Public Private Partnership
Public Private Partnership
ICTCs can be set up in the private/not-for-profit sector in a facility which meets any of the criteria given below:
- Maternity homes/hospitals with >50 deliveries in a month in “A” and “B” category districts and >100 deliveries in a month in “C” and “D” category districts;
- Hospitals/clinics which treat >100 TB patients in a month;
- Hospitals/clinics which have a case load of >100 sexually transmitted infections (STIs) in a month;
- Diagnostic laboratories which perform >150 diagnostic HIV tests in a month;
- Industrial zones that employ a large number of people, particularly migrants/casual labour on an informal/contractual basis.
“Facility-integrated” ICTC which does not have full-time staff and provides HIV counselling and testing as a service along with other services. Existing staff such as the auxiliary nurse midwife (ANM)/staff nurse/health visitor/laboratory technician (LT)/pharmacists are expected to undertake HIV counselling and testing. Such ICTCs will usually be established in facilities that do not have a very large client load and where it would be uneconomical to establish a stand-alone ICTC. Typically, such facilities are 24-hour PHCs as well as private sector/not-for-profit hospitals, private laboratories, public sector organization-run hospitals or facilities, and in the NGO sector. Such ICTCs will be supported by the National AIDS Control Organization (NACO)/State AIDS Control Societies (SACS) to the extent of:
Supply of rapid HIV testing kits, Training of existing staff, Quality assurance, Supply of protective kits and prophylactic drugs for post-exposure prophylaxis (PEP) for staff, Supply of information, education and communication (IEC) material required for an ICTC such as flip charts, posters, etc.
The SACS will provide assistance to “facility-integrated” fixed-location ICTCs located in 24-hour PHCs, private hospitals and maternity homes, private laboratories, public sector/other government department facilities and those based in NGOs as per the following pattern:
| Sr. No. | Item | Amount |
| 1. | Supply of rapid HIV diagnostic kits as per annual requirement | To be supplied by the SACS/NACO |
| 2. | Training of staff in HIV counselling and testing |
To be done at SACS/NACO-designated centers of excellence and cost to be borne by the SACS |
| 3. | External quality assurance scheme (EQAS) for HIV testing |
Coordinated by the National/State Reference Laboratories and the cost to be borne by the SACS |
| 4. | Supply of protective kits for delivery of HIV-positive pregnant women | Supplied by the SACS |
| 5. | Supply of PEP drugs for protection of staff in the event of accidental exposure | Supplied by the SACS |
| 6. | Supply of IEC materials required for an ICTC such as flip charts, posters, take-home materials and condom demonstration models | Supplied by the SACS |
The “facility-integrated” ICTC will send reports as per the formats prescribed in these guidelines. “Facility-integrated” ICTCs in the private or not-for-profit sector may charge clients an amount which will cover the operational expenses for the counselling and testing services they provide. The SACS will enter into an agreement with the private sector/not-for-profit sector organization which is interested in starting a “facility integrated” ICTC in partnership with the SACS. The agreement will stipulate the obligations on the part of SACS/NACO and those on the part of the private sector/not for profit sector organization. This will also include the amount that can be charged per client for provision of counselling and testing services.
