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Aids Projects of Social activities integration -SAI

Services offered by Social Activities Integration-SAI

Awareness program via street plays, slide shows, power point presentations, dance, exhibition of posters, distribution of SBC material and pamphlets.  
Free distribution of 2, 00,000 condoms per months to Sex Workers.  
Comprehensive Care and support via mobile clinic, static clinic, drop in centre in Mumbai and Community Care Hospice at Thane district..  
Home visits, reference to hospital and even accompanying to hospital for admission is done by SAI.  
Mission education for sex workers children and school support program for children of People Living With HIV/AIDS.  
Monthly nutrition food packet to poor People Living with HIV/AIDS.  
Monthly milk powder and nutrition food to children of mothers infected with HIV.  
Getting a ration card and opening of a bank account of poor sex workers affected with AIDS.  
Legal advice and legal aid services.  
Holding health camps for police and rural population.  
In Thane district SAI runs a mobile Integrated Counseling and Testing Centre with collaboration of 15 NGOs.  
Offering vocational courses at various vocational training centers.  
Providing Job opportunity to poor people affected with AIDS.  
Providing financial help for treatment of Cancer patients.  
 
 
Project at Social Activities Integration -SAI
 
  • AWARNESS PROJECT
    Street plays, slide shows, Magic shows, pamphlet distribution, poster exhibitions being conducted all over the country. More than 3000 shows already conducted for the prevention of HIV/AIDS and to finish stigma and discrimination to take healthy care of PLHA.
  • DIDI PROJECT-(sister project- Peer Model) - for 15000 sex workers in brothel of South Mumbai.
    The health educational program for sex workers and their children for HIV/AIDS prevention and control with providing free condom distribution. This project is based on the peer educator (DIDI-sister). SAI has developed brother –sister relationship with Sex Workers in Mumbai. This project is by the DIDI and for the DIDI. Since they belong to the same community, they are well aware of the needs and grievances of the community. Since they are HIV positive they can relate to the needs of the project which they have begun with guidance of the institute. They are motivated lot, so they start their own projects, like condom distribution which they have fought with the government for having it given free. They are motivated and trained at SAI to help and spread the prevention strategies for HIV infection.
  • FREE MOBILE & STATIC CLINICS
    Free medical treatment, Voluntary counseling testing (VCT) for HIV/AIDS, Care and support centre for poor sex workers and their children. Their most important role is in the project, they have a tough task of getting the other Sex Workers to the mobile clinic for services like HIV testing, counseling and free treatment of BHC/ART/TB/UTI/STI/SKIN infections. They also play a major role in letting the sex worker community know that there are NGOs like SAI who are always going to be on their side and help them in possible.
  • DROP IN CENTRE - For poor People living with HIV/AIDS
    DIC provide psychosocial support to PLHA and linkages to other services. At the centers PLHAs are also given facility for recreation, film show etc.It is through Drop In centre the poor people living with HIV were identified on basis of economic status and given free medical & nutritional support. Involvement of people living with HIV/AIDS by forming PLHIV support Group named "Ektha" so that they voice out for the rights and people realize that a PLHA has same right as well as the ability to work, interact, and share. DIC provide psychosocial support to PLHA and linkages to other services. At the centers PLHAs are also given facility for recreation, film show etc.It is through Drop In centre the poor people living with HIV were identified on basis of economic status and given free medical & nutritional support. Involvement of people living with HIV/AIDS by forming PLHIV support Group named "Ektha" so that they voice out for the rights and people realize that a PLHA has same right as well as the ability to work, interact, and share.

