RBHraCaNacRkkm<úCa KINGDOM OF CAMBODIA

Cati sasna RBHmhakSRt

r)aykarN_ skmμPaBRbyuTæ nwgCMgWeGds_¼kameraK

ANNUAL REPORT 2005

HIV/AIDS & STI PREVENTION AND CARE PROGRAMME

RksYgsuxaPi)al MINISTRY OF HEALTH

mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraK NATIONAL CENTER FOR HIV/AIDS, DERMATOLOGY AND STD

matika

RBHraCaNacRkkm<úCaKINGDOM OF CAMBODIA

Cati sasna RBHmhakSRt Nation Religion King

r)aykarN_ skmμPaBRbyuTæ nwgCMgWeGds_¼kameraK RbcaMqñaM 2008

ANNUAL REPORT 2008

HIV/AIDS & STI PREVENTION AND CARE PROGRAMME

RksYgsuxaPi)al

MINISTRY OF HEALTH

mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraK NATIONAL CENTER FOR HIV/AIDS, DERMATOLOGY AND STD

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matika

k> r)aykarN_TUeTA 1> esckþIepþIm

1>1 sßanPaBeGBIedmIk énemeraKeGds_ CMgWeGds_ enARbeTskm<úCa 1>2 skmμPaBCaGTiPaB rbs;mCÄmNÐlCati kñúgqñaM 2008 ³

Epnkarskm μPaBRbtibtþiRKb;RCugeRCayRbcaMqñaM 2008 1>3 KMeragmUlniFisklCMuTI 7

2> RbB½n§RKb;RKg énmCÄmNÐlCati 2>1 vdþénkareFVIEpnkar nigkartamdan rbs;mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nig kameraK 2>2 karcuHhtßelxaelIkic©RbmeRBog 2>3 eKalkarN_ENnaM nig niyamEbbbTRbtibtþi 2>4 lT§km μén»sfRbqaMgemeraKeGds_ (ARV) nig m:asuInrab;cMnYnekasika CD4

2>5 lT§kmμénsMPar³brikçaeBTü 2>6 karsagsg; 2>7 karpþl;R)ak;]btßmÖ eTAtamlT§plbMeBjkargar (Incentive Scheme) 2>8 karGegáttamdan 2>9 karBRgwgKuNPaBénesvaEfTaM nigBüa)alCMgWeGds_ 2>10 snñisiT§ sþIBIkarBüa)alCMgWeGds_ 2>11 kic©RbCMurbs; KNkmμkardwknaMKMerag (Steering Committees) 2>12 savnkmμ (External Audit)

x> smiT§plénkarpþl;esva 1> skmμPaBbgáar énemeraKeGds_ ¼CMgWeGds_ sMrab;RbCaCnTUeTA nigRkumRbQmmux 2> esvaEfTaMGñkpÞúkemerakeGds_ nigGñkCMgWeGds_

2>1> esvapþl;RbwkSa nigeFVIetsþQamrkemeraKeGds_ edaysμR½Kcitþ nigrkSakarsMgat; 2>2 esvaEfTaM nigBüa)alCMgW»kasniym nigeday»sfRbqaMgnwgemeraKeGds_

- karKaMRTEpñkmnÞIrBiesaFn_ - karcl½tGñkCMgWtamesvaepSg² - plb:HBal; - skmμPaBshkarKñarvagrebg¼eGds_

2>3 esvakat;bnßykarcMlgemeraKeGds_BImþayeTATark 2>4 esvaEfTaMGñkCMgWeGds_tampÞH nigtamshKmn_

2>5 RkumKaMRTrbs;GñkpÞúkemeraKeGds_

K> r)aykarN_fvika X> ]bsKÁ nigkarlM)ak g> esckþIsnñidæan nig Gnusasn_ c> ]bsm<½n§ ³

1> karRtYtBinitü nigkarvaytMéleKaledA

2> taragTinñ½y tarag TI1 ³ Tinñn½yCMgWkameraK taragTI2 ³ Tinñ½yGñkCMgWeGds_Büa)aleday»sf»kasniym nigeday»sfRbqaMgemeraKeGds_ tarag TI3 ³ Tinñ½yEfTaMGñkCMgWeGds_enAtampÞHnigenAkñúgshKmn_ tarag TI4 ³ Tinñ½ypþl;RbwkSanigeFVIetsþQamrkemeraKeGds_ edaysμRK½citþ nigrkSakarsMgat;

Acronyms

AHF AIDS Health Care Foundation mUlniFiEfTaMCMgWeGds_ ANC Antenatal Care karEfTaMépÞeBaHmuneBlsMral

AOCP Annual Operational Comprehensive Plan EpnkarRbtibtþiRbcaMqñaMRKb;RCugeRCay

ART Antiretroviral Therapy karBüa)aleday»sfRbqaMgemeraKeGds_ ARV Antiretroviral »sfRbqaMgemeraKeGds_ BCC Behaviour Change Communication km μviFIEdlnaM[mankarpøas;bþÚrkarRbRBwtþ BSS Behavioural Sentinel Surveillance karGegátkarRbRBwtþpøÚvePT

CENAT National TB Programme mCÄmNÐlCatikMcat;eraKrebg nighg;sin

CHBC Community Home-based Care karEfTaMGñkCMgWeGds_enAtampÞH nigenAkñúgshKmn_ CHAI Clinton Foundation for HIV/AIDS Initiative mUlniFiKøItun EfTaMCMgWeGds_ CoC Continuum of Care km μviFIEfTaMnigBüa)albnþdl;GñkpÞúkemeraKeGds_¼GñkCMgWeGds_

CoC-CC Continuum of Care Coordinating Committee

KN³kmμkarsMrbsMrYlkmμviFIEfTaMnigBüa)albnþdl;GñkpÞúkemeraKeGds_¼GñkCMgWeGds_ CRS Catholic Relief Services CPN+ Cambodia People Living with HIV/AIDS Network

bNþajénGñkpÞúkemeraKeGds_¼GñkCMgWeGds_kñúgRBHraCaNacRkkm<úCa CUCC Condom-Use Coordinating Committee

KN³kmμkarsMrbsMrYlkmμviFIeRbIR)as;eRsamGnam½y100°

CUP Condom-Use Programme kmμviFIeRbIR)as;eRsamGnam½y100°

CUWG Condom-Use Working Group RkumkargarkmμviFIeRbIR)as;eRsamGnam½y100° CWPD Cambodian Women for Peace and Development smaKmnarIkm<úCaedIm,IsnþiPaB

nigGPivDÆn_ DFID Department for International Development DU Drug Use eRbIR)as;eRKOgejon

DSW Direct Sex Worker RsþIrksuIpøÚvePTenAtampÞHbn DTOP District Team on Outreach & Peer education RkumGb;rMpÞal; mitþGb;rMmitþfñak;Rsuk FI Friend International

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Family Health International GgÁkarsuxPaBGnþrCati FHI

The Global Fund to fight AIDS, Tuberculosis, and Malaria KMeragmUlniFIskl GFATM

Health Center mNÐlsuxPaB HC

Health Facility Based Care karEfTaMGñkCMgWeGds_enAkñúgmnÞIreBTü HFBC HIV Human Immunodeficiency Virus

HIV Sentinel Surveillance karGegátGRtaeRbv:aLg;emeraK HSS IEC Information, Education & Communication IRD Immune Restoration Disease

Khmer HIV/AIDS NGO Alliance GgÁkarsm<½n§PaBEx μrRbyuT§nwgCMgWeGds_ KHANA

Link Response kareqøIytbrYmKña LR

Ministry of Health RksYgsuxaPi)al MoH MoSVY Ministry of Social Veteran and Youth Rehabilitation

RksYgsgÁmkic©GtItyuvCn nigyuvnItism,Ta Mondol Mith Chouy Mith mNÐlmitþCYymitþ MMM

Men who have Sex with Men bursrYmePTCamYyburs MSM

Marie Stopes Cambodia GgÁkarm:arIsþúbkm<úCa MSC

National AIDS Authority GaCJaFrCatiRbyuT§nwgCMgWeGds_ NAA NCHADS National Centre for HIV/AIDS, Dermatology and STI

mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraK

Non-Governmental Organization GgÁkarminEmnrdæaPi)al NGO

National Institute of Public Health viTüasßanCatiRsavRCavsuxPaBsaFarN³ NIPH

National Pediatric Hospital mnÞIreBTükumarCati NPH

National Maternal Child Health Center mCÄmNÐlCatiKaMBamatanigTark NMCHC

Operational District RsukRbtibtþi OD

Opportunistic Infection CMgW»kasniym OI OPC Outreach, Peer Education and Condom Use Program km μviFIGb;rMpÞal;

nigmitþGb;rMmitþ nigkmμviFIeRbIR)as;eRsamGnam½y100° Provincial AIDS Office km μviFIRbyuT§nwgCMgWeGds_extþ-Rkug PAO

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Performance Based Salary Incentive R)ak;]btßmÖelIkTwkcitþtamsñaédkargar PBSI

Provincial Health Department mnÞIrsuxaPi)alextþ PHD

People Living with HIV/AIDS GñkpÞúkemeraKeGds_¼GñkCMgWeGds PLHA

Planning, Monitoring and Reporting EpñkEpnkartamdan nigr)aykarN_ PMR Prevention of Mother-to-Child Transmission [of HIV]

km μviFIbgáarcMlgemeraKeGds_BImþayeTATark PMTCT

Pediatric Randomized of Early and Deferred Initiative in Cambodia and Thailand PREDICT

Population Services International GgÁkarbMerIsuxPaBRbCaCnGnþrCati PSI

Provincial Support Team RkumKaMRTkm μviFIGb;rMpÞal;nigmitþGb;rMmitþfñak;extþ PST/OP

Quality Control karRtYtBinitüKuNPaB QC

Referral Hospital mnÞIreBTübEg¥k RH

Reproductive Health Association of Cambodia smaKmr:ak;km<úCa RHAC SCA Save the Children Australia SEAD Sharing Experience Adapted Development

Standard Operating Procedures niyamEbbbTsMrab;Rbtibtþi SOP

STI Sentinel Surveillance karGegátGRtaeRbv:aLg;CMgWkameraK SSS STI/RTI Sexually Transmitted Infection/ Reproductive Tract Infection

karbgáeraKtamkarrYmePT nigRbdab;bnþBUC

Sex Worker RsþIrksuIpøÚvePT SW

Technical Working Group Rkumkargarbec©keTs TWG UNAIDS United Nations Joint Programme on AIDS VCCT Voluntary Confidential Counseling and Testing

mNÐleFVIetsþQamrkemeraKeGds_ edaysμR½K citþ nigrkSakarsMgat; World Bank FnarKarBiPBelak WB

World Health Organization GgÁkarsuxPaBBiPBelak WHO Women Organization for Modern Economy and Nursing

smaKmnarIGPivDÆn_esdækic© nigGnam½y WOMEN

World Vision Cambodia GgÁkarTsSn³BiPelakkm<úCa WVC

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PROVINCES

BMC : Banteay Mean Chey extþbnÞaymanC½y BTB : Battambang extþ)at;dMbg

KCM : Kampong Cham extþkMBg;cam

KCN : Kampong Chhnang extþkMBg;qñaMg

KDL : Kandal extþkNþal

KEP : Kep RkugEkb

KHK : Koh Kong extþekaHkug

KPT : Kampot extþkMBt

KTM : Kampong Thom extþkMBg;FM KRT : Kratie extþRkecH

KSP : Kampong Speu extþkMBg;s<W MDK : Mondulkiri extþmNÐlKIrI OMC : Oddor Mean Cheay extþ]tþrmanC½y

PLN : Pailin Rkugéb:lin

PNP : Phnom Penh raCFanIPñMeBj

PST : Porsat extþeBaFisat; PVG : Prey Veng extþéRBEvg

PVH : Preah Vihear extþRBHvihar RTK : Rattanakiri extþrtnKIrI SHV : Sihanouk Ville RkugRBHsIhnu SRP : Siem Reap extþesomrab

SVR : Svay Rieng extþsVayerog

STG : Stung Treng extþsÞwgERtg

TKV : Takoe extþtaEkv

- 8 -

r)aykarN_skmμPaBRbyuT§nwgCm¶WeGds_-kameraK RbcaMqñaM 2008

k> r)aykarN_TUeTA ³

1> esckþIepþIm ³ 1>1 sßanPaBeGBIedmIk énemeraKeGds_ CMgWeGds_ enARbeTskm<úCa

RbeTskm<úCaCaRbeTsmYykñúgcMeNamRbeTs xøHEdlmankarFøak;cuHnUvGRtaeRbv:aLg;emeraK eGds_. GRtaeRbv:aLg;énemeraKeGds_ enAkñúgcMeNamRbCaCnTUeTA )anFøak;cuH BI1>2° enAqñaM 2003 mkenARtwm 0>9° enAqñaM 2006 ¬sUmemIlrUbPaBTI1¦. TaMgenHKWCalT§plénkmμviFIbgáarTb;sáat;nwg karrIkraldalénemeraKeGds_ nigcMnYnGñkCMgWsøab;d¾eRcIn Edl)anpÞúkemeraKeGds_enHenAkñúgry³eBl dMbUgénkarraldaléneGBIedmI EdlkñúgeBlenaHBMuTan;manesvaBüa)al nigEfTaMdl;GñkCMgWeGds_¼ GñkpÞúk emeraKeGds_ RKb;RKan;enAeLIy. enARbeTskm<úCa eGBIedmikénemeraKeGds_ dMbUgenAelIRkumRbQm muxx<s; nigtamry³karCYjdUrpøÚvePT. bc©úb,nñenH eKeXIjmankarekIneLIgnUvGRtaeRbv:aLg;emeraKeGds_ enAelIRkumGñkeRbIR)as;eRKOgejon nig enAelIRkumbursrYmePTCamYyburs. tamry³rUbPaBTI1enH )anbgðajfa GRtaeRbv:aLg;emeraKeGds_enAelIRbCaCnTUeTA EdlmanGayuBI 15 qñaM dl;49qñaM Edlrs;enAkñúgTIRkug manPaBx<s;CagenARbCaCnEdlenACnbT ehIyGRtaeRbv:aLg;enHk¾manPaBx<s;Cag enAelIRkumRbCaCnCaRsþIePT/ KWmanGRtaqøgfμ IRbEhl43° enARsþIEdl)anerobkarrYc EdleKeCOfa)an qøgmkBIbþIrbs;BYkKat;.tamry³ Asian Epidemic Model (AEM))an)a:n;sμanfa enARbeTskm<úCa kñúgqñaM 2007enH manGñkpÞúkemeraKeGds_ cMnYn 61/400 nak; ¬EdlkñúgenaHman 32/200nak;CaRsþI nig 29/200 nak;Caburs¦ ehIyenAkñugqñaM2010 GñkpÞúkemeraKeGds_nwgmancMnYn 51/200nak; ¬EdlkñúgenaHman 26/800nak;CaRsþI nig 24/400 nak;Caburs¦

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rUbPaBTI1³ GRtaeRbv:aLg;emeraKeGds_ kñúgcMeNamRbCaCnTUeTA GayuBI15-49qñaM 1>2 skm μPaBCaGTiPaB rbs;mCÄmNÐlCati kñúgqñaM 2008³ karerobcMEpnkarRbtibtþiqaM 2008

enAExFñÚqñaM2007 mCÄmNÐlCati)anerobcMvKÁsikçasalasþIBIkarerobcMeFVIEpnkarRKb;RCugeRCay sMrab;qñaM 2008 EdlkñúgenaHmankarcUl rYmBI fñak;extþ-RkugTaMg24 GgÁkarminEmnrdæaPi)al nigsßab½n epSg²CaédKUkargar dUcCa naykdæanEpnkar mCÄmNÐlCatiKaMBarmatanigTark/mCÄmNÐlCatikMcat;eraK rebg nigGaCJaFrCatiRbyuT§nwgCMgWeGds_. CamYyKñaenHEdr vKÁsikçasalak¾)anerobcMeKaledA ¬ targets) RbcaMqñaMsMrab;fñak;Cati nigfñak;extþ. lT§plénvKÁsikçasala enHKWsMerc)anKMeragEpnkarqñaM 2008 ehIy EdlmanbBa©Úl nUv inputs and expected outputs rbs;GgÁkarédKUkargarCamYykm μviFI RbyuT§nwg CMgWeGds_-kameraK enAfñak;extþ-Rkug.KMeragEpnkarenH nwgRtUvykeTAbBa©ÚleTAkñúgKMeragEpnkarRbtibtþi RbcaMqñaM 2008 rbs;RksYgsuxaPi)al sMrab;KaMRTRbB½n§RTRTg;vis½ysuxaPi)al.

