Re: High Prevalence Districts of Bihar

[Guest guest]

Re: High Prevalence Districts of Bihar

Dear Forum,

Here is a very detailed report on the high prevalence districts of Bihar, together with the back ground of surveillance, time frame etc. Hope, it would enlighten the discussion.

Regards,

Bhawani Shanker Kusum

Secretary & Executive Director

Gram Bharati Samiti (GBS)

NGO Delegate for Asia Pacific, UNAIDS PCB

Amber Bhawan, Amber 302028, Jaipur India

Tel.: 91-141-2531242, Fax : 91-141-2530719

E-mail: gbsbsk@... www.gbsjp.org

To, Hon'ble Bhawani Shanker Kusum

Sir, Greetings from Welfare India, first of all, I apologies for delay response of your mail ,

Sir, in the reply of the your mail dated 18-7-06 , I have to say that there is little bit confusion in regarding the high prevalence District of HIV/AIDS in Bihar . According to Mr. Pankaj Sinha the High prevalence district in Bihar is Sitamarhi, East Champaran, Khagaria, Kishanganj and Madhubani.

This data is based on TAHA report of 2003,which is three years old and in this report only the Sitamarhi and East champaran name was mentioned

According to NACO ( Report -2005) the district of Araria is high prevalence district of Bihar and then comes Katihar, Kishanganj and East champaran and Sitamarhi.

On 26 March 2006 , Our organization organize a VCTC camp at Redlight area(Kullie-para) in Katihar , at this Camp 54 commercial Sex worker was tested and 17 are found positive . So in these area of Bihar which is north-eastern part of Bihar( Katihar, Araria and Kishanganj ) the HIV/ AIDS Prevalence rate is very high because of these area is touches the international border of Nepal and Bangladesh and most poorer and backwards states of Bihar . There are red-light areas where sex work are going through in their full pace and these districts are also marked as a major trafficking points .

I enclosed some evidence in support of our opinion. Which are down loaded from websites of Bihar states AIDs

Control Society , TAHA and NACO

And in the matter of Anti Retroviral therapy centre going to exists in Muzaffarpur and Patna . It is true, Bihar lacks such facilities and now the patients of Bihar who is seeking such therapy are now benefited lot by it .

And I hope now there is no more death in absence of such facilities

Table 3.1Trends in ANC in Sentinel Surveillance

S.N.

Name of the Sentinel Site

1998

1999

2000

2001

2002

2003

Tested

Positive

Tested

Positive

Tested

Positive

Tested

Positive

Tested

Positive

Tested

Positive

1.

P.M.C.H.

409

0

400

1

046

0

400

0

400

02

2.

Duncan Hospital, Raxual

460

0

400

0

405

1

400

1

400

4

400

00

3.

S.K.M.C.H., Muzaffarpur

-

-

-

-

-

-

400

1

400

0

400

00

4.

J.L.N.M.C.H., Bhagalpur

-

-

-

-

-

-

400

0

400

10

400

00

5.

Sadar Hospital, Araria

-

-

-

-

-

-

400

0

400

1

400

00

6.

Sadar Hospital, Begusari

-

-

-

-

-

-

400

1

400

1

400

01

7.

Sadar Hospital, Sasaram

-

-

-

-

-

-

353

0

326

1

400

00

Table 3.2Trends in ANC in Sentinel Surveillance

S.N.

Name of the Sentinel Site

1998

1999

2000

2001

2002

2003

Tested

Positive

Tested

Positive

Tested

Positive

Tested

Positive

Tested

Positive

Tested

Positive

1.

P.M.C.H., Patna

074

1

250

2

250

0

250

0

250

7

250

04

2.

Duncan Hospital, Raxual

261

5

253

9

250

6

250

16

250

19

250

19

3.

A.N.M.M.C.H., Gaya

253

1

216

0

250

1

250

1

250

5

250

01

4.

D.M.C.H., Lahariasaria

-

-

-

-

033

0

250

3

250

3

250

01

5.

Sadar Hospital, Katihar

-

-

-

-

119

9

180

12

250

19

250

23

6.

S.K.M.C.H., Muzaffarpur

-

-

-

-

-

-

-

-

250

2

250

00

7.

J.L.N.M.C.H., Bhagalpur

-

-

-

-

-

-

-

-

250

0

250

00

8.

Sadar Hospital, Ara

-

-

-

-

-

-

-

-

250

0

250

01

District

HIV

Prevalence

HIV

Vulnerability High

Trafficking

Trafficking Vulnerability High

Patna

Yes

Yes

East Champaran

Yes

High

Yes

High

Muzaffarpur

Yes

High

Yes

High

Madhubani

Yes

High

Yes

High

Gaya

Yes

High

Yes

High

Samastipur

High

Yes

High

Darbhanga

Yes

High

Yes

High

Saran

High

Yes

High

West Champaran

Yes

High

Yes

High

Vaishali

High

Yes

High

Siwan

High

Yes

High

Sitamarhi

High

Yes

High

Purnia

High

Yes

High

Rohtas

High

Yes

High

Bhagalpur

Yes

High

Yes

High

Katihar

Yes (HIGH)

High

Yes

High

Nalanda

High

Yes

High

Begusarai

Yes

High

Yes

High

Bhojpur

High

Yes

High

Gopalganj

High

Yes

High

Araria

High

Yes

High

Aurangabad

High

Yes

High

Nawada

High

Yes

High

Supaul

High

Yes

High

Banka

Moderate

Moderate

Madhepura

High

Yes

High

Jehanabad

High

Yes

High

Saharsa

High

Yes

High

Buxar

High

Yes

High

Jamui

Moderate

Moderate

Kishanganj

Yes

High

Yes

High

Kaimur

High

Yes

High

Districts

STD

ANC

2002

2003

2002

2003

Aarah

0.00

0.00

Bhagalpur

0.00

0.40

0.25

0.00

Darbhanga

1.20

0.40

Gaya

2.00

0.40

Katihar

7.60

9.20

Muzaffarpur

0.80

0.00

0.00

0.00

Patna

2.80

1.60

0.50

Raxaul

7.60

1.00

0.00

Araria

7.20

0.25

0.00

Begusarai

0.25

0.25

Rohtas

0.00