    Support groups serve to educate the community about HIV/AIDS, fight stigma
  • SURAKSHA (SAFETY)
    HIV prevention and treatment of sexually transmitted diseases for floating sex workers. Recruited as staff and peer staff and trained in tackling the problem of STI among sex workers. This project has been successfully being implemented. The peer staff has become expert counselors due to self motivation and image building. They work in late evening hours targeting the floating sex worker population. They work in 8 floating areas of the region of Mumbai. They have successfully completed the project and have now got another extension of this project which will be amalgamated in the HIV/AIDs prevention program with Mumbai District AIDS Control Society(MDACS).
  • PREVENTION OF PARENT TO CHILD TRANSMISSION OF HIV/AIDS (PPTCT)
    Prevention of HIV in newborn of HIV infected mothers by strategic intervention of drugs and support programme . 5 widows living with HIV/AIDS and other PLHAs are part of this project.. These peers go door to door and create awareness about HIV/AIDS and prevention of parent to child transmission in in A,B, C, F-South & G- South wards of Municipal Corporation of Greater Mumbai (MCGM). They rapidly survey the areas and find out pregnant women and motivate them to get themselves registered in government hospital where they are counseled for ICTC and if found positive the husband are also motivated to undergo the ICTC. If the mother is found to be positive the Out Reach Worker takes full responsibility and creates awareness for the need of ART, which is given to them and the child after the delivery. This has helped in rapidly preventing the spread of disease from mother to child. SAI has been prevented 120 children from getting HIV infection from their HIV infected pregnant mothers.
  • PEDIATRIC AIDS INITIATIVE (PAI)
    PAI project is giving support and care to 50 Children Living With HIV/AIDS (CLHA). The treatment for CLHAs for opportunistic infections and anti retroviral therapy is given by NACO (National AIDS control organization)
    SAI's role in this project is:
    • Diagnosis of HIV infection in infants and children.
    • Enumeration of CD4 count in children
    • Pre – ART care, counseling and support for those who don't qualify for ART
    • Counseling and support for those who require ART.
    • Psycho-social support.
    • Nutritional support.
    • Traveling and logistical help for the children
  • Sanman (Honor) PROJECT
    Sanman project is HIV/AIDS preventive program for homosexual and the transgender community. The sexually minority is largely discriminated and half of this community vulnerable for HIV. This community has formed its own support group and indulges in activities like awareness and free distribution of condoms. We have about 3000 registered under this project. The peers trained in this project are highly motivated for their cause.
  • MISSION EDUCATION
    The main objective of this activity is protecting children's basic rights, as this children if are out of school and due to lack of supervision these children of sex workers face sexual exploitation and other psychological harassment. Outcome of this activity has reduced children been drop out from school and girl child is also encouraged for higher education.

    This project provide place to children of sex workers in governmental/ Non-governmental schools.

    We are taking concrete measures to strengthen their existent studies. Our qualified teachers take daily review of their school performances in Mission Education class rooms and necessary steps are taken to improve them by providing tuition and the necessary aid like school fees, books, clothes and snacks are provided by SAI.

    Regular parent-teacher meetings are conducted to ensure confidence in the education system and also will make the parents aware of the benefits of being literate.
  • HAMARA PARIWAR
    This project provide school support programme for children of people living with HIV/AIDS (PLHA). Most of the children here belong to the PLHAs who do not send their children to school as they cannot afford the fees. We take care of all the needs of these children and make the parents as well as the children for the need of education and the support which their parents would need when they grow up to become responsible adults.
  • Community Care Hospice (Centre)
    Playing a critical role in providing treatment, care and support to people living with HIV/AIDS (PLHA) in Thane district Under NACP-III this centre is attached to ART centres and ensure that PLHA are provided:
    (a) counselling for ARV drug adherence, nutrition and prevention
    (b) treatment of opportunistic infection
    (c) referral and outreach services for follow up
    (d)social support services.

    The centre is mandated to seek better community and family response towards PLHA through family counselling. For better treatment outcome, the centre provide families of PLHA counselling on the patients nutritional needs, treatment adherence and psychological support.

    From being stand alone short stay home, CCC have metamorphosed to being a place for providing comprehensive services to PLHA. It play a critical role in enabling PLHA to access ART, as well as provide monitoring, follow- up counselling support to pre ART and ART patients, positive prevention, drug adherence, nutritional counselling etc.

