Andhra Pradesh. An extensive Monitoring Information System (MIS), developed as part of the programme, tracks progress and assesses achievement. This in turn helps the project team to plan better. This Information Reference Book-Volume II presents a picture of major programme indicators and throws light on the achievements of the intervention. Its data sections include routine monitoring data on core indicators, as well as information on the MIS Mela Event which took place on 30 April, 2010. This book provides information gleaned during May 2009 to March 2010 from monthly MIS reports. Note: April 2009 data is not included in the book because of restructuring of Swagati Project-Phase II. HLFPPT-BMGF Swagati Project2009-2010 1
HLFPPT-BMGF Swagati Project2009-2010 Acknowledgements We would like to thank our district implementing partners in coastal Andhra Pradesh: Youth Club of Bejjipuram (YCB) and Gunna Udatayya Eternal Service Team (GUEST) in Srikakulam; Resource Education Society (RES) and Youth for Development of People Organization (YDO) in Vizianagaram; Sravanti Association, Action for Development (AFD) and People’s Action for Rural Development (PARD) in West Godavari; Integrated for Rural and Urban Development Society (GUIDE) and Ravicherla Integrated Development and Education Society (RIDES) in Krishna; Society for Integrated Rural Development (SFIRD) Gramasiri, Social Education and Economic Development Society (SEEDS) and Hands of Compassion (HOC) in Guntur; A Society for the Development of Agriculture and Youth (EFFORT), Society for Help Entire Lower & Rural People (HELP), Society for Progress, Applied Research and Education (SPARE) in Prakasam; Navajeevan and Social Activities for Rural Development Society (SARDS) in Nellore; Environment Centre (EC) and HLFPPT Rajahmundry in East Godavari for providing their monthly data on a regular basis. We would like to thank the entire HLFPPT team for providing this opportunity and the BMGF Avahan team for their continuous support and encouragement. We would also like to thank the entire team of Family Health International (FHI), Andhra Pradesh State AIDS Control Society (APSACS) and Mukund Soft Pvt. Ltd, Delhi for providing technical support for implementing the Computerized Management Information System (CMIS) in the programme. Any Feedback: HLFPPT Swagati M&E Team Mr.Rajesh Kumar Patra, M&E Specialist E-mail id: rkpatra@hlfppt.org, rajeshkumarpatra@gmail.com Team Members 1. Ms.P.Shailaja, Team Leader 2. Mr.Shaju V Joseph, Programme Manager 3. Dr.Laxminarayana, Technical Manager (STI) 4. Mr.J.B.R.Chakravarthy, Capacity Building Specialist 5. Ms.R.Meher Leela, Finance & Admin Manager 6. Ms.Vijayalakshmi, Advocacy Specialist 7. Mr.N.S.Rao, BCC Specialist 8. Mr.Rajesh Kumar Patra, M&E Specialist 9. Mr.Madhusudhan Rao, Transition Manager 2 10. Mr.Vinay Kumar, Project Officer 11. Mr.Ch.Arjun, Project Officer 12. Mr.R.Manish, Project Officer 13. Mr.Subba Rao, Project Officer 14. Mr.Chiranjeevi Rao, Project Officer 15. Ms.Priyanka Singh, Project Officer 16. Mr.Krishna Madhav, Project Associate (Documentation) 17. Mr.N.Srinivas, Project Associate (CBO) 18. Ms.Nain Kumari, Project Associate (M&E) 19. Dr.Sri Priya, Technical Officer (Clinic Management) 20. Dr.Rajan Manguesh, Technical Officer (Clinic Management) 21. Mr.Md.Faheem, Project Associate (M&E) 22. Mr.Arif Hussain, Finance Officer 23. Mr.K.S.R Murthy, Finance Officer 24. Mr.G.Vaneeswara Reddy, Finance Officer 25. Ms.P.Pavani, Admin. Officer 26. Mr.Hema Rao, Project Associate (Advocacy)
HLFPPT-BMGF Swagati Project2009-2010 3 Abbreviations AIDS Acquired Immunodeficiency Syndrome ANC Antenatal Care ARD Ano-rectal Discharge ART Anti-retroviral Therapy CBO Community-based Organization FSW Female Sex Worker GUD Genital Ulcer Disease Hepatic HIV Human Immunodeficiency Virus HRG High-risk Group HSS HIV Sentinel Surveillance IB Inguinal Bubo ICTC Integrated Counselling and Testing Centre IDU Injecting Drug User LAP Lower Abdominal Pain M&E Monitoring and Evaluation MSM Men who have Sex with Men NACO National Aids Control Organization NACP National Aids Control Programme NGO Non-government Organization ORW Outreach Worker PE Peer Educator RMC Regular Medical Check-up SACS State Aids Control Society STD Sexually Transmitted Disease STI Sexually Transmitted Infection TB Tuberculosis TI Targeted Intervention UD Urethral Discharge VCD Vaginal/Cervical Discharge
HLFPPT-BMGF Swagati Project2009-20104
HLFPPT-BMGF Swagati Project2009-2010 Index Page Table 1: Estimated and Registered HRG by Interventions 12 Table 1.1: HRG Coverage Range 13 Table 2: HRG-Peer Educator Ratio 14 Table 3: Condom Distribution 15 Table 4: Outreach Work (One-to-one Contact Individuals by Intervention) 24 Table 5: Intensity of One-to-one Contacts 27 Table 6: Clinic Attendees 36 Table 7: Sexually Transmitted Infection Symptomatic Visits 40 Table 8: Regular Medical Check-up 44 Table 9: At least Once Clinic Attendees 50 Table 10: Internal Examination vs. Clinic Attendees 55 Table 11: HIV Testing through ICTC 58 Table 12: Crisis Management 63 Table 13: Project-wise Syphilis Test 71 Table 13.1: Individuals Tested for Syphilis 73 Table 14: STI Syndromes Distribution among FSW/MSM HRGs : May 2009 to March 2010 75 5
7HLFPPT-BMGF Swagati Project2009-2010 HIV Situation in Andhra Pradesh (AP) The south Indian state of Andhra Pradesh has a population of over 76 million. Sentinel Surveillance in various districts of the state reports Human Immunodeficiency Virus (HIV) prevalence is around 11.43% among the samples from Sexually Transmitted Disease (STD) clinic patients (a potentially high-risk population), and around 1.21% among those who attend Antenatal Clinics (ANC) (potentially representing the currently low-risk general population). Of the 23 districts in the state, 14 have reported a generalized HIV epidemic [HIV prevalence of more than 1% among ANC (APSACS SIMU Published Report) patients]. Around 91% of the HIV transmission among ANC cases occurs through the sexual mode. It is estimated that more than 1,25,000 FSWs currently operate in the state. The coastal region is commercially developed with agro- based and fishery industries, industrial centres and ports which dock international vessels. Eight of the nine coastal districts are reported to have a generalized HIV epidemic and the prevalence of STD and HIV among sex workers in the coastal districts of the state is reported to be very high. While paid sex is known to be the key behavioural indicator of high-risk infection in Andhra Pradesh; the major clients of sex workers in the state are frequent travellers, petty businessmen, auto/taxi/bus drivers, truckers, students and colliery workers. Swagati Project Background and Rationale Swagati project is being implemented by the Hindustan Latex Family Planning Promotion Trust (HLFPPT) with the support of the Bill and Melinda Gates Foundation (BMGF) in eight districts of coastal Andhra Pradesh. The project reaches 32,168 members of two HRGs: FSWs (23,671) and MSMs (8,497). Project Goal To reduce the incidence of HIV and STI among FSWs, MSMs, TGs and their clients in coastal Andhra Pradesh and thus, reduce the risk of transmissibility of HIV to the general population in Andhra Pradesh. The overall objective is to prevent transmission of HIV/AIDS and STI among the target population and its clients. The essential Swagati programme elements are a peer-led and risk-based outreach for awareness and motivation; community-friendly clinics for Regular Medical Check-up and STI services, condom distribution, advocacy; a crisis management system for building confidence; and mobilization and collectivization of community. Swagati Phase I commenced in 2004 and continued up to April 2009, with separate interventions and separate administrative units for FSWs and MSMs with one NGO. The The agro-based and fishery industries are also established in coastal AP. Eight of the nine coastal districts are reported to have a generalized HIV epidemic. 7HLFPPT-BMGF Swagati Project2009-2010 Graph 1: Estimated HRG (FSWs and MSMs)
8 HLFPPT-BMGF Swagati Project2009-2010 second phase started in 2009 which is when the project also got more or less streamlined with the availability of HRG data in the form of a Computerized Management Information System (CMIS). CMIS was stabilized during Phase II and the quality of outputs also increased. Monthly data generated through CMIS proved useful in guiding project implementation. This book attempts to bring all relevant data together and draws critical inferences on project progress. Clinics are crucial to not just the project’s success but also toward meeting crucial National Aids Control Programme (NACP-III) goals. To this end the project has catered for four types of clinics. 1.  Static Clinic: A regular well-equipped clinic situated at the project office with one Medical Officer (MO) and an Auxiliary Nurse Midwife (ANM) and/or Health Assistant (HA) to manage the clinic. 2. Outreach Clinic: Ad hoc clinics to cater to those members of the HRG who live out of reach of static clinic coverage. 3. Drop-in-Centre Clinic: These clinics are conducted just like outreach clinics except they run from Drop-in-Centres. 4. Provider Referral Clinic: It has been made possible for the HRG at some locations to choose a local medical practitioner for STI care. These practitioners are given an honorarium, based on the number of cases they see. An ANM facilitates the running of these clinics and maintains necessary records.
9HLFPPT-BMGF Swagati Project2009-2010 HIV/AIDS Intervention Coverage in Andhra Pradesh Adilabad Nizamabad Karimnagar Medak Warangal Khammam West Godavari East Godavari Vishakhapatnam Vizianagaram Srikakulam Krishna Guntur Prakasam Kurnool Anantapur Cuddapah Chittoor Nellore Nalgonda Mahbubnagar HYDERABAD Rangareddy APSACS + AVAHAN-SWAGATI APSACS + AVAHAN-ALLIANCE AVAHAN-ALLIANCE AVAHAN-SWAGATI 8 8 6 1 Adilabad Nizamabad Karimnagar Medak Warangal Khammam West Godavari East Godavari Vishakhapatnam Vizianagaram Srikakulam Krishna Guntur Prakasam Kurnool Anantapur Cuddapah Chittoor Nellore Nalgonda Mahbubnagar HYDERABAD Rangareddy APSACS + AVAHAN-SWAGATI APSACS + AVAHAN-ALLIANCE AVAHAN-ALLIANCE AVAHAN-SWAGATI 8 8 6 1 Note: Vishakhapatnam interventions were transitioned to APSACS during July 2009. Project Inception by Districts–Phase II All interventions of Phase II started in April 2009 but these were fully streamlined in May 2009.
10 HLFPPT-BMGF Swagati Project2009-2010 Abstract of Geographical Coverage and Infrastructure District NGO Town Mandals Village Hotspot Staff (excluding the Peer Educator) Static Clinics Drop-in-Centres (DIC) Provider Referral Clinics West Godavari Sravanti 4 17 37 52 16 1 1 5 AFD 3 11 13 51 17 2 4 5 PARD 1 16 28 74 14 1 1 11 East Godavari EC 10 28 124 42 13 1 6 9 HLFPPT- Rajahmundry 3 9 26 64 11 1 4 5 Krishna GUIDE 2 17 27 60 15 1 3 13 RIDE 3 17 20 71 22 2 2 13 Guntur Gramasiri 3 9 27 67 16 2 1 6 SFIRD 4 17 2 72 17 1 2 6 HOC 3 8 7 71 19 2 2 5 SeedS 2 13 1 90 18 2 4 7 Prakasam Spare 1 7 5 29 14 1 3 6 HELP 1 4 1 21 12 1 3 1 Effort 1 8 1 30 12 1 4 6 Nellore Navajeevan 2 11 10 50 19 2 4 1 Sards 2 14 130 61 20 2 2 4 Srikakulum YCB 3 15 16 41 12 1 3 14 Guest 2 22 30 50 16 1 4 7 Vizianagaram Res 3 22 73 50 14 1 1 3 YDO 3 12 6 69 12 1 1 6 Total 56 277 584 1115 309 27 55 133 This table shows the number of interventions, hotspots (mandals and locally identified locations) covered in each district. It also provides information on Static Clinics, Drop-in-Centres (DIC) and Provider Referral Clinics. Clinics in the intervention districts are established for providing care and treatment for STIs.
11HLFPPT-BMGF Swagati Project2009-2010 Analysis of Project Performance Indicators:May 2009 to March 2010 General Objectives of the Book The primary overall objective of bringing out this volume is to critically examine the programme performance during May 2009 to March 2010 and analyse various aspects of the project specific to the indicators. Specific Objectives of this Information Reference Book Volume II 1. To understand Peer Educator (PE) - High Risk Group (HRG) ratio 2. To assess the trend in HRG outreached by PE 3. To understand the distribution of clinic attendees by clinic types 4. To see the pattern of STI diagnosis by type of clinic attendees 5. To assess the trend of Regular Medical Check-up 6. To plot condom distribution achievement Methodology The CMIS has a provision for recording project operations data on a monthly basis. MIS Assistants from the project were trained to do this job in a timely fashion and day-to- day guidance was provided to them whenever necessary. Several difficulties were faced mainly in the form of data inconsistencies and report formats. Many problems were sorted out through discussion and corrections by both HLFPPT and intervention team members. The following major steps were involved in compiling MIS and bringing out reports. 1. Data consolidation by the State Lead Partner (SLP) team (11 months x 21 projects) 2. Selection of indicators and preparation of data analysis plan, based on objectives 3. Preparation of simple and necessary tables 4. Generation of necessary important graphs 5. Report preparation Data Source The existing CMIS structure evolved over a period of time. The vision of BMGF-Avahan and their support to the project through Family Health International (FHI), along with technical guidance from Mukund Soft Pvt. Ltd., helped in realizing Swagati’s dream of having a database with the facility to track individual HRG-level performance. The Monitoring and Evaluation (ME) team has been in constant communication with Avahan, FHI and Mukund Soft Pvt. Ltd., in maintaining and improving the CMIS. The CMIS made it possible to quickly extract data in various permutations and combinations. This proved to be of great value. We hope the readers of this document will be able to gather a comprehensive picture of Swagati.
12 HLFPPT-BMGF Swagati Project2009-2010 Table 1:  Estimated and Registered HRG by Interventions Estimated and Registered HRG (Source: Community-led Social Network Analysis Internal Mapping Study) in April 2009 District  Intervention  May 09-Oct 09 Oct 09-Dec 09 Jan-10 Feb 10-Mar 10 FSW MSM Total FSW MSM Total FSW MSM Total FSW MSM Total Srikakulum YCB 689 500 1189 689 500 1189 689 500 1189 689 500 1189 GUEST 801 408 1209 801 408 1209 801 408 1209 801 408 1209 Vizianagaram RES 863 555 1418 863 555 1418 863 555 1418 863 555 1418 YDO 874 518 1392 874 518 1392 874 518 1392 874 518 1392 West Godavari Sravanti 924 479 1403 924 479 1403 924 479 1403 924 479 1403 AFD 1171 469 1640 1171 469 1640 1171 469 1640 1171 469 1640 PARD 886 372 1258 886 372 1258 968 385 1353 968 385 1353 East Godavari EC 0 1618 1618 0 1618 1618 0 1618 1618 0 1618 1618 HLFPPT-Rajahmundry Implemented from Jan 2010 1269 0 1269 1382 0 1382 Krishna GUIDE 908 747 1655 908 747 1655 945 747 1692 945 747 1692 RIDES 1300 610 1910 1300 610 1910 1300 610 1910 1300 610 1910 Guntur Gramasiri 1806 384 2190 1806 384 2190 1806 384 2190 1806 384 2190 SFIRD 1271 731 2002 1271 731 2002 1271 731 2002 1271 731 2002 HOC 1435 553 1988 1435 553 1988 1435 553 1988 1435 553 1988 SEEDS 1543 540 2083 1543 540 2083 1543 540 2083 1543 540 2083 Prakasam SPARE 930 0 930 930 0 930 930 0 930 930 0 930 HELP 830 0 830 830 0 830 830 0 830 830 0 830 EFFORT 1020 0 1020 1020 0 1020 1020 0 1020 1020 0 1020 Swagati Phase II HRG Coverage Table 1 below shows that in May 2009, 22 Targeted Intervention (TI) projects were underway during Swagati Phase II, covering a population of 33,183 members of HRGs. The coverage decreased to 30,628 in October 2009 because two TIs of Visakhapatnam district (with 2,555 HRGs) were transitioned to APSACS. In January 2010, HLFPPT- Rajahmundry intervention (1,269 HRG members) of East Godavari were added on to the project, increasing the total population. Consequently, when the year ended, Swagati had 20 TIs with 32,168 members of HRGs (23,671 FSWs and 8,497 MSMs) within its fold.
13HLFPPT-BMGF Swagati Project2009-2010 Estimated and Registered HRG (Source: Community-led Social Network Analysis Internal Mapping Study) in April 2009 District  Intervention  May 09-Oct 09 Oct 09-Dec 09 Jan-10 Feb 10-Mar 10 FSW MSM Total FSW MSM Total FSW MSM Total FSW MSM Total Nellore Navajeevan 2092 0 2092 2092 0 2092 2118 0 2118 2118 0 2118 SARDS 2801 0 2801 2801 0 2801 2801 0 2801 2801 0 2801 Vishakhapatnam SVDS 752 410 1162 Transitioned to APSACS GSS 560 833 1393 Total 23456 9727 33183 22144 8484 30628 23558 8497 32055 23671 8497 32168 As seen in the above table, there was a cumulative increase in HRG coverage due to the addition of HRGs covered by PARD in West Godavari (the TI coverage of HRGs increased from 1,258 to 1,353), GUIDE in Krishna (1,655 to 1,692 HRGs) and Navajeevan in Nellore (2,092 to 2,118 HRGs). Table 1.1:  HRG Coverage Range HRG Range Project 1000 SPARE, HELP 1000-1500 EFFORT, HLFPPT-Rajahmundry, PARD, YCP, GUEST, RES, YDO, Sravanti 1600-2000 AFD, EC, GUIDE, RIDES, HOC 2000 SARDS, Navajeevan, SEEDS, SFIRD, Gramasiri. Table 1.1 shows that 40% of the target interventions have 1,000 to 1,500 HRG coverage range. While five target interventions have reached out to more than 2,000 HRGs. Table 1:  Estimated and Registered HRG by Interventions
14 HLFPPT-BMGF Swagati Project2009-2010 Table 2:  HRG-Peer Educator Ratio District NGO May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Srikakulum YCB 0 44 44 44 44 44 44 44 44 44 44 44 44 44 GUEST 35 35 45 48 48 48 50 50 50 53 50 47 35 53 Vizianagaram YDO 43 43 43 43 43 49 51 51 51 51 55 48 43 55 RES 57 57 57 57 62 57 57 57 62 62 62 59 57 62 West Godavari AFD 68 33 33 33 36 36 36 36 36 37 37 39 33 68 Sravanti 0 41 41 61 38 38 38 41 41 41 41 42 38 61 PARD 31 32 36 43 48 50 50 57 47 55 52 46 31 57 East Godavari HLFPPT-Rajahmundry 0 0 0 0 0 0 0 0 38 41 63 47 38 63 EC 48 48 46 58 54 54 52 54 51 51 56 52 46 58 Krishna RIDES 52 52 52 52 52 52 50 52 52 52 52 51 50 52 GUIDE 29 38 42 59 47 49 49 49 52 49 50 47 29 59 Guntur SEEDS 39 39 41 40 48 43 43 43 43 43 43 43 39 48 Gramasiri 48 45 45 44 45 45 45 45 45 45 45 45 44 48 SFIRD 46 46 46 46 46 46 46 46 46 46 46 46 46 46 HOC 45 45 45 45 45 45 45 45 45 45 45 45 45 45 Prakasam EFFORT 35 35 34 38 39 39 39 39 38 38 38 37 34 39 SPARE 32 32 32 32 32 32 32 32 32 32 32 32 32 32 HELP 42 40 40 46 46 52 52 40 40 40 46 44 40 52 Nellore SARDS 38 37 36 36 36 37 37 37 37 37 37 37 36 38 Navajeevan 35 35 35 35 30 30 30 30 30 30 30 32 30 35 • Table 2 shows that the average HRG-PE ratio was highest in RES (59) of Vizianagaram, followed by EC (52) of East Godavari and RIDES (51) of Krishna district. • The lowest ratio was reported by SPARE (32) of Prakasam district and Navajeevan (32) of Nellore district. • HELP, SFIRD, SEEDS, Gramasiri, HOC, YDO, GUEST, YCB, Sravanti, PARD, GUIDE and HLFPPT-Rajahmundry had a HRG-PE ratio in the range of 44 to 48; while AFD, EFFORT and SARDS had the ratio in the range of 37 to 39 HRGs.
15HLFPPT-BMGF Swagati Project2009-2010 Table 3:  Condom Distribution District NGO Core Indicators May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Srikakulam YCB Estimated HRG 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 One-one contacted (individuals) 460 963 1011 1182 1176 1186 1185 1183 1187 1184 1182 1082 460 1187 Condom distribution required ideal (estimated HRG) 89175 89175 89175 89175 89175 89175 89175 89175 89175 89175 89175 89175 89175 89175 Condom distribution required minimum (outreach) 34500 72225 75825 88650 88200 88950 88950 88725 89025 88800 88650 81136 34500 89025 Condom distributed 11177 53328 59026 69429 67581 70129 66432 62651 61862 64810 72133 59869 11177 72133 % of condom distributed (against ideal) 13 60 66 78 76 79 74 70 69 73 81 67 13 81 % of condom distributed (against minimum) 32 74 78 78 77 79 75 71 69 73 81 72 32 81 Condom distributed per HRG 9 45 50 58 57 59 56 53 52 55 61 50 9 61 Condom distributed per HRG through clinic visit 4 4 5 7 5 3 3 3 5 5 5 4 3 7 GUEST Estimated HRG 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 One-one contacted (individuals) 969 1164 1192 1203 1206 1201 1206 1205 1205 1206 1203 1178 969 1206 Condom distribution required ideal (estimated HRG) 90675 90675 90675 90675 90675 90675 90675 90675 90675 90675 90675 90675 90675 90675 Condom distribution required minimum (outreach) 72675 87300 89400 90225 90450 90075 90450 90375 90375 90450 90225 88364 72675 90450 Condom distributed 16611 88407 71981 75620 77290 95109 99752 100703 100211 103004 101754 84586 16611 103004 % of condom distributed (against ideal) 18 97 79 83 85 105 110 111 111 114 112 93 18 114 % of condom distributed (against minimum) 23 101 81 84 85 106 110 111 111 114 113 94 23 114 Condom distributed per HRG 14 73 60 63 64 79 83 83 83 85 84 70 14 85 Condom distributed per HRG through clinic visit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Why Condom Promotion is an Essential Component Condom-use is critical to a comprehensive, effective and sustainable approach to HIV prevention. Hence condom promotion must be extensive. Condom-use is more likely when people can access condoms at no cost or at greatly subsidized prices. Therefore condoms are expected to meet 100% demand as a means to ensure the success of the HIV prevention strategy and to reduce STI among HRGs.