CalT§pl eyIg)anerobcMKMeragEpnkarsMrab;qñaM2008 edayepþateTAelIGaTiPaB3sMxan;² dUcxag eRkamenH³

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- Fana[)annUvPaBeCaKC½y énkm μviFIbgáar EdlkñúgenaHmankmμviFIeRbIR)as;eRsamGnam½y 100°/ kmμviFIGb;rMpÞal; mitþGb;rMmitþ nigkmμviFIEfTaM nigBüa)alCMgWkameraK dl;RsþIbMerIesva kMsanþsb,ay RBmTaMgRtUvelIkkMBs;KuNPaBénesva nigbegáInkarkarRKbdNþb; . kargarenH )anEp¥keTAelIkarBinitünigEksMrYleLIgvij nUvkarGnuvtþn_km μviFIenHenAkñúgqñaM 2008-2010.

- bnþBRgwg nigBRgIkkarEfTaMnigBüa)albnþdl;GñkpÞúkemeraKeGds_ nigGñkCMgWeGds_ edayFana [)annUvKuNPaB nigkareFVIsmahrNkmμ eTAkñúgRbB½n§esvasuxaPi)al.

- BRgwgPaBeFVIkargarCaédKU tamry³kareFVIEpnkarRKb;RCugeRCay/ clnaRbPBFnFan/ man tYnaTI nikarTTYlxusRtUvc,as;las;/ nig RbsiT§PaBénRbB½n§tamdan nigvaytMél.

GTiPaBenHqøúHbBa©aMgnUvkarGnuvtþn_énskmμPaBTaMgGs; EdlmanenAkñúgEpnkaryuT§saRsþ sMrab; bgáar EfTaM nigBüa)alCMgWeGds_-kameraK enAkñúgvis½ysuxaPi)al qñaM 2008-2010.

KMeragEpnkarRbcaMqñaM 2008 enH rab;Ba©ÚlTaMgR)ak;]btßmÖ (Incentices) pgenaH manfvikarsrub TaMgGs; cMnYn 11/539/074 duløa / EdlkñúgenaHmanRbPBfvikacMnYn 20RbePT epSgKñasMrab;karGnuvtþn_ skmμPaBenAfñak;Cati nigfñak;extþ. CasrubfvikaenH)anEbgEck RbEhl7°sMrab;skmμPaBbgáar 56°sMrab; skmμPaBBüa)alnigEfTaMbnþ ¬rab;bBa©ÚlTaMg»sf OI/ARV, reagent and consumable pg¦ 9°sMrab;Bt’manyuT§saRsþ ¬kargarGegáttamdan-RsavRCav nigRKb;RKg Tinñn½y¦ nig 20°sMrab;kargar RKb;RKgkmμviFI ¬Epnkar tamdan nigr)aykarN_ kargarrdæ)al nighirBaØvtßú nigR)ak;]btßmÖelIkTwkcitþ¦ nigfvikaRbEhl 8° epSgeTotsMrab;]btßmÖskmμPaB enAfñak;extþ.

1>3 KMeragmUlniFisklCMuTI 7³ mUlniFIskl)anGnumt½elIsMeNIsuMfvika sMrab;KMeragBRgIkGnþraKmn_ sMrab;bgáar Büa)al EfTaM nig

kat;bnßyplb:HBal;edaysaremeraKeGds_ nigCMgWeGds_ dl;CnrgeRKaH nigRkumRbQmmuxnwgeRKaHfñak; x<s; enAkñúgRbeTskm<úCa sMrab;CMuTI7 enAkñúgExvicäika qñaM 2007. mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraK RtUv)aneRCIserIsCa kariyal½yTTYlCMnYypÞal;BImUlniFiskl sMrab;kmμviFIRbyuT§nwg CMgWeGds_ CMuTI7. edIm,IerobcMÉksar sMrab;karcuHkic©RBmeRBogenAkñúgdMNak;kalTI1enH eRkayBI)an cUlrYmkñúgvKÁsikçasala sþIGMBI : karcrca nigkarGnuvtþEpnkar KMeragmUlniFiskleGay manRbsiT§PaB : enATIRkugm:anIl RbeTs hVIlIBIn kalBIéf¶TI 22 dl; éf¶TI 25 Exmkra qñaM 2008 mk kariyal½y TTYlCMnYypÞal;BImUlniFiskl mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ (PR/NCHADS) )anerobcMkic©RbCMu

- 11 -

CaeRcInelIkCamYyPñak;garTTYlCMnYybnþ (SRs) edIm,IBinitüemIleLIgvij nigerobcMEpn karskmμPaB/ GaMgDIkaT½r nigTisedAsMrab;kargartamdan nigvaytMél/ EpnkarlT§kmμ/ nigEpnkarfvika ¬lMGit nig segçb¦ sMrab;ry³eBl2qñaM .

CamYyKñaenHEdr k¾mankarcuHmkvaytMélBIsmtßPaB rbs;mCÄmNÐlCati edayRkumkargarén TIPñak;garemIlCMnYymUlniFiskl (LFA) kñúgkargarRKb;RKg edayelakRsIevC¢> KWm y:adanI nig elakRsI can; r:Usa. ehIyRkumkargar énkariyal½yTTYlCMnYypÞal;BImUlniFisklrbs;mCÄmNÐlCati k¾)ancuHeTA vaytMélBismtßPaBrbs;sßab½nTTYlCMnYybnþeTot. eKalbMNgénkarvaytMélenH KWepþateTAelI karRKb; RKgkm μviFI/ RbB½n§tamdan nigvaytMél/ RbB½n§RKb;RKgfvika nigkareFVIlT§kmμ.

enAkñúgKMeragenH maneKaledA cMnYn 6 EdlkñúgenaHman³ - eKaledATI1 ³ edIm,IBRgwgkarsMrbsMrYl nigkartamdan begáInsmtßPaBmRnþITaMgenAfñak;Cati

nigfñak;extþ CaBhuvis½y - eKaledATI2 ³ edIm,IBRgIkkmμviFIGb;rMBICMgWeGds_nigkareRbIR)as;eRKOgejon EdlCacMNucmYy

sMxan;kñúgsMerc)annUvkarTTYl)anCaskl nUvesvabgáarnigEfTaM. - eKaledATI3 ³ edIm,IBRgIkkmμviFIbgáar EfTaM nigBüa)alCMgWeGds_ kameraK dl;RkumbursrYm

ePTCamYyburs. - eKaledATI4 ³ edIm,IBRgwg nigFanaeGay)annUvkarGb;rM nigesvaepSg²sMrab;RkumnarIrksuIpøÚv

ePT dUcCabegáInesvaEfTaM nigBüa)alCMgWkameraK sMrab;RkumRbQmmuxx<s; edIm,IsMerc)annUv karTTYl)anCaskl nUvesvabgáarnigEfTaM.

- eKaledATI5 ³ edIm,Ikat;bnßyplb:HBal;énemeraKeGds_¼CMgWeGds_ dl;kumargayrgeRKaH enAkñúgRbeTskm<úCa .

- eKaledATI6 ³ edIm,IFana nigBRgIkkarEfTaM nigBüa)aleGay)anRKb;RCugeRCay dl;GñkpÞúk emraKeGds_¼GñkCMgWeGds_ tamry³km μviFIEfTaM nigBüa)albnþ.

eKalbMNg ³ 1> BRgwgkarsMrbsMrYl nig begáInsmtßPaBRkumkargarBhuvis½y

- 12 -

2> elIkkMBs;KuNPaB nigPaBGacsmhrNkmμénesvanana kñúgkarbgáarkarcMlgemeraKeGds_ nigCMgWeGds_ rbs;RkumeRbIR)as;eRKOgejon

3> erobcM BRgwg nigelIkkMBs;KuNPaBkñúgkaryl;dwg nigkareqøIytbkarbgáarkareRbIR)as;eRKOg ejon emeraKeGds_ nigCMgWeGds_

4> elIkkMBs;KuNPaB nigPaBGacTTYl)annUvkarBüa)albnSab nigeFVIeGaynitism,Tal¥eLIgvij sMrab;RkumeRbIR)as;eRKOgejon

5> begáInkaryl;dwgBIbBaðananarbs;RkumbursrYmePTCamYyburs tamry³Bt’manyuT§saRsþ karts‘Umti nigbegáInsmtßPaBrbs;sßab½nnimYy²

6> elIkkMBs;KuNPaBesva nibegáInkarRKb;dNþb;dl;RkumeKaledA kñúgkarbgáareGay)anRKb; RCugeRCay dl;RkumbursrYmePTCamYyburs

7> CMrujkarmkTTYlesvaBüa)al nigEfTaM CMgWeGds_¼kameraK nigesvaKaMRTepSg²eTot 8> pþl;karGb;rMbgáarBIemeraKeGds_ CMgWeGds_ dl;RkumnarIrksuIpøÚvePT 9> CMrujkarmkTTYlesvaEfTaMsuxPaB rbs;RkumnarIrksuIpøÚvePT 10> BRgwgesvaBüa)alCMgWkameraK sMrab;RkumnarIrksuIpøÚvePT nigRkumepSgeTot 11> BRgwgsmtßPaBbuKÁlikrdæaPi)al kñúgkarerobcMnigGnuvtþeKalneya)aykm μviFI edIm,IkarBar

EfTaM nigKaMRT kumargayrgeRKaH 12> BRgwgsmtßPaBmRnþI nigshKmn_ kñúgkareqøIytbedIm,IkarBar EfTaMnigKaMRT kumargayrg

eRKaH nigRKYsarEdlrgeRKaHedaysarCMgWeGds_ nigedIm,ICYyCMrujBYkeKeGaymkTTYl esvaEfTaM

13> elIkkMBs;KuNPaB nigkarmkTTYlykesvaEfTaM nigBüa)alGñkpÞúkemeraKeGds_¼GñkCMgW eGds_ tamry³esvaEfTaMkñúgmnÞIreBTü

14> BRgwgRbBn½§Bt’man nigRbB½n§RKb;RKgTinñn½y sMrab;kartamdankareqøIytbeTAnwgkarbgáar karEfTaM emeraKeGds_¼CMgWeGds_kñúgvis½ysuxaPi)al

- 13 -

15> pþl;karEfTaMKaRTenAkñúgshKmn_ edIm,IbegáInkarmkTTYlesva nigmkBinitütamdan eGay )anCab;lab; tamry³skmμPaBRkumEfTaMtampÞH nigtamshKmn_ RkummitþKaMRTmitþ nigkarRbCMu rbs;mNÐlmitþCYymitþ.

Pñak;garTTYlCMnYybnþ énKMeragmUlniFIsklCMuTI 7TaMgGs; mancMnYn 18 kñúgenaH mansßab½ncMnYn 6 f μ I EdlminFøab;TTYlCMnYymUlniFIskl nig sßab½n b¤GgÁkarcMnYn 12 epSgeTot Føab;)anTTYlCMnYy mUlniFI sklCMumun² . Pñak;garTTYlCMnYybnþ énKMeragmUlniFIsklCMuTI 7TaMgGs; enaHKWGgÁkar CRS,

smaKmnarIkm<úCaedIm,IsnþiPaB nigGPivDÆn_ (CWPD), GgÁkarmitþsMlaj;GnþrCati (FI),

GgÁkarm:arIsþúbkm<úCa/ GaCJaFrCatiRbyuT§nwgCMgWeGds_ (NAA), smaKmnarIGPivDÆn_esdækic© nigGnam½y

(WOMEN), bNþajénGñkpÞúkemeraKeGds_¼GñkCMgWeGds_kñúgRBHraCaNacRkkm<úCa (CPN+),

GgÁkarsuxPaBGnþrCati (FHI), GgÁkarxaNa (KHANA), MEDiCam, RksYgsgÁmkic©GtItyuvCn nigyuvnItism,Ta (MoSVY), mnÞIreBTükumarCati (NPH), mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraK (NCHADS), smaKmr:ak;km<úCa (RHAC), GgÁkarbMerIsuxPaBRbCaCnGnþrCati (PSI),

SEAD, SCA, nigGgÁkarTsSn³BiPelakkm<úCa (WVC).

karcuHkic©RBmeRBogelIKMeragmUlniFIsklCMuT7 dMNak;kalTI1 enH KWRtUv)ancuHhtßelxa eday mUlniFIskl-hSWENv/ RbFanénKN³km μakarsMrbsMrYlKMeragmUlniFisklenAkm<úCa (CCC Chairman) RbFankariyal½yTTYlCMnYypÞal;BImUlniFiskl¼mCÄmNÐlCatiesIEs,k nigkameraK/ tMNagsgÁmsuIvil enAéf¶TI 18 Ex tula qñaM 2008. kariyal½yTTYlCMnYypÞal;BImUlniFiskl- mCÄmNÐlCatiesIEs,k nigkameraK )anerobcMcuHkic©RBmeRBogbnþeTotCamYyPñak;garTTYlCMnYybnþ enAéf¶ TI 2 mkra qñaM 2009.

r)aykarN_enH BiBN’na BIsmiT§plEdl)anmkBIkarGnuvtþn_kñúgKMeragEpnkarRbcaMqñaM 2008. Epñkx énr)aykarN_enH BiBN’na BIsmiT§plkmμviFI edayeFobeTAnwgTisedAénKMeragEpnkaryuT§saRsþ sMrab;qñaM 2008 Epñk K nwgsegçbnUvr)aykarN_ cMNayeTAtamRbPBfvika eRbobeFobnwgKMeragnwg KMeragfvika RbcaMqñaMrbs;mCÄmNÐlCati. ehIyenAsl;énEpñkkenH nwgBiBN’na BIskm μPaBmYycMnYn énRbB½n§RKb;RKgrbs;mCÄmNÐlCati.