    With linkages and referrals to ICTC, DOTS, PPTCT, and LAC and other treatment services and interventions, CCC serves as a vital link in providing holistic support to PLHA with district hospitals and provides referral service to PLHA when needed.
  • MOBILE ICTC IN THANE DISTRICT
    This mobile ICTC/STI clinic is providing 'services-on-wheels' to the High risk group which includes, Female sex workers, migrants, MSM,IDU in collaboration with other 15 NGOs working with High risk population in Thane District., who are not particularly inclined to visit the static ICTCs. The advantage of running a Mobile ICTC/STI clinic is that it enables to reach out to hard-to-reach spots and at the same covering very wide areas. Mobile ICTC also helps these High risk group to overcome the cost and inconvenience of having to travel to centers for HIV counseling and testing and spending a lot of time. The mobile clinic is provides following services:

    A Mobile ICTC Clinic is solved a many of the above difficulties faced by High risk group through following ways ,
    • Availability of ICTC services within the easy accessibility of High risk group.
    • Coverage in collaboration with other NGOs of vast geographical areas in Thane district, where large number of High risk group is able to reached without loss of their pay and their convenience.
    • Carrying out preplanned Mobile ICTC clinic activities at most convenient place and most suitable time for maximum number of High risk group.
    • Availability of STI and HIV testing services without unnecessary waiting
    • Availability of rapid HIV test results immediately, avoiding second visit
    • Availability of medical support from the doctor for general health issues
    • Support from the collaborating NGO, where required, in getting Care and Support Service and for ART registration at nearby ART Centre
    • Opportunity for High risk group and their clients to avail ICTC services at a given place and the appointed hour

  • Where do we work?
    Social Activities Integration (SAI) reaches out with its services to Mumbai's red light area which is the biggest identify red light area in India, Covering 10 location in Mumbai they include Kamathipura, Foras road, Batatawala and Dudhwala chawl, Falkland road, Jamuna mansion, Pawwala street, Gaiwadi congress house (Kennedy bridge), Siwari slum and Worli. Street based Female Sex workers whose cursing sites are outside railway station, Beaches, lodges, and busy streets where there is easy availability of customers .

    Areas of Operation
    SAI reaches cruising sites of Floating sex workers /Street based sex workers are CST, Churchgate, Mumbai central, Grant Road, Dadar, Matunga etc.. Other group who are at risk is Men who have sex with men(MSM) and Transgender(TG) SAI has began its work with this high risk group.

    People living with HIV/AIDS (PLHA) require a range of medical services including care, treatment and support depending on the progression and stage of the HIV infection. SAI has a DIC project at Byculla that reaches out to poor people living with HIV/AIDS of all over Maharashtra.

    Apart from this above highrisk group, there are expecting mothers who can transmit HIV to their children .Through the project named "Prevention of Parent to child transmission of HIV/AIDS" our field sites SAI reaches to expectant mothers of of A, B, C, F south & G South of 5 wards of Mumbai ward of Mumbai. Our field team visits the area in identify expecting mothers from slum communities and getting them registered in Government Hospitals so that they can have monthly checkup and if a expecting female is found HIV positive she is provided special care and treatment. Our counselor from this project who is placed in Government hospitals explains about the precaution to be taken and even after delivery Mother and child is given extra care and treatment and especially Nevirapine drug. Counseling is given to the HIV positive mother on breast feeding.

    Community Care Hospice (Centre) playing a critical role in providing treatment, care and support to people living with HIV/AIDS (PLHA) in Thane district Under NACP-III this centre is attached to ART centres and ensure that PLHA are provided:
    (a) counselling for ARV drug adherence, nutrition and prevention
    (b) treatment of opportunistic infection
    (c) referral and outreach services for follow up
    (d) social support services.
    The mobile ICTC/STI clinic is providing 'services-on-wheels' to the High risk group which includes, Female sex workers, migrants, MSM,IDU ) in collaboration with other 15 NGOs working with High risk group population in Thane District.,
 
 
 
SERVICES OFFERED BY SAI
INTERVENTION STRATERGIES FOR PREVENTION OF HIV/AIDS through Various Projects at SAI.