16 HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicators May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Vizianagaram RES Estimated HRG 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 One-one contacted (individuals) 835 1298 1356 1387 1390 1373 1348 1368 1358 1362 1313 1308 835 1390 Condom distribution required ideal (estimated HRG) 106350 106350 106350 106350 106350 106350 106350 106350 106350 106350 106350 106350 106350 106350 Condom distribution required minimum (outreach) 62625 97350 101700 104025 104250 102975 101100 102600 101850 102150 98475 98100 62625 104250 Condom distributed 46029 86480 84365 85020 81654 75680 74423 89332 83639 82096 85581 79482 46029 89332 % of condom distributed (against ideal) 43 81 79 80 77 71 70 84 79 77 80 75 43 84 % of condom distributed (against minimum) 73 89 83 82 78 73 74 87 82 80 87 81 73 89 Condom distributed per HRG 32 61 59 60 58 53 52 63 59 58 60 56 32 63 Condom distributed per HRG through clinic visit 7 10 10 10 10 10 10 10 10 10 10 10 7 10 YDO Estimated HRG 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 One-one contacted (individuals) 614 1226 1258 1281 1352 1345 1343 1367 1352 1356 1355 1259 614 1367 Condom distribution required ideal (estimated HRG) 104400 104400 104400 104400 104400 104400 104400 104400 104400 104400 104400 104400 104400 104400 Condom distribution required minimum (outreach) 46050 91950 94350 96075 101400 100875 100800 102525 101400 101700 101625 94432 46050 102525 Condom distributed 35418 58294 73131 76250 93586 117680 80627 90786 82327 80077 92705 80080 35418 117680 % of condom distributed (against ideal) 34 56 70 73 90 113 77 87 79 77 89 77 34 113 % of condom distributed (against minimum) 77 63 78 79 92 117 80 89 81 79 91 84 63 117 Condom distributed per HRG 25 42 53 55 67 85 58 65 59 58 67 58 25 85 Condom distributed per HRG through clinic visit 7 10 10 10 10 10 10 10 10 10 10 10 7 10 Table 3:  Condom Distribution
17HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicators May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX West Godavari AFD Estimated HRG 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 One-one contacted (individuals) 978 1433 1491 1512 1520 1546 1548 1572 1568 1591 1596 1487 978 1596 Condom distribution required ideal (estimated HRG) 123000 123000 123000 123000 123000 123000 123000 123000 123000 123000 123000 123000 123000 123000 Condom distribution required minimum (outreach) 73350 107475 111825 113400 114000 115950 116100 117900 117600 119325 119700 111511 73350 119700 Condom distributed 78240 114740 106540 124290 107569 131692 108114 100674 102642 101291 142011 110709 78240 142011 % of condom distributed (against ideal) 64 93 87 101 87 107 88 82 83 82 115 90 64 115 % of condom distributed (against minimum) 107 107 95 110 94 114 93 85 87 85 119 100 85 119 Condom distributed per HRG 48 70 65 76 66 80 66 61 63 62 87 68 48 87 Condom distributed per HRG through clinic visit 0 0 0 0 3 4 3 3 4 7 10 3 0 10 Sravanti Estimated HRG 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 One-one contacted (individuals) 46 1109 1127 1111 1210 1291 1273 1305 1293 1237 1290 1117 46 1305 Condom distribution required ideal (estimated HRG) 105225 105225 105225 105225 105225 105225 105225 105225 105225 105225 105225 105225 105225 105225 Condom distribution required minimum (outreach) 3450 83175 84525 83325 90750 96825 95475 97875 96975 92775 96750 83809 3450 97875 Condom distributed 2450 75370 83389 85279 99555 103579 119405 130346 115672 102891 105570 93046 2450 130346 % of condom distributed (against ideal) 2 72 79 81 95 98 113 124 110 98 100 88 2 124 % of condom distributed (against minimum) 71 91 99 102 110 107 125 133 119 111 109 107 71 133 Condom distributed per HRG 2 54 59 61 71 74 85 93 82 73 75 66 2 93 Condom distributed per HRG through clinic visit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PARD Estimated HRG 1258 1258 1258 1258 1258 1258 1258 1258 1353 1353 1353 1284 1258 1353 One-one contacted (individuals) 0 437 1122 1290 1231 1343 1266 1306 1206 1256 1232 1063 0 1343 Condom distribution required ideal (estimated HRG) 94350 94350 94350 94350 94350 94350 94350 94350 94350 94350 94350 94350 94350 94350 Condom distribution required minimum (outreach) 0 32775 84150 96750 92325 100725 94950 97950 90450 94200 92400 79698 0 100725 Condom distributed 0 37620 155413 135965 142280 127633 105438 109759 87347 123399 119375 104021 0 155413 % of condom distributed (against ideal) 0 40 165 144 151 135 112 116 93 131 127 110 0 165 % of condom distributed (against minimum) 0 115 185 141 154 127 111 112 97 131 129 118 0 185 Condom distributed per HRG 0 30 124 108 113 101 84 87 69 98 95 83 0 124 Condom distributed per HRG through clinic visit 0 0 0 0 0 0 0 0 0 1 4 1 0 4 Table 3:  Condom Distribution
18 HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicators May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX East Godavari EC Estimated HRG 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 One-one contacted (individuals) 1414 1518 1584 1610 1617 1609 1608 1591 1614 1590 1594 1577 1414 1617 Condom distribution required ideal (estimated HRG) 121350 121350 121350 121350 121350 121350 121350 121350 121350 121350 121350 121350 121350 121350 Condom distribution required minimum (outreach) 106050 113850 118800 120750 121275 120675 120600 119325 121050 119250 119550 118289 106050 121275 Condom distributed 72253 89541 78030 74744 73006 77627 80727 81166 81703 81063 83107 79361 72253 89541 % of condom distributed (against ideal) 60 74 64 62 60 64 67 67 67 67 68 65 60 74 % of condom distributed (against minimum) 68 79 66 62 60 64 67 68 67 68 70 67 60 79 Condom distributed per HRG 45 55 48 46 45 48 50 50 50 50 51 49 45 55 Condom distributed per HRG through clinic visit 0 0 0 0 1 0 0 0 0 0 0 0 0 1 HLFPPT - Rajahmundry Estimated HRG 1269 1382 1382 1344 1269 1382 One-one contacted (individuals) 1269 1257 1215 1247 1215 1269 Condom distribution required ideal (estimated HRG) 103650 103650 103650 103650 0 103650 Condom distribution required minimum (outreach) 95175 94275 91125 93525 0 95175 Condom distributed 64962 95670 92000 84211 0 95670 % of condom distributed (against ideal) 63 92 89 81 0 92 % of condom distributed (against minimum) 68 101 101 90 0 101 Condom distributed per HRG 47 69 67 61 0 69 Condom distributed per HRG through clinic visit 0 0 0 0 0 0 Krishna Guide Estimated HRG 1655 1655 1655 1655 1655 1655 1655 1655 1692 1692 1692 1665 1655 1692 One-one contacted (individuals) 613 1112 1343 1396 1506 1431 1372 1397 1444 1436 1429 1316 613 1506 Condom distribution required ideal (estimated HRG) 124125 124125 124125 124125 124125 124125 124125 124125 124125 124125 124125 124125 124125 124125 Condom distribution required minimum (outreach) 45975 83400 100725 104700 112950 107325 102900 104775 108300 107700 107175 98720 45975 112950 Condom distributed 33270 61615 63735 63702 77320 78748 67718 82185 75097 75277 100683 70850 33270 100683 % of condom distributed (against ideal) 27 50 51 51 62 63 55 66 61 61 81 57 27 81 % of condom distributed (against minimum) 72 74 63 61 68 73 66 78 69 70 94 72 61 94 Condom distributed per HRG 20 37 39 38 47 48 41 50 45 45 61 43 20 61 Condom distributed per HRG through clinic visit 5 5 5 5 5 5 5 5 5 5 5 5 5 5 RIDES Estimated HRG 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 One-one contacted (individuals) 1213 1363 1499 1565 1634 1618 1660 1753 1789 1738 1798 1603 1213 1798 Condom distribution required ideal (estimated HRG) 143250 143250 143250 143250 143250 143250 143250 143250 143250 143250 143250 143250 143250 143250 Condom distribution required minimum (outreach) 90975 102225 112425 117375 122550 121350 124500 131475 134175 130350 134850 120205 90975 134850 Condom distributed 53363 68824 77692 79991 94919 95270 109747 126924 130693 126987 149193 101237 53363 149193 % of condom distributed (against ideal) 37 48 54 56 66 67 77 89 91 89 104 71 37 104 % of condom distributed (against minimum) 59 67 69 68 77 79 88 97 97 97 111 83 59 111 Condom distributed per HRG 28 36 41 42 50 50 57 66 68 66 78 53 28 78 Condom distributed per HRG through clinic visit 3 3 5 5 4 4 4 4 3 3 3 4 3 5 Table 3:  Condom Distribution
19HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicators May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Guntur Gramasiri Estimated HRG 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 One-one contacted (individuals) 1462 1788 2029 2083 2108 2138 2148 2147 2185 2161 2178 2039 1462 2185 Condom distribution required ideal (estimated HRG) 164250 164250 164250 164250 164250 164250 164250 164250 164250 164250 164250 164250 164250 164250 Condom distribution required minimum (outreach) 109650 134100 152175 156225 158100 160350 161100 161025 163875 162075 163350 152911 109650 163875 Condom distributed 52502 74576 121784 114145 105068 106639 106870 121787 133210 142408 142322 111028 52502 142408 % of condom distributed (against ideal) 32 45 74 69 64 65 65 74 81 87 87 68 32 87 % of condom distributed (against minimum) 48 56 80 73 66 67 66 76 81 88 87 72 48 88 Condom distributed per HRG 24 34 56 52 48 49 49 56 61 65 65 51 24 65 Condom distributed per HRG through clinic visit 1 0 0 0 0 0 0 0 0 0 0 0 0 1 HOC Estimated HRG 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 One-one contacted (individuals) 1550 1810 1883 1726 1919 1947 1926 1980 1983 1981 1979 1880 1550 1983 Condom distribution required ideal (estimated HRG) 149100 149100 149100 149100 149100 149100 149100 149100 149100 149100 149100 149100 149100 149100 Condom distribution required minimum (outreach) 116250 135750 141225 129450 143925 146025 144450 148500 148725 148575 148425 141027 116250 148725 Condom distributed 52378 148694 156207 122682 160320 168146 158452 167536 161823 162946 163714 147536 52378 168146 % of condom distributed (against ideal) 35 100 105 82 108 113 106 112 109 109 110 99 35 113 % of condom distributed (against minimum) 45 110 111 95 111 115 110 113 109 110 110 103 45 115 Condom distributed per HRG 26 75 79 62 81 85 80 84 81 82 82 74 26 85 Condom distributed per HRG through clinic visit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SFIRD Estimated HRG 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 One-one contacted (individuals) 0 1958 2002 1805 2002 1889 1978 1954 1982 1981 1988 1776 0 2002 Condom distribution required ideal (estimated HRG) 150150 150150 150150 150150 150150 150150 150150 150150 150150 150150 150150 150150 150150 150150 Condom distribution required minimum (outreach) 0 146850 150150 135375 150150 141675 148350 146550 148650 148575 149100 133220 0 150150 Condom distributed 0 159709 165686 132175 165170 172287 137810 150409 148247 152178 157088 140069 0 172287 % of condom distributed (against ideal) 0 106 110 88 110 115 92 100 99 101 105 93 0 115 % of condom distributed (against minimum) 0 109 110 98 110 122 93 103 100 102 105 96 0 122 Condom distributed per HRG 0 80 83 66 83 86 69 75 74 76 78 70 0 86 Condom distributed per HRG through clinic visit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SEEDS Estimated HRG 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 One-one contacted (individuals) 357 785 1525 1581 1745 1867 1979 2063 2083 2076 2113 1652 357 2113 Condom distribution required ideal (estimated HRG) 156225 156225 156225 156225 156225 156225 156225 156225 156225 156225 156225 156225 156225 156225 Condom distribution required minimum (outreach) 26775 58875 114375 118575 130875 140025 148425 154725 156225 155700 158475 123914 26775 158475 Condom distributed 12410 49275 82450 108792 99596 107816 149266 156920 162761 159773 162216 113752 12410 162761 % of condom distributed (against ideal) 8 32 53 70 64 69 96 100 104 102 104 73 8 104 % of condom distributed (against minimum) 46 84 72 92 76 77 101 101 104 103 102 87 46 104 Condom distributed per HRG 6 24 40 52 48 52 72 75 78 77 78 55 6 78 Condom distributed per HRG through clinic visit 0 0 0 0 5 2 2 3 3 6 5 2 0 6 Table 3:  Condom Distribution
20 HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicators May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Prakasam EFFORT Estimated HRG 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 One-one contacted (individuals) 17 882 957 974 988 1009 1018 1013 1020 1017 1013 901 17 1020 Condom distribution required ideal (estimated HRG) 76500 76500 76500 76500 76500 76500 76500 76500 76500 76500 76500 76500 76500 76500 Condom distribution required minimum (outreach) 1275 66150 71775 73050 74100 75675 76350 75975 76500 76275 75975 67555 1275 76500 Condom distributed 320 53003 60980 66631 90908 109755 99548 101944 107920 109900 108984 82718 320 109900 % of condom distributed (against ideal) 0 69 80 87 119 143 130 133 141 144 142 108 0 144 % of condom distributed (against minimum) 25 80 85 91 123 145 130 134 141 144 143 113 25 145 Condom distributed per HRG 0 52 60 65 89 108 98 100 106 108 107 81 0 108 Condom distributed per HRG through clinic visit 0 0 0 0 8 3 1 4 3 2 3 2 0 8 HELP Estimated HRG 830 830 830 830 830 830 830 830 830 830 830 830 830 830 One-one contacted (individuals) 759 777 774 785 811 813 783 816 793 799 806 792 759 816 Condom distribution required ideal (estimated HRG) 62250 62250 62250 62250 62250 62250 62250 62250 62250 62250 62250 62250 62250 62250 Condom distribution required minimum (outreach) 56925 58275 58050 58875 60825 60975 58725 61200 59475 59925 60450 59427 56925 61200 Condom distributed 25280 25130 25780 25360 42650 53020 55519 57315 44693 49300 49590 41240 25130 57315 % of condom distributed (against ideal) 41 40 41 41 69 85 89 92 72 79 80 66 40 92 % of condom distributed (against minimum) 44 43 44 43 70 87 95 94 75 82 82 69 43 95 Condom distributed per HRG 30 30 31 31 51 64 67 69 54 59 60 50 30 69 Condom distributed per HRG through clinic visit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SPARE Estimated HRG 930 930 930 930 930 930 930 930 930 930 930 930 930 930 One-one contacted (individuals) 863 919 914 914 923 923 924 930 929 930 930 918 863 930 Condom distribution required ideal (estimated HRG) 69750 69750 69750 69750 69750 69750 69750 69750 69750 69750 69750 69750 69750 69750 Condom distribution required minimum (outreach) 64725 68925 68550 68550 69225 69225 69300 69750 69675 69750 69750 68857 64725 69750 Condom distributed 17580 42311 45104 40680 52794 64945 76996 77777 76114 74689 77929 58811 17580 77929 % of condom distributed (against ideal) 25 61 65 58 76 93 110 112 109 107 112 84 25 112 % of condom distributed (against minimum) 27 61 66 59 76 94 111 112 109 107 112 85 27 112 Condom distributed per HRG 19 45 48 44 57 70 83 84 82 80 84 63 19 84 Condom distributed per HRG through clinic visit 0 1 0 0 5 5 5 6 6 6 6 4 0 6 Table 3:  Condom Distribution
21HLFPPT-BMGF Swagati Project2009-2010 Table 3 gives information on condom distribution to HRGs •  This table provides information on condom distribution based on the average number of individual sexual acts. • The highest number of condoms per HRG was distributed in SARDS (91) of Nellore followed by PARD, EFFORT, HOC, SFIRD, GUEST, AFD, Sravanti interventions where per HRG condom distribution was in the range of 66 to 83 pieces. •  Navajeevan, SPARE, HLFPPT-Rajahmundry, YDO, RES, SEEDS, RIDES, Gramasiri, YCB and HELP reported condom distribution per HRG in the range of 49 to 63 pieces. •  The lowest number distributed (43) was in GUIDE of Krishna district. District NGO Core Indicators May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Nellore Navajeevan Estimated HRG 2092 2092 2092 2092 2092 2092 2092 2092 2118 2118 2118 2099 2092 2118 One-one contacted (individuals) 0 1743 1821 1699 1968 2048 2029 1965 1974 1982 2008 1749 0 2048 Condom distribution required ideal (estimated HRG) 156900 156900 156900 156900 156900 156900 156900 156900 156900 156900 156900 156900 156900 156900 Condom distribution required minimum (outreach) 0 130725 136575 127425 147600 153600 152175 147375 148050 148650 150600 131161 0 153600 Condom distributed 0 139437 134542 119046 157476 150081 166569 147111 132257 151728 157895 132377 0 166569 % of condom distributed (against ideal) 0 89 86 76 100 96 106 94 84 97 101 84 0 106 % of condom distributed (against minimum) 0 106.664 98.511 93.424 106.691 97.708 109.458 99.820 89.332 102.070 104.843 101 89 109 Condom distributed per HRG 0 66.652 64.312 56.905 75.275 71.740 79.621 70.320 63.220 72.527 75.475 63 0 80 Condom distributed per HRG through clinic visit 0 2.226 3.031 11.168 16.113 16.085 15.959 12.229 7.030 7.891 10.233 9 0 16 SARDS Estimated HRG 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 One-one contacted (individuals) 2364 2564 2364 2552 2691 2703 2694 2742 2752 2793 2782 2636 2364 2793 Condom distribution required ideal (estimated HRG) 210075 210075 210075 210075 210075 210075 210075 210075 210075 210075 210075 210075 210075 210075 Condom distribution required minimum (outreach) 177300 192300 177300 191400 201825 202725 202050 205650 206400 209475 208650 197734 177300 209475 Condom distributed 224050 229495 214575 201949 235897 249173 252752 330763 293491 284562 294285 255545 201949 330763 % of condom distributed (against ideal) 106.652 109.244 102.142 96.131 112.291 118.611 120.315 157.449 139.707 135.457 140.085 122 96 157 % of condom distributed (against minimum) 126.367 119.342 121.023 105.511 116.881 122.911 125.093 160.837 142.195 135.845 141.042 129 106 161 Condom distributed per HRG 79.989 81.933 76.606 72.098 84.218 88.958 90.236 118.087 104.780 101.593 105.064 91 72 118 Condom distributed per HRG through clinic visit 3.959 7.789 7.763 4.826 8.470 5.471 5.234 12.728 9.343 11.387 11.414 8 4 13 HLFPPT- SWAGATI Estimated HRG 30628 30628 30628 30628 30628 30628 30628 30628 32055 32168 32168 31038 30628 32168 One-one contacted (individuals) 14514 24849 27252 27656 28997 29280 29288 29657 30986 30933 31004 27674 14514 31004 Condom distribution required ideal (estimated HRG) 2297100 2297100 2297100 2297100 2297100 2297100 2297100 2297100 2400750 2400750 2400750 2325368 2297100 2400750 Condom distribution required minimum (outreach) 1088550 1863675 2043900 2074200 2174775 2196000 2196750 2224275 2323950 2319975 2325300 2075577 1088550 2325300 Condom distributed 733331 1655849 1860410 1801750 2024639 2155009 2116165 2286088 2246671 2324049 2458135 1969281 733331 2458135 % of condom distributed (against ideal) 32 72 81 79 89 94 93 100 94 97 102 85 32 102 % of condom distributed (against minimum) 67 89 91 87 93 98 96 103 97 100 106 93 67 106 Condom distributed per HRG 24 54 61 59 66 70 69 75 70 73 77 63 24 77 Condom distributed per HRG through clinic visit 2.964 2.654 2.624 2.534 4.441 3.703 3.433 4.127 3.406 4.343 5 4 3 5 Table 3:  Condom Distribution
22 HLFPPT-BMGF Swagati Project2009-2010 Month Estimated HRG Ideal Target Minimum Target Distributed % of Ideal Target % of Minimum Target Per HRG Distributed May 2009 30628 2297100 1088550 733331 32 67 24 June 2009 30628 2297100 1863675 1655849 72 89 54 July 2009 30628 2297100 2043900 1860410 81 91 61 Aug 2009 30628 2297100 2074200 1801750 78 87 59 Sep 2009 30628 2297100 2174775 2024639 88 93 66 Oct 2009 30628 2297100 2196000 2155009 94 98 70 Nov 2009 30628 2297100 2196750 2116165 92 96 69 Dec 2009 30628 2297100 2224275 2286088 100 103 75 Jan 2010 32055 2400750 2323950 2246671 94 97 70 Feb 2010 32168 2400750 2319975 2324049 97 100 72 Mar 2010 32168 2400750 2325300 2458135 102 106 76 This table provides information on condom distribution performance against ideal and minimum target of the project during the period May 2009 to March 2010. Condoms distributed per HRG, through clinic visits •  The highest number of condoms distributed per HRG through clinic visits was 10 pieces by RES and YDO of Vizianagaram. While Navajeevan of Nellore distributed nine condoms per HRG through clinic visits. •  SARDS, GUIDE, YCB, SPARE, RIDES, AFD, SEEDS, EFFORT and PARD distributed one to eight condoms through clinics. •  No condom distribution was done through clinics by HLFPPT-Rajahmundry (East Godavari), Sravanti (West Godavari), Gramasiri, SFIRD, HOC (Guntur), GUEST (Srikakulam) and HELP (Prakasam). Condom Distribution
23HLFPPT-BMGF Swagati Project2009-2010 The graph shows that the level of condom distribution through clinics is low, probably due the easy access to and availability of condom through outreach. • The graph also reveals that condom distribution against both ideal and minimum target and per HRG distribution, were steadily in upward trend. • Per HRG distribution was lowest (24 pieces) in May 2009 and highest (76 pieces) in March 2010. Graph 2: Condom Promotion Data reveals that condom distribution against ideal, minimum and per HRG distribution targets, displayed a steady upward trend. 100% distribution was achieved in the months of December 2009 and March 2010. The lowest percentage (32%) was recorded in May 2009. This is due to the restructuring of TIs undertaken in the beginning of Phase II. No.ofCondomPieces Percentage(%)
24 HLFPPT-BMGF Swagati Project2009-2010 Table 4:  Outreach Work (One-to-one Contact Individuals by Intervention) District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Srikakulam YCB Estimated HRG 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 Outreach 460 963 1011 1182 1176 1186 1185 1183 1187 1184 1182 1082 460 1187 % 39 81 85 99 99 100 100 99 100 100 99 91 39 100 GUEST Estimated HRG 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 Outreach 969 1164 1192 1203 1206 1201 1206 1205 1205 1206 1203 1178 969 1206 % 80 96 99 100 100 99 100 100 100 100 100 97 80 100 Vizianagaram RES Estimated HRG 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 Outreach 835 1298 1356 1387 1390 1373 1348 1368 1358 1362 1313 1308 835 1390 % 59 92 96 98 98 97 95 96 96 96 93 92 59 98 YDO Estimated HRG 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 Outreach 614 1226 1258 1281 1352 1345 1343 1367 1352 1356 1355 1259 614 1367 % 44 88 90 92 97 97 96 98 97 97 97 90 44 98 West Godavari AFD Estimated HRG 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 Outreach 978 1433 1491 1512 1520 1546 1548 1572 1568 1591 1596 1487 978 1596 % 60 87 91 92 93 94 94 96 96 97 97 91 60 97 Sravanti Estimated HRG 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 Outreach 46 1109 1127 1111 1210 1291 1273 1305 1293 1237 1290 1117 46 1305 % 3 79 80 79 86 92 91 93 92 88 92 80 3 93 PARD Estimated HRG 1258 1258 1258 1258 1258 1258 1258 1258 1353 1353 1353 1284 1258 1353 Outreach 0 437 1122 1290 1231 1343 1266 1306 1206 1256 1232 1063 0 1343 % 0 35 89 103 98 107 101 104 89 93 91 83 0 107 Why Outreach is Important The objective of outreach is to be in direct touch with HRG for regular behaviour change communication and risk appraisal. The service requirements of the HRG are reassessed based on such appraisals. This in turn, has a definite impact on HIV prevention. Outreach activity by PEs is also a process for their own empowerment and increases community and peer group ownership of the project. According to SACS norms, all HRGs are expected to be contacted by outreach staff twice a month. But the Avahan project sets a much higher target, which is four contacts in a month i.e., one per week for covering the all HRGs.
25HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX East Godavari EC Estimated HRG 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 Outreach 1414 1518 1584 1610 1617 1609 1608 1591 1614 1590 1594 1577 1414 1617 % 87 94 98 100 100 99 99 98 100 98 99 97 87 100 HLFPPT- Rajahmundry Estimated HRG 1269 1382 1382 1344 1269 1382 Outreach 1269 1257 1215 1247 1215 1269 % 100 91 88 93 88 100 Krishna GUIDE Estimated HRG 1655 1655 1655 1655 1655 1655 1655 1655 1692 1692 1692 1665 1655 1692 Outreach 613 1112 1343 1396 1506 1431 1372 1397 1444 1436 1429 1316 613 1506 % 37 67 81 84 91 86 83 84 85 85 84 79 37 91 RIDES Estimated HRG 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 Outreach 1213 1363 1499 1565 1634 1618 1660 1753 1789 1738 1798 1603 1213 1798 % 64 71 78 82 86 85 87 92 94 91 94 84 64 94 Guntur Gramasiri Estimated HRG 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 Outreach 1462 1788 2029 2083 2108 2138 2148 2147 2185 2161 2178 2039 1462 2185 % 67 82 93 95 96 98 98 98 100 99 99 93 67 100 HOC Estimated HRG 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 Outreach 1550 1810 1883 1726 1919 1947 1926 1980 1983 1981 1979 1880 1550 1983 % 78 91 95 87 97 98 97 100 100 100 100 95 78 100 SFIRD Estimated HRG 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 Outreach 0 1958 2002 1805 2002 1889 1978 1954 1982 1981 1988 1776 0 2002 % 0 98 100 90 100 94 99 98 99 99 99 89 0 100 SEEDS Estimated HRG 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 Outreach 357 785 1525 1581 1745 1867 1979 2063 2083 2076 2113 1652 357 2113 % 17 38 73 76 84 90 95 99 100 100 101 79 17 101 Table 4:  Outreach Work (One-to-one Contact Individuals by Intervention)
26 HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Prakasam EFFORT Estimated HRG 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 Outreach 17 882 957 974 988 1009 1018 1013 1020 1017 1013 901 17 1020 % 2 86 94 95 97 99 100 99 100 100 99 88 2 100 HELP Estimated HRG 830 830 830 830 830 830 830 830 830 830 830 830 830 830 Outreach 759 777 774 785 811 813 783 816 793 799 806 792 759 816 % 91 94 93 95 98 98 94 98 96 96 97 95 91 98 SPARE Estimated HRG 930 930 930 930 930 930 930 930 930 930 930 930 930 930 Outreach 863 919 914 914 923 923 924 930 929 930 930 918 863 930 % 93 99 98 98 99 99 99 100 100 100 100 99 93 100 Nellore Navajeevan Estimated HRG 2092 2092 2092 2092 2092 2092 2092 2092 2118 2118 2118 2099 2092 2118 Outreach 0 1743 1821 1699 1968 2048 2029 1965 1974 1982 2008 1749 0 2048 % 0 83 87 81 94 98 97 94 93 94 95 83 0 98 SARDS Estimated HRG 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 Outreach 2364 2564 2364 2552 2691 2703 2694 2742 2752 2793 2782 2636 2364 2793 % 84 92 84 91 96 97 96 98 98 100 99 94 84 100 HLFPPT- SWAGATI Estimated HRG 30628 30628 30628 30628 30628 30628 30628 30628 32055 32168 32168 31038 30628 32168 Outreach 14514 24849 27252 27656 28997 29280 29288 29657 30986 30933 31004 27674 14514 31004 % 47 81 89 90 95 96 96 97 97 96 96 89 47 97 Percentage of outreach against ideal target •  The above table provides information on percentage of outreach against the registered/estimated HRGs. Outreach here stands for the HRG contacted through one-to-one communication. • Tracking helps to know the HRG reached with any project service. Such persons are considered as active. •  Outreach rate is the highest in SPARE (99%) of Prakasam. • EC, GUEST, HELP, HOC, SARDS, Gramasiri, RES, YDO, YCB, AFD and HLFPPT-Rajahmundry had outreach rates in the range of 90% to 97%. •  SFIRD, EFFORT, PARD, RIDES, Navajeevan and Sravanthi were in the range of 80% to 89%. •  Lowest outreach rate was reported by SEEDS and GUIDE (79%) of Guntur and Krishna respectively. Table 4:  Outreach Work (One-to-one Contact Individuals by Intervention)
27HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Srikakulam YCB Estimated HRG 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 Number of HRGs outreach for one time 409 71 31 22 4 7 4 1 2 4 2 51 1 409 Number of HRGs outreach for two times 49 79 65 26 28 19 23 42 31 7 13 35 7 79 Number of HRGs outreach for three times 2 214 261 168 154 138 132 227 172 195 168 166 2 261 Number of HRGs outreach for more than thrice 0 599 654 966 990 1022 1027 913 982 978 999 830 0 1027 % Outreach for one time 34 6 3 2 0 1 0 0 0 0 0 4 0 34 % Outreach for two times 4 7 5 2 2 2 2 4 3 1 1 3 1 7 % Outreach for three times 0 18 22 14 13 12 11 19 14 16 14 14 0 22 % Outreach for more than thrice 0 50 55 81 83 86 86 77 83 82 84 70 0 86 GUEST Estimated HRG 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 Number of HRGs outreach for one time 895 19 26 4 18 6 2 2 6 3 5 90 2 895 Number of HRGs outreach for two times 72 51 19 24 42 9 8 3 9 38 6 26 3 72 Number of HRGs outreach for three times 2 160 142 93 173 84 58 66 82 98 83 95 2 173 Number of HRGs outreach for more than thrice 0 934 975 1082 973 1104 1141 1134 1108 1067 1109 966 0 1141 % Outreach for one time 74 2 2 0 1 0 0 0 0 0 0 7 0 74 % Outreach for two times 6 4 2 2 3 1 1 0 1 3 0 2 0 6 % Outreach for three times 0 13 12 8 14 7 5 5 7 8 7 8 0 14 % Outreach for more than thrice 0 77 81 89 80 91 94 94 92 88 92 80 0 94 Vizianagaram RES Estimated HRG 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 Number of HRGs outreach for one time 74 36 39 16 72 38 229 39 36 58 71 64 16 229 Number of HRGs outreach for two times 78 59 85 60 67 73 67 71 64 107 127 78 59 127 Number of HRGs outreach for three times 157 161 172 197 335 384 125 259 254 251 229 229 125 384 Number of HRGs outreach for more than thrice 526 1042 1060 1114 916 878 927 999 1004 946 886 936 526 1114 % Outreach for one time 5 3 3 1 5 3 16 3 3 4 5 5 1 16 % Outreach for two times 6 4 6 4 5 5 5 5 5 8 9 6 4 9 % Outreach for three times 11 11 12 14 24 27 9 18 18 18 16 16 9 27 % Outreach for more than thrice 37 73 75 79 65 62 65 70 71 67 62 66 37 79 YDO Estimated HRG 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 Number of HRGs outreach for one time 84 91 118 197 38 31 22 20 89 19 33 67 19 197 Number of HRGs outreach for two times 13 249 133 85 101 57 89 25 61 112 183 101 13 249 Number of HRGs outreach for three times 189 747 294 90 425 260 313 108 89 203 106 257 89 747 Number of HRGs outreach for more than thrice 328 139 713 909 788 997 920 1214 1113 1022 1033 834 139 1214 % Outreach for one time 6 7 8 14 3 2 2 1 6 1 2 5 1 14 % Outreach for two times 1 18 10 6 7 4 6 2 4 8 13 7 1 18 % Outreach for three times 14 54 21 6 31 19 22 8 6 15 8 18 6 54 % Outreach for more than thrice 24 10 51 65 57 72 66 87 80 73 74 60 10 87 Table 5:  Intensity of One-to-one Contacts
28 HLFPPT-BMGF Swagati Project2009-201028 District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX West Godavari AFD Estimated HRG 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 Number of HRGs outreach for one time 0 0 170 117 73 78 137 92 72 67 48 78 0 170 Number of HRGs outreach for two times 0 0 373 205 185 144 221 406 214 100 140 181 0 406 Number of HRGs outreach for three times 0 0 458 327 326 329 311 372 299 273 284 271 0 458 Number of HRGs outreach for more than thrice 978 1433 490 863 936 995 879 702 983 1151 1124 958 490 1433 % Outreach for one time 0 0 10 7 4 5 8 6 4 4 3 5 0 10 % Outreach for two times 0 0 23 13 11 9 13 25 13 6 9 11 0 25 % Outreach for three times 0 0 28 20 20 20 19 23 18 17 17 17 0 28 % Outreach for more than thrice 60 87 30 53 57 61 54 43 60 70 69 58 30 87 Sravanti Estimated HRG 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 Number of HRGs outreach for one time 44 191 270 198 269 200 128 125 123 173 154 170 44 270 Number of HRGs outreach for two times 2 477 377 372 300 330 246 185 240 190 278 272 2 477 Number of HRGs outreach for three times 0 243 275 359 278 395 329 298 257 311 347 281 0 395 Number of HRGs outreach for more than thrice 0 198 205 182 363 366 570 697 673 563 511 393 0 697 % Outreach for one time 3 14 19 14 19 14 9 9 9 12 11 12 3 19 % Outreach for two times 0 34 27 27 21 24 18 13 17 14 20 19 0 34 % Outreach for three times 0 17 20 26 20 28 23 21 18 22 25 20 0 28 % Outreach for more than thrice 0 14 15 13 26 26 41 50 48 40 36 28 0 50 PARD Estimated HRG 1258 1258 1258 1258 1258 1258 1258 1258 1353 1353 1353 1284 1258 1353 Number of HRGs outreach for one time 0 163 172 121 45 57 106 66 80 118 81 101 45 172 Number of HRGs outreach for two times 0 101 205 224 154 199 183 216 177 159 156 177 101 224 Number of HRGs outreach for three times 0 97 193 323 306 277 305 307 334 261 350 275 97 350 Number of HRGs outreach for more than thrice 0 76 552 622 726 810 672 717 615 718 645 615 76 810 % Outreach for one time 0 6 44 49 58 64 53 57 45 53 48 48 6 64 % Outreach for two times 0 8 16 18 12 16 15 17 13 12 12 14 8 18 % Outreach for three times 0 8 15 26 24 22 24 24 25 19 26 21 8 26 % Outreach for more than thrice 0 6 44 49 58 64 53 57 45 53 48 48 6 64 Table 5:  Intensity of One-to-one Contacts
29HLFPPT-BMGF Swagati Project2009-2010 29 District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX East Godavari EC Estimated HRG 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 Number of HRGs outreach for one time 81 22 9 15 4 13 26 20 41 33 28 27 4 81 Number of HRGs outreach for two times 29 38 66 39 32 47 73 34 92 138 93 62 29 138 Number of HRGs outreach for three times 178 184 205 161 216 196 231 174 333 278 211 215 161 333 Number of HRGs outreach for more than thrice 1126 1274 1304 1395 1365 1353 1278 1363 1148 1141 1262 1274 1126 1395 % Outreach for one time 5 1 1 1 0 1 2 1 3 2 2 2 0 5 % Outreach for two times 2 2 4 2 2 3 5 2 6 9 6 4 2 9 % Outreach for three times 11 11 13 10 13 12 14 11 21 17 13 13 10 21 % Outreach for more than thrice 70 79 81 86 84 84 79 84 71 71 78 79 70 86 HLFPPT- Rajahmundry Estimated HRG 1269 1382 1382 1344 1269 1382 Number of HRGs outreach for one time 315 263 319 299 263 319 Number of HRGs outreach for two times 302 287 280 290 280 302 Number of HRGs outreach for three times 255 272 231 253 231 272 Number of HRGs outreach for more than thrice 314 435 385 378 314 435 % Outreach for one time 25 19 23 22 19 25 % Outreach for two times 24 21 20 22 20 24 % Outreach for three times 20 20 17 19 17 20 % Outreach for more than thrice 25 31 28 28 25 31 Krishna GUIDE Estimated HRG 1655 1655 1655 1655 1655 1655 1655 1655 1692 1692 1692 1665 1655 1692 Number of HRGs outreach for one time 159 206 124 151 26 90 44 21 40 15 7 80 7 206 Number of HRGs outreach for two times 131 270 224 225 64 62 77 19 40 71 12 109 12 270 Number of HRGs outreach for three times 153 172 250 376 273 171 164 103 177 154 46 185 46 376 Number of HRGs outreach for more than thrice 170 464 685 644 1143 1108 1087 1254 1187 1196 1364 937 170 1364 % Outreach for one time 10 12 7 9 2 5 3 1 2 1 0 5 0 12 % Outreach for two times 8 16 14 14 4 4 5 1 2 4 1 7 1 16 % Outreach for three times 9 10 15 23 16 10 10 6 10 9 3 11 3 23 % Outreach for more than thrice 10 28 41 39 69 67 66 76 70 71 81 56 10 81 RIDES Estimated HRG 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 Number of HRGs outreach for one time 461 403 516 492 330 333 253 229 241 341 196 345 196 516 Number of HRGs outreach for two times 387 402 369 429 449 387 353 382 413 441 405 402 353 449 Number of HRGs outreach for three times 267 315 274 306 390 415 492 425 481 425 496 390 267 496 Number of HRGs outreach for more than thrice 98 243 340 338 465 491 562 717 654 531 701 467 98 717 % Outreach for one time 24 21 27 26 17 17 13 12 13 18 10 18 10 27 % Outreach for two times 20 21 19 22 24 20 18 20 22 23 21 21 18 24 % Outreach for three times 14 16 14 16 20 22 26 22 25 22 26 20 14 26 % Outreach for more than thrice 5 13 18 18 24 26 29 38 34 28 37 24 5 38 Table 5:  Intensity of One-to-one Contacts
30 HLFPPT-BMGF Swagati Project2009-201030 District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Guntur Gramasiri Estimated HRG 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 Number of HRGs outreach for one time 302 321 204 109 49 81 67 69 35 53 36 121 35 321 Number of HRGs outreach for two times 624 525 484 375 180 228 232 260 201 241 193 322 180 624 Number of HRGs outreach for three times 481 745 644 739 596 663 882 653 968 541 840 705 481 968 Number of HRGs outreach for more than thrice 55 197 697 860 1283 1166 967 1165 981 1326 1109 891 55 1326 % Outreach for one time 14 15 9 5 2 4 3 3 2 2 2 6 2 15 % Outreach for two times 28 24 22 17 8 10 11 12 9 11 9 15 8 28 % Outreach for three times 22 34 29 34 27 30 40 30 44 25 38 32 22 44 % Outreach for more than thrice 3 9 32 39 59 53 44 53 45 61 51 41 3 61 HOC Estimated HRG 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 Number of HRGs outreach for one time 547 185 248 90 124 51 16 4 1 4 0 115 0 547 Number of HRGs outreach for two times 1003 266 395 238 307 153 40 56 24 13 14 228 13 1003 Number of HRGs outreach for three times 0 370 465 410 324 361 286 117 238 166 106 284 106 465 Number of HRGs outreach for more than thrice 0 989 775 988 1164 1382 758 1803 1720 1798 1859 1324 758 1859 % Outreach for one time 28 9 12 5 6 3 1 0 0 0 0 6 0 28 % Outreach for two times 50 13 20 12 15 8 2 3 1 1 1 11 1 50 % Outreach for three times 0 19 23 21 16 18 14 6 12 8 5 13 0 23 % Outreach for more than thrice 0 50 39 50 59 70 38 91 87 90 94 61 0 94 SFIRD Estimated HRG 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 Number of HRGs outreach for one time 30 0 0 28 0 0 47 8 24 98 11 22 0 98 Number of HRGs outreach for two times 1780 0 0 123 0 244 120 19 71 9 38 219 0 1780 Number of HRGs outreach for three times 0 0 0 17 0 0 380 105 170 93 177 86 0 380 Number of HRGs outreach for more than thrice 0 1958 2002 1779 2002 1645 1431 1822 1717 1781 1762 1627 0 2002 % Outreach for one time 1 0 0 1 0 0 2 0 1 5 1 1 0 5 % Outreach for two times 89 0 0 6 0 12 6 1 4 0 2 11 0 89 % Outreach for three times 0 0 0 1 0 0 19 5 8 5 9 4 0 19 % Outreach for more than thrice 0 98 100 89 100 82 71 91 86 89 88 81 0 100 SEEDS Estimated HRG 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 Number of HRGs outreach for one time 244 154 230 236 183 322 98 20 39 9 52 144 9 322 Number of HRGs outreach for two times 76 161 413 471 345 535 246 95 98 32 27 227 27 535 Number of HRGs outreach for three times 25 220 381 317 504 449 563 449 500 243 68 338 25 563 Number of HRGs outreach for more than thrice 15 274 529 582 704 569 1062 1489 1446 1792 1966 948 15 1966 % Outreach for one time 12 7 11 11 9 15 5 1 2 0 2 7 0 15 % Outreach for two times 4 8 20 23 17 26 12 5 5 2 1 11 1 26 % Outreach for three times 1 11 18 15 24 22 27 22 24 12 3 16 1 27 % Outreach for more than thrice 1 13 25 28 34 27 51 71 69 86 94 46 1 94 Table 5:  Intensity of One-to-one Contacts
31HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Prakasam EFFORT Estimated HRG 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 Number of HRGs outreach for one time 0 67 63 89 87 38 39 34 20 23 22 44 0 89 Number of HRGs outreach for two times 0 152 186 146 166 74 113 138 142 69 67 114 0 186 Number of HRGs outreach for three times 0 379 257 273 266 174 132 255 380 148 276 231 0 380 Number of HRGs outreach for more than thrice 0 284 451 466 469 723 734 616 478 777 648 513 0 777 % Outreach for one time 0 7 6 9 9 4 4 3 2 2 2 4 0 9 % Outreach for two times 0 15 18 14 16 7 11 14 14 7 7 11 0 18 % Outreach for three times 0 37 25 27 26 17 13 25 37 15 27 23 0 37 % Outreach for more than thrice 0 28 44 46 46 71 72 60 47 76 64 50 0 76 HELP Estimated HRG 830 830 830 830 830 830 830 830 830 830 830 830 830 830 Number of HRGs outreach for one time 508 525 507 604 89 60 29 56 76 83 110 241 29 604 Number of HRGs outreach for two times 140 138 150 60 152 168 233 131 136 164 156 148 60 233 Number of HRGs outreach for three times 52 63 62 77 230 222 148 134 241 245 133 146 52 245 Number of HRGs outreach for more than thrice 59 51 55 44 340 363 373 495 341 307 407 258 44 495 % Outreach for one time 61 63 61 73 11 7 3 7 9 10 13 29 3 73 % Outreach for two times 17 17 18 7 18 20 28 16 16 20 19 18 7 28 % Outreach for three times 6 8 7 9 28 27 18 16 29 30 16 18 6 30 % Outreach for more than thrice 7 6 7 5 41 44 45 60 41 37 49 31 5 60 SPARE Estimated HRG 930 930 930 930 930 930 930 930 930 930 930 930 930 930 Number of HRGs outreach for one time 552 20 19 81 2 1 2 1 0 0 1 62 0 552 Number of HRGs outreach for two times 302 115 74 125 27 6 8 4 21 7 10 64 4 302 Number of HRGs outreach for three times 8 355 238 288 89 41 93 69 122 58 64 130 8 355 Number of HRGs outreach for more than thrice 1 429 583 420 805 875 821 856 786 865 855 663 1 875 % Outreach for one time 59 2 2 9 0 0 0 0 0 0 0 7 0 59 % Outreach for two times 32 12 8 13 3 1 1 0 2 1 1 7 0 32 % Outreach for three times 1 38 26 31 10 4 10 7 13 6 7 14 1 38 % Outreach for more than thrice 0 46 63 45 87 94 88 92 85 93 92 71 0 94 Table 5:  Intensity of One-to-one Contacts
32 HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Nellore Navajeevan Estimated HRG 2092 2092 2092 2092 2092 2092 2092 2092 2118 2118 2118 2099 2092 2118 Number of HRGs outreach for one time 0 337 450 483 393 361 154 132 102 100 44 232 0 483 Number of HRGs outreach for two times 0 719 686 736 690 701 442 273 428 342 236 478 0 736 Number of HRGs outreach for three times 0 445 485 357 584 698 703 462 903 561 536 521 0 903 Number of HRGs outreach for more than thrice 0 242 200 123 301 288 730 1162 541 979 1192 523 0 1192 % Outreach for one time 0 16 22 23 19 17 7 6 5 5 2 11 0 23 % Outreach for two times 0 34 33 35 33 34 21 13 20 16 11 23 0 35 % Outreach for three times 0 21 23 17 28 33 34 22 43 26 25 25 0 43 % Outreach for more than thrice 0 12 10 6 14 14 35 56 26 46 56 25 0 56 SARDS Estimated HRG 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 Number of HRGs outreach for one time 314 326 314 352 286 273 264 159 117 134 44 235 44 352 Number of HRGs outreach for two times 566 446 565 550 649 437 541 326 363 255 252 450 252 649 Number of HRGs outreach for three times 514 627 512 781 766 625 672 441 912 509 587 631 441 912 Number of HRGs outreach for more than thrice 970 1165 973 869 990 1368 1217 1816 1360 1895 1899 1320 869 1899 % Outreach for one time 11 12 11 13 10 10 9 6 4 5 2 8 2 13 % Outreach for two times 20 16 20 20 23 16 19 12 13 9 9 16 9 23 % Outreach for three times 18 22 18 28 27 22 24 16 33 18 21 23 16 33 % Outreach for more than thrice 35 42 35 31 35 49 43 65 49 68 68 47 31 68 HLFPPT-SWAGATI Estimated HRG 30628 30628 30628 30628 30628 30628 30628 30628 32055 32168 32168 31038 30628 32168 Number of HRGs outreach for one time 4704 3137 3510 3405 2092 2040 1667 1098 1459 1598 1264 2361 1098 4704 Number of HRGs outreach for two times 5252 4248 4869 4513 3938 3873 3315 2685 3127 2782 2686 3753 2685 5252 Number of HRGs outreach for three times 2028 5497 5568 5659 6235 5882 6319 5024 7167 5285 5338 5455 2028 7167 Number of HRGs outreach for more than thrice 4326 11991 13243 14246 16723 17503 17156 20934 19151 21268 21716 16205 4326 21716 % Outreach for one time 15 10 11 11 7 7 5 4 5 5 4 8 4 15 % Outreach for two times 17 14 16 15 13 13 11 9 10 9 8 12 8 17 % Outreach for three times 7 18 18 18 20 19 21 16 22 16 17 18 7 22 % Outreach for more than thrice 14 39 43 47 55 57 56 68 60 66 68 52 14 68 Table 5:  Intensity of One-to-one Contacts
33HLFPPT-BMGF Swagati Project2009-2010 Percentage of individuals outreached only once The table furnishes information on the percentage of HRG met only once through one-to-one communication, during the year under report. Low percentages across all interventions indicate that the project met HRGs more than once. This implies robust outreach, since the percentage is above ten only in six TIs. This is a very good indication of the intensity of outreach coverage. Percentage of individuals met twice The table gives the percentage of HRGs contacted only twice. Here too, the percentage is low. This means that most HRGs were covered more than twice. In other words, the project met the NACO norm, in this regard. Percentage of individuals met more than thrice Here the average percentage is much higher than those met only once, twice and thrice. Five TIs (SPARE, YCB, EC, SFIRD and GUEST) achieved at least 70%. While it is less than 50% for nine TIs (Sravanti, PARD, HLFPPT-Rajahmundry, RIDES, Gramasiri, SEEDS, HELP, Navajeevan and SARDS. The overall picture is impressive because all the TIs report a high percentage of members of the HRGs met more than thrice in the entire year.
34 HLFPPT-BMGF Swagati Project2009-2010 Graph 4: HRGs and Contact Intensity Graph 3: Estimated HRG vs. Outreach The bar graph 3 provides information on the percentage of outreach against the registered/estimated HRG. Swagati data reveal that 81% of HRG, were covered through one-to-one communication in June 2009. This soared to 97% in Decem- ber 2009 and Jan 2010, seeing a marginal decrease by 1% in February and March 2010. In fact, from September 2009 onward the rate consistently stayed in the range of 95% to 97%. No.ofHRGs No.ofHRGs Percentage(%)
35HLFPPT-BMGF Swagati Project2009-2010 The lowest rate (47%) in May 2009 is attrib- uted to the restructuring of TIs undertaken in the beginning of Phase II. Maximum number of HRGs were reached out to more than thrice in December 2009, Febru- ary 2010 and March 2010. Overall, an average of 52% of HRGs were contacted more than thrice; 18% contracted thrice; 12% twice; and 8% contacted only once. Graph 5: Percentage of HRGs One-to-one Contact Intensity 120 100 80 60 40 20 0 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 % more than three contacts % only three contacts % only one time contact % only two contacts 14 39 43 47 55 57 56 68 60 66 68 7 18 18 18 20 19 21 16 22 16 1717 14 16 15 13 13 11 9 10 9 8 15 10 11 11 7 7 5 4 5 5 4
36 HLFPPT-BMGF Swagati Project2009-2010 Table 6:  Clinic Attendees District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Srikakulam YCB Estimated HRG 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 Clinic attendees 65 409 339 280 370 361 374 379 400 333 326 331 65 409 % 5 34 29 24 31 30 31 32 34 28 27 28 5 34 GUEST Estimated HRG 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 Clinic attendees 369 348 448 312 366 470 420 391 447 486 431 408 312 486 % 31 29 37 26 30 39 35 32 37 40 36 34 26 40 Vizianagaram RES Estimated HRG 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 Clinic attendees 650 576 519 254 382 427 414 577 433 451 518 473 254 650 % 46 41 37 18 27 30 29 41 31 32 37 33 18 46 YDO Estimated HRG 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 Clinic attendees 411 147 269 303 433 471 332 567 387 429 477 384 147 567 % 30 11 19 22 31 34 24 41 28 31 34 28 11 41 West Godavari AFD Estimated HRG 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 Clinic attendees 0 458 440 382 394 533 404 395 444 541 632 420 0 632 % 0 28 27 23 24 33 25 24 27 33 39 26 0 39 Sravanti Estimated HRG 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 Clinic attendees 158 214 373 350 377 451 458 365 316 406 496 360 158 496 % 11 15 27 25 27 32 33 26 23 29 35 26 11 35 Why Clinic Attendees are Important Regular screening of HRGs for STI, followed up with treatment is one of the HIV prevention strategies according to the NACP-III. This indicator provides information on the number of individuals attending STI clinic by various types of visits. At least 35% HRGs are expected to visit the STI clinic every month. Clinical Indicators Clinical indicator tables display the treatment-seeking behaviour of the community. Regular Medical Check-up (RMC) is an indicator of health- seeking behaviour and is measured through the number of visits. The ideal frequency is once in three months, even in the absence of STI symptoms. That Swagati had a consistently high RMC rate is an indication of steady health-seeking behaviour among the HRGs members. It also affirms that the HRG is empowered with the knowledge of STI symptoms and is aware of the need of an internal examination. The fluctuating trend in symptomatic visits cannot be ignored, but reasons for these visits have to be further explored.
37HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX West Godavari PARD Estimated HRG 1258 1258 1258 1258 1258 1258 1258 1258 1353 1353 1353 1284 1258 1353 Clinic attendees 0 74 159 286 321 272 425 430 488 324 462 295 0 488 % 0 6 13 23 26 22 34 34 36 24 34 23 0 36 East Godavari EC Estimated HRG 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 Clinic attendees 320 390 413 393 361 399 543 550 427 457 557 437 320 557 % 20 24 26 24 22 25 34 34 26 28 34 27 20 34 HLFPPT- Rajahmundry Estimated HRG 1269 1382 1382 1344 1269 1382 Clinic attendees 110 83 212 135 83 212 % 9 6 15 10 6 15 Krishna GUIDE Estimated HRG 1655 1655 1655 1655 1655 1655 1655 1655 1692 1692 1692 1665 1655 1692 Clinic attendees 231 534 376 293 512 411 430 528 426 492 522 432 231 534 % 14 32 23 18 31 25 26 32 25 29 31 26 14 32 RIDES Estimated HRG 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 Clinic attendees 267 667 568 806 667 601 664 586 653 568 605 605 267 806 % 14 35 30 42 35 31 35 31 34 30 32 32 14 42 Guntur Gramasiri Estimated HRG 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 Clinic attendees 357 628 610 583 688 885 751 811 824 714 796 695 357 885 % 16 29 28 27 31 40 34 37 38 33 36 32 16 40 HOC Estimated HRG 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 Clinic attendees 236 415 629 579 595 658 728 715 737 668 712 607 236 737 % 12 21 32 29 30 33 37 36 37 34 36 31 12 37 SFIRD Estimated HRG 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 Clinic attendees 42 453 677 547 690 640 617 690 695 720 711 589 42 720 % 2 23 34 27 34 32 31 34 35 36 36 29 2 36 SEEDS Estimated HRG 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 Clinic attendees 28 445 473 544 615 381 667 670 622 765 673 535 28 765 % 1 21 23 26 30 18 32 32 30 37 32 26 1 37 Table 6:  Clinic Attendees
38 HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Prakasam EFFORT Estimated HRG 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 Clinic attendees 0 201 186 219 246 329 362 380 269 363 375 266 0 380 % 0 20 18 21 24 32 35 37 26 36 37 26 0 37 HELP Estimated HRG 830 830 830 830 830 830 830 830 830 830 830 830 830 830 Clinic attendees 149 184 188 388 251 305 236 245 280 245 288 251 149 388 % 18 22 23 47 30 37 28 30 34 30 35 30 18 47 SPARE Estimated HRG 930 930 930 930 930 930 930 930 930 930 930 930 930 930 Clinic attendees 175 213 222 253 287 297 309 335 343 268 293 272 175 343 % 19 23 24 27 31 32 33 36 37 29 32 29 19 37 Nellore Navajeevan Estimated HRG 2092 2092 2092 2092 2092 2092 2092 2092 2118 2118 2118 2099 2092 2118 Clinic attendees 287 512 416 363 548 597 641 484 663 661 665 531 287 665 % 14 24 20 17 26 29 31 23 31 31 31 25 14 31 SARDS Estimated HRG 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 Clinic attendees 942 674 563 231 973 923 1089 907 769 1135 997 837 231 1135 % 34 24 20 8 35 33 39 32 27 41 36 30 8 41 HLFPPT- SWAGATI Estimated HRG 30628 30628 30628 30628 30628 30628 30628 30628 32055 32168 32168 31038 30628 32168 Clinic attendees 4687 7542 7868 7366 9076 9411 9864 10005 9733 10109 10748 8764 4687 10748 % 15 25 26 24 30 31 32 33 30 31 33 28 15 33 Table 6 provides information on the percentage of average clinic attendance •  GUEST (Srikakulam) reported the highest rate (34%) of clinic attendance. • RES, YDO (Vizianagaram), Gramasiri, HOC, SFIRD (Guntur), HELP, SPARE (Prakasam), SARDS (Nellore), RIDES (Krishna) and YCB (Srikakulam) reported clinic attendance in the range of 28% to 33%. • EC (East Godavari), Guide (Krishna), Effort (Prakasam), Sravanti, AFD, PARD (West Godavari), SEEDS (Guntur) and Navajeevan (Nellore) reported 23% to 27% clinic attendees and the percentage was lowest (10%) in HLFPPT-Rajahmundry (East Godavari). Table 6:  Clinic Attendees
39HLFPPT-BMGF Swagati Project2009-2010 Graph 6: Clinic Attendees Bar graph 6 provides information on the percentage of average clinic attendees. Swagati data reveal that the percentage of clinic attendees steadily increased from May to September 2009 and thereafter, it remained more or less steady in the range of 30% to 33% till the end of the year. The overall increase was by 18% from 15% to 33% for the year. The highest rate (33%) of clinic attendees was found in two months, viz. December 2009 and March 2010, of the year under report. There was a marginal decrease in the percentage of clinic attendees from July to August 2009. No.ofHRGs Percentage(%)
40 HLFPPT-BMGF Swagati Project2009-2010 Table 7:  Sexually Transmitted Infection Symptomatic Visits District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Srikakulam YCB Estimated HRG 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 STI symptomatic visits 13 53 47 78 27 48 30 22 9 7 12 31 7 78 % 1 4 4 7 2 4 3 2 1 1 1 3 1 7 GUEST Estimated HRG 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 STI symptomatic visits 20 77 37 31 8 17 25 11 30 47 27 30 8 77 % 2 6 3 3 1 1 2 1 2 4 2 2 1 6 Vizianagaram RES Estimated HRG 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 STI symptomatic visits 115 101 66 37 35 37 30 44 31 32 34 51 30 115 % 8 7 5 3 2 3 2 3 2 2 2 4 2 8 YDO Estimated HRG 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 STI symptomatic visits 22 11 26 30 50 63 36 46 38 46 49 38 11 63 % 2 1 2 2 4 5 3 3 3 3 4 3 1 5 West Godavari AFD Estimated HRG 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 STI symptomatic visits 0 106 94 108 105 119 57 55 77 177 93 90 0 177 % 0 6 6 7 6 7 3 3 5 11 6 5 0 11 Sravanti Estimated HRG 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 STI symptomatic visits 56 123 149 131 92 128 83 17 14 20 20 76 14 149 % 4 9 11 9 7 9 6 1 1 1 1 5 1 11 PARD Estimated HRG 1258 1258 1258 1258 1258 1258 1258 1258 1353 1353 1353 1284 1258 1353 STI symptomatic visits 0 56 102 202 150 68 132 54 31 37 13 77 0 202 % 0 4 8 16 12 5 10 4 2 3 1 6 0 16 East Godavari EC Estimated HRG 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 STI symptomatic visits 17 31 44 42 45 9 20 25 21 23 33 28 9 45 % 1 2 3 3 3 1 1 2 1 1 2 2 1 3 HLFPPT- Rajahmundry Estimated HRG 1269 1382 1382 1344 1269 1382 STI symptomatic visits 5 3 20 9 3 20 % 0 0 1 1 0 1 Why Visits to the Clinic are Important When STI Symptoms Occur Sex workers constitute one of the most at-risk groups for transmission of STIs and HIV through a ‘bridge group’ to the general population. Therefore, the highest priority is to be given to this group in targeted interventions for the prevention of HIV/AIDS. They need to be put under STI treatment and that helps in reducing infections and disease-transmission among the HRGs.
41HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Krishna GUIDE Estimated HRG 1655 1655 1655 1655 1655 1655 1655 1655 1692 1692 1692 1665 1655 1692 STI symptomatic visits 19 57 53 21 46 30 36 58 43 42 40 40 19 58 % 1 3 3 1 3 2 2 4 3 2 2 2 1 4 RIDES Estimated HRG 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 STI symptomatic visits 59 216 314 201 249 218 124 82 47 64 55 148 47 314 % 3 11 16 11 13 11 6 4 2 3 3 8 2 16 Guntur Gramasiri Estimated HRG 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 STI symptomatic visits 38 59 88 81 74 99 87 69 51 46 32 66 32 99 % 2 3 4 4 3 5 4 3 2 2 1 3 1 5 HOC Estimated HRG 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 STI symptomatic visits 36 38 103 108 81 80 49 28 38 28 21 55 21 108 % 2 2 5 5 4 4 2 1 2 1 1 3 1 5 SFIRD Estimated HRG 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 STI symptomatic visits 8 232 207 121 141 75 74 61 83 51 47 100 8 232 % 0 12 10 6 7 4 4 3 4 3 2 5 0 12 SEEDS Estimated HRG 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 STI symptomatic visits 4 58 89 150 121 116 124 151 102 79 22 92 4 151 % 0 3 4 7 6 6 6 7 5 4 1 4 0 7 Prakasam EFFORT Estimated HRG 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 STI symptomatic visits 0 31 51 95 54 66 36 19 21 20 16 37 0 95 % 0 3 5 9 5 6 4 2 2 2 2 4 0 9 HELP Estimated HRG 830 830 830 830 830 830 830 830 830 830 830 830 830 830 STI symptomatic visits 13 21 19 22 38 40 18 5 3 21 18 20 3 40 % 2 3 2 3 5 5 2 1 0 3 2 2 0 5 SPARE Estimated HRG 930 930 930 930 930 930 930 930 930 930 930 930 930 930 STI symptomatic visits 19 30 65 11 13 8 7 5 6 6 3 16 3 65 % 2 3 7 1 1 1 1 1 1 1 0 2 0 7 Table 7:  Sexually Transmitted Infection Symptomatic Visits
42 HLFPPT-BMGF Swagati Project2009-2010 Table 7 furnishes percentage of STI symptomatic visits •  A decline in the rate of STI symptomatic visits have been reported in all interventions. •  HLFPPT-Rajahmundry of East Godavari had the lowest rate (1%) of STI symptomatic visits. • The rate was in the range of 2% to 6% for SFIRD (Guntur), Sravanti (West Godavari), SEEDS (Guntur), SARDS (Nellore), GUIDE (Krishna), Navajeevan (Nellore), AFD (West Godavari), HOC (Guntur), YDO (Vizianagaram) SPARE (Prakasam), PARD (West Godavari), HELP (Prakasam), YCB (Srikakulam), EC (East Godavari), RES (Vizianagaram), GUEST (Srikakulam) and Gramasiri (Guntur). • The highest rate (8%) was reported by RIDES of Krishna district. District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Nellore Navajeevan Estimated HRG 2092 2092 2092 2092 2092 2092 2092 2092 2118 2118 2118 2099 2092 2118 STI symptomatic visits 25 45 41 37 81 60 38 41 71 42 44 48 25 81 % 1 2 2 2 4 3 2 2 3 2 2 2 1 4 SARDS Estimated HRG 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 STI symptomatic visits 83 58 111 28 48 37 47 37 38 66 26 53 26 111 % 3 2 4 1 2 1 2 1 1 2 1 2 1 4 HLFPPT- SWAGATI Estimated HRG 30628 30628 30628 30628 30628 30628 30628 30628 32055 32168 32168 31038 30628 32168 STI symptomatic visits 547 1403 1706 1534 1458 1318 1053 830 759 857 625 1099 547 1706 % 2 5 6 5 5 4 3 3 2 3 2 4 2 6 Table 7:  Sexually Transmitted Infection Symptomatic Visits
43HLFPPT-BMGF Swagati Project2009-2010 Graph 7: Treated STI Symptomatic Visits STI Symptomatic Visits Percentage (%) 547 1403 1706 1534 1458 1318 1053 830 759 857 625 2 5 6 5 5 4 3 3 2 3 2 100 300 500 700 900 1100 1300 1500 1700 1900 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 0 1 2 3 4 5 6 Bar graph 7 furnishes the percentage of STI symptomatic visits. Swagati data reveal that the highest percentage (6%) of symptomatic visits was reported in the month of July 2009. The percentage of symptomatic visits showed a significantly decreasing trend reaching 2% towards the end of the year. The trend implies the following: • the TIs successfully disseminated information on HIV and other STIs; and • there is steady treatment availability in the clinic. No.ofSTISymptomaticVisits Percentage(%)
44 HLFPPT-BMGF Swagati Project2009-2010 Table 8:  Regular Medical Check-up District NGO Core Indicators May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Srikakulam YCB RMC visits per month (ideal target) 396 396 396 396 396 396 396 396 396 396 396 396 396 396 RMC visits per month (minimum target) 153 321 337 394 392 395 395 394 396 395 394 361 153 396 RMC visits made 52 354 292 202 339 297 293 306 352 295 303 280 52 354 % RMC visits per month (ideal target) 13 89 74 51 86 75 74 77 89 74 76 71 13 89 % RMC visits per month (minimum target) 34 110 87 51 86 75 74 78 89 75 77 76 34 110 GUEST RMC visits per month (ideal target) 403 403 403 403 403 403 403 403 403 403 403 403 403 403 RMC visits per month (minimum target) 323 388 397 401 402 400 402 402 402 402 401 393 323 402 RMC visits made 286 263 404 274 348 435 354 360 399 376 347 350 263 435 % RMC visits per month (ideal target) 71 65 100 68 86 108 88 89 99 93 86 87 65 108 % RMC visits per month (minimum target) 89 68 102 68 87 109 88 90 99 94 87 89 68 109 Vizianagaram RES RMC visits per month (ideal target) 473 473 473 473 473 473 473 473 473 473 473 473 473 473 RMC visits per month (minimum target) 278 433 452 462 463 458 449 456 453 454 438 436 278 463 RMC visits made 533 474 453 199 343 386 348 490 373 402 446 404 199 533 % RMC visits per month (ideal target) 113 100 96 42 73 82 74 104 79 85 94 86 42 113 % RMC visits per month (minimum target) 191 110 100 43 74 84 77 107 82 89 102 96 43 191 YDO RMC visits per month (ideal target) 460 460 460 460 460 460 460 460 460 460 460 460 460 460 RMC visits per month (minimum target) 205 409 419 427 451 448 448 456 451 452 452 420 205 456 RMC visits made 385 136 240 262 364 372 277 431 337 356 396 323 136 431 % RMC visits per month (ideal target) 84 30 52 57 79 81 60 94 73 77 86 70 30 94 % RMC visits per month (minimum target) 188 33 57 61 81 83 62 95 75 79 88 82 33 188 Why a Regular Medical Check-up is Important Regular Medical Check-up (RMC) helps to detect problems early and improve the chances for a proper treatment and cure. Getting the right screening tests done gives HRGs the chance of living longer and healthier life. The RMC decides how often the HRG needs services based on other high- risk aspects of their lifestyle. The targeted interventions are expected to achieve at least 25% RMC in a month and 70% in a quarter.
45HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicators May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX West Godavari AFD RMC visits per month (ideal target) 547 547 547 547 547 547 547 547 547 547 547 547 547 547 RMC visits per month (minimum target) 326 478 497 504 507 515 516 524 523 530 532 496 326 532 RMC visits made 0 348 346 237 258 307 293 287 336 302 375 281 0 375 % RMC visits per month (ideal target) 0 64 63 43 47 56 54 53 61 55 69 51 0 69 % RMC visits per month (minimum target) 0 73 70 47 51 60 57 55 64 57 70 55 0 73 Sravanti RMC visits per month (ideal target) 468 468 468 468 468 468 468 468 468 468 468 468 468 468 RMC visits per month (minimum target) 15 370 376 370 403 430 424 435 431 412 430 372 15 435 RMC visits made 82 91 209 164 240 293 355 343 302 385 475 267 82 475 % RMC visits per month (ideal target) 18 19 45 35 51 63 76 73 65 82 102 57 18 102 % RMC visits per month (minimum target) 546 25 56 44 60 68 84 79 70 93 110 111 25 535 PARD RMC visits per month (ideal target) 419 419 419 419 419 419 419 419 419 419 419 419 419 419 RMC visits per month (minimum target) 0 146 374 430 410 448 422 435 402 419 411 354 0 448 RMC visits made 0 18 57 84 171 197 282 374 457 287 449 216 0 457 % RMC visits per month (ideal target) 0 4 14 20 41 47 67 89 109 68 107 52 0 109 % RMC visits per month (minimum target) 0 12 15 20 42 44 67 86 114 69 109 58 12 114 East Godavari EC RMC visits per month (ideal target) 539 539 539 539 539 539 539 539 539 539 539 539 539 539 RMC visits per month (minimum target) 471 506 528 537 539 536 536 530 538 530 531 526 471 539 RMC visits made 264 356 355 306 290 384 519 514 371 423 520 391 264 520 % RMC visits per month (ideal target) 49 66 66 57 54 71 96 95 69 78 96 73 49 96 % RMC visits per month (minimum target) 56 70 67 57 54 72 97 97 69 80 98 74 54 98 HLFPPT- Rajahmundry RMC visits per month (ideal target) 461 461 461 461 461 461 RMC visits per month (minimum target) 423 419 405 416 405 423 RMC visits made 97 82 190 123 82 190 % RMC visits per month (ideal target) 21 18 41 27 18 41 % RMC visits per month (minimum target) 23 20 47 30 20 47 Table 8:  Regular Medical Check-up
46 HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicators May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Krishna GUIDE RMC visits per month (ideal target) 552 552 552 552 552 552 552 552 552 552 552 552 552 552 RMC visits per month (minimum target) 204 371 448 465 502 477 457 466 481 479 476 439 204 502 RMC visits made 208 476 319 268 459 374 393 454 378 438 477 386 208 477 % RMC visits per month (ideal target) 38 86 58 49 83 68 71 82 69 79 86 70 38 86 % RMC visits per month (minimum target) 102 128 71 58 91 78 86 97 79 92 100 89 58 128 RIDES RMC visits per month (ideal target) 637 637 637 637 637 637 637 637 637 637 637 637 637 637 RMC visits per month (minimum target) 404 454 500 522 545 539 553 584 596 579 599 534 404 599 RMC visits made 208 451 254 596 324 356 473 497 605 502 528 436 208 605 % RMC visits per month (ideal target) 33 71 40 94 51 56 74 78 95 79 83 68 33 95 % RMC visits per month (minimum target) 51 99 51 114 59 66 85 85 101 87 88 81 51 114 Guntur Gramasiri RMC visits per month (ideal target) 730 730 730 730 730 730 730 730 730 730 730 730 730 730 RMC visits per month (minimum target) 487 596 676 694 703 713 716 716 728 720 726 680 487 728 RMC visits made 318 557 516 493 587 717 609 668 743 627 735 597 318 743 % RMC visits per month (ideal target) 44 76 71 68 80 98 83 92 102 86 101 82 44 102 % RMC visits per month (minimum target) 65 93 76 71 84 101 85 93 102 87 101 87 65 102 HOC RMC visits per month (ideal target) 663 663 663 663 663 663 663 663 663 663 663 663 663 663 RMC visits per month (minimum target) 517 603 628 575 640 649 642 660 661 660 660 627 517 661 RMC visits made 199 374 524 458 462 535 643 656 673 612 667 528 199 673 % RMC visits per month (ideal target) 30 56 79 69 70 81 97 99 102 92 101 80 30 102 % RMC visits per month (minimum target) 39 62 83 80 72 82 100 99 102 93 101 83 39 102 SFIRD RMC visits per month (ideal target) 667 667 667 667 667 667 667 667 667 667 667 667 667 667 RMC visits per month (minimum target) 0 653 667 602 667 630 659 651 661 660 663 592 0 667 RMC visits made 34 197 467 389 469 525 493 570 545 610 647 450 34 647 % RMC visits per month (ideal target) 5 30 70 58 70 79 74 85 82 91 97 67 5 97 % RMC visits per month (minimum target) 0 30 70 65 70 83 75 88 82 92 98 75 30 98 SEEDS RMC visits per month (ideal target) 694 694 694 694 694 694 694 694 694 694 694 694 694 694 RMC visits per month (minimum target) 119 262 508 527 582 622 660 688 694 692 704 551 119 704 RMC visits made 24 381 367 394 494 253 540 497 491 656 637 430 24 656 % RMC visits per month (ideal target) 3 55 53 57 71 36 78 72 71 94 92 62 3 94 % RMC visits per month (minimum target) 20 146 72 75 85 41 82 72 71 95 90 77 20 146 Table 8:  Regular Medical Check-up
47HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicators May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Prakasam EFFORT RMC visits per month (ideal target) 340 340 340 340 340 340 340 340 340 340 340 340 340 340 RMC visits per month (minimum target) 6 294 319 325 329 336 339 338 340 339 338 300 6 340 RMC visits made 0 157 134 109 191 232 317 351 240 333 343 219 0 351 % RMC visits per month (ideal target) 0 46 39 32 56 68 93 103 71 98 101 64 0 103 % RMC visits per month (minimum target) 0 53 42 34 58 69 93 104 71 98 102 66 0 104 HELP RMC visits per month (ideal target) 277 277 277 277 277 277 277 277 277 277 277 277 277 277 RMC visits per month (minimum target) 253 259 258 262 270 271 261 272 264 266 269 264 253 272 RMC visits made 105 141 169 276 167 213 195 237 266 206 252 202 105 276 % RMC visits per month (ideal target) 38 51 61 100 60 77 70 86 96 74 91 73 38 100 % RMC visits per month (minimum target) 42 54 66 105 62 79 75 87 101 77 94 76 42 105 SPARE RMC visits per month (ideal target) 310 310 310 310 310 310 310 310 310 310 310 310 310 310 RMC visits per month (minimum target) 288 306 305 305 308 308 308 310 310 310 310 306 288 310 RMC visits made 156 183 148 240 267 284 301 282 335 259 287 249 148 335 % RMC visits per month (ideal target) 50 59 48 77 86 92 97 91 108 84 93 80 48 108 % RMC visits per month (minimum target) 54 60 49 79 87 92 98 91 108 84 93 81 49 108 Nellore Navajeevan RMC visits per month (ideal target) 697 697 697 697 697 697 697 697 697 697 697 697 697 697 RMC visits per month (minimum target) 0 581 607 566 656 683 676 655 658 661 669 583 0 683 RMC visits made 254 455 371 319 462 533 601 437 588 613 617 477 254 617 % RMC visits per month (ideal target) 36 65 53 46 66 76 86 63 84 88 88 68 36 88 % RMC visits per month (minimum target) 0 78 61 56 70 78 89 67 89 93 92 77 56 93 SARDS RMC visits per month (ideal target) 934 934 934 934 934 934 934 934 934 934 934 934 934 934 RMC visits per month (minimum target) 788 855 788 851 897 901 898 914 917 931 927 879 788 931 RMC visits made 833 592 431 200 908 881 1037 851 710 1037 931 765 200 1037 % RMC visits per month (ideal target) 89 63 46 21 97 94 111 91 76 111 100 82 21 111 % RMC visits per month (minimum target) 106 69 55 24 101 98 115 93 77 111 100 86 24 115 HLFPPT- SWAGATI RMC visits per month (ideal target) 10206 10206 10206 10206 10206 10206 10206 10206 10666 10666 10666 10331 10206 10666 RMC visits per month (minimum target) 4838 8283 9084 9219 9666 9760 9763 9886 10329 10311 10335 9225 4838 10335 RMC visits made 3941 6004 6056 5470 7143 7574 8323 8605 8598 8801 9622 7285 3941 9622 % RMC visits per month (ideal target) 39 59 59 54 70 74 82 84 81 83 90 70 39 90 % RMC visits per month (minimum target) 81 72 67 59 74 78 85 87 83 85 93 79 59 93 Table 8:  Regular Medical Check-up
48 HLFPPT-BMGF Swagati Project2009-2010 Percentage of RMC visits made (against the ideal) Table 8 provides information on RMC visits by HRGs • The highest RMC visit rate was reported by GUEST (Srikakulam) with 87%. • RES (Vizianagaram), SARDS (Nellore), Gramasiri (Guntur), SPARE (Prakasam), HOC (Guntur), HELP (Prakasam), EC (East Godavari), YCB (Srikakulam), YDO (Vizianagaram) and Guide (Krishna) had the rate in the range of 70% to 86%. • RIDES (Krishna), Navajeevan (Nellore), SFIRD (Guntur), EFFORT (Prakasam), SEEDS (Guntur), Sravanti, PARD and AFD (West Godavari) reported RMC visits in the range of 51% to 68%. • The lowest rate was reported by HLFPPT-Rajahmundry at 27%. Percentage of RMC visits made (against minimum) Table 8 gives the percentage of RMC visits against minimum requirement by HRGs • Sravanti (West Godavari) with 111% had the highest rate of RMC visits. • RES (Vizianagaram), GUIDE (Krishna), GUEST (Srikakulam), Gramasiri (Guntur), SARDS (Nellore), HOC (Guntur), YDO (Vizianagaram), SPARE (Prakasam) and RIDES (Krishna) had it in the range of 81% to 96%. • Navajeevan (Nellore), SEEDS (Guntur), HELP (Prakasam), YCB (Srikakulam), SFIRD (Guntur), EC (East Godavari) and EFFORT (Prakasam) reported the RMC visit rate in the range of 66% to 77%. • The rest had it below 66% but above 30%. The lowest was reported by HLFPPT-Rajahmundry (East Godavari).
49HLFPPT-BMGF Swagati Project2009-2010 Graph 8: Regular Medical Check-up 3941 6004 6056 5470 7143 7574 8323 8605 8598 8801 9622 39 59 59 54 70 74 82 84 81 83 90 81 72 67 59 74 78 85 87 83 85 93 13 20 20 18 23 25 27 28 27 27 30 0 2000 4000 6000 8000 10000 12000 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 0 50 100 150 200 250 RMC visits (ideal) RMC visits (minimum) RMC visits made % RMC (of ideal) % RMC (of minimum) %RMC (of Estimated pop) Data reveal that achievement exceeded targets for both month and quarter. In the first quarter, which includes data from the months of May 2009 and June 2009 only, Swagati had an RMC rate of 33%. In the second quarter this went up to 61%. In the third and fourth quarters, the corresponding rates were 80% and 84% respectively. The percentage of RMC out of the total estimated population was highest in the month of March 2010 (30%) and was lowest in the month of May 2009 (13%). The percentage of RMC was found fluctuating against the minimum expected target. The highest (93%) was reported in March 2010, followed by December 2009 (87%), November 2009 and February 2010 (85%) and less than 80% in the remaining months of the year. No.ofRMCVisits Percentage(%)
50 HLFPPT-BMGF Swagati Project2009-2010 Table 9: At-least Once Clinic Attendees District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Srikakulam YCB Estimated HRG 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 At least once 65 459 782 1007 1074 1117 1163 1179 1192 1201 1202 949 65 1202 % 5 39 66 85 90 94 98 99 100 101 101 80 5 101 GUEST Estimated HRG 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 At least once 304 582 947 1097 1149 1200 1212 1212 1212 1213 1213 1031 304 1213 % 25 48 78 91 95 99 100 100 100 100 100 85 25 100 Vizianagaram RES Estimated HRG 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 At least once 646 1073 1259 1360 1405 1412 1414 1418 1418 1418 1417 1295 646 1418 % 46 76 89 96 99 100 100 100 100 100 100 91 46 100 YDO Estimated HRG 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 At least once 398 523 762 973 1141 1285 1314 1328 1330 1332 1333 1065 398 1333 % 29 38 55 70 82 92 94 95 96 96 96 77 29 96 West Godavari AFD Estimated HRG 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 At least once 0 443 816 960 1089 1239 1295 1330 1386 1435 1490 1044 0 1490 % 0 27 50 59 66 76 79 81 85 88 91 64 0 91 Sravanti Estimated HRG 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 At least once 138 336 643 892 1022 1187 1307 1381 1391 1404 1402 1009 138 1404 % 10 24 46 64 73 85 93 98 99 100 100 72 10 100 PARD Estimated HRG 1258 1258 1258 1258 1258 1258 1258 1258 1353 1353 1353 1284 1258 1353 At least once 2 79 226 495 692 812 1088 1157 1199 1212 1244 746 2 1244 % 0 6 18 39 55 65 86 92 89 90 92 57 0 92 East Godavari EC Estimated HRG 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 At least once 279 582 867 1060 1169 1238 1362 1530 1557 1573 1576 1163 279 1576 % 17 36 54 66 72 77 84 95 96 97 97 72 17 97 HLFPPT- Rajahmundry Estimated HRG 1269 1382 1382 1344 1269 1382 At least once 99 177 364 213 99 364 % 8 13 26 16 8 26 ‘At-least Once’ Clinic Attendees: An Important Indicator! The intervention targets for clinical assessment of HRG’s sexual health in every quarter is a very important indicator. Most HRGs infected with STDs did not attend clinics despite the low-cost and effective treatment availability.
51HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Krishna GUIDE Estimated HRG 1655 1655 1655 1655 1655 1655 1655 1655 1692 1692 1692 1665 1655 1692 At least once 223 734 1068 1207 1318 1402 1467 1508 1525 1569 1575 1236 223 1575 % 13 44 65 73 80 85 89 91 90 93 93 74 13 93 RIDES Estimated HRG 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 At least once 306 856 1140 1398 1481 1542 1611 1661 1690 1721 1777 1380 306 1777 % 16 45 60 73 78 81 84 87 88 90 93 72 16 93 Guntur Gramasiri Estimated HRG 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 At least once 352 921 1334 1701 1870 2003 2144 2172 2183 2185 2186 1732 352 2186 % 16 42 61 78 85 91 98 99 100 100 100 79 16 100 HOC Estimated HRG 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 At least once 233 786 1031 1385 1635 1800 1895 1965 1974 1980 1985 1515 233 1985 % 12 40 52 70 82 91 95 99 99 100 100 76 12 100 SFIRD Estimated HRG 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 At least once 38 440 988 1357 1685 1805 1890 1939 1962 1976 1980 1460 38 1980 % 2 22 49 68 84 90 94 97 98 99 99 73 2 99 SEEDS Estimated HRG 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 At least once 28 435 723 992 1179 1322 1505 1899 1933 1983 2044 1277 28 2044 % 1 21 35 48 57 63 72 91 93 95 98 61 1 98 Prakasam EFFORT Estimated HRG 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 At least once 0 188 350 528 685 805 927 993 1002 1008 1008 681 0 1008 % 0 18 34 52 67 79 91 97 98 99 99 67 0 99 HELP Estimated HRG 830 830 830 830 830 830 830 830 830 830 830 830 830 830 At least once 117 219 340 509 583 670 740 796 812 815 823 584 117 823 % 14 26 41 61 70 81 89 96 98 98 99 70 14 99 SPARE Estimated HRG 930 930 930 930 930 930 930 930 930 930 930 930 930 930 At least once 169 351 503 671 792 869 927 927 928 929 929 727 169 929 % 18 38 54 72 85 93 100 100 100 100 100 78 18 100 Nellore Navajeevan Estimated HRG 2092 2092 2092 2092 2092 2092 2092 2092 2118 2118 2118 2099 2092 2118 At least once 279 726 1007 1265 1452 1588 1770 1787 1872 1942 1953 1422 279 1953 % 13 35 48 60 69 76 85 85 88 92 92 68 13 92 SARDS Estimated HRG 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 At least once 880 1262 1557 1659 1961 2283 2570 2743 2780 2799 2801 2118 880 2801 % 31 45 56 59 70 82 92 98 99 100 100 76 31 100 Table 9: At-least Once Clinic Attendees
MIS Volume II 12_07_10 Low Res Final
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MIS Volume II 12_07_10 Low Res Final
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MIS Volume II 12_07_10 Low Res Final
MIS Volume II 12_07_10 Low Res Final
MIS Volume II 12_07_10 Low Res Final
MIS Volume II 12_07_10 Low Res Final
MIS Volume II 12_07_10 Low Res Final
MIS Volume II 12_07_10 Low Res Final
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MIS Volume II 12_07_10 Low Res Final
MIS Volume II 12_07_10 Low Res Final
MIS Volume II 12_07_10 Low Res Final
MIS Volume II 12_07_10 Low Res Final
MIS Volume II 12_07_10 Low Res Final
MIS Volume II 12_07_10 Low Res Final
MIS Volume II 12_07_10 Low Res Final
MIS Volume II 12_07_10 Low Res Final
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MIS Volume II 12_07_10 Low Res Final
MIS Volume II 12_07_10 Low Res Final
MIS Volume II 12_07_10 Low Res Final
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MIS Volume II 12_07_10 Low Res Final

  • 1. About this ‘Information Reference Book-Volume II’ The Swagati Project, initiated through the Avahan Project of the Bill and Melinda Gates Foundation (BMGF), works with communities of female sex workers (FSWs), men who have sex with men (MSMs) and the transgendered (TG) in Andhra Pradesh. An extensive Monitoring Information System (MIS), developed as part of the programme, tracks progress and assesses achievement. This in turn helps the project team to plan better. This Information Reference Book-Volume II presents a picture of major programme indicators and throws light on the achievements of the intervention. Its data sections include routine monitoring data on core indicators, as well as information on the MIS Mela Event which took place on 30 April, 2010. This book provides information gleaned during May 2009 to March 2010 from monthly MIS reports. Note: April 2009 data is not included in the book because of restructuring of Swagati Project-Phase II. HLFPPT-BMGF Swagati Project2009-2010 1
  • 2. HLFPPT-BMGF Swagati Project2009-2010 Acknowledgements We would like to thank our district implementing partners in coastal Andhra Pradesh: Youth Club of Bejjipuram (YCB) and Gunna Udatayya Eternal Service Team (GUEST) in Srikakulam; Resource Education Society (RES) and Youth for Development of People Organization (YDO) in Vizianagaram; Sravanti Association, Action for Development (AFD) and People’s Action for Rural Development (PARD) in West Godavari; Integrated for Rural and Urban Development Society (GUIDE) and Ravicherla Integrated Development and Education Society (RIDES) in Krishna; Society for Integrated Rural Development (SFIRD) Gramasiri, Social Education and Economic Development Society (SEEDS) and Hands of Compassion (HOC) in Guntur; A Society for the Development of Agriculture and Youth (EFFORT), Society for Help Entire Lower & Rural People (HELP), Society for Progress, Applied Research and Education (SPARE) in Prakasam; Navajeevan and Social Activities for Rural Development Society (SARDS) in Nellore; Environment Centre (EC) and HLFPPT Rajahmundry in East Godavari for providing their monthly data on a regular basis. We would like to thank the entire HLFPPT team for providing this opportunity and the BMGF Avahan team for their continuous support and encouragement. We would also like to thank the entire team of Family Health International (FHI), Andhra Pradesh State AIDS Control Society (APSACS) and Mukund Soft Pvt. Ltd, Delhi for providing technical support for implementing the Computerized Management Information System (CMIS) in the programme. Any Feedback: HLFPPT Swagati M&E Team Mr.Rajesh Kumar Patra, M&E Specialist E-mail id: rkpatra@hlfppt.org, rajeshkumarpatra@gmail.com Team Members 1. Ms.P.Shailaja, Team Leader 2. Mr.Shaju V Joseph, Programme Manager 3. Dr.Laxminarayana, Technical Manager (STI) 4. Mr.J.B.R.Chakravarthy, Capacity Building Specialist 5. Ms.R.Meher Leela, Finance & Admin Manager 6. Ms.Vijayalakshmi, Advocacy Specialist 7. Mr.N.S.Rao, BCC Specialist 8. Mr.Rajesh Kumar Patra, M&E Specialist 9. Mr.Madhusudhan Rao, Transition Manager 2 10. Mr.Vinay Kumar, Project Officer 11. Mr.Ch.Arjun, Project Officer 12. Mr.R.Manish, Project Officer 13. Mr.Subba Rao, Project Officer 14. Mr.Chiranjeevi Rao, Project Officer 15. Ms.Priyanka Singh, Project Officer 16. Mr.Krishna Madhav, Project Associate (Documentation) 17. Mr.N.Srinivas, Project Associate (CBO) 18. Ms.Nain Kumari, Project Associate (M&E) 19. Dr.Sri Priya, Technical Officer (Clinic Management) 20. Dr.Rajan Manguesh, Technical Officer (Clinic Management) 21. Mr.Md.Faheem, Project Associate (M&E) 22. Mr.Arif Hussain, Finance Officer 23. Mr.K.S.R Murthy, Finance Officer 24. Mr.G.Vaneeswara Reddy, Finance Officer 25. Ms.P.Pavani, Admin. Officer 26. Mr.Hema Rao, Project Associate (Advocacy)
  • 3. HLFPPT-BMGF Swagati Project2009-2010 3 Abbreviations AIDS Acquired Immunodeficiency Syndrome ANC Antenatal Care ARD Ano-rectal Discharge ART Anti-retroviral Therapy CBO Community-based Organization FSW Female Sex Worker GUD Genital Ulcer Disease Hepatic HIV Human Immunodeficiency Virus HRG High-risk Group HSS HIV Sentinel Surveillance IB Inguinal Bubo ICTC Integrated Counselling and Testing Centre IDU Injecting Drug User LAP Lower Abdominal Pain M&E Monitoring and Evaluation MSM Men who have Sex with Men NACO National Aids Control Organization NACP National Aids Control Programme NGO Non-government Organization ORW Outreach Worker PE Peer Educator RMC Regular Medical Check-up SACS State Aids Control Society STD Sexually Transmitted Disease STI Sexually Transmitted Infection TB Tuberculosis TI Targeted Intervention UD Urethral Discharge VCD Vaginal/Cervical Discharge
  • 5. HLFPPT-BMGF Swagati Project2009-2010 Index Page Table 1: Estimated and Registered HRG by Interventions 12 Table 1.1: HRG Coverage Range 13 Table 2: HRG-Peer Educator Ratio 14 Table 3: Condom Distribution 15 Table 4: Outreach Work (One-to-one Contact Individuals by Intervention) 24 Table 5: Intensity of One-to-one Contacts 27 Table 6: Clinic Attendees 36 Table 7: Sexually Transmitted Infection Symptomatic Visits 40 Table 8: Regular Medical Check-up 44 Table 9: At least Once Clinic Attendees 50 Table 10: Internal Examination vs. Clinic Attendees 55 Table 11: HIV Testing through ICTC 58 Table 12: Crisis Management 63 Table 13: Project-wise Syphilis Test 71 Table 13.1: Individuals Tested for Syphilis 73 Table 14: STI Syndromes Distribution among FSW/MSM HRGs : May 2009 to March 2010 75 5
  • 6.
  • 7. 7HLFPPT-BMGF Swagati Project2009-2010 HIV Situation in Andhra Pradesh (AP) The south Indian state of Andhra Pradesh has a population of over 76 million. Sentinel Surveillance in various districts of the state reports Human Immunodeficiency Virus (HIV) prevalence is around 11.43% among the samples from Sexually Transmitted Disease (STD) clinic patients (a potentially high-risk population), and around 1.21% among those who attend Antenatal Clinics (ANC) (potentially representing the currently low-risk general population). Of the 23 districts in the state, 14 have reported a generalized HIV epidemic [HIV prevalence of more than 1% among ANC (APSACS SIMU Published Report) patients]. Around 91% of the HIV transmission among ANC cases occurs through the sexual mode. It is estimated that more than 1,25,000 FSWs currently operate in the state. The coastal region is commercially developed with agro- based and fishery industries, industrial centres and ports which dock international vessels. Eight of the nine coastal districts are reported to have a generalized HIV epidemic and the prevalence of STD and HIV among sex workers in the coastal districts of the state is reported to be very high. While paid sex is known to be the key behavioural indicator of high-risk infection in Andhra Pradesh; the major clients of sex workers in the state are frequent travellers, petty businessmen, auto/taxi/bus drivers, truckers, students and colliery workers. Swagati Project Background and Rationale Swagati project is being implemented by the Hindustan Latex Family Planning Promotion Trust (HLFPPT) with the support of the Bill and Melinda Gates Foundation (BMGF) in eight districts of coastal Andhra Pradesh. The project reaches 32,168 members of two HRGs: FSWs (23,671) and MSMs (8,497). Project Goal To reduce the incidence of HIV and STI among FSWs, MSMs, TGs and their clients in coastal Andhra Pradesh and thus, reduce the risk of transmissibility of HIV to the general population in Andhra Pradesh. The overall objective is to prevent transmission of HIV/AIDS and STI among the target population and its clients. The essential Swagati programme elements are a peer-led and risk-based outreach for awareness and motivation; community-friendly clinics for Regular Medical Check-up and STI services, condom distribution, advocacy; a crisis management system for building confidence; and mobilization and collectivization of community. Swagati Phase I commenced in 2004 and continued up to April 2009, with separate interventions and separate administrative units for FSWs and MSMs with one NGO. The The agro-based and fishery industries are also established in coastal AP. Eight of the nine coastal districts are reported to have a generalized HIV epidemic. 7HLFPPT-BMGF Swagati Project2009-2010 Graph 1: Estimated HRG (FSWs and MSMs)
  • 8. 8 HLFPPT-BMGF Swagati Project2009-2010 second phase started in 2009 which is when the project also got more or less streamlined with the availability of HRG data in the form of a Computerized Management Information System (CMIS). CMIS was stabilized during Phase II and the quality of outputs also increased. Monthly data generated through CMIS proved useful in guiding project implementation. This book attempts to bring all relevant data together and draws critical inferences on project progress. Clinics are crucial to not just the project’s success but also toward meeting crucial National Aids Control Programme (NACP-III) goals. To this end the project has catered for four types of clinics. 1.  Static Clinic: A regular well-equipped clinic situated at the project office with one Medical Officer (MO) and an Auxiliary Nurse Midwife (ANM) and/or Health Assistant (HA) to manage the clinic. 2. Outreach Clinic: Ad hoc clinics to cater to those members of the HRG who live out of reach of static clinic coverage. 3. Drop-in-Centre Clinic: These clinics are conducted just like outreach clinics except they run from Drop-in-Centres. 4. Provider Referral Clinic: It has been made possible for the HRG at some locations to choose a local medical practitioner for STI care. These practitioners are given an honorarium, based on the number of cases they see. An ANM facilitates the running of these clinics and maintains necessary records.
  • 9. 9HLFPPT-BMGF Swagati Project2009-2010 HIV/AIDS Intervention Coverage in Andhra Pradesh Adilabad Nizamabad Karimnagar Medak Warangal Khammam West Godavari East Godavari Vishakhapatnam Vizianagaram Srikakulam Krishna Guntur Prakasam Kurnool Anantapur Cuddapah Chittoor Nellore Nalgonda Mahbubnagar HYDERABAD Rangareddy APSACS + AVAHAN-SWAGATI APSACS + AVAHAN-ALLIANCE AVAHAN-ALLIANCE AVAHAN-SWAGATI 8 8 6 1 Adilabad Nizamabad Karimnagar Medak Warangal Khammam West Godavari East Godavari Vishakhapatnam Vizianagaram Srikakulam Krishna Guntur Prakasam Kurnool Anantapur Cuddapah Chittoor Nellore Nalgonda Mahbubnagar HYDERABAD Rangareddy APSACS + AVAHAN-SWAGATI APSACS + AVAHAN-ALLIANCE AVAHAN-ALLIANCE AVAHAN-SWAGATI 8 8 6 1 Note: Vishakhapatnam interventions were transitioned to APSACS during July 2009. Project Inception by Districts–Phase II All interventions of Phase II started in April 2009 but these were fully streamlined in May 2009.
  • 10. 10 HLFPPT-BMGF Swagati Project2009-2010 Abstract of Geographical Coverage and Infrastructure District NGO Town Mandals Village Hotspot Staff (excluding the Peer Educator) Static Clinics Drop-in-Centres (DIC) Provider Referral Clinics West Godavari Sravanti 4 17 37 52 16 1 1 5 AFD 3 11 13 51 17 2 4 5 PARD 1 16 28 74 14 1 1 11 East Godavari EC 10 28 124 42 13 1 6 9 HLFPPT- Rajahmundry 3 9 26 64 11 1 4 5 Krishna GUIDE 2 17 27 60 15 1 3 13 RIDE 3 17 20 71 22 2 2 13 Guntur Gramasiri 3 9 27 67 16 2 1 6 SFIRD 4 17 2 72 17 1 2 6 HOC 3 8 7 71 19 2 2 5 SeedS 2 13 1 90 18 2 4 7 Prakasam Spare 1 7 5 29 14 1 3 6 HELP 1 4 1 21 12 1 3 1 Effort 1 8 1 30 12 1 4 6 Nellore Navajeevan 2 11 10 50 19 2 4 1 Sards 2 14 130 61 20 2 2 4 Srikakulum YCB 3 15 16 41 12 1 3 14 Guest 2 22 30 50 16 1 4 7 Vizianagaram Res 3 22 73 50 14 1 1 3 YDO 3 12 6 69 12 1 1 6 Total 56 277 584 1115 309 27 55 133 This table shows the number of interventions, hotspots (mandals and locally identified locations) covered in each district. It also provides information on Static Clinics, Drop-in-Centres (DIC) and Provider Referral Clinics. Clinics in the intervention districts are established for providing care and treatment for STIs.
  • 11. 11HLFPPT-BMGF Swagati Project2009-2010 Analysis of Project Performance Indicators:May 2009 to March 2010 General Objectives of the Book The primary overall objective of bringing out this volume is to critically examine the programme performance during May 2009 to March 2010 and analyse various aspects of the project specific to the indicators. Specific Objectives of this Information Reference Book Volume II 1. To understand Peer Educator (PE) - High Risk Group (HRG) ratio 2. To assess the trend in HRG outreached by PE 3. To understand the distribution of clinic attendees by clinic types 4. To see the pattern of STI diagnosis by type of clinic attendees 5. To assess the trend of Regular Medical Check-up 6. To plot condom distribution achievement Methodology The CMIS has a provision for recording project operations data on a monthly basis. MIS Assistants from the project were trained to do this job in a timely fashion and day-to- day guidance was provided to them whenever necessary. Several difficulties were faced mainly in the form of data inconsistencies and report formats. Many problems were sorted out through discussion and corrections by both HLFPPT and intervention team members. The following major steps were involved in compiling MIS and bringing out reports. 1. Data consolidation by the State Lead Partner (SLP) team (11 months x 21 projects) 2. Selection of indicators and preparation of data analysis plan, based on objectives 3. Preparation of simple and necessary tables 4. Generation of necessary important graphs 5. Report preparation Data Source The existing CMIS structure evolved over a period of time. The vision of BMGF-Avahan and their support to the project through Family Health International (FHI), along with technical guidance from Mukund Soft Pvt. Ltd., helped in realizing Swagati’s dream of having a database with the facility to track individual HRG-level performance. The Monitoring and Evaluation (ME) team has been in constant communication with Avahan, FHI and Mukund Soft Pvt. Ltd., in maintaining and improving the CMIS. The CMIS made it possible to quickly extract data in various permutations and combinations. This proved to be of great value. We hope the readers of this document will be able to gather a comprehensive picture of Swagati.
  • 12. 12 HLFPPT-BMGF Swagati Project2009-2010 Table 1:  Estimated and Registered HRG by Interventions Estimated and Registered HRG (Source: Community-led Social Network Analysis Internal Mapping Study) in April 2009 District  Intervention  May 09-Oct 09 Oct 09-Dec 09 Jan-10 Feb 10-Mar 10 FSW MSM Total FSW MSM Total FSW MSM Total FSW MSM Total Srikakulum YCB 689 500 1189 689 500 1189 689 500 1189 689 500 1189 GUEST 801 408 1209 801 408 1209 801 408 1209 801 408 1209 Vizianagaram RES 863 555 1418 863 555 1418 863 555 1418 863 555 1418 YDO 874 518 1392 874 518 1392 874 518 1392 874 518 1392 West Godavari Sravanti 924 479 1403 924 479 1403 924 479 1403 924 479 1403 AFD 1171 469 1640 1171 469 1640 1171 469 1640 1171 469 1640 PARD 886 372 1258 886 372 1258 968 385 1353 968 385 1353 East Godavari EC 0 1618 1618 0 1618 1618 0 1618 1618 0 1618 1618 HLFPPT-Rajahmundry Implemented from Jan 2010 1269 0 1269 1382 0 1382 Krishna GUIDE 908 747 1655 908 747 1655 945 747 1692 945 747 1692 RIDES 1300 610 1910 1300 610 1910 1300 610 1910 1300 610 1910 Guntur Gramasiri 1806 384 2190 1806 384 2190 1806 384 2190 1806 384 2190 SFIRD 1271 731 2002 1271 731 2002 1271 731 2002 1271 731 2002 HOC 1435 553 1988 1435 553 1988 1435 553 1988 1435 553 1988 SEEDS 1543 540 2083 1543 540 2083 1543 540 2083 1543 540 2083 Prakasam SPARE 930 0 930 930 0 930 930 0 930 930 0 930 HELP 830 0 830 830 0 830 830 0 830 830 0 830 EFFORT 1020 0 1020 1020 0 1020 1020 0 1020 1020 0 1020 Swagati Phase II HRG Coverage Table 1 below shows that in May 2009, 22 Targeted Intervention (TI) projects were underway during Swagati Phase II, covering a population of 33,183 members of HRGs. The coverage decreased to 30,628 in October 2009 because two TIs of Visakhapatnam district (with 2,555 HRGs) were transitioned to APSACS. In January 2010, HLFPPT- Rajahmundry intervention (1,269 HRG members) of East Godavari were added on to the project, increasing the total population. Consequently, when the year ended, Swagati had 20 TIs with 32,168 members of HRGs (23,671 FSWs and 8,497 MSMs) within its fold.
  • 13. 13HLFPPT-BMGF Swagati Project2009-2010 Estimated and Registered HRG (Source: Community-led Social Network Analysis Internal Mapping Study) in April 2009 District  Intervention  May 09-Oct 09 Oct 09-Dec 09 Jan-10 Feb 10-Mar 10 FSW MSM Total FSW MSM Total FSW MSM Total FSW MSM Total Nellore Navajeevan 2092 0 2092 2092 0 2092 2118 0 2118 2118 0 2118 SARDS 2801 0 2801 2801 0 2801 2801 0 2801 2801 0 2801 Vishakhapatnam SVDS 752 410 1162 Transitioned to APSACS GSS 560 833 1393 Total 23456 9727 33183 22144 8484 30628 23558 8497 32055 23671 8497 32168 As seen in the above table, there was a cumulative increase in HRG coverage due to the addition of HRGs covered by PARD in West Godavari (the TI coverage of HRGs increased from 1,258 to 1,353), GUIDE in Krishna (1,655 to 1,692 HRGs) and Navajeevan in Nellore (2,092 to 2,118 HRGs). Table 1.1:  HRG Coverage Range HRG Range Project 1000 SPARE, HELP 1000-1500 EFFORT, HLFPPT-Rajahmundry, PARD, YCP, GUEST, RES, YDO, Sravanti 1600-2000 AFD, EC, GUIDE, RIDES, HOC 2000 SARDS, Navajeevan, SEEDS, SFIRD, Gramasiri. Table 1.1 shows that 40% of the target interventions have 1,000 to 1,500 HRG coverage range. While five target interventions have reached out to more than 2,000 HRGs. Table 1:  Estimated and Registered HRG by Interventions
  • 14. 14 HLFPPT-BMGF Swagati Project2009-2010 Table 2:  HRG-Peer Educator Ratio District NGO May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Srikakulum YCB 0 44 44 44 44 44 44 44 44 44 44 44 44 44 GUEST 35 35 45 48 48 48 50 50 50 53 50 47 35 53 Vizianagaram YDO 43 43 43 43 43 49 51 51 51 51 55 48 43 55 RES 57 57 57 57 62 57 57 57 62 62 62 59 57 62 West Godavari AFD 68 33 33 33 36 36 36 36 36 37 37 39 33 68 Sravanti 0 41 41 61 38 38 38 41 41 41 41 42 38 61 PARD 31 32 36 43 48 50 50 57 47 55 52 46 31 57 East Godavari HLFPPT-Rajahmundry 0 0 0 0 0 0 0 0 38 41 63 47 38 63 EC 48 48 46 58 54 54 52 54 51 51 56 52 46 58 Krishna RIDES 52 52 52 52 52 52 50 52 52 52 52 51 50 52 GUIDE 29 38 42 59 47 49 49 49 52 49 50 47 29 59 Guntur SEEDS 39 39 41 40 48 43 43 43 43 43 43 43 39 48 Gramasiri 48 45 45 44 45 45 45 45 45 45 45 45 44 48 SFIRD 46 46 46 46 46 46 46 46 46 46 46 46 46 46 HOC 45 45 45 45 45 45 45 45 45 45 45 45 45 45 Prakasam EFFORT 35 35 34 38 39 39 39 39 38 38 38 37 34 39 SPARE 32 32 32 32 32 32 32 32 32 32 32 32 32 32 HELP 42 40 40 46 46 52 52 40 40 40 46 44 40 52 Nellore SARDS 38 37 36 36 36 37 37 37 37 37 37 37 36 38 Navajeevan 35 35 35 35 30 30 30 30 30 30 30 32 30 35 • Table 2 shows that the average HRG-PE ratio was highest in RES (59) of Vizianagaram, followed by EC (52) of East Godavari and RIDES (51) of Krishna district. • The lowest ratio was reported by SPARE (32) of Prakasam district and Navajeevan (32) of Nellore district. • HELP, SFIRD, SEEDS, Gramasiri, HOC, YDO, GUEST, YCB, Sravanti, PARD, GUIDE and HLFPPT-Rajahmundry had a HRG-PE ratio in the range of 44 to 48; while AFD, EFFORT and SARDS had the ratio in the range of 37 to 39 HRGs.
  • 15. 15HLFPPT-BMGF Swagati Project2009-2010 Table 3:  Condom Distribution District NGO Core Indicators May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Srikakulam YCB Estimated HRG 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 One-one contacted (individuals) 460 963 1011 1182 1176 1186 1185 1183 1187 1184 1182 1082 460 1187 Condom distribution required ideal (estimated HRG) 89175 89175 89175 89175 89175 89175 89175 89175 89175 89175 89175 89175 89175 89175 Condom distribution required minimum (outreach) 34500 72225 75825 88650 88200 88950 88950 88725 89025 88800 88650 81136 34500 89025 Condom distributed 11177 53328 59026 69429 67581 70129 66432 62651 61862 64810 72133 59869 11177 72133 % of condom distributed (against ideal) 13 60 66 78 76 79 74 70 69 73 81 67 13 81 % of condom distributed (against minimum) 32 74 78 78 77 79 75 71 69 73 81 72 32 81 Condom distributed per HRG 9 45 50 58 57 59 56 53 52 55 61 50 9 61 Condom distributed per HRG through clinic visit 4 4 5 7 5 3 3 3 5 5 5 4 3 7 GUEST Estimated HRG 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 One-one contacted (individuals) 969 1164 1192 1203 1206 1201 1206 1205 1205 1206 1203 1178 969 1206 Condom distribution required ideal (estimated HRG) 90675 90675 90675 90675 90675 90675 90675 90675 90675 90675 90675 90675 90675 90675 Condom distribution required minimum (outreach) 72675 87300 89400 90225 90450 90075 90450 90375 90375 90450 90225 88364 72675 90450 Condom distributed 16611 88407 71981 75620 77290 95109 99752 100703 100211 103004 101754 84586 16611 103004 % of condom distributed (against ideal) 18 97 79 83 85 105 110 111 111 114 112 93 18 114 % of condom distributed (against minimum) 23 101 81 84 85 106 110 111 111 114 113 94 23 114 Condom distributed per HRG 14 73 60 63 64 79 83 83 83 85 84 70 14 85 Condom distributed per HRG through clinic visit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Why Condom Promotion is an Essential Component Condom-use is critical to a comprehensive, effective and sustainable approach to HIV prevention. Hence condom promotion must be extensive. Condom-use is more likely when people can access condoms at no cost or at greatly subsidized prices. Therefore condoms are expected to meet 100% demand as a means to ensure the success of the HIV prevention strategy and to reduce STI among HRGs.
