District Categorisation: National AIDS Control Programme – III envisages district level planning and implementation of all the programmatic initiatives. For the purpose of planning and implementation of NACP-III, all the districts in the country are classified into four categories based on HIV prevalence in the districts among different population groups for three consecutive years.
More than 1% ANC prevalence in district in any of the sites in the last 3 years
All 30 districts of Karnataka fall under Category A
Less than 1% ANC prevalence in all the sites during last 3 years with more than 5% prevalence in any HRG site (STD/FSW/MSM/IDU).
Less than 1% ANC prevalence in all sites during last 3 years with less than 5% in all HRG sites, with known hot spots (Migrants, truckers, large aggregation of factory workers, tourist etc).
Less than 1% ANC prevalence in all sites during last 3 years with less than 5% in all HRG sites with no known hot spots OR no or poor HIV data.
Thus, under NACP-III major structural intervention is establishment of District AIDS Prevention and Control Unit (DAPCU) in A & B category Districts. In Karnataka a total of 26 DAPCUs have been established
DAPCUs are expected to play vital role in co-ordinating and monitoring of various HIV facilities which are established at the district and sub-district level. They are also expected to work on improving service delivery through HIV facilities such as TI, ICTC/PPTCT, STI, ART, CCC and Blood Bank. They are also coordinating activities for HIV awareness campaigns at the district level. DAPCUs are also expected to strengthen the referral linkages between, HIV, TB and STI, and also ensure total coverage of ANC cases for HIV testing. Over all DAPCUs are expected to strengthen NACP-IV goals at the district level and at the grass root level.