Mission Education- An educational program for children of Sex Workers.

Social Activities Integration-SAI provides educational support to 70 children of sex workers. Tuition classes been arranged for children of sex workers in SAI's office at Byculla- Mumbai, to educate the children in schools to secure their future and prevent from being forced into flesh trade. SAI also conducts life skill education to these children.
 
  • Creating Awareness
    Social Activities Integration (SAI) through its Awareness project conducts street play, puppets show, slide shows in various parts of the state .During the year the organization conducted street plays all over Maharastra.

    Pamphlets, posters and IEC Materials are developed where the outreach workers and the peers educators conduct one to one session and one to group session through which the high risk group are reached on safe sex Method.


       
  • Preventive education
    Ignorance on how to properly prevent HIV transmission is the major problem among the high risk group, above all illiteracy puts these risk group in problems, In order to overcome this, SAI through its various projects reaches out to the high risk population with one to one session one to group sessions .At SAI we have trained DIDI who are one among the high risk group to reach out with valuable inputs.
    Main aim is:
    • Provide basic knowledge of sexuality, STI and HIV/AIDS transmission and disease to high-risk group.
    • Promote the adoption of healthy behaviors that reduce the risk of HIV.
    • Reduce stigma and dispel popular myths related to HIV.
    • Importance of screening for STI and HIV/AIDS.
    • Involvement of people and organizations on multiple levels, e.g., police, political leaders etc.

       

  • Condom distribution & Emphasize on Condom use:
    Promotion of condom use include not only high-risk groups, but also people who choose to have sex and people who may not know the HIV status of their partner. As 87.1 percent of HIV is transmitted via heterosexual sex,
    The risk of HIV infection can be lowered by 80-90 percent with consistent and correct use of condoms.

    Teaching individuals both in high-risk groups and in the general population how to use condoms properly and routinely is important to stemming the spread of HIV.
    In order to promote condom the organization distributes condoms at free of cost. The condoms at the brothels are distributed by the peer educators and in floating areas the condoms are distributed by Peer educators, the outreach workers made available 24*7 by condom depots like lodges, pan shops, tea vendors and public toilets. Apart from these condom depots, condoms are made available at the clinics and DIC to the high risk group.

    Behavioral change programs that emphasize condom use have been found to be particularly cost-effective among those who are most at-risk (i.e. sex workers, transgender, regular partners etc).
  • Prevention of mother-to-child transmission (PMTCT)
    The prevention of parent to child transmission( PPTCT) programme involves counseling and testing of pregnant women, detection of positive pregnant women, and the administration of prophylactic Nevirapine to HIV positive Pregnant women and their infants, to prevent the mother to child transmission of HIV. The project was initiated in SAI in 2006 by MDACS, but due to lack of funds at MDACS,this project was stopped funding .SAI at this juncture could not leave the work that was carried out in the given areas as there were registered ANC who needed followup,SAI continued its work with its funds. By the end of June 2010, the project received funds from IL&FH and now the work has began. This project has outreach team who work in the wards of A, B, C and F wards of Mumbai.

    The project reaches HIV Negative Mother on

    • Safe sex Counseling.
    • Couple counseling.
    • Linkages to family planning services.
    • Free condoms.
    • Behavior change communication for high risk women.

    And to HIV Positive Mother

    • Antenatal care.
    • Option of continuation or medical Termination of pregnancy.
    • Screening and treatment for STIs.
    • HIV staging and CD4 testing.
    • Referral to ART therapy.
    • Counseling on positive living, safe delivery and infant feeding options.
    • Linkages to care and support.
    • ARV treatment as per the national guidelines
    • Or Nevirapine prophylaxis for the mother Based on HIV staging
    • Infant feeding support thorough home visits.
    • Psychosocial support through follow-up.
    • Counseling, home visits and support groups
    • To provide nutrition services.
  • Enrollment of Sex workers & widows living with HIV as staff in the Organisation
    SAI has selected the sex workers as "DIDI's" i.e. peer educators, today they are helping the other sex workers in motivating for regular checkup and spreading the message on safe sex practice. Peer educators are given promotion on the basis of their performance to the post of outreach workers, field coordinators, and field supervisors, Trainers, Community development officer. The HIV positive- destitute widows also working as staff in different project of SAI.