- 14 -

2> RbB½n§RKb;RKg énmCÄmNÐlCati 2>1 vdþénkareFVIEpnkarnigkartamdanrbs;mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nig kameraK³

edIm,IFana[karGnuvtþn_skm μPaBRbRBwtþeTARbkbedayPaBrlUn EpñkEpnkar/tamdannigr)aykarN_ énmCÄmNÐlCati )anerobcMvKÁsikçasala sþIBIkareFVIEpnkarsMrab;qñaM 2009 EdlKaMRTedayKMeragmUlniFi sklCMuTI4 (GFATM-R4) nig KMerag (US-CDC) RtUv)anerobcMeLIgenARkugRBHsIhnu kalBIExkBaØa qñaM 2008 sMrab;extþ-RkugcMnYn8 EdlkñúgenaH man raCFanIPñMeBj/ kMBg;cam/ eBaFisat;/ Rkugéb:lin/ taEkv/ RkugRBHsIhnu/ )at;dMbg nigbnÞaymanC½y. sikçasala sþIBIkareFVIEpnkar sMrab;qñaM 2009 sMrab;extþ-RkugcMnYn 16 epSgeTot EdlCaEpñkmYyénkargarsMrbsMrYlRbcaMqñaM EdlRtUv)anerobcM eLIgenAkñúgBIExFñÚ qñaM 2008 enAextþesomrab eRkamkar]btßmÖfvikaeday GgÁkar yUnIeshV edIm,IBinitüemIlnUvlT§pl Edl)anGnuvtþkñúg3RtImasdMbUg/ pþl;nUvBt’manGMBI eKalkarN_ENnaM b¤yuT§saRsþf μ I² mYycMnYnEdl)an eFVIkarEksMrYlehIy nigBinitüemIleLIgvij EdrnUvKMeragEpnkarskm μPaBsMrab;qñaM2009 . 2>2 karcuHhtßelxaelIkic©RBmeRBog enAkñúgqñaMenH mCÄmNÐlCati )ancuHkic©RBmeRBogCamYynigédKUkargarCaeRcIn ³

1> GgÁkarm:arIsþúb km<úCa BIExmkra dl;ExFñÚ qñaM 2008 edIm,IGnuvtþesvapþl;RbwkSa nigeFVIetsþQam edaysμRK½citþ nigrkSakarsMgat; enARsukRbtibtþi)aTI ¬extþtaEkv ¦.

2> GgÁkarkþIsgÇwmf μ I énkumarkm<úCa ¬sfkk¦ BIExmkra dl;ExFñÚ qñaM 2008 sMrab;karGnuvtþn_KMerag CYy]btßmÖesvasgÁmdl;kumarEdlrgeRKaH edaysarCMgWeGds_ kñúgTIRkugPñMeBj/ extþkNþal/ kMBg;s<W/ éRBEvg/ sVayerog/ taEkv nigextþkMBg;qñaMg eRkamkar]btßmÖedayKMerag USAID,

private donorstamry³ GgÁkarEXrkm<úCa. 3> GgÁkar»sfkarIKμanRBMEdn (PSF-CI), BIExtulaqñaM 2008 dl;ExkBaØa qñaM 2011 sMrab;karGnuvtþn_

yuT§saRsþbgáar nigEfTaMBüa)al karbgáeraKtamkarrYmePT nigRbdab;bnþBUC enARbeTskm<úCa eRkamkar]btßmÖedayKMeragmUlniFiskl CMuTI5 .

4> GgÁkar suxPaBRKYsarGnþrCati (FHI), qñaM 2007-2008 sMrab;karGnuvtþn_km μviFIbgáar nigEfTaM Büa)al karbgáeraKtamkarrYmePT nigRbdab;bnþBUC enA KøIniksuxPaBRKYsar cMnYn 13 enAkñúgextþ-RkugcMnYn9 EdlkñúgenaH man extþkMBg;cam/ eBaFisat;/ )at;dMbg/ éb:lin/ ekaHkug/ esomrab/ bnÞaymanC½y/ RkugRBHsIhnu/ nigextþkMBg;qñaMg.

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5> GgÁkar skm μPaBedIm,IGPivDÆn_suxPaB (AHEAD),BIqñaM 2008-2009 edIm,IGnuvtþn_km μviFIbgáar nigEfTaMCMgWeGds_ kameraK enAextþ)at;dMbg/ éb:lin nigenAextþbnÞaymanC½y.

2>3 eKalkarN_ENnaM/ ÉksarbNþúHbNþal nigniyamEbbbTRbtibtþi enAkñúgqñaMenH mCÄmNÐlCati )anerobcMBinitüEksMrYlnUv eKalkarN_ENnaM nig ÉksarbNþúHbNþal

mYycMnYn dUcCa³ 1> niyamEbbbTRbtibtþisMrab;karGnuvtþn_skmμPaBrbs;KMerag US-CDC sMrab;qñaM 2008 . niyam

EbbbTRbtibtþienH manCaPasaEx μr nigGg;eKøs ehIyEdl)anbBa©b;sBVRKb; nig)andak;enAkñúg eKhTMB½r rbs;mCÄmNÐlCati.

2> niyamEbbbTsMrab;eFVIetsþRsavRCavrkemeraKsVaycMeBaHRsþImanépÞeBaHenAkm<úCa. niyamEbbbT enH )anerobcMeLIgeday mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraK shkarCamYy mCÄmNÐlCatiKaMBarmata nigTark nigRkumkargarbec©keTssMrab;karbgáar nigEfTaMBüa)al karbgáeraKtamkarrYmePT nigRbdab;bnþBUC . niyamEbbbTenH manCaPasaEx μr nigGg;eKøs ehIy Edl)anbBa©b;sBVRKb; nig)andak;enAkñúgeKhTMB½r rbs;mCÄmNÐlCati RbyuT§nwgCMgWeGds_ esIEs,k nigkameraK.

3> sUcnakrsMxan;² nigeKaledA sMrab;kartamdan nigvaytMélkm μviFIbgáarkarrIkraldalCMgWeGds_-CMgWkameraK nigEfTaMGñkpÞúkemeraKeGds_¼GñkCMgWeGds_ nigCMgWkameraK enAkñúgvis½ysuxaPi)al. bBa¢IsUcnakrsMxan;²nigeKaledAenH )aneroccMedaymCÄmNÐlCatitamry³Rkumkargarbec©keTs sMrab;karRtYtBinitütamdan nigkarvaytMél rYmman EpñkepSg²énmCÄmNÐlCati RbyuT§nwgCMgW eGds_ esIEs,k nig kameraK (NCHADS Units) GgÁkarsuxPaBBiPBelak (WHO) KMerag RbyuT§nwgCMgWeGds_ CasklénnaykdæanRbyuT§nwgCMgWqøgGaemrik (US-CDC/GAP) mCÄmNÐl CatikMcat;eraKrebg nighg;sin (CENAT) mCÄmNÐlCatiKaMBamata nigTark (NMCHC) nig GgÁkarminEmnrdæaPi)alCaédKU dUcCa FHI, MSF, CARE, RHAC, KHANA. eKalkarN_ ENnaMenH manCaPasaEx μr nigGg;eKøs ehIyEdl)anbBa©b;sBVRKb; nig)andak;enAkñúgeKhTMB½r rbs;mCÄmNÐlCati.

- 16 -

4> edaymankarshkarCamYyGaCJaFrCatikMcat;eRKOgejon nigédKUkargar )anerobcMnUvniyamEbb bT sMrab;eFVIetsþQamrkemeraKeGds_ nigkarEfTaM Büa)alCMgWeGds_ dl;RkumeRbIR)as;eROgejon enAkñúgRbeTskm<úCa . niyamEbbbTenH nwgbBa©b; enAkñúgqñaM2009 .

2>4 kareFVIlT§km μén »sf nig sMPar³Rbtikr

»sfRbqaMgnwgemeraKeGds_ ³ lT§kmμén»sfRbqaMgnwgemeraKeGds_ Edl)anerobcMedaykariyal½yTTYlCMnYypÞal;BImUlniFi skl-RksYgsuxaPi)al (PR/MoH),KMeragRTRTg;vis½ysuxaPi)al (HSSP), nigedaymCÄmNÐlCati RbyuT§nwgCMgWeGds_ esIEs,k nig kameraK enAkñúgqñaM 2008 enH srubmantMél $ 5/337/140 . lT§kmμ én»sfRbqaMgnwgemeraKeGds_enH )an]btßmÖKaMRTeday RbPBfvikasMxan;FM² dUcCa KMeragmUlniFiskl FnaKarBiPBelak (WB), FnaKarGPivDÆn_GasuI (ADB). bEnßmelIenHeTot mUlniFiKøIntunk¾)anpþl;CMnYy nUv»sfRbqaMgemeraKeGds_ sMrab;kumardl; mCÄmNÐlCatiEdr.

Sources Amounts

GFATM (R2, 4 &5) $ 2,953,030

WB $ 1,002,064

ADB $ 62,726

CHAI $ 1,319,320*

Total $ 5,337,140 *Donation of paediatric ARV formulations by CHAI to NCHADS.

»sfCMgW»kasniym (OI Drugs) ³ lT§kmμén»sfCMgW»kasniym Edl)anerobcMedaykariyal½yTTYlCMnYypÞal;BImUlniFiskl-RksYg

suxaPi)al (PR/MoH) eRkamkar]btßmÖKaMRTfvikaeday KMeragmUlniFisklCMuTI 2/ 4 nigTI5. Sources Amounts

GFATM (R2, 4 &5) $ 4 12,437

Total $ 421,437

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sMPar³Rbtikr ³ US-CDC GFATM

(R2,R4&R5) AHF UNICEF CHAI Items

VCCT Reagents $ 61,739 $ 80,425 $ 26,000 $36,257 $ 42,625

Consumables (for STD & VCCT) $ 18,697 $ 75,364 $ 47,954 $ 2,403

Reagents for CD4 counts $ 19,631 $ 1,597 $ 354

Reagents for STD clinic $ 17,281

DNA-PCR $ 862

Total $ 100,067 $ 176,263 $ 26,000 $ 84,211 $ 46,244

Grand Total $ 431,187

2>5 kareFVIlT§km μénsMPar³brikçaeBTü edIm,IeFVI[karpþl;esvaEfTaM nigBüa)al dl;GñkpÞúkemeraKeGds_¼GñkCMgWeGds_manKuNPaBl¥

tMrUvkarEpñkmnÞIrBiesaFn_enAtamesvasaFarN³k¾RtUv)anKitKUreEdr. edaymankar]btßmÖBIKMerag US-

CDC, GFATM, WHO, UNSW/CTAP and CHAI mCÄmNÐlCati)anpÁt;pÁg;bEnßmnUvsMPar³ brikçaeBTü/ sMPar³ kariyal½y nig eRKOgsgðarwmmYycMnYn dl;mNÐleFVIetsþQam KøInikkameraK nigmnÞIr eBTübEg¥k . Medical Equipment:

Description Quantity Funded by Distributed to

9 US-CDC BMC, BTB, PLN

Automatic pipettes

2 US-CDC BMC, PLN Water bath

4 US-CDC - PLN: 1 - BMC: 3

Digital balance,

Refrigerator 1 US-CDC PLN

- 18 -

Office Equipment:

Description Quantity Funded by Distributed to

7 sets US-CDC

- PLN: 2 sets - BMC: 2 sets - PST: 1 set - BTB: 2 sets

Desktop computers

10 sets

- 3 sets by WHO - 1 set by

UNSW/CTAP - 6 sets by US-CDC

- DMU/NCHADS: 3 sets - Research Unit/NCHADS: 1

set - NCHADS: 2 sets, - SHC/NCHADS: 1 set - BMC: 1 set - PST: 1 set - BTB: 1 set

Laptop computers

Printer 6 sets US-CDC

- PLN: 2 sets - BMC: 1 set - PST: 1 set - BTB: 2 sets

1 set US-CDC - BMC Printer for Hemato-Analyser machine

5 sets US-CDC

- BMC: 1, PST: 1, PLN: 1 and BTB: 2,

Super Rolling Machine

2 sets US-CDC - NCHADS and PLN LCD Projector

1 set US-CDC - NCHADS Photocopy Machine

5 sets

US-CDC

- PLN: 2 sets - PST: 1 set - BTB: 2 sets Auto voltage

12 sets

US-CDC

- NCHADS: 8 - BTB: 2 - PLN: 2

External Hard disk (160GB)

3 sets US-CDC - NCHADS: 2 - PST: 1 Digital Camera

3 sets US-CDC - NCHADS Switchers for Network system

- 19 -

Office Furniture:

Description Quantity Funded by

Folding Chair 16 sets - US-CDC

36 sets - 6 sets GFATM-R4 - 9 sets by US-CDC - 21 sets by CHAI

Office Armchair

Guest Chair 11 sets - CHAI

34 sets - 6 sets by GFATM-R4 - 13 sets by US-CDC - 15 sets by CHAI

Filling Cabinet

53 sets - 6 sets by GFATM-R4 - 20 sets by US-CDC - 27 sets by CHAI

Office desk

Cupboard 17 sets - 6 sets by GFATM-R4 - 11 sets by CHAI

Chair 52 sets - CHAI

Plastic Chair 100 sets - CHAI

Lab Chair 3 sets - CHAI

Small Bed for consultation 5 - CHAI

Patient Bed 50 - CHAI

Small table for play room 15 - CHAI

2>6 karsagsg; ³

♦ CYsCulmnÞIreBTübEg¥k nigmNÐlsuxPaB enAkñúgextþéRBEvg edIm,IGnuvtþkargarkareqøIytb rYmKña dUcCa enAmnÞIreBTübEg¥kemsag/ mnÞIreBTübEg¥kGñkelOg/ mnÞIreBTübEg¥kkMBg;RtEbk/ mNÐlsuxPaBsVayRCM/ mNÐlsuxPaBeCIgPñM/mNÐlsuxPaBsVayePøaH/ mNÐlsuxPaBéRBBun/ nigmNÐlsuxPaBkMBg;R)asaT Edl]btßmÖedaymUlniFIKøIntun .

♦ sagsg;bnÞb;sMrab;dak;m:asuInePøIgenAKøIniksuxPaBsgÁmEdl]btßmÖeday KMerag UNSW/CTAP

- 20 -

♦ CYsCulmnÞIrBiesaFn_ enAmnÞIreBTübEg¥kemagb¤sSI¼extþ)at;dMbg/ nigmnÞIreBTübEg¥kfμBYk¼extþ bnÞaymanC½y Edl]btßmÖedayKMerag US-CDC .

Sources Amounts

US-CDC $ 52,838

UNSW/CTAP $ 4,772

CHAI $ 3,471

Total $ 61,080

2>7 karpþl;R)ak;]btßmÖedayEp¥kelIlT§plbMeBjkargar (Incentive Scheme)

mkdl;cugqñaM 2008enH manmRnþIcMnYn 1358nak; Edl)anTTYlR)ak; ]btßmÖelIkTwkcitþTaMgenA fñak;Cati nigenAfñak;extþ-Rkug (OI/ART teams, Paediatric AIDS Care, VCCT, STI and HAMT

team). kñúgenaHmanmRnþI cMnYn 305nak;Edl]btßmÖedayKMerag AusAID/WHO/ mRnþIcMnYn651nak; TTYlBIKMeragmUlniFisklCMuTI4 nigTI5/ 20nak;]btßmÖeday UN-PAF/ mRnþIcMnYn37nak; edaymUlniFI KøIntun/ 101nak; edayGgÁkar AHF/ nig244nak;]btßm edayGgÁkar UNICEF.

184

232

0

509

116

0 0

244

13 1337

1140

101

305

20

227

564

651

129110

237

176

0200

100

200

300

400

500

600

700

2005 2006 2007 2008

DFID GFATM CDC-GAP UNICEF CHAI WHO AHF AusAIDS/WHO UN-PAF

Figure 2: Trend staff received incentives by sources from 2005 to 2008

- 21 -

2>8 karGegáttamdan ♦ lT§plénkarGegátGRtaeRbv:aLg;emeraKeGds_ qñaM 2006/ karGegátkarRbRBwtþpøÚvePT qñaM2007 nig

karGegátGRtaeRbv:aLg;emeraKeGds_ nigkarRbRBwtþ kñúgcMeNamGñkeRbIR)as;eRKOgejonqñaM 2007 RtUv)anpSBVpSay CapøÚvkar.