  • 16. 16 HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicators May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Vizianagaram RES Estimated HRG 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 One-one contacted (individuals) 835 1298 1356 1387 1390 1373 1348 1368 1358 1362 1313 1308 835 1390 Condom distribution required ideal (estimated HRG) 106350 106350 106350 106350 106350 106350 106350 106350 106350 106350 106350 106350 106350 106350 Condom distribution required minimum (outreach) 62625 97350 101700 104025 104250 102975 101100 102600 101850 102150 98475 98100 62625 104250 Condom distributed 46029 86480 84365 85020 81654 75680 74423 89332 83639 82096 85581 79482 46029 89332 % of condom distributed (against ideal) 43 81 79 80 77 71 70 84 79 77 80 75 43 84 % of condom distributed (against minimum) 73 89 83 82 78 73 74 87 82 80 87 81 73 89 Condom distributed per HRG 32 61 59 60 58 53 52 63 59 58 60 56 32 63 Condom distributed per HRG through clinic visit 7 10 10 10 10 10 10 10 10 10 10 10 7 10 YDO Estimated HRG 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 One-one contacted (individuals) 614 1226 1258 1281 1352 1345 1343 1367 1352 1356 1355 1259 614 1367 Condom distribution required ideal (estimated HRG) 104400 104400 104400 104400 104400 104400 104400 104400 104400 104400 104400 104400 104400 104400 Condom distribution required minimum (outreach) 46050 91950 94350 96075 101400 100875 100800 102525 101400 101700 101625 94432 46050 102525 Condom distributed 35418 58294 73131 76250 93586 117680 80627 90786 82327 80077 92705 80080 35418 117680 % of condom distributed (against ideal) 34 56 70 73 90 113 77 87 79 77 89 77 34 113 % of condom distributed (against minimum) 77 63 78 79 92 117 80 89 81 79 91 84 63 117 Condom distributed per HRG 25 42 53 55 67 85 58 65 59 58 67 58 25 85 Condom distributed per HRG through clinic visit 7 10 10 10 10 10 10 10 10 10 10 10 7 10 Table 3:  Condom Distribution
  • 17. 17HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicators May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX West Godavari AFD Estimated HRG 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 One-one contacted (individuals) 978 1433 1491 1512 1520 1546 1548 1572 1568 1591 1596 1487 978 1596 Condom distribution required ideal (estimated HRG) 123000 123000 123000 123000 123000 123000 123000 123000 123000 123000 123000 123000 123000 123000 Condom distribution required minimum (outreach) 73350 107475 111825 113400 114000 115950 116100 117900 117600 119325 119700 111511 73350 119700 Condom distributed 78240 114740 106540 124290 107569 131692 108114 100674 102642 101291 142011 110709 78240 142011 % of condom distributed (against ideal) 64 93 87 101 87 107 88 82 83 82 115 90 64 115 % of condom distributed (against minimum) 107 107 95 110 94 114 93 85 87 85 119 100 85 119 Condom distributed per HRG 48 70 65 76 66 80 66 61 63 62 87 68 48 87 Condom distributed per HRG through clinic visit 0 0 0 0 3 4 3 3 4 7 10 3 0 10 Sravanti Estimated HRG 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 One-one contacted (individuals) 46 1109 1127 1111 1210 1291 1273 1305 1293 1237 1290 1117 46 1305 Condom distribution required ideal (estimated HRG) 105225 105225 105225 105225 105225 105225 105225 105225 105225 105225 105225 105225 105225 105225 Condom distribution required minimum (outreach) 3450 83175 84525 83325 90750 96825 95475 97875 96975 92775 96750 83809 3450 97875 Condom distributed 2450 75370 83389 85279 99555 103579 119405 130346 115672 102891 105570 93046 2450 130346 % of condom distributed (against ideal) 2 72 79 81 95 98 113 124 110 98 100 88 2 124 % of condom distributed (against minimum) 71 91 99 102 110 107 125 133 119 111 109 107 71 133 Condom distributed per HRG 2 54 59 61 71 74 85 93 82 73 75 66 2 93 Condom distributed per HRG through clinic visit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PARD Estimated HRG 1258 1258 1258 1258 1258 1258 1258 1258 1353 1353 1353 1284 1258 1353 One-one contacted (individuals) 0 437 1122 1290 1231 1343 1266 1306 1206 1256 1232 1063 0 1343 Condom distribution required ideal (estimated HRG) 94350 94350 94350 94350 94350 94350 94350 94350 94350 94350 94350 94350 94350 94350 Condom distribution required minimum (outreach) 0 32775 84150 96750 92325 100725 94950 97950 90450 94200 92400 79698 0 100725 Condom distributed 0 37620 155413 135965 142280 127633 105438 109759 87347 123399 119375 104021 0 155413 % of condom distributed (against ideal) 0 40 165 144 151 135 112 116 93 131 127 110 0 165 % of condom distributed (against minimum) 0 115 185 141 154 127 111 112 97 131 129 118 0 185 Condom distributed per HRG 0 30 124 108 113 101 84 87 69 98 95 83 0 124 Condom distributed per HRG through clinic visit 0 0 0 0 0 0 0 0 0 1 4 1 0 4 Table 3:  Condom Distribution
  • 18. 18 HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicators May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX East Godavari EC Estimated HRG 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 One-one contacted (individuals) 1414 1518 1584 1610 1617 1609 1608 1591 1614 1590 1594 1577 1414 1617 Condom distribution required ideal (estimated HRG) 121350 121350 121350 121350 121350 121350 121350 121350 121350 121350 121350 121350 121350 121350 Condom distribution required minimum (outreach) 106050 113850 118800 120750 121275 120675 120600 119325 121050 119250 119550 118289 106050 121275 Condom distributed 72253 89541 78030 74744 73006 77627 80727 81166 81703 81063 83107 79361 72253 89541 % of condom distributed (against ideal) 60 74 64 62 60 64 67 67 67 67 68 65 60 74 % of condom distributed (against minimum) 68 79 66 62 60 64 67 68 67 68 70 67 60 79 Condom distributed per HRG 45 55 48 46 45 48 50 50 50 50 51 49 45 55 Condom distributed per HRG through clinic visit 0 0 0 0 1 0 0 0 0 0 0 0 0 1 HLFPPT - Rajahmundry Estimated HRG 1269 1382 1382 1344 1269 1382 One-one contacted (individuals) 1269 1257 1215 1247 1215 1269 Condom distribution required ideal (estimated HRG) 103650 103650 103650 103650 0 103650 Condom distribution required minimum (outreach) 95175 94275 91125 93525 0 95175 Condom distributed 64962 95670 92000 84211 0 95670 % of condom distributed (against ideal) 63 92 89 81 0 92 % of condom distributed (against minimum) 68 101 101 90 0 101 Condom distributed per HRG 47 69 67 61 0 69 Condom distributed per HRG through clinic visit 0 0 0 0 0 0 Krishna Guide Estimated HRG 1655 1655 1655 1655 1655 1655 1655 1655 1692 1692 1692 1665 1655 1692 One-one contacted (individuals) 613 1112 1343 1396 1506 1431 1372 1397 1444 1436 1429 1316 613 1506 Condom distribution required ideal (estimated HRG) 124125 124125 124125 124125 124125 124125 124125 124125 124125 124125 124125 124125 124125 124125 Condom distribution required minimum (outreach) 45975 83400 100725 104700 112950 107325 102900 104775 108300 107700 107175 98720 45975 112950 Condom distributed 33270 61615 63735 63702 77320 78748 67718 82185 75097 75277 100683 70850 33270 100683 % of condom distributed (against ideal) 27 50 51 51 62 63 55 66 61 61 81 57 27 81 % of condom distributed (against minimum) 72 74 63 61 68 73 66 78 69 70 94 72 61 94 Condom distributed per HRG 20 37 39 38 47 48 41 50 45 45 61 43 20 61 Condom distributed per HRG through clinic visit 5 5 5 5 5 5 5 5 5 5 5 5 5 5 RIDES Estimated HRG 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 One-one contacted (individuals) 1213 1363 1499 1565 1634 1618 1660 1753 1789 1738 1798 1603 1213 1798 Condom distribution required ideal (estimated HRG) 143250 143250 143250 143250 143250 143250 143250 143250 143250 143250 143250 143250 143250 143250 Condom distribution required minimum (outreach) 90975 102225 112425 117375 122550 121350 124500 131475 134175 130350 134850 120205 90975 134850 Condom distributed 53363 68824 77692 79991 94919 95270 109747 126924 130693 126987 149193 101237 53363 149193 % of condom distributed (against ideal) 37 48 54 56 66 67 77 89 91 89 104 71 37 104 % of condom distributed (against minimum) 59 67 69 68 77 79 88 97 97 97 111 83 59 111 Condom distributed per HRG 28 36 41 42 50 50 57 66 68 66 78 53 28 78 Condom distributed per HRG through clinic visit 3 3 5 5 4 4 4 4 3 3 3 4 3 5 Table 3:  Condom Distribution
  • 19. 19HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicators May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Guntur Gramasiri Estimated HRG 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 One-one contacted (individuals) 1462 1788 2029 2083 2108 2138 2148 2147 2185 2161 2178 2039 1462 2185 Condom distribution required ideal (estimated HRG) 164250 164250 164250 164250 164250 164250 164250 164250 164250 164250 164250 164250 164250 164250 Condom distribution required minimum (outreach) 109650 134100 152175 156225 158100 160350 161100 161025 163875 162075 163350 152911 109650 163875 Condom distributed 52502 74576 121784 114145 105068 106639 106870 121787 133210 142408 142322 111028 52502 142408 % of condom distributed (against ideal) 32 45 74 69 64 65 65 74 81 87 87 68 32 87 % of condom distributed (against minimum) 48 56 80 73 66 67 66 76 81 88 87 72 48 88 Condom distributed per HRG 24 34 56 52 48 49 49 56 61 65 65 51 24 65 Condom distributed per HRG through clinic visit 1 0 0 0 0 0 0 0 0 0 0 0 0 1 HOC Estimated HRG 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 One-one contacted (individuals) 1550 1810 1883 1726 1919 1947 1926 1980 1983 1981 1979 1880 1550 1983 Condom distribution required ideal (estimated HRG) 149100 149100 149100 149100 149100 149100 149100 149100 149100 149100 149100 149100 149100 149100 Condom distribution required minimum (outreach) 116250 135750 141225 129450 143925 146025 144450 148500 148725 148575 148425 141027 116250 148725 Condom distributed 52378 148694 156207 122682 160320 168146 158452 167536 161823 162946 163714 147536 52378 168146 % of condom distributed (against ideal) 35 100 105 82 108 113 106 112 109 109 110 99 35 113 % of condom distributed (against minimum) 45 110 111 95 111 115 110 113 109 110 110 103 45 115 Condom distributed per HRG 26 75 79 62 81 85 80 84 81 82 82 74 26 85 Condom distributed per HRG through clinic visit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SFIRD Estimated HRG 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 One-one contacted (individuals) 0 1958 2002 1805 2002 1889 1978 1954 1982 1981 1988 1776 0 2002 Condom distribution required ideal (estimated HRG) 150150 150150 150150 150150 150150 150150 150150 150150 150150 150150 150150 150150 150150 150150 Condom distribution required minimum (outreach) 0 146850 150150 135375 150150 141675 148350 146550 148650 148575 149100 133220 0 150150 Condom distributed 0 159709 165686 132175 165170 172287 137810 150409 148247 152178 157088 140069 0 172287 % of condom distributed (against ideal) 0 106 110 88 110 115 92 100 99 101 105 93 0 115 % of condom distributed (against minimum) 0 109 110 98 110 122 93 103 100 102 105 96 0 122 Condom distributed per HRG 0 80 83 66 83 86 69 75 74 76 78 70 0 86 Condom distributed per HRG through clinic visit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SEEDS Estimated HRG 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 One-one contacted (individuals) 357 785 1525 1581 1745 1867 1979 2063 2083 2076 2113 1652 357 2113 Condom distribution required ideal (estimated HRG) 156225 156225 156225 156225 156225 156225 156225 156225 156225 156225 156225 156225 156225 156225 Condom distribution required minimum (outreach) 26775 58875 114375 118575 130875 140025 148425 154725 156225 155700 158475 123914 26775 158475 Condom distributed 12410 49275 82450 108792 99596 107816 149266 156920 162761 159773 162216 113752 12410 162761 % of condom distributed (against ideal) 8 32 53 70 64 69 96 100 104 102 104 73 8 104 % of condom distributed (against minimum) 46 84 72 92 76 77 101 101 104 103 102 87 46 104 Condom distributed per HRG 6 24 40 52 48 52 72 75 78 77 78 55 6 78 Condom distributed per HRG through clinic visit 0 0 0 0 5 2 2 3 3 6 5 2 0 6 Table 3:  Condom Distribution
  • 20. 20 HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicators May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Prakasam EFFORT Estimated HRG 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 One-one contacted (individuals) 17 882 957 974 988 1009 1018 1013 1020 1017 1013 901 17 1020 Condom distribution required ideal (estimated HRG) 76500 76500 76500 76500 76500 76500 76500 76500 76500 76500 76500 76500 76500 76500 Condom distribution required minimum (outreach) 1275 66150 71775 73050 74100 75675 76350 75975 76500 76275 75975 67555 1275 76500 Condom distributed 320 53003 60980 66631 90908 109755 99548 101944 107920 109900 108984 82718 320 109900 % of condom distributed (against ideal) 0 69 80 87 119 143 130 133 141 144 142 108 0 144 % of condom distributed (against minimum) 25 80 85 91 123 145 130 134 141 144 143 113 25 145 Condom distributed per HRG 0 52 60 65 89 108 98 100 106 108 107 81 0 108 Condom distributed per HRG through clinic visit 0 0 0 0 8 3 1 4 3 2 3 2 0 8 HELP Estimated HRG 830 830 830 830 830 830 830 830 830 830 830 830 830 830 One-one contacted (individuals) 759 777 774 785 811 813 783 816 793 799 806 792 759 816 Condom distribution required ideal (estimated HRG) 62250 62250 62250 62250 62250 62250 62250 62250 62250 62250 62250 62250 62250 62250 Condom distribution required minimum (outreach) 56925 58275 58050 58875 60825 60975 58725 61200 59475 59925 60450 59427 56925 61200 Condom distributed 25280 25130 25780 25360 42650 53020 55519 57315 44693 49300 49590 41240 25130 57315 % of condom distributed (against ideal) 41 40 41 41 69 85 89 92 72 79 80 66 40 92 % of condom distributed (against minimum) 44 43 44 43 70 87 95 94 75 82 82 69 43 95 Condom distributed per HRG 30 30 31 31 51 64 67 69 54 59 60 50 30 69 Condom distributed per HRG through clinic visit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SPARE Estimated HRG 930 930 930 930 930 930 930 930 930 930 930 930 930 930 One-one contacted (individuals) 863 919 914 914 923 923 924 930 929 930 930 918 863 930 Condom distribution required ideal (estimated HRG) 69750 69750 69750 69750 69750 69750 69750 69750 69750 69750 69750 69750 69750 69750 Condom distribution required minimum (outreach) 64725 68925 68550 68550 69225 69225 69300 69750 69675 69750 69750 68857 64725 69750 Condom distributed 17580 42311 45104 40680 52794 64945 76996 77777 76114 74689 77929 58811 17580 77929 % of condom distributed (against ideal) 25 61 65 58 76 93 110 112 109 107 112 84 25 112 % of condom distributed (against minimum) 27 61 66 59 76 94 111 112 109 107 112 85 27 112 Condom distributed per HRG 19 45 48 44 57 70 83 84 82 80 84 63 19 84 Condom distributed per HRG through clinic visit 0 1 0 0 5 5 5 6 6 6 6 4 0 6 Table 3:  Condom Distribution
  • 21. 21HLFPPT-BMGF Swagati Project2009-2010 Table 3 gives information on condom distribution to HRGs •  This table provides information on condom distribution based on the average number of individual sexual acts. • The highest number of condoms per HRG was distributed in SARDS (91) of Nellore followed by PARD, EFFORT, HOC, SFIRD, GUEST, AFD, Sravanti interventions where per HRG condom distribution was in the range of 66 to 83 pieces. •  Navajeevan, SPARE, HLFPPT-Rajahmundry, YDO, RES, SEEDS, RIDES, Gramasiri, YCB and HELP reported condom distribution per HRG in the range of 49 to 63 pieces. •  The lowest number distributed (43) was in GUIDE of Krishna district. District NGO Core Indicators May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Nellore Navajeevan Estimated HRG 2092 2092 2092 2092 2092 2092 2092 2092 2118 2118 2118 2099 2092 2118 One-one contacted (individuals) 0 1743 1821 1699 1968 2048 2029 1965 1974 1982 2008 1749 0 2048 Condom distribution required ideal (estimated HRG) 156900 156900 156900 156900 156900 156900 156900 156900 156900 156900 156900 156900 156900 156900 Condom distribution required minimum (outreach) 0 130725 136575 127425 147600 153600 152175 147375 148050 148650 150600 131161 0 153600 Condom distributed 0 139437 134542 119046 157476 150081 166569 147111 132257 151728 157895 132377 0 166569 % of condom distributed (against ideal) 0 89 86 76 100 96 106 94 84 97 101 84 0 106 % of condom distributed (against minimum) 0 106.664 98.511 93.424 106.691 97.708 109.458 99.820 89.332 102.070 104.843 101 89 109 Condom distributed per HRG 0 66.652 64.312 56.905 75.275 71.740 79.621 70.320 63.220 72.527 75.475 63 0 80 Condom distributed per HRG through clinic visit 0 2.226 3.031 11.168 16.113 16.085 15.959 12.229 7.030 7.891 10.233 9 0 16 SARDS Estimated HRG 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 One-one contacted (individuals) 2364 2564 2364 2552 2691 2703 2694 2742 2752 2793 2782 2636 2364 2793 Condom distribution required ideal (estimated HRG) 210075 210075 210075 210075 210075 210075 210075 210075 210075 210075 210075 210075 210075 210075 Condom distribution required minimum (outreach) 177300 192300 177300 191400 201825 202725 202050 205650 206400 209475 208650 197734 177300 209475 Condom distributed 224050 229495 214575 201949 235897 249173 252752 330763 293491 284562 294285 255545 201949 330763 % of condom distributed (against ideal) 106.652 109.244 102.142 96.131 112.291 118.611 120.315 157.449 139.707 135.457 140.085 122 96 157 % of condom distributed (against minimum) 126.367 119.342 121.023 105.511 116.881 122.911 125.093 160.837 142.195 135.845 141.042 129 106 161 Condom distributed per HRG 79.989 81.933 76.606 72.098 84.218 88.958 90.236 118.087 104.780 101.593 105.064 91 72 118 Condom distributed per HRG through clinic visit 3.959 7.789 7.763 4.826 8.470 5.471 5.234 12.728 9.343 11.387 11.414 8 4 13 HLFPPT- SWAGATI Estimated HRG 30628 30628 30628 30628 30628 30628 30628 30628 32055 32168 32168 31038 30628 32168 One-one contacted (individuals) 14514 24849 27252 27656 28997 29280 29288 29657 30986 30933 31004 27674 14514 31004 Condom distribution required ideal (estimated HRG) 2297100 2297100 2297100 2297100 2297100 2297100 2297100 2297100 2400750 2400750 2400750 2325368 2297100 2400750 Condom distribution required minimum (outreach) 1088550 1863675 2043900 2074200 2174775 2196000 2196750 2224275 2323950 2319975 2325300 2075577 1088550 2325300 Condom distributed 733331 1655849 1860410 1801750 2024639 2155009 2116165 2286088 2246671 2324049 2458135 1969281 733331 2458135 % of condom distributed (against ideal) 32 72 81 79 89 94 93 100 94 97 102 85 32 102 % of condom distributed (against minimum) 67 89 91 87 93 98 96 103 97 100 106 93 67 106 Condom distributed per HRG 24 54 61 59 66 70 69 75 70 73 77 63 24 77 Condom distributed per HRG through clinic visit 2.964 2.654 2.624 2.534 4.441 3.703 3.433 4.127 3.406 4.343 5 4 3 5 Table 3:  Condom Distribution
  • 22. 22 HLFPPT-BMGF Swagati Project2009-2010 Month Estimated HRG Ideal Target Minimum Target Distributed % of Ideal Target % of Minimum Target Per HRG Distributed May 2009 30628 2297100 1088550 733331 32 67 24 June 2009 30628 2297100 1863675 1655849 72 89 54 July 2009 30628 2297100 2043900 1860410 81 91 61 Aug 2009 30628 2297100 2074200 1801750 78 87 59 Sep 2009 30628 2297100 2174775 2024639 88 93 66 Oct 2009 30628 2297100 2196000 2155009 94 98 70 Nov 2009 30628 2297100 2196750 2116165 92 96 69 Dec 2009 30628 2297100 2224275 2286088 100 103 75 Jan 2010 32055 2400750 2323950 2246671 94 97 70 Feb 2010 32168 2400750 2319975 2324049 97 100 72 Mar 2010 32168 2400750 2325300 2458135 102 106 76 This table provides information on condom distribution performance against ideal and minimum target of the project during the period May 2009 to March 2010. Condoms distributed per HRG, through clinic visits •  The highest number of condoms distributed per HRG through clinic visits was 10 pieces by RES and YDO of Vizianagaram. While Navajeevan of Nellore distributed nine condoms per HRG through clinic visits. •  SARDS, GUIDE, YCB, SPARE, RIDES, AFD, SEEDS, EFFORT and PARD distributed one to eight condoms through clinics. •  No condom distribution was done through clinics by HLFPPT-Rajahmundry (East Godavari), Sravanti (West Godavari), Gramasiri, SFIRD, HOC (Guntur), GUEST (Srikakulam) and HELP (Prakasam). Condom Distribution
  • 23. 23HLFPPT-BMGF Swagati Project2009-2010 The graph shows that the level of condom distribution through clinics is low, probably due the easy access to and availability of condom through outreach. • The graph also reveals that condom distribution against both ideal and minimum target and per HRG distribution, were steadily in upward trend. • Per HRG distribution was lowest (24 pieces) in May 2009 and highest (76 pieces) in March 2010. Graph 2: Condom Promotion Data reveals that condom distribution against ideal, minimum and per HRG distribution targets, displayed a steady upward trend. 100% distribution was achieved in the months of December 2009 and March 2010. The lowest percentage (32%) was recorded in May 2009. This is due to the restructuring of TIs undertaken in the beginning of Phase II. No.ofCondomPieces Percentage(%)
  • 24. 24 HLFPPT-BMGF Swagati Project2009-2010 Table 4:  Outreach Work (One-to-one Contact Individuals by Intervention) District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Srikakulam YCB Estimated HRG 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 Outreach 460 963 1011 1182 1176 1186 1185 1183 1187 1184 1182 1082 460 1187 % 39 81 85 99 99 100 100 99 100 100 99 91 39 100 GUEST Estimated HRG 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 Outreach 969 1164 1192 1203 1206 1201 1206 1205 1205 1206 1203 1178 969 1206 % 80 96 99 100 100 99 100 100 100 100 100 97 80 100 Vizianagaram RES Estimated HRG 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 Outreach 835 1298 1356 1387 1390 1373 1348 1368 1358 1362 1313 1308 835 1390 % 59 92 96 98 98 97 95 96 96 96 93 92 59 98 YDO Estimated HRG 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 Outreach 614 1226 1258 1281 1352 1345 1343 1367 1352 1356 1355 1259 614 1367 % 44 88 90 92 97 97 96 98 97 97 97 90 44 98 West Godavari AFD Estimated HRG 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 Outreach 978 1433 1491 1512 1520 1546 1548 1572 1568 1591 1596 1487 978 1596 % 60 87 91 92 93 94 94 96 96 97 97 91 60 97 Sravanti Estimated HRG 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 Outreach 46 1109 1127 1111 1210 1291 1273 1305 1293 1237 1290 1117 46 1305 % 3 79 80 79 86 92 91 93 92 88 92 80 3 93 PARD Estimated HRG 1258 1258 1258 1258 1258 1258 1258 1258 1353 1353 1353 1284 1258 1353 Outreach 0 437 1122 1290 1231 1343 1266 1306 1206 1256 1232 1063 0 1343 % 0 35 89 103 98 107 101 104 89 93 91 83 0 107 Why Outreach is Important The objective of outreach is to be in direct touch with HRG for regular behaviour change communication and risk appraisal. The service requirements of the HRG are reassessed based on such appraisals. This in turn, has a definite impact on HIV prevention. Outreach activity by PEs is also a process for their own empowerment and increases community and peer group ownership of the project. According to SACS norms, all HRGs are expected to be contacted by outreach staff twice a month. But the Avahan project sets a much higher target, which is four contacts in a month i.e., one per week for covering the all HRGs.