    The Sex workers have been trained as community nurse, advocates, peer counsellor, and In order to convey the messages on the safe sex practices there is need of regular training to be conducted we have build the capacities of then to be the trainers .SAI conducts quarterly training to the staff.


       
  • Mission Education- An educational program for children of Sex Workers.
    Social Activities Integration-SAI provides educational support to 70 children of sex workers. Tuition classes been arranged for children of sex workers in SAI's office at Byculla- Mumbai, to educate the children in schools to secure their future and prevent from being forced into flesh trade. SAI also conducts life skill education to these children.

       
  • TREATMENT for Poor People Living With HIV.
    SAI through its various projects reaches out with medical needs to the people at risk and poor people living with HIV/AIDS.

    SAI was the first orgasnisation in Mumbai to provide ART treatment both first line and second line treatment for poor people living with HIV/AIDS.This was only possible due to the support of of Marc Foundation/ Foundati on de France, SOLIDARITE SIDA and SIDACTION – France. SAI also providing Basic Health Care, OI/SKIN/Lab investigation and treatment to 350 Poor PLHA resides all over Maharashtra through Drop in Center.

    Care and Support for Poor People Living With HIV/AIDS.
    The organisation is been reaching people living with HIV/AIDS since 2003. SAI provides care and support through DIC Project and Community care centre to poor people living with HIV/AIDS. An HIV positive individual may experience several emotions – including anger and fear – after diagnosis with HIV/AIDS. They may struggle with self-acceptance and fear of rejection and ostracism by family and community. Psychosocial support helps to overcome stigma and discrimination associated with HIV/AIDS, motivates clients to embrace a positive attitude and a love of life and support from family.

    SAI through its Mobile Project and DIDI project reaches out to brothel based sex workers of south Mumbai with medical care & supportive services.

    SAI through Suraksha project conducts regular health camps in the areas according to the convenience of high risk group through the mobile van, this van has facilities such as examination table with enough privacy for speculum and bimanual examination and after the investigation Treatment for sexually transmitted infections is provided Pre test and post test counseling is also done. Blood is drawn by the lab technician and is tested at the laboratory of SAI and the reports are given. If the patient is tested HIV+ then he/she is referred to Government hospital for CD4 and ART centers.

    SAI has also a Community Care Centre (CCC) with twelve bedded facility, which provides following facilities to people living With HIV/AIDS. Following are the services provided at CCC,

    A) Out- door facility: i. Consultation of illnesses related to HIV/AIDS
    ii. Treatment of OIs
    iii. Counseling for adherence and Home Based Care (HBC)

    B) In-door care: (i) PLHA started on ART (at the ART center), are referred to CCC for a minimum of 5 days of inpatient care where the following actions taken:
    a) Medical monitoring for side effects and tolerance to ART regimen and/or stabilization of OIs as initiated by the ART centre/higher level facilities.
    b) Verification of patient address: The outreach worker at the CCC undertake Home visit to verify the address. The home visit undertake with informed consent of the PLHA regarding time, day and person to be contacted.
    c) Follow-up home-visits to ensure home care and to monitor well-being and treatment adherence.
    d)Preparing family and/or spouse for acceptance of test status of PLHA, counseling for supervised administration of drugs, home based care etc.
    e) Psychosocial and counseling support on drug/treatment adherence patient education, Nutrition counseling, positive prevention including consistent use of condoms reproductive health counseling for HIV-positive women and couples etc
    f)In case of PLHA requiring stay for more than five days, discharge of PLHA will be decided by attending physician.