♦ mCÄmNÐlCatiRbyuT§nwgCMgWeGds_esIEs,k nigkameraK )anerobcMRbB½n§eFVIkarGegátRsavRCavrkGRta PaBs‘aMnwg»sfRbqaMgemeraKeGds_ EdlkñúgenaHmankarsikSaRsavRCavFM² cMnYn3 ³ 1> kartamdanénGaMgDIkaT½rsMrab;RbkasGasnñ ³ manGaMgDIkaT½rcMnYn 7 EdlRtUvRbmUlBIRKb; sites

sMrab;karGegátrkPaBs‘aMnwg»sfRbqaMgemeraKeGds_ Ed;lkñúgenaHman³ 1> PaKryénRtImas Edlmandac;sþúknUv»sfRbqaMgemeraKeGds_ 2> PaKryénRtImasEdlman»sfRbqaMgemeraKeGds_ hYseBlkMNt;kareRbIR)as; Edl)an rkeXIjenA kEnøgBüa)aleday»sfRbqaMgemeraKeGds_ 3> PaKryén»sfRbqaMgemeraKeGds_ Edl)anTukdak;RtwmRtUv (Storage conditions ) 4> PaKryénGñkCMgWEdl)ancab;epþImpþl;karBüa)aledayrUbmnþBüa)alCYrTI1 5> PaKryénGñkCMgWEdlenAeRbIkarBüa)aledayrUbmnþBüa)alCYrTI1eRkayBIcab;epþImBüa)al

eday»sfRbqaMgemeraKeGds_ ry³eBl12Ex 6> PaKryénGñkCMgWEdl)ane)aHbg;karBüa)al enA12Ex eRkayBüa)aleday»sfRbqaMg

emeraKeGds_ 7> smamaRt énGñkCMgWEdlenAmktamkarNat;CYb GacykmkeRbIedIm,IrkPaBx¢ab;x¢Ün)an

2> karGegáttamdan rkkarcMlgEdlmanPaBs‘Maén»sfRbqaMgemeraKeGds_bzm tamry³ threshold survey elIGñkEdleTIbnwgqøgf μ I. karGegáttamdanenH RtUv)anerobcMeFVI enAExmifuna qñaM 2008 enH enAraCFanIPñMeBj enAmnÞIreBTüNaEdl)anpþl;karBüa)aleday»sfRbqaMgemeraK eGds_ )anRbEhlry³eBl6qñaM. karGegáttamdanenH maneKalbMNgedIm,IvaytMélsmamaRt énGñkCMgWeGds_Edlman PaBs‘aMCamYy»sfRbqaMgemeraKeGds_kñúgrUbmnþBüa)alCYr TI1 nigedIm,I vaytMélBIRbsiT§PaBén »sfRbqaMgemeraKeGds_ tamrUbmnþBüa)alCYrTI1 .

3> karGegáttamdanrkPaBs‘aMén»sfRbqaMgemeraKeGds_dMNak;kalTI2 EdlekItmaneLIgenAkñúg cMeNamGñkCMgWEdlkMBugBüa)aleday»sfRbqaMgemeraKeGds_ enAesvaEdl)aneRCIserIseFVIkar

- 22 -

Gegát. karGegátRsavRCavenH KWmaneKalbMNgedIm,IvaytMél énPaBs‘aMnwg»sfRbqaMgemeraK eGds_ kñúgry³eBlBüa)aleday»sfRbqaMgemeraKeGds_qñaMTI1 tamrUbmnþBüa)alCYrTI1 nig edIm,IvaytMélBIktþaEdleFVI[manPaBs‘aMén»sfRbqaMgemeraKeGds_enH. BiFIsarénkarGegát RsavRCavenH RtUv)anerobcM ehIykarRbmUlTinñn½y nig sMNakQam (specimen] nwgcab;epþIm RbmUlenAedImqñaM 2009 enAesvaBüa)aleday»sfRbqaMgemeraKeGds_ cMnYn2 kEnøg.

2>9 karBRgwgKuNPaBesvaEfTaM nigBüa)alCMgWeGds_ (CQI) mCÄmNÐlCatiRbyuT§nwgCMgWeGds_esIEs,k nigkameraK eTIbEtnwgerobcMyuT§nakarpSBVpSayGnuvtþ

km μviFIBRgwgKuNPaBesvaEfTaM nigBüa)alCMgWeGds_ enAkñúgextþ cMnYn 2 ¬)at;dMbg nigeBaFisat; ¦ enAcug qñaM 2008 enH. kmμviFIenH KWedIm,IBRgwgKuNPaBesvaEfTaM nigBüa)aldl;GñkpÞúkemeraKeGds_ GñkCMgW eGds_ enAkñúgRbeTskm<úCa . GaMgDIkaT½rxageRkamenH RtUv)ankMNt;edIm,Itamdan BRgwgKuNPaBesva EfTaM nigBüa)al ³

1> GaMgDIkaT½rsMrab;tamdanmrN³PaB ³ - PaKryénGñkCMgWEdlkMBugBüa)aleday»sfRbqaMgemeraKeGds_ ehIy)ansøab; - PaKryénGñkCMgWEdlkMBugBüa)aleday»sfRbqaMgemeraKeGds_ ehIy)ane)aHbg;karBüa)al - PaKryénGñkCMgWEdlkMBugBüa)alCMgW»kasniym )ansøab;b¤)ane)aHbg;karBüa)al

2> GaMgDIkaT½rsMrab;tamdankrNIf μ I nigbgáa ³ - PaKryénGñkCMgW OI fμI Edlman CD4 count dMbUg >250 (pre-OI) - PaKryénGñkCMgWrebgf μ I ehIyEdl)anTTYlkarpþl;RbwkSa nigeFVIetsþQamrkemeraKeGds_ - PaKryénRsþImanépÞeBaH Edl)anmkBinitüépÞeBaHelIkTI1 ehIyEdl)anTTYlkarpþl;RbwkSa

nigeFVIetsþQamrkemeraKeGds_ (PMTCT) - PaKryénRsþImanépÞeBaHEdldwgxøÜnfamanlT§pl Edl)anTTYlkarbgáa nigtamdan (pre-OI)

3> GaMgDIkaT½rsMrab;KuNPaBesva ³ - PaKryénGñkCMgWEdlkMBugBüa)aleday»sfRbqaMgemeraKeGds_ Edl)anmkCYbRKUeBTü

ral;eBlNat; enAkñúgRtImascugeRkay (post-OI)

- 23 -

- PaKryénGñkCMgWEdlmanekasika CD4 ticCag 200 nig 100 )anTTYlkarBüa)albgáar eday Cotrimoxazol (CXT) and Fluconazole

- PaKryénGñkCMgWfμ IEdl )ancuHbBa¢IenAesvaEfTaM nigBüa)alCMgW»kasniym nigeday»sf RbqaMgemeraKeGds_ Edl)anRsavRCavrkCMgWrebg (pre-OI)

2>10 snñisiT§ sþIBIkarBüa)alCMgWeGds_ snñisiT§ elIkTI2 sþIBIbgáar nigkarBüa)al EfTaM CMgWeGds_enARbeTskm<úCa RtUv)anerobcMeLIg

enAsNæaKarPñMeBj kñúgeKalbMNgedIm,IEckrMElknigpøas;bþÚrnUvbTBiesaFn_ nigedIm,IbegáIncMeNHdwgkñúgkar bgáar karBüa)alnig EfTaMCMgW eGds_dl;GñkpÞúkemeraKeGds_ GñkCMgWeGds_ enAkñúgRbeTskm<úCa Edlkñúg enaH manGñkpþl;esva RkumRKUeBTü Gñkpþl;RbwkSa Gñkbec©keTsmnÞIrBiesaFn_ nig RkumEfTaMtampÞH. 2>11 kic©RbCMurbs; KN³km μkardwknaMKMerag (Steering Committees)

kic©RbCMuelIkTI1 rbs;KNkm μkardwknaMKMeragsMrab;kargarkareqøIytbrYmKña kñúgkarbgáarnigEfTaM Büa)albnþ CMgWeGds_nig suxPaBbnþBUC Edl)anRbRBwtþeTAsNæaKarsan;ev kalBIéf¶TI12 ExFñÚ qñaM 2008 EdlmanGñkcUlrYm cMnYn118nak; mkBIextþéRBEvg nigextþtaEkv ¬mnÞIrsuxaPi)alextþ/ kariyal½y RsukRbtibtþisuxaPi)al/ mnÞIreBTübEg¥k/ mNÐlsuxPaB/ kmμviFIbgáarkarcMlgemeraKeGds_BImþayeTAkUn nig mNÐleFVIetsþQamrkemeraKeGds_ ¦ tMNagédKUkargar EdlcUlrYmkñúgkargarenH nigtMNagGgÁkar CaédKUEdleFVIkargarEfTaMtampÞH nigtamshKmn_ enARsukRbtibtþi5 ¬RsukRbtibtþiGñkelOg/ emsag/ kMBg;RtEbk/ RBHesþc/ nigKIrIvgS¦ nigtMNagGgÁkarCam©as;CMnYy ¬dUcCa ITM/Belgium/ mUlniFIKøIntun/ GgÁkarsuxPaBBiPBelak/ GgÁkaryUnIeshV/ UNAIDS, US-CDC)… . eKalbMNgénkic©RbCMuenH KWedIm,I BinitüemIlBIkarrIkcMerInénkarGnuvtþn_nUvKMeragkareqøIytbrYmKña kñúgkarbgáarnigEfTaM Büa)albnþCMgW eGds_nig suxPaBbnþBUC Edl)anGnuvtþenARsukRbtibtþiGñkelOg nigKIrIvgS nigedIm,IBiPakSaBIbBaða nig ]bsKÁmYycMnYnEdl)anCYbRbTHenAkñúgkarGnuvtþn_knøgmk nigelIkEpnkarsMrab;eBlxagmux CaBiess KWBinitüemIlelIyuT§saRsþsMrab;BRgIkkargarenH.

2>12 savnkm μ (External Audit) kareFVIsavnkmμrbs;KMerag DFID, CDC-GAP nig GFATM )anRbRBwtþeTAerogral;qñaM ehIyBMu

EdlmanbBaðaGVIekItmaneLIgkñúgeBleFVIsavnkm μenHeT.

- 24 -

x> smiT§plénkarpþl;esva 1> skmμPaBénkarTb;sáat;CMgWeGds_

BIExmkra dl;ExFÚñ qñaM 2008 enH/ manmanKøInikkameraK (Specialized STI clinic) TaMgGs;cMnYn 32 kEnøg RKbdNþb;elI 21 kñúgcMeNam 24extþ-Rkug TUTaMgRbeTskm<úCa ¬elIkElgextþmNÐlKIrI nigRkugEkb¦. kñúgenaH man 22 KøInikCarbs;GgÁkareRkArd§aPi)al NGO (RHAC=17 KøInik,Marie Stopes=3 KøInik,

MEC=1 KøInik nig PSF=1 KøInik) .

kñúgcMeNam 32 KøInikkameraKEdlCarbs;rdæaPi)alman 29KøInik ¬96°¦Edl)anbMBak;nUv]bkrN_bEnßm sMrab;mnÞIrBiesaFn_ EdlGaceFVIetsþ RPR nig Basic microscopy kñúgcMeNam KIønikEdlmanbMBak;]bkrN_ mnÞIrBiesaFn_enaH man 23 KIønik)andMeNIrkar ¬]bsm<½n§ ³ STI GaMgDIkaT½r 2 ¦. mnÞIrBiesaFn_TaMg enH )anGnuBaØateGayKøInikkameraK (specialized STI clinic) GaceRbIR)as;nUvKMnUsbMRBYjsMrab;karKb;RKg EfTaM nigBüa)alCMgWkameraK edayBwgEp¥keTAelIcegáameraKsBaØa [kan;EtRbesIreLIgsMrab;RkumRbCaCn EdlmankarRbQmmuxx<s;.

CabEnßmeTAelIkargarrbs;KøIniksuxPaBRKYsarmNÐlsuxPaBcMnYn 222 kEnøgenAkñúgRsukRbtibtþcMnYn 74 kñúg 24 extþ-Rkúg )anpþl;esvaBinitüCMgWkameraKedayBwgEp¥keTAelIcegáameraKsBaØa. kñúgqñaM 2008 mNÐlsuxPaB Edlpþl;esvaBinitüCMgWkameraKedayBwgEp¥keTAelIcegáameraKsBaØa kñugenaHrYmmankar BieRKaHCMgW cMnYn 4/846 nak; Caburs nig 26/526 nak;CaRsþI)anraykarN_mkkan;EpñkRKb;RKgTinñn½y énmCÄmNÐlCati RbyuT§nwgCMgWeGds_ esIEs,k nigkameraK . kñúgcMeNamGñkCMgWbursEdl)anraykarN_ BIcegáameraKsBaØaCMgWkameraK cMnYn 3/849krNI kñúgenaHman 3/616 krNI ¬92/9°¦ mankarhUrxÞúH tambgðÜrenam/man 214krNI ¬5/5°¦mandMe)AelIRbdab;bnþBUC/ nig 64krNI ¬1/6°¦ sirman;elI Rbdab;bnþBUC. karBinitüCMgWkameraKedayBwgEp¥kelI cegáameraKsBaØacMeBaHRsþIcMnYn 24/215 krNI; man 11/660 krNI ¬48/2°¦ manCMgWrlakTVarmas nig)anBüa)al/ 10/982 krNI ¬45/4°¦ manCMgW rlakTVamas nigmat;s,Ún/ 1/431 krNI ¬5/9°¦ manCMgWrlakEb:lvIs nig 122 krNI ¬0/5°¦ man dMe)AelIRbdab;bnþBUC. kñúgenaHmanédKUEdl)ankMNt;GtþsBaØaNfamaneraKsBaØa nig)anBüa)aleday BwgEp¥kelIcegáameraKsBaØaenaHman 3/454 nak;Caburs nig 5/167nak;CaRsþI.

- 25 -

kñúgqñaM2008 karBieRKaHCMgWenAtamKIønikkameraKTaMg51kEnøgEdlmanKøInikcMnYn32kEnøg Carbs;rdæaPi)al nigKøInikGgÁkareRkArdæaPi)alcMnYn 19 rYmmankarBieRKaHCMgWTaMgGs; 204/992 elIk ¬kñúgenaHman 19/397 nak; Caburs nig 3/399 MSM/ 142/903 nak; CaRsþIEdlmankarRbQmmuxTab nig 39>293 nak; Ca®sþIrksuIpøÚvePTedaypÞal; (BSWs) nigRsþIrksuIrbrbMerIesvakMsanþ (EWs) ¬13/921 nak; CaRsþIrksuIpøÚvePTedaypÞal;/ 25/373 nak; CaRsþIrksuIrbrbMerIesvakMsanþ¦ nwgmancMnYn 24>503 nak; mkeFVIkarBinitütamdanbnþCaerog ral;Ex ¬ rUbPaBTI 3 ¦.

38143240 3290 3577

63755830

7135

5867

010002000300040005000600070008000

Q1-08 Q2-08 Q3-08 Q4-08

Total visit of DSW Total visit of EW

rUbPaBTI3 : RsþIrksuIpøÚvePTedaypÞal; nigbMerIesvakMsanþ Edl)aneTABinitüsuxPaBenA KøInikkameraK/BIRtImasTI 1 qñaM 2008 dl; RtImasTI 4 qñaM 2008

KøInikGgÁkarm:arIsþúb BuM)anepJIr)aykarN¾rbs;xøÜnmkkan;mkEpñkRKb;RKgTinñn½y NCHADS eT.

