1. Project Ahana
Accelerating the uptake of Prevention of Parent-to-Child Transmission Services in India

2. Ahana …… First rays of the sun
An Opportunity to eliminate Paediatric HIV in India
7 out 14 are New States
Ahana Phase II
Coverage : Public and Private
Period : 39 Months (Jan 2018 to Mar 2021)
Geography : 357 Districts in 14 States
Stakeholders : NACO, NHM, FOGSI, IMA, IAP
Focus on Health Facilities and Intensified C&S Outreach
Training of Counsellor & ANMs
Key Indicators – 6
164 out of 357 are
New Districts

3. Project Ahana Phase II : Objectives
To improve HIV testing among pregnant women and effective reporting system both Public in Private sector
To ensure effective linkages and retention to ART treatment to HIV positive pregnant women (PPW) and their children through Intensified Case Finding (ICF) approach
To provide comprehensive care and support services to HIV positive pregnant women and their families through community based outreach activities

4. SR Distribution Sub Recipients State Name of the SR No of Districts
Bihar
HLFPPT 38
Chhattisgarh 27
SR 2
Jharkhand
CINI 24
SR 3
Madhya Pradesh
LEPRA 51
SR 4
Odisha
ARUNA 30
SR 5
Uttar Pradesh
MAMTA
SR 6
UPNP+ 37
SR 7
Assam, Meghalaya, Sikkim, Arunachal Pradesh
PIRAMAL 69
SR 8
Manipur, Mizoram, Tripura, Nagaland
NCPI 43
SR 9
TISS - 35 States and UTs

5. Coverage and Target Sr. No. Name of the State No of Districts
Estimated Pregnant women annually
Estimated HIV Positive PW annually 1
Assam 33
8,22,000
238 2
Bihar 38
31,75,000
2090 3
Chhattisgarh 27
7,06,000
346 4
Jharkhand 24
9,21,000
632 5
Madhya Pradesh 51
22,15,000
723 6
Odisha 30
9,38,000
603 7
Uttar Pradesh 75
65,07,000
2286 8
Sikkim
12,000 9
Meghalaya 11
84,000 10
Arunachal Pradesh 21
31,000 12
Mizoram
21,000
259
Nagaland
35,000
237 13
Manipur 16
50,000
382 14
Tripura
64,000
Total Load
357
1,55,81,000 (54%)
7,903

6. Plan India’s Holistic approach towards achieving EMTCT
EMTCT framework
Increase HIV testing among pregnant women to 90%
Increase HIV testing among spouses of positive pregnant women to 90%
Increase the proportion of HIV-positive pregnant women on ART to 95%
Increase the proportion of HIV- exposed infants who completed their first EID within two months of birth to 95%.
Expanding and Strengthening of Service provision
Strengthening Supply side framework
Plan India’s Supply Chain Management component GFATM grant
HIV test Kit and ARV drugs supply to all ICTCs and ART centres of the country
TISS component of Capacity Building
9000 ICTC, STI and ART counsellors trained
30,000 ANMs across 15,000 PHC trained

7. Key Milestones achieved till December, 18
Sub recipient partners selected and all the recruitments completed before March, 19
Induction training was carried out in March, 19 and one refresher training carried out in the month of December, 19
Strong linkages established with NHM and NACO towards field implementation at national level as well with state health societies and SACS at the state level
Coordination mechanism established with sector partners i.e. Svetana (SAATHII) and Vihaan (India HIV/AIDS Alliance)
Sensitization meeting with public and private sector stakeholders carried out at state and district level
Coordination and linkages established with FOGSI chapters at national and state level
Facilitating community level testing through constant follow up with district health administration
Constant follow up and advocacy for uninterrupted drugs and consumables supply
Supporting state NHM chapters in preparations of PIP to ensure the EMTCT interests are addressed
Follow up of LFYU and Missed cases of HIV positive pregnant women and babies
Mapping- Assessment- Engagement- Reporting of Private sector facilities
Partnering with NACO and NIE in planning and execution of EMTCT data validation exercise at the state