    (ii) Treatment of opportunistic infection OIs with isolation care.

    (iii)Following assessment at the ART centre, PLHA who do not require ART, will be followed up for pre- ART care such as routine regular monitoring of CD4 testing and other medical concerns. Positive prevention -The PLHA will also receive psychosocial and counseling support.

    (iv)Wards for In Patients At Community care centre we have two inpatient wards each accommodating four beds in the male ward and six beds in the female ward with four beds earmarked for women and two beds for children. There are nurses and care taking staff who attending the in-patient all 24 hours.
  • Sanman (Honor) PROJECT
    Sanman project is HIV/AIDS preventive program for homosexual and the transgender community. The sexually minority is largely discriminated and half of this community vulnerable for HIV. This community has formed its own support group and indulges in activities like awareness and free distribution of condoms. We have about 3000 registered under this project. The peers trained in this project are highly motivated for their cause.

    At CCC the following care is provided free of cost to Inpatient,

    1) Nutritious Food: All the inpatient provided with Breakfast, lunch and Dinner. The CCC has a kitchen and a cook who cooks nutritious food.
    2) Safe drinking water: Certain micro-organisms known as cryptosporidium may occasionally get into water supplies, causing diarrhea in some people with weakened immune systems. Boiling all drinking water ensure that these germs are killed. The patients are provided with safe drinking water.
    3) Geysers in the bathroom for Hot water facility: Each wards have attach bathroom and toilets. Each bathroom has hot water facility.
    4) Recreation; The CCC has a cable connection with TV and a DVD player. This provide recreation during the stay in CCC.
    5) Medicine: the medicine for general ailments provide free of cost to the inpatient.
    6) Referral Services:
    i) ICTC for confirmation of HIV status in patients with unconfirmed or unknown
    Status, Spouses and family members of PLHA etc.
    ii) PPTCT for care of HIV-positive pregnant women.
    iii) Pediatric HIV services/ART centre for children living with HIV/AIDS for routine Monitoring including growth, HIV/PCR diagnostic testing, immunization, prevention and Care of opportunistic infections, assessment for ART initiation etc.
    iv) ART Centre for the CD4 test and other laboratory investigations and if required, initiation of ART at the ART Centers.
    v) Medical facilities for specialized services as required.
    vi) DOTS for treatment for TB.

    Static Clinics
    SAI has four static clinic two at Byculla ,one in redlight area of Mumbai and forth in Thane. These clinics opperates according to the convinience of the benefecieries for instance the timing of the clinic at Byculla is from 12.00hrs to 20.00hrs, this helps the floating sex workers to acess the services and at redlight area from 4.00 PM To 10.00PM this timing meets the need of the brothel based sex workers and also the MSM to acess the service.

    SAI reaches out with the services to the female sex workers, migrants,Men sex with Men ,Transgenders and poor patient living with HIV/AIDS.SAI at its Static clinic following clinical services are provided
    • Syndromic management of STI's.
    • Regular monthly health checkup of sex workers.
    • Free STI treatment to all sex workers.
    • Generel health consultation.
    • Health education and counseling services.
    • Condom promotiion.
    • Partner notification and treatment.
    • Familiy planning services.
    • TB clinical screening and referral to DOTS center for TB confirmation and treatment.

    Additional Services provided through referral include.
    Integrated counselling and testing centre (ICTC)for HIV.
    Refereal for CD4,and ART to Government Hospital.
    Laboratoty services,
    • Hemoglobin and blood group determination.
    • Pregnancy Test
    • Rapid plasma Reagin(RPR)

    Home based care:
    i. Outreach facility for PLHA who required home care or additional psychosocial support. ii. Counseling for Home Based Care (HBC).