KøIniksmaKmEfTaMsuxPaBRKYsarkm<úCa (RHAC) CaKøInikmYyEdlTTYlkarcab;GarmμrN_ nig)anTTYl GtifiCn PaKeRcInCaRsþIempÞH rWRsþIEdlmankarRbQmmuxTab cMENkÉKøInikTaMg32 rbs;rdæaPi)al)an pþl;esvaPaKeRcIn cMeBaHRsþIrksuIrbrpþl;esvakMsanþ. KøInikGgÁkar MEC)anTTYlGtifiCnEdr)anmkeFVIkar BinitüPaKeRcInCabursrYmePTCamYyburs MSM .

- 26 -

BIEx mkra dl;Ex FñÚ qñaM 2008 enHKøInikTaMg 51 kEnøg kñúgenaHcegáameraKsBaØaCMgWkameraKEdl)anray karN_ manGñkCMgWburscMnYn 12/645 krNI EdlmkeFVIkarBinitüCMgWbBa¢ak;fa 11/488 krNI ¬90/9°¦ mankarhUrxÞúHtambgðÜrenam/ 91 krNI ¬0/7°¦ hUrxÞúHtamrn§KUf/ 646 krNI ¬5/1°¦ dMe)AelIRbdab; bnþBUC¼rn§KUf/ 380 krNI ¬3/0°¦ sirman;elIRbdab;bnþBUC¼ rn§KUf/ 29 krNI; ¬0/2°¦ehImRkelon . cegáameraKsBaØaCMgWkameraK Edl)anraykarN_kñúgcMeNam MSM cMnYn 812 krNI man 366 krNI ¬44/8°¦mankarhUrxÞúHtambgðÜrenam /85 krNI ¬10/5°¦ hUrxÞúHtamrn§KUf nig 302 krNI ¬37/2°¦ dMe)AelIRbdab;bnþBUC¼rn§KUf.

KøInikTaMg 51 kEnøg cMeBaHRsþIEdlmankarRbQmmuxTab kñúgenaHcegáameraKsBaØaCMgWkameraKEdl)anray karN_cMnYn 109/877 krNI;/ man 85/468 krNI; ¬77/8°¦ manCMgWrlakTVamas / 22/616 krNI; ¬20/6°¦ manCMgWrlakTVamas nigmat;s,Ún/ 568 krNI ¬0/5°¦manCMgWrlakEb:lvIs/ 830 krNI ¬0/8°¦ dMe)AelIRbdab;bnþBUC¼rn§KUf nig 395 krNI ¬0/4°¦ sirman;elIRbdab;bnþBUC¼rn§KUf. kñúgqñaM 2008/ kñúgcMeNamRsþIrksuIpøÚvePTedaypÞal;cMnYn 4/724nak; )anmkeFVIkarBinitüelIkdMbUg enAKøInik kameraKmancMnYn 2/943krNI;¬62/3°¦ RtUv)anvinicä½yfamanCMgWkameraKEdlkñúgenaHman 1/407 krNI ¬29>8°¦ manCMgWrlakmat;s,Ún . cMnYnRsþIrksuIpøÚvePTedaypÞal; 9/197 nak; )anmkBinitütamdanbnþ enAKøInikkameraKCaRbcaMEx kñúgenaHman 3/177 krNI ¬34/5°¦ RtUv)anvinicä½yfa manCMgWkameraK/ EdlkñúgenaH man 1/784 nak; ¬19/4°¦ manCMgWrlakmat;s,Ún ¬]bsm<½n§ ³ STI GaMgDIkaT½r1 ¦. BIEx mkra dl;Ex FñÚ qñaM 2008 RsþIrksuIrbrbMerIesvakMsanþcMnYn 10/066nak; )anmkeFVIkarBinitüelIkdMbUgenA KøInikkameraK mancMnYn 6/289 krNI ¬62/5°¦ RtUv)anvinicä½yfa manCMgWkameraK EdlkñúgenaHman 3/430 krNI; ¬34/1°¦ manCMgWrlakmat;s,Ún. cMnYnRsþIrksuIrbrbMerIesvakMsanþ 15/306nak; )anmk BinitütamdanbnþenAKøInikkameraKCaRbcaMEx kñúgenaHman 3/726 krNI¬24/3°¦ RtUv)anvinicä½yfaman CMgWkameraK/ EdlkñúgenaHman 1/705 krNI ¬11/1°¦ man CMgWrlakmat;s,Ún . cMnYnlT§pl RPR etsþTaMgGs; 3/992 etsþEdl)aneFVIkñúgqñaM 2008 enAmnÞIrBiesaFn_rbs;KøInikTaMg 32 rbs;rdæaPi)al nigcMnYn2eTotCarbs;GgÁkareRkArdæaPi)al PSF nig MEC kñúgenaHmanEt 61 ¬1/5°¦ )an rkeXIjmanlT§pl RPR viC¢man.

- 27 -

kñúgqñaM 2008 enH/ KøIniksuxPaBRKYsar)anbBaöÜnGtifiCneTAkan;esva VCCT cMnYn 13/987nak;/ GñkpÞúk emeraKeGds_ nigGñkCMgWeGds_cMnYn 78 nak;eTAkan;mNÐl OI/ART / 2/336nak; eTAkan;esvaBinitü épÞeBaHmuneBlsMral nig1/862nak; eTAkan;esvaBnüarkMeNIt. kñúgenaHEdr KøIniksuxPaBRKYsar k¾)an TTYlGtifiCnBIesva epSg²pgEdrdUcCa³)anTTYlHtifiCncMnYn 165nak; BIesva VCCT/ 47nak;mkBIesva OI/ART / 110 nak; mkBIesvaBinitüépÞeBaHmuneBlsMral nig 52nak; mkBIesvaBnüarkMeNIt.

2>1>1> esvapþl;RbwkSa nigeFVIetsþQam edaysμR½KcitþnigrkSakarsMgat; (VCCT)

cMnYnmNÐlpþl;esva VCCT mankarekIneLIgy:agxøaMgkñúgry³eBl5qñaMcugeRkayenH /KWBI 12 kEnøg enAqñaM 2000 dl; 212 kEnøg dl;Ex FñÚ 2008 ¬]bsm<½n§³ VCCT GaMgDIkaT½r 1¦¬rUbPaBTI4¦ .

212212206199197

140

109

7451

3612

7610

50

100

150

200

250

1995 1996 1997 2000 2002 2003 2004 2005 2006 2007 Q1 08 Q2 08 Q3 08 Q42008

Years

Num

ber o

f site

s

rUbPaBTI 4³ ninñakaréncMnYnRbCaCnEdl)aneFVIetsþQamrkemeraKeGds_BI qñaM 1995 dl;RtImasTI 4qñaM 2008

kñúgcMeNam 212 mNÐl/ man 190kEnøg Edl)anTTYlkar]bßmedaypÞal;BIraCrdæaPi)al/ 22kEnøg Carbs;GgÁkarminEmnrdæaPi)al ¬GgÁkarr:ak; RHAC, GgÁkar Marie Stopes/ GgÁkar MEC nig mNÐlénkIþ sgwÇm Center of Hope¦.

karpþl;RbwkSaeFIVetsþrkemeraKeGds_dMbUg (PITC) RtUv)anÉkPaBelIÉksareKalkarN_ Edl)ancuH htßelxa edayRksYgsuxaPi)alkñúgExkBaØa qñaM2006 enAmNÐlsuxPaBNaEdlmanesva VCCT . buKÁlikbMerIkarEpñkEfTaMsuxPaB)anpþl;RbwkSa dl;RsþImanépÞeBaHEdl)anmkBinitüépÞeBaH (ANC)/ GñkCMgW

- 28 -

kameraK/GñkCMgWrebg nigGñkCMgWNaEdlmaneraKsBaØa HIV edIm,I[BYkKat;sμRK½citþeFIVetsþQamrkemeraK eGds_/ pþl;Bt’manmuneBleFIVetsþ nigpþl;b½NÑbBa¢Ún edIm,IcUleTAkan;esva VCCT b¤ bUmQamrYcbB¢ÚaneTA kan;mNÐl VCCT. kareFIVetsþQamrkemeraKeGds_RtUv)aneFIVenAmNÐl VCCT dUcCakarpþl;RbwkSaeRkay eBleFIVetsþ .

kñúg 2008 enH/ 379/554 nak; éncMMnYnGtifiCn VCCT TaMgGs;/ ¬edayrab;bBa©ÚlcMnYnGtifiCnmkBIesva karBarkarcMlgemeraKeGds¾BImþayeTAkUn PMTCT énmCÄmNÐlCatiKaMBarmatanigTark NMCH¦/man 263/715nak;¬69/5°¦)ans½μRKcitþmkedayxøÜnÉg/ 47/195nak; ¬12>4°¦RtUv)anbBa¢Únmkeday km μviFIBinitüépÞeBaHmunsMral(ANC)/4/825nak;¬1>3°¦RtUv)anbBa¢ÚnmkedayKIønikkameraK/19/608nak; ¬5>2°¦ RtUv)anbBa¢Únmkedaykm μviFIkMcat;eraKrebg/ 18/764nak; ¬4>9°¦ RtUv)anbBa¢ÚnmkedayRkum EfTaMtampÞH(HBC)/ 13/722nak; ¬3/6°¦RtUv)anbBa¢ÚnmkedayesvaBinitüCMgWTUeTA/ 895nak; ¬0>2°¦ RtUv)anbBa¢ÚnmkedayesvaEfTaMkumar/6/217nak;¬1>6°¦ RtUv)anbBa¢ÚnmkedayesvasmÖB/2/340 nak; ¬0>6°¦ RtUv)anbBa¢ÚnmkedaykmμviFIEpnkarRKYsar nig 2/273nak; ¬0>6°¦ RtUv)anbBa¢Únmkeday esvaepSg²eTot ¬rUbPaBTI 5¦.

Pediatric Care Service, 0.2%

BS/FP, 0.6%

General Medicine, 3.6%

HBC/NGO, 4.9%

Maternity Service, 1.6%

ANC, 12.4%

Others, 0.6%

STD Clinic, 1.3%

TB Services, 5.2% Self Referred, 69.5%

rUbPaBTI 5³ ninñakaréncMnYnGtifiCnEdl)aneFVIetsþQamenAmNÐl VCCT EdlbBa¢ÚnBIesvaepSg² kñúgqñaM2008

kñúgcMeNamGtifiCnEdl)anmkkan;mNÐlpþl;RbwkSa VCCT TaMgGs; 320/557nak;/ manRbCaCncMnYn 299/368nak; )anmkeFIVetsþrkemeraKeGds_enAmNÐlpþl;RbwkSa VCCT enAkñúgqñaM 2008¬rUbPaBTI 6¦.

- 29 -

70,518

78,922

69,516 71,957

77,97170,870

58,295

61,23659,47755,000

45,00040,000

0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

80,000

90,000

Q12006

Q22006

Q32006

Q42006

Q12007

Q22007

Q32007

Q42007

Q12008

Q22008

Q32008

Q42008

Years

Num

ber o

f peo

ple

test

ed fo

r HIV

rUbPaBTI 6³ ninñakaréncMnYnRbCaCnEdl)aneFVIetsþQamrkemeraKeGds_enAesva VCCT BIRtImasTI 1 qñaM 2006

dl;RtImasTI 4 qñaM 2008 kñúgcMeNamRbCaCnEdl)aneFIVetsþQamrkemrkemeraKeGds_enAmNÐl VCCT kñúgqñaM2008enH man 170/898nak; ¬57>1°¦CaRsIþ nig 270/382nak; ¬90/3°¦ manGayucab;BI 15-49qñaM ¬]bsm<½n§³ VCCT GaMgDIkaT½r 2¦ ¬taragTI1¦.

GtifiCnEdlmkeFVIetsþQamrkemeraKeGds_ People tested for HIV N= 299, 368 No. (%)

GtifiCnEdlmanlT§plQamviC¢man People tested HIV positive

N=11,670 No. (%) Gayu (Age)

11,425 (3.8) 1,051 (9.0) ≤14 qñaM 270,382 (90.3) 9,945 (85.2) 15-49 qñaM

17,561 (5.9) 674 (5.8) > 49 qñaM ePT (Sex)

128,470 (42.9) 5,658 (48.5) Rbus 170,898 (57.1) 6,012 (51.5) RsI

taragTI 1³ lkçN³énGtifiCnEdl)aneFVIetsþQamrkemeraKeGds_enAesva VCCT / kñúgqñaM 2008

- 30 -

kñúgqñaM 2008 RbCaCnsrub 270/382 nak;)aneFVIetsþQamrkemeraKeGds_/ EdlGñkTaMgGs;enaHman Gayucab; BI 15-49 qñaM ¬ VCCT GaMgDIkaT½r 2 ¦. enAqñaM2008enH 99>0° ¬cenøaH BI 85>8°-100° enARKb;esva VCCTTaMgGs;¦énGtifiCnEdleFIV etsþrYc)anmkTTYlyklT§plrbs;BYkeKvijtamry³karpþl;RbwkSaeRkayeBleFIVetsþ ¬]bsm<½n ³ VCCT

GaMgDIkaT½r 3¦. rhUtdl;cugqñaM 2008 enH/ RbCaCncMnYn 320/557nak; enATUTaMgRbeTs/ man 19/608 nak; ¬5>2°¦ RtUv)anbBa¢ÚnmkBIkmμviFIrebg ¬]bsm<½n§³ VCCT GaMgDIkaT½r 4¦ ¬rUbPaBTI 7¦.

2,3912,673

3,4142,946 3,108 3,259

4,165 3,931 4,178

4,8575,495

5078

0

1,000

2,000

3,000

4,000

5,000

6,000

1stQtr06

2ndQtr06

3rdQtr06

4thQtr06

1stQtr07

2ndQtr07

3thQtr07

4thQtr07

1stQtr08

2ndQtr08

3thQtr08

4thQrt08

Year 2008

Num

ber o

f VC

CT

clie

nts

who

wer

e re

ferr

ed b

y th

e TB

pro

gram

rUbPaBTI 7³ ninñakaréncMnYnGtifiCnEdl)aneFVIetsþQamenAmNÐl VCCT EdlbBa¢ÚnBIkmμviFIrebg cab;BIRtImasTI1 qñaM 2006 dl; RtImasTI 4 qñaM2008

kñúgqñaM 2008/ RbCaCncMnYn11/670nak; TUTaMgRbeTs RtUv)anrkeXIjmanqøgemeraKeGds_viC¢man enAtammNÐl VCCT TUTaMgRbeTs ¬rUbPaBTI 8¦.