8. Performance Framework
Global Fund Performance Framework
Indicator
1-Jan-18 to 30-Sep-18
1-Oct-18 to 31-Mar-19
1-Apr-19 to 31-Mar-20
1-Apr-20 to 31-Mar-21
Number of people who were tested for HIV and received their results during the reporting period (Spouse/ Partner)
3029
5217
5364
6815
Percentage of pregnant women who know their HIV status
36%
62%
75%
90%
Percentage of HIV-positive pregnant women who received ART during pregnancy
53%
93%
95%
Percentage of HIV-exposed infants receiving a virological test for HIV within 2 months of birth
85%
Number of counsellors trained through 4-day contact classroom session on integrated health approach --
6000
3000
Number of health facilities newly functional with HIV testing services
3600
8400

9. Performance update till December, 18
74% of spouses of HIV positive pregnant women received HIV testing during the reporting period
95% of HIV positive pregnant women are linked to ART 53% HIV
53% exposed babies received EID testing within 2 months
46% of pregnant women received HIV testing against estimated pregnancies*
205 facilities have been made functional as HIV testing facilities
*SIMS data not updated

10. Anm & counsellor Training
Saksham Prerak
Anm & counsellor Training

11. Goals
Strengthen Country’s commitment towards Elimination of Mother to Child Transmission of HIV and Syphilis
Specific Goals
Facilitate saturation of all health facilities with HIV and Syphilis testing
Facilitate the roll out of the new HIV Counselling and Testing Services (HCTS) Guidelines
Objectives
12,000 health facilities (Primary Health Centres) delivering HIV & Syphilis testing services to pregnant women as part of the ANC package of services
30,000 ANMs all over India covering 36 states and Union Territories, hands on trained on how to do HIV and Syphilis test
9000 counsellors covering 3 states and Union territories (ICTC/STI/ART). on the revised HCTS guideline

12. Location of Regional Training Units (RTUs)
States Covered
Uttar Pradesh
Chandigarh
Chandigarh, J&K, HP, Punjab, Haryana, and Delhi & UK
Maharashtra
Maharashtra, Mumbai, & Goa
Madhya Pradesh
Madhya Pradesh & Chhattisgarh
Odisha
Odisha, Telangana & Andhra Pradesh
Tamil Nadu
Tamil Nadu, Karnataka, Kerala, Lakshadweep,  Andaman & Pondicherry
Rajasthan
Rajasthan, Gujarat, Diu daman & Dadra Nagar Haveli
Bihar   
Bihar, Jharkhand & West Bengal
Manipur & Assam (North East)
Assam, Manipur, Nagaland, Arunachal, Meghalaya, Mizoram, Sikkim & Tripura
The ANM & Counsellor training to implemented through 10 Regional Training Units

13. Milestones achieved till December 2018
The project was scheduled to be rolled out from January 2018, however the MoU NACO – Plan India was signed in May 2018 end
Plan India – TISS agreement signed in June 2018
June to December 2018
TISS HQ was on board
Support letter from NHM to all state MD NHM for roll out of ANM Trg
Support letter from NACO to all SACS
Finalization of the ANM training curriculum module
Preparation of Training Aids
Recruitment of RTU staff
ToT of RTU staff (October)
ANM training rolled out (November 2018). Till December 2018, 343 ANMs have been trained and 197 facilities have been made functional

14. 1. SCM Project Vision and Scope

15. SCM Project Vision 1
A step to organize and integrate the National, State and facilities for HIV AIDS commodities and Test Kits across the country
Effective and efficient transformation and coordination of NACO/SACS commodity supply chain to achieve consistent supply and continuous availability of quality drugs through 3PL services 2 3
A streamlined, cost effective and ultimately more sustainable NACO/SACS products Supply Chain Management

16. Care, Support and Treatment
Scope of work for Transportation
Basic Services
Care, Support and Treatment 1 2
All ICTC Centers
All ART Centers
Total ART Centers: Approx. 550
Total SKU: 20 Commodities
Total Standalone ICTCs: Approx.: 5600
Total SKU: 5 Commodities
Serving to all ICTCs Centres
Serving to all ART Centres
April 2018 – March 2021
April 2018 – March 2021
Integration of distribution to SDPs
Stock availability
Cost effective

17. 3. Project Activities Models & Timelines

20. 5. Project Progress Update
15 February, 2019

21. Project implementation status….

22. AHANA Financials Jan‘18 – Dec’18

23. Budget Vs. Actual – Summary by Segment
Amount in USD
By Segment
Jan'18- Dec'18
Budget
Expenditure %
EMTCT
2,570,224
2,099,655
82%
Supply Chain Management
684,048
44,834 7%
Capacity Building
1,114,484
129,126
12%
Total
4,368,756
2,273,615
52%

24. Thank You
Thank You