  • 25. 25HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX East Godavari EC Estimated HRG 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 Outreach 1414 1518 1584 1610 1617 1609 1608 1591 1614 1590 1594 1577 1414 1617 % 87 94 98 100 100 99 99 98 100 98 99 97 87 100 HLFPPT- Rajahmundry Estimated HRG 1269 1382 1382 1344 1269 1382 Outreach 1269 1257 1215 1247 1215 1269 % 100 91 88 93 88 100 Krishna GUIDE Estimated HRG 1655 1655 1655 1655 1655 1655 1655 1655 1692 1692 1692 1665 1655 1692 Outreach 613 1112 1343 1396 1506 1431 1372 1397 1444 1436 1429 1316 613 1506 % 37 67 81 84 91 86 83 84 85 85 84 79 37 91 RIDES Estimated HRG 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 Outreach 1213 1363 1499 1565 1634 1618 1660 1753 1789 1738 1798 1603 1213 1798 % 64 71 78 82 86 85 87 92 94 91 94 84 64 94 Guntur Gramasiri Estimated HRG 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 Outreach 1462 1788 2029 2083 2108 2138 2148 2147 2185 2161 2178 2039 1462 2185 % 67 82 93 95 96 98 98 98 100 99 99 93 67 100 HOC Estimated HRG 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 Outreach 1550 1810 1883 1726 1919 1947 1926 1980 1983 1981 1979 1880 1550 1983 % 78 91 95 87 97 98 97 100 100 100 100 95 78 100 SFIRD Estimated HRG 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 Outreach 0 1958 2002 1805 2002 1889 1978 1954 1982 1981 1988 1776 0 2002 % 0 98 100 90 100 94 99 98 99 99 99 89 0 100 SEEDS Estimated HRG 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 Outreach 357 785 1525 1581 1745 1867 1979 2063 2083 2076 2113 1652 357 2113 % 17 38 73 76 84 90 95 99 100 100 101 79 17 101 Table 4:  Outreach Work (One-to-one Contact Individuals by Intervention)
  • 26. 26 HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Prakasam EFFORT Estimated HRG 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 Outreach 17 882 957 974 988 1009 1018 1013 1020 1017 1013 901 17 1020 % 2 86 94 95 97 99 100 99 100 100 99 88 2 100 HELP Estimated HRG 830 830 830 830 830 830 830 830 830 830 830 830 830 830 Outreach 759 777 774 785 811 813 783 816 793 799 806 792 759 816 % 91 94 93 95 98 98 94 98 96 96 97 95 91 98 SPARE Estimated HRG 930 930 930 930 930 930 930 930 930 930 930 930 930 930 Outreach 863 919 914 914 923 923 924 930 929 930 930 918 863 930 % 93 99 98 98 99 99 99 100 100 100 100 99 93 100 Nellore Navajeevan Estimated HRG 2092 2092 2092 2092 2092 2092 2092 2092 2118 2118 2118 2099 2092 2118 Outreach 0 1743 1821 1699 1968 2048 2029 1965 1974 1982 2008 1749 0 2048 % 0 83 87 81 94 98 97 94 93 94 95 83 0 98 SARDS Estimated HRG 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 Outreach 2364 2564 2364 2552 2691 2703 2694 2742 2752 2793 2782 2636 2364 2793 % 84 92 84 91 96 97 96 98 98 100 99 94 84 100 HLFPPT- SWAGATI Estimated HRG 30628 30628 30628 30628 30628 30628 30628 30628 32055 32168 32168 31038 30628 32168 Outreach 14514 24849 27252 27656 28997 29280 29288 29657 30986 30933 31004 27674 14514 31004 % 47 81 89 90 95 96 96 97 97 96 96 89 47 97 Percentage of outreach against ideal target •  The above table provides information on percentage of outreach against the registered/estimated HRGs. Outreach here stands for the HRG contacted through one-to-one communication. • Tracking helps to know the HRG reached with any project service. Such persons are considered as active. •  Outreach rate is the highest in SPARE (99%) of Prakasam. • EC, GUEST, HELP, HOC, SARDS, Gramasiri, RES, YDO, YCB, AFD and HLFPPT-Rajahmundry had outreach rates in the range of 90% to 97%. •  SFIRD, EFFORT, PARD, RIDES, Navajeevan and Sravanthi were in the range of 80% to 89%. •  Lowest outreach rate was reported by SEEDS and GUIDE (79%) of Guntur and Krishna respectively. Table 4:  Outreach Work (One-to-one Contact Individuals by Intervention)
  • 27. 27HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Srikakulam YCB Estimated HRG 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 Number of HRGs outreach for one time 409 71 31 22 4 7 4 1 2 4 2 51 1 409 Number of HRGs outreach for two times 49 79 65 26 28 19 23 42 31 7 13 35 7 79 Number of HRGs outreach for three times 2 214 261 168 154 138 132 227 172 195 168 166 2 261 Number of HRGs outreach for more than thrice 0 599 654 966 990 1022 1027 913 982 978 999 830 0 1027 % Outreach for one time 34 6 3 2 0 1 0 0 0 0 0 4 0 34 % Outreach for two times 4 7 5 2 2 2 2 4 3 1 1 3 1 7 % Outreach for three times 0 18 22 14 13 12 11 19 14 16 14 14 0 22 % Outreach for more than thrice 0 50 55 81 83 86 86 77 83 82 84 70 0 86 GUEST Estimated HRG 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 Number of HRGs outreach for one time 895 19 26 4 18 6 2 2 6 3 5 90 2 895 Number of HRGs outreach for two times 72 51 19 24 42 9 8 3 9 38 6 26 3 72 Number of HRGs outreach for three times 2 160 142 93 173 84 58 66 82 98 83 95 2 173 Number of HRGs outreach for more than thrice 0 934 975 1082 973 1104 1141 1134 1108 1067 1109 966 0 1141 % Outreach for one time 74 2 2 0 1 0 0 0 0 0 0 7 0 74 % Outreach for two times 6 4 2 2 3 1 1 0 1 3 0 2 0 6 % Outreach for three times 0 13 12 8 14 7 5 5 7 8 7 8 0 14 % Outreach for more than thrice 0 77 81 89 80 91 94 94 92 88 92 80 0 94 Vizianagaram RES Estimated HRG 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 Number of HRGs outreach for one time 74 36 39 16 72 38 229 39 36 58 71 64 16 229 Number of HRGs outreach for two times 78 59 85 60 67 73 67 71 64 107 127 78 59 127 Number of HRGs outreach for three times 157 161 172 197 335 384 125 259 254 251 229 229 125 384 Number of HRGs outreach for more than thrice 526 1042 1060 1114 916 878 927 999 1004 946 886 936 526 1114 % Outreach for one time 5 3 3 1 5 3 16 3 3 4 5 5 1 16 % Outreach for two times 6 4 6 4 5 5 5 5 5 8 9 6 4 9 % Outreach for three times 11 11 12 14 24 27 9 18 18 18 16 16 9 27 % Outreach for more than thrice 37 73 75 79 65 62 65 70 71 67 62 66 37 79 YDO Estimated HRG 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 Number of HRGs outreach for one time 84 91 118 197 38 31 22 20 89 19 33 67 19 197 Number of HRGs outreach for two times 13 249 133 85 101 57 89 25 61 112 183 101 13 249 Number of HRGs outreach for three times 189 747 294 90 425 260 313 108 89 203 106 257 89 747 Number of HRGs outreach for more than thrice 328 139 713 909 788 997 920 1214 1113 1022 1033 834 139 1214 % Outreach for one time 6 7 8 14 3 2 2 1 6 1 2 5 1 14 % Outreach for two times 1 18 10 6 7 4 6 2 4 8 13 7 1 18 % Outreach for three times 14 54 21 6 31 19 22 8 6 15 8 18 6 54 % Outreach for more than thrice 24 10 51 65 57 72 66 87 80 73 74 60 10 87 Table 5:  Intensity of One-to-one Contacts
  • 28. 28 HLFPPT-BMGF Swagati Project2009-201028 District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX West Godavari AFD Estimated HRG 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 Number of HRGs outreach for one time 0 0 170 117 73 78 137 92 72 67 48 78 0 170 Number of HRGs outreach for two times 0 0 373 205 185 144 221 406 214 100 140 181 0 406 Number of HRGs outreach for three times 0 0 458 327 326 329 311 372 299 273 284 271 0 458 Number of HRGs outreach for more than thrice 978 1433 490 863 936 995 879 702 983 1151 1124 958 490 1433 % Outreach for one time 0 0 10 7 4 5 8 6 4 4 3 5 0 10 % Outreach for two times 0 0 23 13 11 9 13 25 13 6 9 11 0 25 % Outreach for three times 0 0 28 20 20 20 19 23 18 17 17 17 0 28 % Outreach for more than thrice 60 87 30 53 57 61 54 43 60 70 69 58 30 87 Sravanti Estimated HRG 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 Number of HRGs outreach for one time 44 191 270 198 269 200 128 125 123 173 154 170 44 270 Number of HRGs outreach for two times 2 477 377 372 300 330 246 185 240 190 278 272 2 477 Number of HRGs outreach for three times 0 243 275 359 278 395 329 298 257 311 347 281 0 395 Number of HRGs outreach for more than thrice 0 198 205 182 363 366 570 697 673 563 511 393 0 697 % Outreach for one time 3 14 19 14 19 14 9 9 9 12 11 12 3 19 % Outreach for two times 0 34 27 27 21 24 18 13 17 14 20 19 0 34 % Outreach for three times 0 17 20 26 20 28 23 21 18 22 25 20 0 28 % Outreach for more than thrice 0 14 15 13 26 26 41 50 48 40 36 28 0 50 PARD Estimated HRG 1258 1258 1258 1258 1258 1258 1258 1258 1353 1353 1353 1284 1258 1353 Number of HRGs outreach for one time 0 163 172 121 45 57 106 66 80 118 81 101 45 172 Number of HRGs outreach for two times 0 101 205 224 154 199 183 216 177 159 156 177 101 224 Number of HRGs outreach for three times 0 97 193 323 306 277 305 307 334 261 350 275 97 350 Number of HRGs outreach for more than thrice 0 76 552 622 726 810 672 717 615 718 645 615 76 810 % Outreach for one time 0 6 44 49 58 64 53 57 45 53 48 48 6 64 % Outreach for two times 0 8 16 18 12 16 15 17 13 12 12 14 8 18 % Outreach for three times 0 8 15 26 24 22 24 24 25 19 26 21 8 26 % Outreach for more than thrice 0 6 44 49 58 64 53 57 45 53 48 48 6 64 Table 5:  Intensity of One-to-one Contacts
  • 29. 29HLFPPT-BMGF Swagati Project2009-2010 29 District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX East Godavari EC Estimated HRG 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 Number of HRGs outreach for one time 81 22 9 15 4 13 26 20 41 33 28 27 4 81 Number of HRGs outreach for two times 29 38 66 39 32 47 73 34 92 138 93 62 29 138 Number of HRGs outreach for three times 178 184 205 161 216 196 231 174 333 278 211 215 161 333 Number of HRGs outreach for more than thrice 1126 1274 1304 1395 1365 1353 1278 1363 1148 1141 1262 1274 1126 1395 % Outreach for one time 5 1 1 1 0 1 2 1 3 2 2 2 0 5 % Outreach for two times 2 2 4 2 2 3 5 2 6 9 6 4 2 9 % Outreach for three times 11 11 13 10 13 12 14 11 21 17 13 13 10 21 % Outreach for more than thrice 70 79 81 86 84 84 79 84 71 71 78 79 70 86 HLFPPT- Rajahmundry Estimated HRG 1269 1382 1382 1344 1269 1382 Number of HRGs outreach for one time 315 263 319 299 263 319 Number of HRGs outreach for two times 302 287 280 290 280 302 Number of HRGs outreach for three times 255 272 231 253 231 272 Number of HRGs outreach for more than thrice 314 435 385 378 314 435 % Outreach for one time 25 19 23 22 19 25 % Outreach for two times 24 21 20 22 20 24 % Outreach for three times 20 20 17 19 17 20 % Outreach for more than thrice 25 31 28 28 25 31 Krishna GUIDE Estimated HRG 1655 1655 1655 1655 1655 1655 1655 1655 1692 1692 1692 1665 1655 1692 Number of HRGs outreach for one time 159 206 124 151 26 90 44 21 40 15 7 80 7 206 Number of HRGs outreach for two times 131 270 224 225 64 62 77 19 40 71 12 109 12 270 Number of HRGs outreach for three times 153 172 250 376 273 171 164 103 177 154 46 185 46 376 Number of HRGs outreach for more than thrice 170 464 685 644 1143 1108 1087 1254 1187 1196 1364 937 170 1364 % Outreach for one time 10 12 7 9 2 5 3 1 2 1 0 5 0 12 % Outreach for two times 8 16 14 14 4 4 5 1 2 4 1 7 1 16 % Outreach for three times 9 10 15 23 16 10 10 6 10 9 3 11 3 23 % Outreach for more than thrice 10 28 41 39 69 67 66 76 70 71 81 56 10 81 RIDES Estimated HRG 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 Number of HRGs outreach for one time 461 403 516 492 330 333 253 229 241 341 196 345 196 516 Number of HRGs outreach for two times 387 402 369 429 449 387 353 382 413 441 405 402 353 449 Number of HRGs outreach for three times 267 315 274 306 390 415 492 425 481 425 496 390 267 496 Number of HRGs outreach for more than thrice 98 243 340 338 465 491 562 717 654 531 701 467 98 717 % Outreach for one time 24 21 27 26 17 17 13 12 13 18 10 18 10 27 % Outreach for two times 20 21 19 22 24 20 18 20 22 23 21 21 18 24 % Outreach for three times 14 16 14 16 20 22 26 22 25 22 26 20 14 26 % Outreach for more than thrice 5 13 18 18 24 26 29 38 34 28 37 24 5 38 Table 5:  Intensity of One-to-one Contacts
  • 30. 30 HLFPPT-BMGF Swagati Project2009-201030 District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Guntur Gramasiri Estimated HRG 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 Number of HRGs outreach for one time 302 321 204 109 49 81 67 69 35 53 36 121 35 321 Number of HRGs outreach for two times 624 525 484 375 180 228 232 260 201 241 193 322 180 624 Number of HRGs outreach for three times 481 745 644 739 596 663 882 653 968 541 840 705 481 968 Number of HRGs outreach for more than thrice 55 197 697 860 1283 1166 967 1165 981 1326 1109 891 55 1326 % Outreach for one time 14 15 9 5 2 4 3 3 2 2 2 6 2 15 % Outreach for two times 28 24 22 17 8 10 11 12 9 11 9 15 8 28 % Outreach for three times 22 34 29 34 27 30 40 30 44 25 38 32 22 44 % Outreach for more than thrice 3 9 32 39 59 53 44 53 45 61 51 41 3 61 HOC Estimated HRG 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 Number of HRGs outreach for one time 547 185 248 90 124 51 16 4 1 4 0 115 0 547 Number of HRGs outreach for two times 1003 266 395 238 307 153 40 56 24 13 14 228 13 1003 Number of HRGs outreach for three times 0 370 465 410 324 361 286 117 238 166 106 284 106 465 Number of HRGs outreach for more than thrice 0 989 775 988 1164 1382 758 1803 1720 1798 1859 1324 758 1859 % Outreach for one time 28 9 12 5 6 3 1 0 0 0 0 6 0 28 % Outreach for two times 50 13 20 12 15 8 2 3 1 1 1 11 1 50 % Outreach for three times 0 19 23 21 16 18 14 6 12 8 5 13 0 23 % Outreach for more than thrice 0 50 39 50 59 70 38 91 87 90 94 61 0 94 SFIRD Estimated HRG 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 Number of HRGs outreach for one time 30 0 0 28 0 0 47 8 24 98 11 22 0 98 Number of HRGs outreach for two times 1780 0 0 123 0 244 120 19 71 9 38 219 0 1780 Number of HRGs outreach for three times 0 0 0 17 0 0 380 105 170 93 177 86 0 380 Number of HRGs outreach for more than thrice 0 1958 2002 1779 2002 1645 1431 1822 1717 1781 1762 1627 0 2002 % Outreach for one time 1 0 0 1 0 0 2 0 1 5 1 1 0 5 % Outreach for two times 89 0 0 6 0 12 6 1 4 0 2 11 0 89 % Outreach for three times 0 0 0 1 0 0 19 5 8 5 9 4 0 19 % Outreach for more than thrice 0 98 100 89 100 82 71 91 86 89 88 81 0 100 SEEDS Estimated HRG 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 Number of HRGs outreach for one time 244 154 230 236 183 322 98 20 39 9 52 144 9 322 Number of HRGs outreach for two times 76 161 413 471 345 535 246 95 98 32 27 227 27 535 Number of HRGs outreach for three times 25 220 381 317 504 449 563 449 500 243 68 338 25 563 Number of HRGs outreach for more than thrice 15 274 529 582 704 569 1062 1489 1446 1792 1966 948 15 1966 % Outreach for one time 12 7 11 11 9 15 5 1 2 0 2 7 0 15 % Outreach for two times 4 8 20 23 17 26 12 5 5 2 1 11 1 26 % Outreach for three times 1 11 18 15 24 22 27 22 24 12 3 16 1 27 % Outreach for more than thrice 1 13 25 28 34 27 51 71 69 86 94 46 1 94 Table 5:  Intensity of One-to-one Contacts
  • 31. 31HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Prakasam EFFORT Estimated HRG 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 Number of HRGs outreach for one time 0 67 63 89 87 38 39 34 20 23 22 44 0 89 Number of HRGs outreach for two times 0 152 186 146 166 74 113 138 142 69 67 114 0 186 Number of HRGs outreach for three times 0 379 257 273 266 174 132 255 380 148 276 231 0 380 Number of HRGs outreach for more than thrice 0 284 451 466 469 723 734 616 478 777 648 513 0 777 % Outreach for one time 0 7 6 9 9 4 4 3 2 2 2 4 0 9 % Outreach for two times 0 15 18 14 16 7 11 14 14 7 7 11 0 18 % Outreach for three times 0 37 25 27 26 17 13 25 37 15 27 23 0 37 % Outreach for more than thrice 0 28 44 46 46 71 72 60 47 76 64 50 0 76 HELP Estimated HRG 830 830 830 830 830 830 830 830 830 830 830 830 830 830 Number of HRGs outreach for one time 508 525 507 604 89 60 29 56 76 83 110 241 29 604 Number of HRGs outreach for two times 140 138 150 60 152 168 233 131 136 164 156 148 60 233 Number of HRGs outreach for three times 52 63 62 77 230 222 148 134 241 245 133 146 52 245 Number of HRGs outreach for more than thrice 59 51 55 44 340 363 373 495 341 307 407 258 44 495 % Outreach for one time 61 63 61 73 11 7 3 7 9 10 13 29 3 73 % Outreach for two times 17 17 18 7 18 20 28 16 16 20 19 18 7 28 % Outreach for three times 6 8 7 9 28 27 18 16 29 30 16 18 6 30 % Outreach for more than thrice 7 6 7 5 41 44 45 60 41 37 49 31 5 60 SPARE Estimated HRG 930 930 930 930 930 930 930 930 930 930 930 930 930 930 Number of HRGs outreach for one time 552 20 19 81 2 1 2 1 0 0 1 62 0 552 Number of HRGs outreach for two times 302 115 74 125 27 6 8 4 21 7 10 64 4 302 Number of HRGs outreach for three times 8 355 238 288 89 41 93 69 122 58 64 130 8 355 Number of HRGs outreach for more than thrice 1 429 583 420 805 875 821 856 786 865 855 663 1 875 % Outreach for one time 59 2 2 9 0 0 0 0 0 0 0 7 0 59 % Outreach for two times 32 12 8 13 3 1 1 0 2 1 1 7 0 32 % Outreach for three times 1 38 26 31 10 4 10 7 13 6 7 14 1 38 % Outreach for more than thrice 0 46 63 45 87 94 88 92 85 93 92 71 0 94 Table 5:  Intensity of One-to-one Contacts
  • 32. 32 HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Nellore Navajeevan Estimated HRG 2092 2092 2092 2092 2092 2092 2092 2092 2118 2118 2118 2099 2092 2118 Number of HRGs outreach for one time 0 337 450 483 393 361 154 132 102 100 44 232 0 483 Number of HRGs outreach for two times 0 719 686 736 690 701 442 273 428 342 236 478 0 736 Number of HRGs outreach for three times 0 445 485 357 584 698 703 462 903 561 536 521 0 903 Number of HRGs outreach for more than thrice 0 242 200 123 301 288 730 1162 541 979 1192 523 0 1192 % Outreach for one time 0 16 22 23 19 17 7 6 5 5 2 11 0 23 % Outreach for two times 0 34 33 35 33 34 21 13 20 16 11 23 0 35 % Outreach for three times 0 21 23 17 28 33 34 22 43 26 25 25 0 43 % Outreach for more than thrice 0 12 10 6 14 14 35 56 26 46 56 25 0 56 SARDS Estimated HRG 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 Number of HRGs outreach for one time 314 326 314 352 286 273 264 159 117 134 44 235 44 352 Number of HRGs outreach for two times 566 446 565 550 649 437 541 326 363 255 252 450 252 649 Number of HRGs outreach for three times 514 627 512 781 766 625 672 441 912 509 587 631 441 912 Number of HRGs outreach for more than thrice 970 1165 973 869 990 1368 1217 1816 1360 1895 1899 1320 869 1899 % Outreach for one time 11 12 11 13 10 10 9 6 4 5 2 8 2 13 % Outreach for two times 20 16 20 20 23 16 19 12 13 9 9 16 9 23 % Outreach for three times 18 22 18 28 27 22 24 16 33 18 21 23 16 33 % Outreach for more than thrice 35 42 35 31 35 49 43 65 49 68 68 47 31 68 HLFPPT-SWAGATI Estimated HRG 30628 30628 30628 30628 30628 30628 30628 30628 32055 32168 32168 31038 30628 32168 Number of HRGs outreach for one time 4704 3137 3510 3405 2092 2040 1667 1098 1459 1598 1264 2361 1098 4704 Number of HRGs outreach for two times 5252 4248 4869 4513 3938 3873 3315 2685 3127 2782 2686 3753 2685 5252 Number of HRGs outreach for three times 2028 5497 5568 5659 6235 5882 6319 5024 7167 5285 5338 5455 2028 7167 Number of HRGs outreach for more than thrice 4326 11991 13243 14246 16723 17503 17156 20934 19151 21268 21716 16205 4326 21716 % Outreach for one time 15 10 11 11 7 7 5 4 5 5 4 8 4 15 % Outreach for two times 17 14 16 15 13 13 11 9 10 9 8 12 8 17 % Outreach for three times 7 18 18 18 20 19 21 16 22 16 17 18 7 22 % Outreach for more than thrice 14 39 43 47 55 57 56 68 60 66 68 52 14 68 Table 5:  Intensity of One-to-one Contacts
  • 33. 33HLFPPT-BMGF Swagati Project2009-2010 Percentage of individuals outreached only once The table furnishes information on the percentage of HRG met only once through one-to-one communication, during the year under report. Low percentages across all interventions indicate that the project met HRGs more than once. This implies robust outreach, since the percentage is above ten only in six TIs. This is a very good indication of the intensity of outreach coverage. Percentage of individuals met twice The table gives the percentage of HRGs contacted only twice. Here too, the percentage is low. This means that most HRGs were covered more than twice. In other words, the project met the NACO norm, in this regard. Percentage of individuals met more than thrice Here the average percentage is much higher than those met only once, twice and thrice. Five TIs (SPARE, YCB, EC, SFIRD and GUEST) achieved at least 70%. While it is less than 50% for nine TIs (Sravanti, PARD, HLFPPT-Rajahmundry, RIDES, Gramasiri, SEEDS, HELP, Navajeevan and SARDS. The overall picture is impressive because all the TIs report a high percentage of members of the HRGs met more than thrice in the entire year.
  • 34. 34 HLFPPT-BMGF Swagati Project2009-2010 Graph 4: HRGs and Contact Intensity Graph 3: Estimated HRG vs. Outreach The bar graph 3 provides information on the percentage of outreach against the registered/estimated HRG. Swagati data reveal that 81% of HRG, were covered through one-to-one communication in June 2009. This soared to 97% in Decem- ber 2009 and Jan 2010, seeing a marginal decrease by 1% in February and March 2010. In fact, from September 2009 onward the rate consistently stayed in the range of 95% to 97%. No.ofHRGs No.ofHRGs Percentage(%)
  • 35. 35HLFPPT-BMGF Swagati Project2009-2010 The lowest rate (47%) in May 2009 is attrib- uted to the restructuring of TIs undertaken in the beginning of Phase II. Maximum number of HRGs were reached out to more than thrice in December 2009, Febru- ary 2010 and March 2010. Overall, an average of 52% of HRGs were contacted more than thrice; 18% contracted thrice; 12% twice; and 8% contacted only once. Graph 5: Percentage of HRGs One-to-one Contact Intensity 120 100 80 60 40 20 0 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 % more than three contacts % only three contacts % only one time contact % only two contacts 14 39 43 47 55 57 56 68 60 66 68 7 18 18 18 20 19 21 16 22 16 1717 14 16 15 13 13 11 9 10 9 8 15 10 11 11 7 7 5 4 5 5 4
  • 36. 36 HLFPPT-BMGF Swagati Project2009-2010 Table 6:  Clinic Attendees District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Srikakulam YCB Estimated HRG 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 Clinic attendees 65 409 339 280 370 361 374 379 400 333 326 331 65 409 % 5 34 29 24 31 30 31 32 34 28 27 28 5 34 GUEST Estimated HRG 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 Clinic attendees 369 348 448 312 366 470 420 391 447 486 431 408 312 486 % 31 29 37 26 30 39 35 32 37 40 36 34 26 40 Vizianagaram RES Estimated HRG 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 Clinic attendees 650 576 519 254 382 427 414 577 433 451 518 473 254 650 % 46 41 37 18 27 30 29 41 31 32 37 33 18 46 YDO Estimated HRG 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 Clinic attendees 411 147 269 303 433 471 332 567 387 429 477 384 147 567 % 30 11 19 22 31 34 24 41 28 31 34 28 11 41 West Godavari AFD Estimated HRG 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 Clinic attendees 0 458 440 382 394 533 404 395 444 541 632 420 0 632 % 0 28 27 23 24 33 25 24 27 33 39 26 0 39 Sravanti Estimated HRG 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 Clinic attendees 158 214 373 350 377 451 458 365 316 406 496 360 158 496 % 11 15 27 25 27 32 33 26 23 29 35 26 11 35 Why Clinic Attendees are Important Regular screening of HRGs for STI, followed up with treatment is one of the HIV prevention strategies according to the NACP-III. This indicator provides information on the number of individuals attending STI clinic by various types of visits. At least 35% HRGs are expected to visit the STI clinic every month. Clinical Indicators Clinical indicator tables display the treatment-seeking behaviour of the community. Regular Medical Check-up (RMC) is an indicator of health- seeking behaviour and is measured through the number of visits. The ideal frequency is once in three months, even in the absence of STI symptoms. That Swagati had a consistently high RMC rate is an indication of steady health-seeking behaviour among the HRGs members. It also affirms that the HRG is empowered with the knowledge of STI symptoms and is aware of the need of an internal examination. The fluctuating trend in symptomatic visits cannot be ignored, but reasons for these visits have to be further explored.
  • 37. 37HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX West Godavari PARD Estimated HRG 1258 1258 1258 1258 1258 1258 1258 1258 1353 1353 1353 1284 1258 1353 Clinic attendees 0 74 159 286 321 272 425 430 488 324 462 295 0 488 % 0 6 13 23 26 22 34 34 36 24 34 23 0 36 East Godavari EC Estimated HRG 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 Clinic attendees 320 390 413 393 361 399 543 550 427 457 557 437 320 557 % 20 24 26 24 22 25 34 34 26 28 34 27 20 34 HLFPPT- Rajahmundry Estimated HRG 1269 1382 1382 1344 1269 1382 Clinic attendees 110 83 212 135 83 212 % 9 6 15 10 6 15 Krishna GUIDE Estimated HRG 1655 1655 1655 1655 1655 1655 1655 1655 1692 1692 1692 1665 1655 1692 Clinic attendees 231 534 376 293 512 411 430 528 426 492 522 432 231 534 % 14 32 23 18 31 25 26 32 25 29 31 26 14 32 RIDES Estimated HRG 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 Clinic attendees 267 667 568 806 667 601 664 586 653 568 605 605 267 806 % 14 35 30 42 35 31 35 31 34 30 32 32 14 42 Guntur Gramasiri Estimated HRG 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 Clinic attendees 357 628 610 583 688 885 751 811 824 714 796 695 357 885 % 16 29 28 27 31 40 34 37 38 33 36 32 16 40 HOC Estimated HRG 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 Clinic attendees 236 415 629 579 595 658 728 715 737 668 712 607 236 737 % 12 21 32 29 30 33 37 36 37 34 36 31 12 37 SFIRD Estimated HRG 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 Clinic attendees 42 453 677 547 690 640 617 690 695 720 711 589 42 720 % 2 23 34 27 34 32 31 34 35 36 36 29 2 36 SEEDS Estimated HRG 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 Clinic attendees 28 445 473 544 615 381 667 670 622 765 673 535 28 765 % 1 21 23 26 30 18 32 32 30 37 32 26 1 37 Table 6:  Clinic Attendees
  • 38. 38 HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Prakasam EFFORT Estimated HRG 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 Clinic attendees 0 201 186 219 246 329 362 380 269 363 375 266 0 380 % 0 20 18 21 24 32 35 37 26 36 37 26 0 37 HELP Estimated HRG 830 830 830 830 830 830 830 830 830 830 830 830 830 830 Clinic attendees 149 184 188 388 251 305 236 245 280 245 288 251 149 388 % 18 22 23 47 30 37 28 30 34 30 35 30 18 47 SPARE Estimated HRG 930 930 930 930 930 930 930 930 930 930 930 930 930 930 Clinic attendees 175 213 222 253 287 297 309 335 343 268 293 272 175 343 % 19 23 24 27 31 32 33 36 37 29 32 29 19 37 Nellore Navajeevan Estimated HRG 2092 2092 2092 2092 2092 2092 2092 2092 2118 2118 2118 2099 2092 2118 Clinic attendees 287 512 416 363 548 597 641 484 663 661 665 531 287 665 % 14 24 20 17 26 29 31 23 31 31 31 25 14 31 SARDS Estimated HRG 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 Clinic attendees 942 674 563 231 973 923 1089 907 769 1135 997 837 231 1135 % 34 24 20 8 35 33 39 32 27 41 36 30 8 41 HLFPPT- SWAGATI Estimated HRG 30628 30628 30628 30628 30628 30628 30628 30628 32055 32168 32168 31038 30628 32168 Clinic attendees 4687 7542 7868 7366 9076 9411 9864 10005 9733 10109 10748 8764 4687 10748 % 15 25 26 24 30 31 32 33 30 31 33 28 15 33 Table 6 provides information on the percentage of average clinic attendance •  GUEST (Srikakulam) reported the highest rate (34%) of clinic attendance. • RES, YDO (Vizianagaram), Gramasiri, HOC, SFIRD (Guntur), HELP, SPARE (Prakasam), SARDS (Nellore), RIDES (Krishna) and YCB (Srikakulam) reported clinic attendance in the range of 28% to 33%. • EC (East Godavari), Guide (Krishna), Effort (Prakasam), Sravanti, AFD, PARD (West Godavari), SEEDS (Guntur) and Navajeevan (Nellore) reported 23% to 27% clinic attendees and the percentage was lowest (10%) in HLFPPT-Rajahmundry (East Godavari). Table 6:  Clinic Attendees
  • 39. 39HLFPPT-BMGF Swagati Project2009-2010 Graph 6: Clinic Attendees Bar graph 6 provides information on the percentage of average clinic attendees. Swagati data reveal that the percentage of clinic attendees steadily increased from May to September 2009 and thereafter, it remained more or less steady in the range of 30% to 33% till the end of the year. The overall increase was by 18% from 15% to 33% for the year. The highest rate (33%) of clinic attendees was found in two months, viz. December 2009 and March 2010, of the year under report. There was a marginal decrease in the percentage of clinic attendees from July to August 2009. No.ofHRGs Percentage(%)
  • 40. 40 HLFPPT-BMGF Swagati Project2009-2010 Table 7:  Sexually Transmitted Infection Symptomatic Visits District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Srikakulam YCB Estimated HRG 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 STI symptomatic visits 13 53 47 78 27 48 30 22 9 7 12 31 7 78 % 1 4 4 7 2 4 3 2 1 1 1 3 1 7 GUEST Estimated HRG 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 STI symptomatic visits 20 77 37 31 8 17 25 11 30 47 27 30 8 77 % 2 6 3 3 1 1 2 1 2 4 2 2 1 6 Vizianagaram RES Estimated HRG 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 STI symptomatic visits 115 101 66 37 35 37 30 44 31 32 34 51 30 115 % 8 7 5 3 2 3 2 3 2 2 2 4 2 8 YDO Estimated HRG 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 STI symptomatic visits 22 11 26 30 50 63 36 46 38 46 49 38 11 63 % 2 1 2 2 4 5 3 3 3 3 4 3 1 5 West Godavari AFD Estimated HRG 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 STI symptomatic visits 0 106 94 108 105 119 57 55 77 177 93 90 0 177 % 0 6 6 7 6 7 3 3 5 11 6 5 0 11 Sravanti Estimated HRG 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 STI symptomatic visits 56 123 149 131 92 128 83 17 14 20 20 76 14 149 % 4 9 11 9 7 9 6 1 1 1 1 5 1 11 PARD Estimated HRG 1258 1258 1258 1258 1258 1258 1258 1258 1353 1353 1353 1284 1258 1353 STI symptomatic visits 0 56 102 202 150 68 132 54 31 37 13 77 0 202 % 0 4 8 16 12 5 10 4 2 3 1 6 0 16 East Godavari EC Estimated HRG 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 STI symptomatic visits 17 31 44 42 45 9 20 25 21 23 33 28 9 45 % 1 2 3 3 3 1 1 2 1 1 2 2 1 3 HLFPPT- Rajahmundry Estimated HRG 1269 1382 1382 1344 1269 1382 STI symptomatic visits 5 3 20 9 3 20 % 0 0 1 1 0 1 Why Visits to the Clinic are Important When STI Symptoms Occur Sex workers constitute one of the most at-risk groups for transmission of STIs and HIV through a ‘bridge group’ to the general population. Therefore, the highest priority is to be given to this group in targeted interventions for the prevention of HIV/AIDS. They need to be put under STI treatment and that helps in reducing infections and disease-transmission among the HRGs.