- 31 -

3.73.74.14.14.55.3

6.86.26.6

7.6

9.38.7

9.7

11.7

1312.5

0

2

4

6

8

10

12

14

Q105

Q205

Q305

Q405

Q106

Q206

Q306

Q406

Q107

Q207

Q307

Q407

Q108

Q208

Q308

Q408

Quarters

HIV

pre

valle

nce

(%)

rUbPaBTI 8³ ninñakarénGRtakarqøgemerakeGds_sMrab;GtifiCnEdl)aneFVIetsþQamenAesva VCCT

BIRtImasTI 1 qñaM 2005 dl;RtImasTI 4 qñaM 2008

2>1>2- esvaBinitü nigBüa)alCMgWeGds_ (OI and ART Services)

bc©úb,nñenHman 51 mNÐlsuxPaB )anpþl;esvakarBüa)alCMgW»kasniym (OI) nigkarBüa)aleday»sf RbqaMgemeraKeGds_ (ART) enAkñúg 20 extþ-Rkug. kEnøgpþl;esvakarBüa)alCMgW»kasniym (OI) nigkar Büa)aleday»sfRbqaMgemeraKeGds_ (ART) TaMg 51 kEnøgenaHRtUv)anTTYlkar]btßmÖedayrdæaPi)al nigGgÁkarminEmnrdæaPi)alCaédKU ¬]bsm<½n§³ CoC GaMgDIkaT½r 2¦. kñúgcMeNamesvaBüa)alTaMg 51 kEnøgenaH man 27kEnøg )anTTYl BinitünigBüa)alCMgWCUnkumarpÞúkemeraKeGds_ . enAkñúgcMeNamRsukRbtibtþicMnYn 39 mankEnøgpþl;esva Büa)aleday»sfRbqaMg emeraKeGds_ (ART) y:agehacNas;mYykEnøg ¬]bsm<½n§³ CoC GaMgDIkaT½r 1¦ ¬rUbPaBTI 9¦ .

enAkñúgqñaM 2008 cab;taMgBIdMeNIrkarénkm μviFIrhUtmkTl;bc©úb,nñ manevC¢bNÐit-RKUeBTücMnYn 306 nak;/ Kilanub,dæakyika cMnYn 134 nak; )anTTYlkarbNþúHbNþalkargarBinitüBüa)al nigpþl;RbwkSa RBmTaMg

- 32 -

»sfkarI cMnYn 207 nak; )anTTYlkarbNþúHbNþalkargarRKb;RKg»sf sMrab;GñkCMgW»kasniym¼CMgW eGds_.

rUbPaBTI 9³ TItaMgénmNÐlsuxPaBEdlBinitünigBüa)alCMgW OI/ART Kitmkdl;Ex FñÚ qñaM2008

CD4 Count Available (5) OI/ART Site (51) Pediatric Site (27)

karKaMRTEpñkmnÞIrBiesaFn_ karrab;cMnYnekasikaCD4 man 71/159 krNI enAkñúgqñaM2008 Kitcab;taMBIExmkrarhUtdl;ExFñÚqñaM 2008 EdleFVIeLIg 4 kEnøg KWenA extþtaEkv, extþkMBg;cam/ extþ)at;dMbg nigenAviTüasßanCatiRsavRCavsuxPaB saFarN³ (NIPH) ¬PñMeBj¦. karrab;cMnYnekasika CD4 k¾manpgEdr enAviTüasßan)a:sÞ½r ¬PñMeBj¦ man cMnYn 2/546 krNI . kareFVIetsþPaKryén CD4 sMrab;kumarRtUv)aneFVIenAviTüasßan)a:sÞ½r nigenAviTüasßan CatiRsavRCavsuxPaBsaFarN³ (NIPH) RkugPñMeBj ¬rUbPaBTI10¦.

- 33 -

44,851

63,53571,159

5,080 3,502 2,5460

10,00020,000

30,00040,000

50,000

60,00070,000

80,000

2006 2007 2008

CD4 tested at 4 Sites CD4 tested only at IPC

rUbPaBTI 10³ ninñakaréncMnYnkrNIeFIVetsþrab;ekasika CD4 Edl)aneFIVeLIgenA 4 kEnøg edayeRbIm:asIun FACScounts eRbobeFobeTAnigcMnYnkrNIeFIVetsþrab;ekasika CD4 Edl)aneFIVeLIgenAviTüasßan)a:sÞ½r cab;BIqñaM2006

rhUtdl;qñaM2008

enAkñúgqñaM2008 enH man RNA viral load cMnYn 410 krNI)aneFVIeLIgenAviTüasßanCatiiRsavRCavsuxPaB saFarN³ EdlkareFVIetstþenaHsMrab;EtKøIniksuxPaBsgÁmb:ueNÑaH nigman RNA viral load cMnYn 1/800 krNI k ¾)aneFVIenAviTüasßan)a:sÞ½rEdr .

300 4101244

7258

0

10002000

30004000

5000

60007000

8000

Q4-2007 2008

HIV RNA Viral Load Tested at NIPH HIV RNA Viral Load Tested at IPC

rUbPaBTI 11³ ninñakaréncMnYnkrNIeFIVetsþ RNA viral load viTüasßanCatiiRsavRCavsuxPaBsaFarN³

eRbobeFobeTAnigcMnYnkrNIeFIVetsþ RNA viral load Edl)aneFIVeLIgenAviTüasßan)a:sÞ½r cab;BIRtImasTI4 qñaM2007 rhUtdl;cugqñaM2008

- 34 -

kareFVIetsþ DNA PCR man 400 krNI)aneFVIeLIgenAviTüasßanCatiiRsavRCavsuxPaBsaFarN³Edl)anrk eXIj 40 krNImanlT§plviC¢man nig 428 krNIeTot)aneFVIenAviTüasßan)a:sÞ½r .

135

4964

152

52

100

143133

0

20

40

60

80

100

120

140

160

Q1-2008 Q2-2008 Q3-2008 Q4-2008

DNA PCR tested at NIPH DNA PCR tested at IPC

rUbPaBTI 12³ ninñakaréncMnYnkrNIeFIVetsþ DNA PCR viTüasßanCatiiRsavRCavsuxPaBsaFarN³ eRbobeFobeTAnigcMnYnkrNIeFIVetsþ DNA PCR Edl)aneFIVeLIgenAviTüasßan)a:sÞ½r

cab;BIRtImasTI1 qñaM2008 rhUtdl;RtImasTI4 qñaM2008

enAcugqñaM2008 enHGñkCMgWskm μsrubcMnYn 31/999nak; EdlkñúgenaHman 28/932nak; Ca mnusSeBjv½y nig 3/067nak; Cakumar)anTTYl ART ¬rUbPaBTI 13/ 14¦¬]bsm<½n§³ HFBC GaMgDIkaT½r 5¦. enAcugExFñÚqñaM2008 enHmanmnusSeBjv½ycMnYn 28/931nak; es μInig 91/91° éncMnYn)a:n;sμanRbEhl 30/500 CamnusSeBjv½yEdlRtUvkarkarBüa)aleday»sfRbqaMgemeraKeGds_ (ART) .

- 35 -

3 510

17

32

4449 51

71392

2,230

5,974

12,355

20,13126,664

31,999

0

10

20

30

40

50

60

2001 2002 2003 2004 2005 2006 2007 20080

5,000

10,000

15,000

20,000

25,000

30,000

35,000

Number of site Number of Active Patients on ART

rUbPaBTI 13³ ninñakaréncMnYnesvaBüa)alCMgW nig GñkCMgWskmμTTYl)ankarBüa)aleday»sfRbqaMgemeraKeGds_ BIqñaM 2001 dl;qñaM2008

5,522

11,284

18,344

24,123

28,932

452 1,071 1,787 2,541 3,067

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

2004 2005 2006 2007 2008

Quarter 1 2008Adult Children

rUbPaBTI 14³ ninñakaréncMnYnGñkCMgWskmμCamnusSeBjv½y nigkumar BIqñaM2004 dl;qñaM2008

enAcugqñaM2008enH/ kñúgcMeNamGñkCMgWskmμEdlTTYl)ankarBüa)aleday»sfRbqaMgemeraKeGds_ (ART) manRsþIcMnYn 51>82° nig mnusSeBjv½yCaburscMnYn 48>18° .

- 36 -

enAtammNÐlpþl;esvaBüa)alCMgWTaMgGs; manGñkCMgWfμ IcMnYn 2>437nak; ¬rab;bBa©ÚlTaMgkumar307nak;¦ )anTTYlkarBinitünigBüa)alCMgW»kasniym nigmanGñkCMgWf μ IcMnYn 1>603nak; ¬rab;bBa©ÚlTaMgkumar 158 nak;¦)ancab;epþImTTYlkarBüa)aleday»sfRbqaMgemeraKeGds_ (ART) kñúgRtImasTI4qñaM2008 ¬rUbPaB TI 15¦. cMnYnGñkCMgW»kasniymfμ Imankarefrcab;BIRtImasTI4kñúgqñaM2007enH ehIycMnYnGñkCMgWTTYl karBüa)aleday»sfRbqaMgemeraKeGds_ (ART) mankarfycuHenARtImasTI4qñaM2008.

3,3433,140

2,554 2,437

1,6031,6841,944

2,121

0

500

1,000

1,500

2,000

2,500

3,000

3,500

4,000

2005 2006 2007 2008

New Patients on OI Care New Patitents on ART

rUbPaBTI 15³ ninñakaréncMnYnGñkCMgW»kasniym nigGñkCMgWBüa)aleday»sfRbqaMgemeraKeGds_fμ I BIqñaM2005 dl; qñaM2008

manCMgW»kasniymskm μcMnYn 8/880nak; CamnusSeBjv½y nig 1>604nak; Cakumar EdlminTan;man lkçN³smRsbsMrab;TTYlkarBüa)aleday»sfRbqaMgemeraKeGds_enAeLIyeTenAcugqñaM2008enH. kñúgcMeNamcMnYnTaMgGs;enaH man 5>569nak; ¬63°¦ CaRsþIEdlPaKeRcInbþIrWédKUrbs;BYkeK)anTTYlkar Büa)al CMgW OI/ART eRcInqñaMmkehIy.

- 37 -

cMnYnsrubénGñkCMgW»kasniymCamnusSeBjv½ycMnYn 2>062nak; nigkumarcMnYn 259nak; manlkçN³sm Rsb nwgTTYl)ankarBüa)aleday»sfRbqaMgemeraKeGds_EtBMuTan;)anTTYlenAcugRtImasTI4 qñaM2008 enHeT . karcl½tGñkCMgW tamesvaepSg² mkdl;cugqñaM2008enH/ mancMnYn1/150nak; énGñkCMgWEdlTTYl)ankarBüa)aleday»sfRbqaMgemeraK eGds_ (ART) RtUv)anbBa¢ÚnecjeTAkan;esva ART fIμ EdlsißtenACitpÞH b¤kEnøgrs;enArbs;BYkeK . ehIy kñúgenaHEdr mankEnøgBüa)aleday»sfRbqaMgemeraKeGds_cMnYn 10 EdlmanGñkCMgWskm μTTYl)ankar Büa)al day»sfRbqaMgemeraKeGds_eRcInCag 1/000 nak;. enAmnÞIreBTümitþPaBEx μr-sUevot ¬PñMeBj¦ manGñkCMgWskmμEdlTTYl)ankarBüa)aleday»sfRbqaMgemeraKeGds¾cMnYn 3/578 nak;.

3- karKaMRTEpñk»sf nwg smÖar³brikça

enAkñúgqñaM2008enH RKb;mNÐl ART TaMgGs;)aneFVIr)aykarN_cMnYnGñkCMgWtamrUbmnþ»sf ART nimYy². evC¢bBa¢aEdleRbIR)as;rUbmnþ»sfPaKeRcIn KW d4t+3TC+NVP, d4t+3TC+EFV nig AZT+3TC+NVP eday man 3>20 ° énmnusSeBjv½y nig 4>37 ° énkumarRtUv)anTTYlrUbmnþ»sf PI-Based ¬taragTI 2¦ .

rUbmnþénkareRbIR)as;»sf ARV

mnusSeBjv½y N= 28,980*

No. (%)

kumar N= 3,339* No. (%)

d4t+3TC+NVP 12,814 44.22 % 2,496 74.75 %

d4t+3TC+EFV 3,862 13.33 % 426 12.76 % AZT+3TC+NVP 7,326 25.28 % 169 5.06 % AZT+3TC+EFV 2,486 8.58 % 59 1.77 %

PI-based regimens 928 3.20 % 146 4.37 %

Other regimens 1,564 5.40 % 43 1.29 %

*Tinñn½yrUbmnþénkareRbIR)as;»sf min)anRtwmRtUvBitR)akdCak;EsþgeTAnwgcMnUntYrelxrbs;GñkCMgW ART eT .

taragTI 2 ³ evC¢bBaa¢sþIBIkareRbIR)as; nwgkarEckcayrUbmnþ»sfRbqaMgemeraKsMrab;GñkpÞúkemeraK HIV enAkm<úCa kñúgRtImasTI 4 qñaM 2008

- 38 -

2>1>3- esvaEfTaMGñkCMgWeGds_enAtamshKmn_ (Community-based Services)

esvaEfTaMGñkCMgWeGds_tampÞH (HBC services)

KMrUr)aykarN_f μ Irbs;RkumEfTaMtampÞH)aneFVIkarEckcayeTAdl;extþ-Rkug nigRkumEfTaMnimYy²edIm,I;Gnuvtþ cab;BIRtImasTI 3 qñaM 2008. RkumEfTaMtampÞH (HBC Teams) cMnYn 343 Rkum enAkñúgRbeTskm<úCa (]bsm<½n§³ HBC GaMgDIkaT½r1 ) (rUbPaBTI16). kñúgcMeNammNÐlsuxPaBTaMgGs; 675 rYmTaMg mNÐlsuxPaBb:usþ 1kEnøg )anpSarP¢ab;eTA nwgRkum HBC (]bsm<½n§³ HBCGaMgDIkaT½r 4) enAkñúgextþ-RkugcMnYn 20 EdlmanesvaEfTaMbnþ (CoC).

244 271 320 343

680

686

678

675

050

100150200250300350400

Q1-08 Q2-08 Q3-08 Q4-08668670672674676678680682684686688

Number of Teams Number of HC covered by HCB Teams

rUbPaBTI 16³ ninñakarénRkumEfTaMtampÞH (HBC teams) BIRtImasTI 1 qñaM 2008 rhUt RtImasTI 4 qñaM 2008

RkumEfTaMtampÞH (HBC) TaMgGs; )anCYy]bßmÖdl;GñkpÞúkemeraK¼GñkCMgWeGds_skmμcMnYn 27/280nak; (]bsm<½n§³ HBC GaMgDIkaT½r 2).

RkumKaMRTrbs;GñkpÞúkemeraKeGds_ (PLHA SG)

kñúgqñaM2008 enH enAkñúgRbeTskm<úCa manRkumKaMRTrbs;GñkpÞúk emeraKeGds_(PLHA SG)cMnYn 912 Rkum kMBugeFVIskm μPaB. RkumKaMRTrbs;GñkpÞúkemeraK eGds_ (PLHA SG) TaMgGs;enaH manenAkñúgextþ-Rkug cMnYn 15 (RbPB³ r)aykarN_ CPN+). cMnYnGñkpÞúkemeraKeGds_; Edl)anCYy]btßmÖedayRkum KaMRTrbs;GñkpÞúkemeraKeGds_ (PLHA SG) man 36/588 nak; enAkñúgqñaM 2008 ¬rUbPaBTI 17¦.