    Apart from all the above services,SAI has been providing support to the people living with HIV/AIDS by providing ,
    1) Ration card.
    2) Bank account.
    3) School admission of the children infected and affected by HIV/AIDS .
    4) Nutritional support
    5) Clothing.
    6) Skill based training

    Job opportunity .
    SAI reaches out to HIV Exposed Infants with co-coordination with Seva Dham trust by the support of Clinton Foundation who has given us the responsibility of giving support and care to children living with HIV/AIDS (CLHA).
    SAI role in this project is-
    • Diagnosis of HIV infection in infants and children.
    • Enumeration of CD4 count in children
    • Pre – ART care, counseling and support for those who don't qualify for ART
    • Counseling and support for those who require ART
    • Psycho-social support
    • Nutritional support.
    • Traveling and logistical help for the children and one guardian.
  • Nutritional support for poor infected and affected by HIV/AIDS:
    HIV/AIDS has a profound economic as well as an emotional toll on a household. It has a negative Impact on household income, as it is often the productive members of the household who are sick.

    Or become careers, and it causes increased expenditure, with expenses like medical bills and funeral costs. These have a devastating effect on families already struggling with poverty.

    Understanding such problem, SAI has been helping them in providing ration, other linkages to the government schemes and services.SAI reaches even when their own family members of PLHA deny them of last rites . It has so happened that a widow with her tiny children had no money in hand to meet the funeral expenses then SAI reached with financial help to the family
  • Reduction of Stigma and Discrimination.
    A person may be inclined to hide sickness from their boss, spouse or partner, family and community because of the stigma associated with HIV/AIDS and myths about HIV transmission. This may keep them from seeking testing, counseling or treatment services out of fear of disclosure repercussions, such as discrimination by peers, clients and co-workers thus creating ideal conditions for further spread of infection and reducing people's access to adequate care and support services.

    Our strategies have been:
    a) Information dissemination to encourage people to seek VCT and to overcome
    b) unnecessary fears, ignorance and myths associated with HIV/AIDS
    c) Organising training programs on care, management and coping with infection for infected and affected so as to reduce the "felt stigma" amongst infected and the discrimination within the families .
    d) Training of personnel of medical professionals and paraprofessionals on Confidentiality, rights of HIV infected and universal precautions to create HIV-patient-friendly hospitals that do not discriminate.
    e) Legal consultation programme are been conducted by inviting legal consultan.SAI has been successful in inviting successful individuals who are living with HIV/AIDS in order to share their experience and motivate the people living with HIV/AIDS.
  • Drop in Centre at SAI
    Which provide psychosocial support to PLHA and linkages to other services. At the centers PLHAs are also given facility for recreation, film show etc.It is through Drop In centre the poor people living with HIV were identified on basis of economic status and given free ART treatment.

    Involvement of people living with HIV/AIDS by forming PLHIV support Group named "Ektha" so that they voice out for the rights and people realize that a PLHA has same right as well as the ability to work, interact, and share.

    Support groups serve to educate the community about HIV/AIDS, fight stigma
  • Community Organising and Ownership Building
    SAI has provided opportunity to the floating sex workers by providing job, training them giving promotions and today they have formed their own CBO named " Women Welfare Society". This CBO under the guidance of SAI carries out various activities and has been able to empower them.

    Various services provided to our Beneficiaries.
             
       
             
           
  • INCOME GENERATION ACTIVITY
    Income generation activity by CBO-"Women Welfare Society".
    Those dying of AIDS need care that affirms their human dignity and value to society. Unfortunately, palliative care is given low priority and its high cost makes the provision of this care more difficult for resource-strained families and health centers. Often, families must care for a sick individual in the home. To meet their physical needs, medicines must be provided for the pain associated with AIDS and opportunistic diseases. Apart from the medicine these poor people living with HIV/AIDS need to have proper nutritious diet unfortunately poverty and financial constrains denies this food. Most importantly the sex workers who are in the brothels and in rented places once they are HIV positive due to their health status are not able to earn and most of the time are thrown out of their brothels and inability of pay the rent they are forced to live on foot path, railway station and friends places without any certainty. This makes more vulnerable for the people living with HIV/AIDS.