  • 41. 41HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Krishna GUIDE Estimated HRG 1655 1655 1655 1655 1655 1655 1655 1655 1692 1692 1692 1665 1655 1692 STI symptomatic visits 19 57 53 21 46 30 36 58 43 42 40 40 19 58 % 1 3 3 1 3 2 2 4 3 2 2 2 1 4 RIDES Estimated HRG 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 STI symptomatic visits 59 216 314 201 249 218 124 82 47 64 55 148 47 314 % 3 11 16 11 13 11 6 4 2 3 3 8 2 16 Guntur Gramasiri Estimated HRG 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 STI symptomatic visits 38 59 88 81 74 99 87 69 51 46 32 66 32 99 % 2 3 4 4 3 5 4 3 2 2 1 3 1 5 HOC Estimated HRG 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 STI symptomatic visits 36 38 103 108 81 80 49 28 38 28 21 55 21 108 % 2 2 5 5 4 4 2 1 2 1 1 3 1 5 SFIRD Estimated HRG 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 STI symptomatic visits 8 232 207 121 141 75 74 61 83 51 47 100 8 232 % 0 12 10 6 7 4 4 3 4 3 2 5 0 12 SEEDS Estimated HRG 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 STI symptomatic visits 4 58 89 150 121 116 124 151 102 79 22 92 4 151 % 0 3 4 7 6 6 6 7 5 4 1 4 0 7 Prakasam EFFORT Estimated HRG 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 STI symptomatic visits 0 31 51 95 54 66 36 19 21 20 16 37 0 95 % 0 3 5 9 5 6 4 2 2 2 2 4 0 9 HELP Estimated HRG 830 830 830 830 830 830 830 830 830 830 830 830 830 830 STI symptomatic visits 13 21 19 22 38 40 18 5 3 21 18 20 3 40 % 2 3 2 3 5 5 2 1 0 3 2 2 0 5 SPARE Estimated HRG 930 930 930 930 930 930 930 930 930 930 930 930 930 930 STI symptomatic visits 19 30 65 11 13 8 7 5 6 6 3 16 3 65 % 2 3 7 1 1 1 1 1 1 1 0 2 0 7 Table 7:  Sexually Transmitted Infection Symptomatic Visits
  • 42. 42 HLFPPT-BMGF Swagati Project2009-2010 Table 7 furnishes percentage of STI symptomatic visits •  A decline in the rate of STI symptomatic visits have been reported in all interventions. •  HLFPPT-Rajahmundry of East Godavari had the lowest rate (1%) of STI symptomatic visits. • The rate was in the range of 2% to 6% for SFIRD (Guntur), Sravanti (West Godavari), SEEDS (Guntur), SARDS (Nellore), GUIDE (Krishna), Navajeevan (Nellore), AFD (West Godavari), HOC (Guntur), YDO (Vizianagaram) SPARE (Prakasam), PARD (West Godavari), HELP (Prakasam), YCB (Srikakulam), EC (East Godavari), RES (Vizianagaram), GUEST (Srikakulam) and Gramasiri (Guntur). • The highest rate (8%) was reported by RIDES of Krishna district. District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Nellore Navajeevan Estimated HRG 2092 2092 2092 2092 2092 2092 2092 2092 2118 2118 2118 2099 2092 2118 STI symptomatic visits 25 45 41 37 81 60 38 41 71 42 44 48 25 81 % 1 2 2 2 4 3 2 2 3 2 2 2 1 4 SARDS Estimated HRG 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 STI symptomatic visits 83 58 111 28 48 37 47 37 38 66 26 53 26 111 % 3 2 4 1 2 1 2 1 1 2 1 2 1 4 HLFPPT- SWAGATI Estimated HRG 30628 30628 30628 30628 30628 30628 30628 30628 32055 32168 32168 31038 30628 32168 STI symptomatic visits 547 1403 1706 1534 1458 1318 1053 830 759 857 625 1099 547 1706 % 2 5 6 5 5 4 3 3 2 3 2 4 2 6 Table 7:  Sexually Transmitted Infection Symptomatic Visits
  • 43. 43HLFPPT-BMGF Swagati Project2009-2010 Graph 7: Treated STI Symptomatic Visits STI Symptomatic Visits Percentage (%) 547 1403 1706 1534 1458 1318 1053 830 759 857 625 2 5 6 5 5 4 3 3 2 3 2 100 300 500 700 900 1100 1300 1500 1700 1900 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 0 1 2 3 4 5 6 Bar graph 7 furnishes the percentage of STI symptomatic visits. Swagati data reveal that the highest percentage (6%) of symptomatic visits was reported in the month of July 2009. The percentage of symptomatic visits showed a significantly decreasing trend reaching 2% towards the end of the year. The trend implies the following: • the TIs successfully disseminated information on HIV and other STIs; and • there is steady treatment availability in the clinic. No.ofSTISymptomaticVisits Percentage(%)
  • 44. 44 HLFPPT-BMGF Swagati Project2009-2010 Table 8:  Regular Medical Check-up District NGO Core Indicators May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Srikakulam YCB RMC visits per month (ideal target) 396 396 396 396 396 396 396 396 396 396 396 396 396 396 RMC visits per month (minimum target) 153 321 337 394 392 395 395 394 396 395 394 361 153 396 RMC visits made 52 354 292 202 339 297 293 306 352 295 303 280 52 354 % RMC visits per month (ideal target) 13 89 74 51 86 75 74 77 89 74 76 71 13 89 % RMC visits per month (minimum target) 34 110 87 51 86 75 74 78 89 75 77 76 34 110 GUEST RMC visits per month (ideal target) 403 403 403 403 403 403 403 403 403 403 403 403 403 403 RMC visits per month (minimum target) 323 388 397 401 402 400 402 402 402 402 401 393 323 402 RMC visits made 286 263 404 274 348 435 354 360 399 376 347 350 263 435 % RMC visits per month (ideal target) 71 65 100 68 86 108 88 89 99 93 86 87 65 108 % RMC visits per month (minimum target) 89 68 102 68 87 109 88 90 99 94 87 89 68 109 Vizianagaram RES RMC visits per month (ideal target) 473 473 473 473 473 473 473 473 473 473 473 473 473 473 RMC visits per month (minimum target) 278 433 452 462 463 458 449 456 453 454 438 436 278 463 RMC visits made 533 474 453 199 343 386 348 490 373 402 446 404 199 533 % RMC visits per month (ideal target) 113 100 96 42 73 82 74 104 79 85 94 86 42 113 % RMC visits per month (minimum target) 191 110 100 43 74 84 77 107 82 89 102 96 43 191 YDO RMC visits per month (ideal target) 460 460 460 460 460 460 460 460 460 460 460 460 460 460 RMC visits per month (minimum target) 205 409 419 427 451 448 448 456 451 452 452 420 205 456 RMC visits made 385 136 240 262 364 372 277 431 337 356 396 323 136 431 % RMC visits per month (ideal target) 84 30 52 57 79 81 60 94 73 77 86 70 30 94 % RMC visits per month (minimum target) 188 33 57 61 81 83 62 95 75 79 88 82 33 188 Why a Regular Medical Check-up is Important Regular Medical Check-up (RMC) helps to detect problems early and improve the chances for a proper treatment and cure. Getting the right screening tests done gives HRGs the chance of living longer and healthier life. The RMC decides how often the HRG needs services based on other high- risk aspects of their lifestyle. The targeted interventions are expected to achieve at least 25% RMC in a month and 70% in a quarter.
  • 45. 45HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicators May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX West Godavari AFD RMC visits per month (ideal target) 547 547 547 547 547 547 547 547 547 547 547 547 547 547 RMC visits per month (minimum target) 326 478 497 504 507 515 516 524 523 530 532 496 326 532 RMC visits made 0 348 346 237 258 307 293 287 336 302 375 281 0 375 % RMC visits per month (ideal target) 0 64 63 43 47 56 54 53 61 55 69 51 0 69 % RMC visits per month (minimum target) 0 73 70 47 51 60 57 55 64 57 70 55 0 73 Sravanti RMC visits per month (ideal target) 468 468 468 468 468 468 468 468 468 468 468 468 468 468 RMC visits per month (minimum target) 15 370 376 370 403 430 424 435 431 412 430 372 15 435 RMC visits made 82 91 209 164 240 293 355 343 302 385 475 267 82 475 % RMC visits per month (ideal target) 18 19 45 35 51 63 76 73 65 82 102 57 18 102 % RMC visits per month (minimum target) 546 25 56 44 60 68 84 79 70 93 110 111 25 535 PARD RMC visits per month (ideal target) 419 419 419 419 419 419 419 419 419 419 419 419 419 419 RMC visits per month (minimum target) 0 146 374 430 410 448 422 435 402 419 411 354 0 448 RMC visits made 0 18 57 84 171 197 282 374 457 287 449 216 0 457 % RMC visits per month (ideal target) 0 4 14 20 41 47 67 89 109 68 107 52 0 109 % RMC visits per month (minimum target) 0 12 15 20 42 44 67 86 114 69 109 58 12 114 East Godavari EC RMC visits per month (ideal target) 539 539 539 539 539 539 539 539 539 539 539 539 539 539 RMC visits per month (minimum target) 471 506 528 537 539 536 536 530 538 530 531 526 471 539 RMC visits made 264 356 355 306 290 384 519 514 371 423 520 391 264 520 % RMC visits per month (ideal target) 49 66 66 57 54 71 96 95 69 78 96 73 49 96 % RMC visits per month (minimum target) 56 70 67 57 54 72 97 97 69 80 98 74 54 98 HLFPPT- Rajahmundry RMC visits per month (ideal target) 461 461 461 461 461 461 RMC visits per month (minimum target) 423 419 405 416 405 423 RMC visits made 97 82 190 123 82 190 % RMC visits per month (ideal target) 21 18 41 27 18 41 % RMC visits per month (minimum target) 23 20 47 30 20 47 Table 8:  Regular Medical Check-up
  • 46. 46 HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicators May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Krishna GUIDE RMC visits per month (ideal target) 552 552 552 552 552 552 552 552 552 552 552 552 552 552 RMC visits per month (minimum target) 204 371 448 465 502 477 457 466 481 479 476 439 204 502 RMC visits made 208 476 319 268 459 374 393 454 378 438 477 386 208 477 % RMC visits per month (ideal target) 38 86 58 49 83 68 71 82 69 79 86 70 38 86 % RMC visits per month (minimum target) 102 128 71 58 91 78 86 97 79 92 100 89 58 128 RIDES RMC visits per month (ideal target) 637 637 637 637 637 637 637 637 637 637 637 637 637 637 RMC visits per month (minimum target) 404 454 500 522 545 539 553 584 596 579 599 534 404 599 RMC visits made 208 451 254 596 324 356 473 497 605 502 528 436 208 605 % RMC visits per month (ideal target) 33 71 40 94 51 56 74 78 95 79 83 68 33 95 % RMC visits per month (minimum target) 51 99 51 114 59 66 85 85 101 87 88 81 51 114 Guntur Gramasiri RMC visits per month (ideal target) 730 730 730 730 730 730 730 730 730 730 730 730 730 730 RMC visits per month (minimum target) 487 596 676 694 703 713 716 716 728 720 726 680 487 728 RMC visits made 318 557 516 493 587 717 609 668 743 627 735 597 318 743 % RMC visits per month (ideal target) 44 76 71 68 80 98 83 92 102 86 101 82 44 102 % RMC visits per month (minimum target) 65 93 76 71 84 101 85 93 102 87 101 87 65 102 HOC RMC visits per month (ideal target) 663 663 663 663 663 663 663 663 663 663 663 663 663 663 RMC visits per month (minimum target) 517 603 628 575 640 649 642 660 661 660 660 627 517 661 RMC visits made 199 374 524 458 462 535 643 656 673 612 667 528 199 673 % RMC visits per month (ideal target) 30 56 79 69 70 81 97 99 102 92 101 80 30 102 % RMC visits per month (minimum target) 39 62 83 80 72 82 100 99 102 93 101 83 39 102 SFIRD RMC visits per month (ideal target) 667 667 667 667 667 667 667 667 667 667 667 667 667 667 RMC visits per month (minimum target) 0 653 667 602 667 630 659 651 661 660 663 592 0 667 RMC visits made 34 197 467 389 469 525 493 570 545 610 647 450 34 647 % RMC visits per month (ideal target) 5 30 70 58 70 79 74 85 82 91 97 67 5 97 % RMC visits per month (minimum target) 0 30 70 65 70 83 75 88 82 92 98 75 30 98 SEEDS RMC visits per month (ideal target) 694 694 694 694 694 694 694 694 694 694 694 694 694 694 RMC visits per month (minimum target) 119 262 508 527 582 622 660 688 694 692 704 551 119 704 RMC visits made 24 381 367 394 494 253 540 497 491 656 637 430 24 656 % RMC visits per month (ideal target) 3 55 53 57 71 36 78 72 71 94 92 62 3 94 % RMC visits per month (minimum target) 20 146 72 75 85 41 82 72 71 95 90 77 20 146 Table 8:  Regular Medical Check-up
  • 47. 47HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicators May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Prakasam EFFORT RMC visits per month (ideal target) 340 340 340 340 340 340 340 340 340 340 340 340 340 340 RMC visits per month (minimum target) 6 294 319 325 329 336 339 338 340 339 338 300 6 340 RMC visits made 0 157 134 109 191 232 317 351 240 333 343 219 0 351 % RMC visits per month (ideal target) 0 46 39 32 56 68 93 103 71 98 101 64 0 103 % RMC visits per month (minimum target) 0 53 42 34 58 69 93 104 71 98 102 66 0 104 HELP RMC visits per month (ideal target) 277 277 277 277 277 277 277 277 277 277 277 277 277 277 RMC visits per month (minimum target) 253 259 258 262 270 271 261 272 264 266 269 264 253 272 RMC visits made 105 141 169 276 167 213 195 237 266 206 252 202 105 276 % RMC visits per month (ideal target) 38 51 61 100 60 77 70 86 96 74 91 73 38 100 % RMC visits per month (minimum target) 42 54 66 105 62 79 75 87 101 77 94 76 42 105 SPARE RMC visits per month (ideal target) 310 310 310 310 310 310 310 310 310 310 310 310 310 310 RMC visits per month (minimum target) 288 306 305 305 308 308 308 310 310 310 310 306 288 310 RMC visits made 156 183 148 240 267 284 301 282 335 259 287 249 148 335 % RMC visits per month (ideal target) 50 59 48 77 86 92 97 91 108 84 93 80 48 108 % RMC visits per month (minimum target) 54 60 49 79 87 92 98 91 108 84 93 81 49 108 Nellore Navajeevan RMC visits per month (ideal target) 697 697 697 697 697 697 697 697 697 697 697 697 697 697 RMC visits per month (minimum target) 0 581 607 566 656 683 676 655 658 661 669 583 0 683 RMC visits made 254 455 371 319 462 533 601 437 588 613 617 477 254 617 % RMC visits per month (ideal target) 36 65 53 46 66 76 86 63 84 88 88 68 36 88 % RMC visits per month (minimum target) 0 78 61 56 70 78 89 67 89 93 92 77 56 93 SARDS RMC visits per month (ideal target) 934 934 934 934 934 934 934 934 934 934 934 934 934 934 RMC visits per month (minimum target) 788 855 788 851 897 901 898 914 917 931 927 879 788 931 RMC visits made 833 592 431 200 908 881 1037 851 710 1037 931 765 200 1037 % RMC visits per month (ideal target) 89 63 46 21 97 94 111 91 76 111 100 82 21 111 % RMC visits per month (minimum target) 106 69 55 24 101 98 115 93 77 111 100 86 24 115 HLFPPT- SWAGATI RMC visits per month (ideal target) 10206 10206 10206 10206 10206 10206 10206 10206 10666 10666 10666 10331 10206 10666 RMC visits per month (minimum target) 4838 8283 9084 9219 9666 9760 9763 9886 10329 10311 10335 9225 4838 10335 RMC visits made 3941 6004 6056 5470 7143 7574 8323 8605 8598 8801 9622 7285 3941 9622 % RMC visits per month (ideal target) 39 59 59 54 70 74 82 84 81 83 90 70 39 90 % RMC visits per month (minimum target) 81 72 67 59 74 78 85 87 83 85 93 79 59 93 Table 8:  Regular Medical Check-up
  • 48. 48 HLFPPT-BMGF Swagati Project2009-2010 Percentage of RMC visits made (against the ideal) Table 8 provides information on RMC visits by HRGs • The highest RMC visit rate was reported by GUEST (Srikakulam) with 87%. • RES (Vizianagaram), SARDS (Nellore), Gramasiri (Guntur), SPARE (Prakasam), HOC (Guntur), HELP (Prakasam), EC (East Godavari), YCB (Srikakulam), YDO (Vizianagaram) and Guide (Krishna) had the rate in the range of 70% to 86%. • RIDES (Krishna), Navajeevan (Nellore), SFIRD (Guntur), EFFORT (Prakasam), SEEDS (Guntur), Sravanti, PARD and AFD (West Godavari) reported RMC visits in the range of 51% to 68%. • The lowest rate was reported by HLFPPT-Rajahmundry at 27%. Percentage of RMC visits made (against minimum) Table 8 gives the percentage of RMC visits against minimum requirement by HRGs • Sravanti (West Godavari) with 111% had the highest rate of RMC visits. • RES (Vizianagaram), GUIDE (Krishna), GUEST (Srikakulam), Gramasiri (Guntur), SARDS (Nellore), HOC (Guntur), YDO (Vizianagaram), SPARE (Prakasam) and RIDES (Krishna) had it in the range of 81% to 96%. • Navajeevan (Nellore), SEEDS (Guntur), HELP (Prakasam), YCB (Srikakulam), SFIRD (Guntur), EC (East Godavari) and EFFORT (Prakasam) reported the RMC visit rate in the range of 66% to 77%. • The rest had it below 66% but above 30%. The lowest was reported by HLFPPT-Rajahmundry (East Godavari).
  • 49. 49HLFPPT-BMGF Swagati Project2009-2010 Graph 8: Regular Medical Check-up 3941 6004 6056 5470 7143 7574 8323 8605 8598 8801 9622 39 59 59 54 70 74 82 84 81 83 90 81 72 67 59 74 78 85 87 83 85 93 13 20 20 18 23 25 27 28 27 27 30 0 2000 4000 6000 8000 10000 12000 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 0 50 100 150 200 250 RMC visits (ideal) RMC visits (minimum) RMC visits made % RMC (of ideal) % RMC (of minimum) %RMC (of Estimated pop) Data reveal that achievement exceeded targets for both month and quarter. In the first quarter, which includes data from the months of May 2009 and June 2009 only, Swagati had an RMC rate of 33%. In the second quarter this went up to 61%. In the third and fourth quarters, the corresponding rates were 80% and 84% respectively. The percentage of RMC out of the total estimated population was highest in the month of March 2010 (30%) and was lowest in the month of May 2009 (13%). The percentage of RMC was found fluctuating against the minimum expected target. The highest (93%) was reported in March 2010, followed by December 2009 (87%), November 2009 and February 2010 (85%) and less than 80% in the remaining months of the year. No.ofRMCVisits Percentage(%)
  • 50. 50 HLFPPT-BMGF Swagati Project2009-2010 Table 9: At-least Once Clinic Attendees District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Srikakulam YCB Estimated HRG 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 1189 At least once 65 459 782 1007 1074 1117 1163 1179 1192 1201 1202 949 65 1202 % 5 39 66 85 90 94 98 99 100 101 101 80 5 101 GUEST Estimated HRG 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 1209 At least once 304 582 947 1097 1149 1200 1212 1212 1212 1213 1213 1031 304 1213 % 25 48 78 91 95 99 100 100 100 100 100 85 25 100 Vizianagaram RES Estimated HRG 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 1418 At least once 646 1073 1259 1360 1405 1412 1414 1418 1418 1418 1417 1295 646 1418 % 46 76 89 96 99 100 100 100 100 100 100 91 46 100 YDO Estimated HRG 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 1392 At least once 398 523 762 973 1141 1285 1314 1328 1330 1332 1333 1065 398 1333 % 29 38 55 70 82 92 94 95 96 96 96 77 29 96 West Godavari AFD Estimated HRG 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 1640 At least once 0 443 816 960 1089 1239 1295 1330 1386 1435 1490 1044 0 1490 % 0 27 50 59 66 76 79 81 85 88 91 64 0 91 Sravanti Estimated HRG 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 1403 At least once 138 336 643 892 1022 1187 1307 1381 1391 1404 1402 1009 138 1404 % 10 24 46 64 73 85 93 98 99 100 100 72 10 100 PARD Estimated HRG 1258 1258 1258 1258 1258 1258 1258 1258 1353 1353 1353 1284 1258 1353 At least once 2 79 226 495 692 812 1088 1157 1199 1212 1244 746 2 1244 % 0 6 18 39 55 65 86 92 89 90 92 57 0 92 East Godavari EC Estimated HRG 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 1618 At least once 279 582 867 1060 1169 1238 1362 1530 1557 1573 1576 1163 279 1576 % 17 36 54 66 72 77 84 95 96 97 97 72 17 97 HLFPPT- Rajahmundry Estimated HRG 1269 1382 1382 1344 1269 1382 At least once 99 177 364 213 99 364 % 8 13 26 16 8 26 ‘At-least Once’ Clinic Attendees: An Important Indicator! The intervention targets for clinical assessment of HRG’s sexual health in every quarter is a very important indicator. Most HRGs infected with STDs did not attend clinics despite the low-cost and effective treatment availability.
  • 51. 51HLFPPT-BMGF Swagati Project2009-2010 District NGO Core Indicator May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 AVG MIN MAX Krishna GUIDE Estimated HRG 1655 1655 1655 1655 1655 1655 1655 1655 1692 1692 1692 1665 1655 1692 At least once 223 734 1068 1207 1318 1402 1467 1508 1525 1569 1575 1236 223 1575 % 13 44 65 73 80 85 89 91 90 93 93 74 13 93 RIDES Estimated HRG 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 1910 At least once 306 856 1140 1398 1481 1542 1611 1661 1690 1721 1777 1380 306 1777 % 16 45 60 73 78 81 84 87 88 90 93 72 16 93 Guntur Gramasiri Estimated HRG 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 2190 At least once 352 921 1334 1701 1870 2003 2144 2172 2183 2185 2186 1732 352 2186 % 16 42 61 78 85 91 98 99 100 100 100 79 16 100 HOC Estimated HRG 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 1988 At least once 233 786 1031 1385 1635 1800 1895 1965 1974 1980 1985 1515 233 1985 % 12 40 52 70 82 91 95 99 99 100 100 76 12 100 SFIRD Estimated HRG 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 2002 At least once 38 440 988 1357 1685 1805 1890 1939 1962 1976 1980 1460 38 1980 % 2 22 49 68 84 90 94 97 98 99 99 73 2 99 SEEDS Estimated HRG 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 2083 At least once 28 435 723 992 1179 1322 1505 1899 1933 1983 2044 1277 28 2044 % 1 21 35 48 57 63 72 91 93 95 98 61 1 98 Prakasam EFFORT Estimated HRG 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 1020 At least once 0 188 350 528 685 805 927 993 1002 1008 1008 681 0 1008 % 0 18 34 52 67 79 91 97 98 99 99 67 0 99 HELP Estimated HRG 830 830 830 830 830 830 830 830 830 830 830 830 830 830 At least once 117 219 340 509 583 670 740 796 812 815 823 584 117 823 % 14 26 41 61 70 81 89 96 98 98 99 70 14 99 SPARE Estimated HRG 930 930 930 930 930 930 930 930 930 930 930 930 930 930 At least once 169 351 503 671 792 869 927 927 928 929 929 727 169 929 % 18 38 54 72 85 93 100 100 100 100 100 78 18 100 Nellore Navajeevan Estimated HRG 2092 2092 2092 2092 2092 2092 2092 2092 2118 2118 2118 2099 2092 2118 At least once 279 726 1007 1265 1452 1588 1770 1787 1872 1942 1953 1422 279 1953 % 13 35 48 60 69 76 85 85 88 92 92 68 13 92 SARDS Estimated HRG 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 2801 At least once 880 1262 1557 1659 1961 2283 2570 2743 2780 2799 2801 2118 880 2801 % 31 45 56 59 70 82 92 98 99 100 100 76 31 100 Table 9: At-least Once Clinic Attendees