- 39 -

3658838378383333780936166353883146029958

05000

1000015000200002500030000350004000045000

Q1-07 Q2-07 Q3-07 Q4-07 Q1-08 Q2-08 Q3-08 Q4-08

rUbPaBTI 17³ ninñakarcMnYnGñkpÞúkemeraK nigGñkCMgWeGds_ Edl)anCYy]btßmÖeday PLHA Support GroupsBIRtImasTI 1 qñaM 2007 dl; RtImasTI 4 qñaM 2008

skmμPaBshkarKña rvag TB/HIV

BIExmkra dl;Ex kBaØa qñaM 2008 /Bt’mankrNIGñkCMgWrebg RtUv)anlb;ecj ehIyCacugeRkayBt’man GñkCMgWrebg¼eGds_ BuMmantYelxeToteT enARtImasTI 4 qñaM 2008 . mNÐlsuxPaBcMnYn 371 kEnøg kñúg extþ-Rkug cMnYn 19. cMeBaHmNÐlsuxPaBEdlmanRkumEfTaMtampÞH )andwkCBa¢ÚnGñkCMgWrebgBIshKmn_ eTAkan;mNÐl VCCT edIm,IeFVIetsþQamrkemeraK eGds_ .

cab;BIEx mkra dl;Ex FñÚ qñaM 2008 /mCÄmNÐlCatikMcat;CMgWrebg )anraykarN_fa mankrNIGñkCMgWrebgf μ I cMnYn 36/942nak; RtUv)ancuHeQμaHsMrab;karBüa)aledayBuM)anrab;bBa©ÚlGñkCMgWrebgfμIcMnYn 9/240nak; EdlBuMTan;)aneFVIetsþQamrkemeraKeGds_enAeT,IyeT. krNIIGñkCMgWrebgf μIEdlBuMTan;)aneFVIetsþQam kñúgenaHman 19/963nak; ¬54/0°¦RtUv)anbBa¢ÚneTAkan;mNÐl VCCT edIm,IeFVIetsþQamrkemeraK eGds_ nig 18/645nak; ¬93/0°¦)aneFVIetsþ nig)anTTYllT§pletsþeday)ankt;RtaenAkñúgbBa¢Ir rbs;km μviFIrebg. kñúgenaHmanGñkrebgf μ IcMnYn 36/942nak; RtUv)ancuHbBa¢IrenAkñúgqñaM 2008.

- 40 -

2/2> esvakarBarkarcMlgemeraKeGds_BImþayeTAkUn (PMTCT) ¬Tinñn½ypþl;edaymCÄmNÐlCati KaMBarmata nigTark¦

kñúgExFñÚqñaM 2008 manmNÐlsuxPaBmYycMnYnEdl)anpþl;esvakarBarkarcMlgemeraKeGds_BImþay eTAkUn (PMTCT) enA 66RsukRbtibtþi kñúgcMeNamRsukRbtibtþiTaMgGs; 76 .

cab;BI Exmkra dl;ExFñÚ qñaM2008 RsþIEdl)anmkBinitüépÞeBaHmuneBlsMralmancMnYn 97/796nak; )an mkeFVIkarBinitüépÞeBaHelIkdMbUgenAKøInikBinitüépÞeBaHmuneBlsMral¬ANC¦EdlmanesvakarBarkarcMlg emeraKeGds_BImþayeTAkUn(PMTCT).RsþImanépÞeBaHcMnYn67/973 nak; ¬69>5°¦ )aneFVIetsþrkemeraK eGds_ . cMeNamédKURsIþEdl)anmkBieRKaH enAKIønikBinitüépÞeBaHmuneBlsMral EdlmanesvakarBar karcMlgemeraKeGds_BImþayeTAkUn (PMTCT) kñúgenaHmanbþI¼édKUcMnYn 15/529nak; )aneFIVetsþ ¬22>8° énRsþImanépÞeBaH)aneTAeFVIetsþCamYybþI¼édKU¦. cMeNamRsþI 63/655 nak; )anTTYlyk lT§plénkareFVIetsþrkemeraKeGds¾rbs;BYkeKenAesva PMTCT . manRsþI 383 nak; ¬0>6°¦ )anrk eXIjlT§plviC¢man nigman 363 nak;eTot CaRsþImanépÞeBaH)anTTYllT§plviC¢man EdlRtUv)anbBa¢Ún eTAkan;esvakarBarkarcMlgemeraKeGds_BImþayeTAkUn (PMTCT) .

cMnYnRsþIsrub633nak; énRsþImanépÞeBaHEdlpÞúkemeraKeGds_ )ansMralkUnenAesvakarBarkarcMlgemeraK eGds_BImþayeTAkUn (PMTCT) cenøaHBIExmkra rhUtdl;ExFñÚ qñaM2008. mþayTaMg 614 nak; ¬94/2°¦ )anTTYl»sf ART, 186 nak; ¬30/3°¦ )anTTYl»sf AZT kñúgeBlmanépÞeBaH ¬RsþITaMg 179 nak;k¾)anTTYl»sf AZT+SD +NVP¦ RsþI 352 nak; ¬57/3°¦ )anTTYl»sf HAART nig RsþI 76 nak; ¬12/4°¦ )anTTYlkarBüa)aleday»sf ART EtmYymuxKt;. manTark cMnYn 635 nak; )an ekItBImþayEdlmanpÞúkemeraKeGds_enAesvakarBarkarcMlgemeraKeGds_BImþayeTAkUn (PMTCT) BIEx mkra dl;ExFñÚ qñaM2008. Tark 622 nak; ¬98°¦ )anTTYlkarbgáareday »sf ARV, Tark 482 nak; )anTTYl»sf NVP nig ZDV sMrab; ry³eBl1s)aþh_ nig TarkcMnYn 137 nak; sMrab;ry³eBl 4s)aþh_/ manEtTark 3nak;b:ueNÑaH Edl)anTTYl»sf NVP mYymux . kñúgcMeNammþayEdlman pÞúkemeraKeGds_ehIy)ansMralkUnenAesvakarBarkarcMlgemeraKeGds_BImþayeTAkUn (PMTCT) enAkñúg qñaM2008enH manRsþIcMnYn 175 nak; ¬28°¦ )anGHGagfaBYkeK manbMNgciBa©wmkUnrbs;eKedayTwkedaH

- 41 -

nigmanRsIþIcMnYn 448 nak; ¬71/9°¦ BYkeKmanKMeragciBa©wm TarkTaMgenaHedaykarbMb:nGahareRkABITwk edaHmþay .

cab;BIExmkra dl;ExFñÚ qñaM2008 cMnYnRsþImanépÞeBaHTUTaMgRbeTsRbmaNCa 342/756 nak;. manRsþI manépÞeBaHcMnYn 103/768nak; ¬30/3°¦ )aneFVIetsþrkemeraKeGds_ ehIy)anTTYlyklT§plén kareFVIetsþ ¬manRsþIcMnYn 67/973nak; )anraykarN¾BImCÄmNÐlCatiKaMBamatanigTark/ RsþIcMnYn 16/975nak; BIGgÁkaKøInik RHAC nig RsþI 18/820nak; BImnÞIreBTüC½yvrμ½nTI7¦ ¬HFBC:

GuaMgDIkarT½r7¦ . cMnYnRsþIRbmaNCa 2/879nak; ¬0/84° x 342/756¦ CaRsþImanépÞeBaHEdlpÞúk emeraKeGds_/ RsþIcMnYn 777nak; ¬27°¦)anTTYlfñaM ARV Prophylaxis enAesvasMralkUnrbs;rdæ ¬HFBC: GuaMgDkarT½r8¦.

tMélelxTaMgenHrab;bBa©ÚlTaMgKøInikrdæ/ KøInik RHAC nig tYelxBIKMeragviFIsaRsþeqøIytbrYmKñapgEdr. cMnYnRbCaCnsrubEdl)anpþl;edayRksYgEpnkarN¾ edayEp¥keTAelIkareFVICMerOndUcxageRkam³ cMnYnsrubénRbCaCnkm<úCaqñaM2008 = 13/388/910 nak; ¬CMerOnqñaM2008¦ dUecñHcMnYn)a:n;sμanénRsþImanépÞeBaHkñúgqñaM2008 = 342/756 nak; RbsinebIGRtaRBagkMeNItKW 25/6 sMrab; 1000 nak; kar):an;sμanBIeRbva:Lg;emeraKeGds¾qñaM2008 kñúgcMeNamKøInikBinitüépÞeBaHmuneBlsMral (ANC) nig TTYlBI NCHADS = 0/84° cMnYn)a:n;s μanénRsþImanépÞeBaHEdlpÞúkemeraKeGds¾kñúgqñaM2008 = 2/879nak;

2-3 karbgðajBITinñn½yénKMeragviFIsaRsþeqøIytbrYmKña

tYrelxénkareFVIetsþQamrkemeraKeGds_)anraykarN_EtEpñk VCCT b:ueNÑaH BuM)anrab;bBa©ÚlcMeBaHkar bUmQamenAtammNÐlsuxPaB ehIy)anbBa¢ÚnpÞal;eTAkan;mnÞIrBiesaFn_rbs; VCCT kñúgkareFVIetsþQam rkemeraKeGds_enaHeT. CabTBiesaFn_ niglT§plnaeBlfμ I²enH KMeragviFIsaRsþeqøIytbrYmKña ¬Link Response¦ enAéf¶TI 1 Ex emsa qñaM 2008 )ancab;epþImeFVIenAkñúgRsukRbtibtþcMnYn 4 rbs;extþéRBEvg ¬GñkelOg/ kMBg;RtEbk/ RBHesþc nig emsag¦r)aykarN_rbs;KMeragviFIsaRsþeqøIytbrYmKñamandUcxageRkam³

- 42 -

cab;BIEx emsa dl; Ex kBaØa qñaM 2008 tamkareRKagTukRsþImanépÞeBaHfμ I cMnYn 7/150 nak; kñúgenaHman RsþIcMnYn5/958nak; ¬83/3°¦)aneTABinitüépÞeBaHelIkdMbUgmuneBlsMral nigRsþI 4/984 nak; ¬69/7°¦ )aneFVIetsþQamrkemeraKeGds_enAKøInikBinitüépÞeBaHmuneBlsMralkñúgextþéRBEvg cMeBaHtMbn;Edlman TMnak;TMngKñarvagkm μviFIeqøIytbrYmKña ¬Link Response¦. eTaHCay:agNa RsþImanépÞeBaHEdl)aneFVIetsþ QamrkemeraKeGds_ TaMgGs;BuMEmnsuTæEt)anTTYllT§pletsþrbs;BYkeKTaMgGs;eT ¬]bsm<½n§³ HFBC

GaMgDIkaT½r 8 ¦. RsþImanépÞeBaHEdl)aneFVIetsþQamrkemeraKeGds_ cab;taMgBIExemsa qñaM2008 kñúgenaHmancMnYn 9 nak; )anrkeXIjmanlT§pletsþviC¢manehIyBYkeKTaMgGs;suT§ Et)anTTYlkarRbwkSa eRkayeBleFVIetsþ. CabEnßmRsþImanépÞeBaHcMnYn 13 nak; Edl)andwgBIlT§plrbs;xøÜnfa )anpÞúkemeraK eGds_kñúgeBlkMBugmanépÞeBaH k¾)ancUleTAkñúgkm μviFIkareqøIytbrYmKña rvagesvakarBarkarcMlgemeraK BImþayeTAkUn ¬PMTCT¦. kñúgenaHRsþImanépÞeBaHTaMg 22nak; Edl)andwgBIlT§pletsþrbs;xøÜnfa)anqøg emeraKeGds_ k¾)aneTAeFVIkarBinitütamdanenAesvakarBarkarcMlgemeraKBImþayeTAkUnpgEdrcab;taMg BIExemsa qñaM2008. RsþITaMg 13 nak; Edr)andwgBIsßanPaBrbs;xøÜn fa)anpÞúkemeraKeGds_muneBlmanépÞeBaH k¾)ancuHeQμaH enAkñúgmNÐlpþl;esva OI/ART enAmnÞIreBTübEg¥kGñkelOg ³ mancMnYn 11 nak;)anTTYlkarBüa)al eday»sf ART rYcehIy / man 1nak; )ancab;epþImTTYlkarBüa)aleday»sf ART bnÞab;BI)an cuHeQaμHenAkm μviFI PMTCT ehIyman 1nak;eTotBuMTan;smRsbkñúgkareRbI»sf ART cMeBaHsßanPaB énsuxPaBrbs;nagenAeT,IyeT nagkMBugsißtenAkñúgkarEfrkSa ehIynigcab;epþImkarBüa)aleday»sf bgáar ARV enAs)aþh_TI 28 . RsþIEdr)anrkeXIjfμ IcMnYn 9 nak; kñúgenaH 3 nak;smRsbkñúgkar TTYl HAART/ 4nak; kMBugTTYl karBüa)aleday»sf ARV nig 2 nak;eTot)ancakecj BItMbn;EdlmankmμviFI Link Response. manRsþImanépÞeBaHcMnYn 10 nak; kñúgcMeNam 22 nak;)aneFVIkarsMralkUnrYc nigRsþI 2nak;eTot sMerccitþ eFVIkarBnøÚtkUn. RsþIcMnYn 3rUbeTot)aneFVIkarsMralkUnenApÞH ehIyRsþIcMnYn 7 nak;epSgeTot sßitenAeRkam kar RKb;RKg nigEfrkSarbs;RKUeBTüCMnajenAesvaEfTaMsuxPaB. bc©úb,nñRsþIcMnYn 10 nak; Edl)aneFVIkarsMral kñúgenaHTarkcMnYn 9 nak; )aneFVIeraKvinicä½yeday DNA PCR kñúgenaHTarkcMnYn 4nak; rkeXIjfaTarkmanlT§plGviC¢man HIV- /Tark 1 nak;)anrkeXIjmanlT§pl

- 43 -

viC¢man HIV+ ehIy)ansøab; ¬TarkenH)anekItenApÞH¦ ehIymanTarkcMnYn 4 nak;eTotkMBugrgcaMTTYl lT§pl PCR etsþ . Casrub KMeragkmμviFIsaRsþeqøIytbrYmKña enAkñúgRsukRbtibtþi TaMg 4 rbs;extþéRBEvg )aneFVIeGaymankar RKbdNþb;xøaMgcMeBaHkareFVIetsþQamrkemeraKeGds_ kñúgcMenamRsþIman épÞeBaH CagkarRKbdNþb;CamFüm enATUTaMgRbeTs ¬]bsm<½n§³ HFBC GaMgDIkaT½r 8¦. karBinitütamdanRsþImanépÞeBaH ehIy)anqøg emeraKeGds_ RtUv)aneFVIeGaymanPaBkan;RtRbesIreT,IgedayynþkarkarsRmbsRmYl y:agrwgmaMenAfñak; RsukRbtibtþi rvagmNÐlsuxPaB nigRkumEfTaMtampÞH. eTaHCay:agNa RsþImanépÞeBaHEdl)anqøgemeraK eGds_mYYycMnYn BuM)anTTYlkar Büa)aleGay)anRtwmRtUveTAtamvKÁénkareRbIR)as;rUbmnþ»sfbgáar ARV

edayeyageTAtamkarekIneT,IgKYeGaykt;sMKal;elIkarRKb;RKg nigkarxitxMRbwgERbgedIm,ICMrujeGayRsþI manépÞeBaHeTATTYlkarsMralenAtam esvasuxaPi)al. K> r)aykarN_fvika r)aykarN_enH bgðajTaMgBIrEpñkkarcMNay smamaRténkarEbgEckfvikaEdl)anGnum½tehIy enAkñúgKMeragEpnkar nigsmiT§iplénskmμPBEdlmanenAkñúgEpnkar EdlCaGaMgDIkaT½rsMxan;sMrab; smiT§iplEdlsMerc)an. r)aykarN_enHrYmbBa¢ÚlTaMgRbPBsMxan;² énkarpþl;CamUlniFisMrab;RKaMTkmμviFI rbs;mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraK dUcCa DFID, GFATM, CDC, ITM,

CHAI, UNSW/CTAP, WB, AHF, TREAT Asia, WHO, WHO/AusAID, UNAIDS, UN-PAF nig

FHI .

enAkñúgtaragénkarcMNay Edl)anelIkykmkenH manEtkarcMNayEdlmanenAkñúgRbB½n§ KNenyürbs;mCÄmNÐlCatib:ueNÑaH. TaMgenHrYmbBa©ÚlTaMgkarcMNayCak;EsþgEdlRtUv)ancay kt;Rta kñúgkMLúgeBlénqñaM. b:uEnþcMeBaHr)aykarN_karcMNayfvikaEdl]btßmÖ edayGgÁkar FHI, KWmanEt enAfñak;CatiEtb:eNÑaH ehIycMeBaHkarcMNayenAfñak;RsukRbtibtþimYycMnYnenaH BMu)anelIkykmkbgðaj CUnenAkñúgtarag enHeT.