    Care and Support for orphans and vulnerable children. Orphans and vulnerable children need access to education, health care and social support as well as protection of property and inheritance rights and prospects for income generation. Programs providing academic and vocational training and counseling have seen success in helping adolescents attain higher levels of achievement and self-confidence by adopting healthier sexual behaviors, pursuing education, and learning to run small businesses.

  • At CCC the following care is provided free of cost to Inpatient
    1) Nutritious Food: All the inpatient provided with Breakfast, lunch and Dinner. The CCC has a kitchen and a cook who cooks nutritious food.
    2) Safe drinking water: Certain micro-organisms known as cryptosporidium may occasionally get into water supplies, causing diarrhea in some people with weakened immune systems. Boiling all drinking water ensure that these germs are killed. The patients are provided with safe drinking water.
    3) Geysers in the bathroom for Hot water facility: Each wards have attach bathroom and toilets. Each bathroom has hot water facility.
    4) Recreation; The CCC has a cable connection with TV and a DVD player. This provide recreation during the stay in CCC.
    5) Medicine: the medicine for general ailments provide free of cost to the inpatient.
    6) Referral Services:
    i) ICTC for confirmation of HIV status in patients with unconfirmed or unknown
    Status, Spouses and family members of PLHA etc.
    ii) PPTCT for care of HIV-positive pregnant women.
    iii) Pediatric HIV services/ART centre for children living with HIV/AIDS for routine Monitoring including growth, HIV/PCR diagnostic testing, immunization, prevention and Care of opportunistic infections, assessment for ART initiation etc.
    iv) ART Centre for the CD4 test and other laboratory investigations and if required, initiation of ART at the ART Centers.
    v) Medical facilities for specialized services as required.
    vi) DOTS for treatment for TB.
  • Static Clinics
    SAI has four static clinic two at Byculla ,one in redlight area of Mumbai and forth in Thane. These clinics opperates according to the convinience of the benefecieries for instance the timing of the clinic at Byculla is from 12.00hrs to 20.00hrs, this helps the floating sex workers to acess the services and at redlight area from 4.00 PM To 10.00PM this timing meets the need of the brothel based sex workers and also the MSM to acess the service.

    SAI reaches out with the services to the female sex workers, migrants,Men sex with Men ,Transgenders and poor patient living with HIV/AIDS.SAI at its Static clinic following clinical services are provided
    • Syndromic management of STI's.
    • Regular monthly health checkup of sex workers.
    • Free STI treatment to all sex workers.
    • Generel health consultation.
    • Health education and counseling services.
    • Condom promotiion.
    • Partner notification and treatment.
    • Familiy planning services.
    • TB clinical screening and referral to DOTS center for TB confirmation and treatment.

    Additional Services provided through referral include.
    Integrated counselling and testing centre (ICTC)for HIV.
    Refereal for CD4,and ART to Government Hospital.
    Laboratoty services,
    • Hemoglobin and blood group determination.
    • Pregnancy Test
    • Rapid plasma Reagin(RPR)
  • Home based care
    i. Outreach facility for PLHA who required home care or additional psychosocial support. ii. Counseling for Home Based Care (HBC).

    Apart from all the above services,SAI has been providing support to the people living with HIV/AIDS by providing ,
    1) Ration card.
    2) Bank account.
    3) School admission of the children infected and affected by HIV/AIDS .
    4) Nutritional support
    5) Clothing.
    6) Skill based training
  • Job opportunity
    SAI reaches out to HIV Exposed Infants with co-coordination with Seva Dham trust by the support of Clinton Foundation who has given us the responsibility of giving support and care to children living with HIV/AIDS (CLHA).
    SAI role in this project is-
    • Diagnosis of HIV infection in infants and children.
    • Enumeration of CD4 count in children
    • Pre – ART care, counseling and support for those who don't qualify for ART
    • Counseling and support for those who require ART
    • Psycho-social support
    • Nutritional support.
    • Traveling and logistical help for the children and one guardian.