- 44 -

- 45 -

tarag TI 3³ segçbkarcMNay eTAtamRbPBfvika enAkñúgqñaM 2008

Sources Annual Plan Annual Exp Annual %

DFID $ 1,779,939 $ 294,104 17%

GFATM (R2, R4 and R5) $ 5,254,701 $ 5,132,537 98%

US-CDC $ 702,732 $ 387,348 55%

UNSW/CTAP $ 260,000 $ 200,707 77%

WHO and WHO/AusAID $ 482,994 $ 369,879 77%

FHI $ 41,447 $ 68,874 166%

CHAI $ 455,260 $ 415,526 91%

AHF $ 192,391 $ 252,371 131%

WB/MoH $ 500,000 $ 1,002,064 200%

AUSAID $ 187,559 $ 51,291 27%

Treat Asia $ 49,213 $ 24,966 51%

UN-PAF $ 170,000 $ 147,089 87%

UNAIDS $ 17,278 $ 15,980 92%

CIPRA $ 167,581 $ 71,072 42%

ITM $ 76,600 $ 76,519 100%

Grand Total $ 10,337,695 $ 8,510,328 82%

Table 4 : Summary of Expenditures by Components and by sources in 2008

Project Components DFID GFATM

(R2, 4 &5) CDC ITM UNSW/CTAP WB FHI CHAI AHF CIPRA AusAIDS WHO WHO/

AusAID UNAIDS

/PAF UNAIDS

Treat Asia

Grand Total

VAT Exp 775 - 486 - 39 1,299

IEC 50,500 5,830 6,066 62,396

Outreach 30,646 - 30,646

100% CUP 51,720 - 51,720

STD Management 64,889 - 41,539 106,427

Health Facility Based care 151,743 35,155 3,500 14,856 22,195 227,449

Home Based Care

/Support Group 249,988 2,842 1,857 2,307 6,319 19,213 36,169 318,695

VCCT 40,624 35,745 6,609 6,240 30,824 120,042

PMTCT 6,805 6,805

CoC Referral Network 4,369 2,259 9,182 24,933 40,743

Surveillance 5,480 9,279 19,309 34,068

Research 200,221 96,509 51,253 2,500 2,771 353,254

Planning, Management & Monitoring

148,474 82,117 14,557 11,816 22,896 81,240 4,648 5,580 371,327

Data Management 8,813 5,465 24,683 38,961

Logistic Management 3,816,639 135,965 10,912 1,002,064 48,023 26,000 5,745 5,045,348

Admin &Finance 49,253 44,079 8,054 248,655 13,585 5,813 369,440

Renovation 241,357 9,507 - 1,499 252,363

- 46 -

- 47 -

Salary and Incentive 25,973 461,595 17,084 34,080 46,128 64,980 313,103 106,200 10,400 1,079,543

Consultants 8,298 - 8,298

Total Expenditure 275,961 5,132,537 387,348 76,519 200,707 1,002,064 68,874 415,526 252,371 96,509 51,291 57,978 313,103 147,089 15,980 24,966 8,518,824

- 48 -

X>karlM)ak nig]bsKÁ (Challenges and Constraints) - edaysarkarGnuvtþn_nUvc,ab;RbqaMgnwgkarCYjdUrmnusSenAkñúgRbeTskm<úCa manplb:HBal;CaeRcIn eTA

dl;karGnuvtþn_kmμviFIeRbIR)as;eRsamGnam½y100° dUcCa ³ - RsþIrksuIpøÚvePTenAtampÞHbn)anpøas;bþÚr eTACaRsþIbMerIenAtamesvakMsanþsb,ay dUcCaenA

xara:GUex/ m:asSa/ nigRsþIbMerIRsaeborCaedIm. - eFVI[mankarfycuHnUvcMnYnRsþIrksuIpøÚvePT mkBinitüenAKøInikkameraKCaerogral;Ex.

- mankarxVHxatnUvFnFanmnusS BiessenAfñak;RsukRbtibtþi nigmnÞIreBTübEg¥k . - edaysarkarBRgIky:agelOnnUvesvaEfTaM nigBüa)al dl;GñkpÞúkemeraKeGds_ eFVI[bnÞúkkargarrbs;

buKÁliksuxaPi)alekIneLIg TaMgenAfñak;Cati nigfñak;extþ. - KuNPaBénmnÞIrBiesaFn_ nigesvamYycMnYn enAmankMrit. - tMrUvkary:agFMrbs;GñkpÞúkemeraKeGds_ nigGñkCMgWeGds_ minEmnEtelIkarEfTaM nigBüa)aleT

EtBYkKat;k¾RtUvkarpgEdrnUv karKaMRTEpñksgÁm dUcCa Ggár>>>EtTaMgenHk¾EtedaysarPaBRkIRk . - bBaðanUvRbPBfvika ³ enAkñúgqñaM 2008enH fvikaEdlKaMRTeday DFID ehIyEdl)anGnum½tehIy

RtUv)anp¥ak EdlCaehtueFVI[skmμPaBmYycMnYnRtUvp¥akTaMgenAfñak;Cati nigfñak;extþ. g> esckþIsnñidæan nig Gnusasn_ (Conclusion and Recommendation)

CarYmtamry³kic©xMRbwgERbgrbs;mCÄmNÐlCati nigédKUkargarTaMgGs;)ansMercnUvsmiT§iplénTisedA Edl)ankMNt;sMrab;qñaM2008enH ehIyCagenHeTot tamry³kreFVIkarCaédKUenH eyIgGacsnñidæan)an fakmμviFIbgáarkarraldalCMgWeGds_ nigkameraK nigkarEfTaMBüa)al enAkñúgRbeTskm<úCa GacnwgsMerc )annUvTisedAénkarbgáarCaskl enAkñúgqñaM 2010 xagmuxenH . EteTaHCay:agNa eyIgKYrEtFana[ mannirnþrPaBfvikanigkarKaMRTBIfñak;dwknaM edIm,IGnuvtþkmμviFIbgáarnigEfTaMBüa)alKaMRTGñkpÞúkemeraKeGds_ nigCMgWeGds_RbRBwtþeTA)anrlUn. GaCJaFrCatiRbyuT§nwgCMgweGds_/RksYgkic©karnar/RksYgmhaépÞnigbNþaGgÁkarBak;B½n§nanaKYrEtrUmshkar CamYyKña edIm,IEsVgrkdMeNaHRsayd¾smRsbmYyedIm,I eCosvagkarb:HTgÁic rvagc,ab;RbqaMgkarCYjdUr mnusS nigkm μviFIeRbIR)as;eRsamGnam½y 100° enAkñúgRbeTskm<úCa nigedIm,ICYyCMruj[RsþIrksuIpøÚvePT TaMgenaH mkBinitüCMgWkameraKenAKøInikkameraK. bc©úb,nñenH mCÄmNÐlCati )aneFVIkary:agCitsñiT§CamYy édKU edIm,IerobcMyuT§saRsþd¾smRsb nigmanRbsiT§PaB edIm,IedaHRsayCamYyRkumeKaledAenH ¬RsþIbMerI esvakMsanþsb,ay¦ kñúgeKalbMNgFananUvGRtaeRbIR)as; eRsamGnam½y[mankMritx<s;.

]bsm<½n§TI1³ GaMgDIkaT½rdMrab;kartamdannigvaytMélkmμviFI

STI GaMgDIkaT½r RbePT TisedAqñaM

2008 No. (%)

lT§pl qñaM 2008 No. (%)

1 smamaRténRsþIrksuIpøÚvePTenAtampÞHbn Edl)aneFVIeraKvinicä½y fa manCMgWrlakmat;s,Ún kñúgeBlmkBinitütamdanRbcaMEx enAKøInikkameraK

Outcome < 15%

34/5%

2 cMnYn KøInikkameraKEdlmanmnÞIrBiesaFsMrab; RPR etsþnig microscopy basic (UA 34)

Output 24 23

3

PaKryénRsþIrksuIrbresvakMsanþ Edl)anTTYlesvaBinitü tamdanCMgW RbcaMExenAKøInikkameraK

Output DSW:90%

IDSW:50%

DSW:94%

(3290/3476)

IDSW:N/A

GaMgDIkaT½r sMrab;kmμviFIEfTaM nigBüa)albnþ CoC RbePT TisedA 2008/ N (%)

lT§pl qñaM 2008 N (%)

1 cMnYnsrubRsukRbtibtþiEdlmanesvaEfTaMBüa)albnþ Output 40 39 2 cMnYnesvaEfTaM nigBüa)albnþ Edlman esvaBüa)aleday»sf

RbqaMgnwgemeraKeGds_ Output 50 51

VCCT GaMgDIkaT½r RbePT TisedAkñúgqñaM

2008 N (%)

lT§pl qñaM 2008 N (%)

1 cMnYnmNÐleFVIetsþQamEdlmankarGnuBaØat (license) ehIydMeNIr kar enAkñúgEpñksaFarN³ nigKøInikrbs;GgÁkarminEmnrdæaPi)al (non-profit)

Output 220 212

2 cMnYn nigPaKryénmnusSeBjv½y ¬Gayu 15-49qñaM¦ Edl)an Outcome 320/000 270/382 BI Ex

TTYlkarpþl;RbwkSa nigeFVIetsþQamrkemeraKeGds_ (4/3°) mkra dl;Ex FñÚ 2008

3 PaKryénHtifiCnEdl)anmkTTYlyklT§pletsþ tamry³kar pþl;RbwkSaeRkayeBleFVIetsþrkemeraKeGds_

Output 98 ° 99 °

4 PaKryénGtifiCnEdl)aneFVIetsþQamrkemeraKeGds_ enA VCCT EdlbBa¢ÚnedaykmμviFIirebg

Output 18/000 enAcugqñaM

19/608 BI Ex mkra dl; Ex FñÚ

2008

5 cMnYn nigPaKryénGñkCMgWrebgfμ I Edl)aneFVIetsþQamrkemeraK eGds_

Output 70 ° 18/645¼19/963 ¬93>0°¦

GaMgDIkaT½rsMrab;esvaEfTaM enAkñúgmnÞIreBTü (HFBC)

RbePT TisedAkñúgqñaM 2008/ N (%)

lT§pl qñaM2008 N (%)

1 PaKryénGñkCMgWeGds_EdlenArs; eRkaykarBüa)aleday »sf ARV kñúgry³eBl 12Ex

Impact > 85 %

2 cMnYn nigPaKryén RsukRbtibtþiEdly:agehacNas;man esvapþl;karBüa)al eday»sfRbqaMgemeraKeGds_ mYykEnøg (UA 23)

Output 38

A:38 C:28

39 A:39 C:27

3 PaKryénesvaEfTaMnigBüa)alCMgWeGds_dl;kumarEdl)aneRbIesva etsþrab;bnÞúkemeraK (eg PCR) sMrab;kareFVIeraKvinicä½y (UA 2)

Output 100 % 100 %

4 PaKryénesvaBüa)al OI/ ART EdlmanesvaBüa)albgáar eRkayBIman eRKaHfñak;énkarqøg (UA 17)

Output 100 % 100 %

5

cMnYn nigPaKryénGñkpÞúkemeraKeGds_ nigGñkCMgWeGds_ Edl kMBugBüa)al eday»sfRbqaMgemeraKeGds_ (UA 24)

Output

29/344 mnusSeBjv½y +4/000 kumar

srub 33/344

28/932 mnusSeBjv½y + 3/067

Cakumar srub 31/999

6 cMnYnRsukRbtibtþiEdly:agehacNas;man esvapþl;karbgáar karcMlgemeraKeGds_ BImþayeTAkUn mYykEnøg (UA 10) Output 64

¬85 %)

66

¬87 %) 7 cMnYn nigPaKryénRsþImanépÞeBaH )aneFVIetsþQamrkemeraK

eGds_ nigmkTTYlyklT§pl (UA 6) 40 % 30.3 %

8 cMnYn nigPaKry énRsþImanépÞeBaHEdl)anmkBinitüépÞeBaH ehIy)anTTYlkarBüa)albgáareday»sfRbqaMgemeraKeGds_ (C ARVP) edIm,Ikat;bnßykarqøgemeraKeGds_BImþayeTAkUn (UA 11)

40 % 27 %

sMKal;³ cMeBaHGaMgDIkaT½rTI7 nigTI8 Tinnñ½y)anmkBImCÄmNÐlCatiKaMBarmatanigTark

GaMgDIkaTr½ esvaEfTaMtampÞH RbePT

TisedAqñaM 2008 No. (%)

lT§pl qñaM 2008 N (%)

1 cMnYnRkumEfTaMtampÞH EdlkMBugpþl;esvaEfTaM nigKaMRTdl; GñkpÞúkemeraKeGds_ nigGñkCMgWeGds_

Output 300 343

2 cMnYn GñkpÞúkemeraKeGds_ nigGñkCMgWeGds_ EdlKaMRTedayRkum EfTaMtampÞH

Output 27/000 27/280

3 cMnYnGñkCMgWrebgEdlbBa¢ÚnedayRkumEfTaMtampÞH eTAeFIVetsþQam rkemeraKeGds_ enA VCCT nig TTYllT§pl tamry³karpþl; RbwkSa eRkayeBleFVIetsþ

Output 10/000 cugqñaM 3/937 BIEx

mkra dl; kBaØa qñaM 2008

4 cMnYn nigPaKryénmNÐlsuxPaB EdlmanRkumEfTaMtampÞH KaMRT Output

720 ¬76°¦ én 942 mNÐl suxPaB

675

GaMgDIkaT½r EpñkRsavRCav RbePT

TisedAqñaM 2008 No. (%)

lT§pl qñaM 2008 N (%)

1 cMnYnkarsikSaRsavRCav Edl)aneFVI Output 2 7

1. Predict study 2. IRD Study 3. Adherence study 4. Depression study 5. Sexual Behavior and related factors among PLHAs 6. Baseline for LR in Neak Loeung 7. IDI (injection Drug illicit)

GaMgDIkaT½r Epnkar tamdan nigr)aykarN_ RbePT

TisedAqñaM 2008 No. (%)

lT§pl qñaM 2008 N (%)

1 PaKryénRbPBfvikacMbg²Edl)an bBa©Úl eTAkñúgKMeragEpnkarRKb;RCug eRCay RbcaMqñaM

Output 90° 90°

2 cMnYnGgÁkarminEmnrdæaPi)al nig édKU GPivDÆn_ )ancuHkic©RBmeRBog elIKMerag EpnkarRbcaMqñaM Tak;Tg nwgkarGnuvtþn_km μ viFIRbyuT§nwg CMgWeGds_ nig CMgWkameraK

Output 40 38

3 cMnYnr)aykarN_ RbcaMRtImas nig RbcaMqñaM Edl)anerobcM nig EbgEck

Output 5 5

GaMgDIkaT½r EpñkRKb;RKgTinñn½y RbePT

TisedAqñaM 2008 No. (%)

lT§pl qñaM 2008 N (%)

1 cMnYnextþEdlmanEpñkRKb;RKg Tinñn½y Output 11 11 2 cMnYnr)aykarN_Edl)ancgRkg Output 5 5