National Aids Control Programme

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NATIONAL AIDS CONTROL PROGRAMME

AIDS SITUATION IN INDIA :

First AIDS case in India was detected in 1986

• No. of persons living with HIV in India is 5.134 million approximately • Estimated adult HIV prevalence is 0.36%
• 39.3 % of the infection are in children
• 3.8% of the infection are in children
• Andhra Pradesh , Karnataka, Maharashtra and Tamilnadu contribute 63% of HIV infected persons. • Transmission of infection
o 84.6 % - Sexual route
o 4.34% - Perental route
o 1.8 % - Injection drug use
o 1.9% - Contaminated blood and blood products
o HIV prevalence among high risk groups is 6 to 8 times greater than that among the general population o __________ protective rate among the screened general population is 27 per 1000

Realizing the gravity of epidemiological situation of HIV infection prevailing in the country , the Government of India launched a National AIDS control program in 1987 (NACP). In 1982 , National AIDS control organization (NACO) was established to closely monitor the NACP. NACP-II was formulated by Government of India with two key objectives • To reduce the spread of HIV infection in India

• Strengthen India’s capacity to respond to HIV/ AIDS on a long term basis. The total outlay for the second phase of NACP-II is Rs. 2064.65 Crore

Program Strategy
1. Blood safety : Testing of every unit of blood for HIV , Hepatitis B, Hepatitis C, Syphilis and malaria is made mandatory. Professional blood donation has been prohibited since January 1998. 154 zonal blood testing centers and 9 HIV reference centers are functioning. HIV tests are supplied to District level blood banks. There are 1854 licensed blood banks in the country . It has been decided to establish minimum of one VCTC( Voluntary counseling and testing centers) in each district. 2. Control of sexually transmitted diseases : 5 regional STD reference centers and 504 STD clinics usually located at the district hospitals and the skin and STD departments of medical colleges are strengthened by providing equipments , materials, drugs, consumables and training of health personnel. Guidelines have been developed for simplified STD treatment , condom promotion has been taken up in a big way by NACO with regard to quality control of condoms, social marketing of condoms and involvement of NGO’s 3. HIV surveillance - A need based HIV/ AIDS surveillance system has been established in the country and modified in response to the changing need and scenario . 62 surveillance centers and 9 HIV reference centers have been set up in the country. In order to know the trend of HIV infection amongst various groups , 115 additional sentinel sites were established 4. Information , education, communication , and social mobilization : The objective is to raise awareness, improve knowledge and understanding among the general public about HIV , routes of transmission and method of prevention . The mass multimedia lime TV , newspapers have played a big role in this regard. Over 90 universities, 953 colleges, 12.5 lakh students have been covered under “ University Talks AIDS” programs. AIDS hotlines with 1097 toll free numbers have been established in major cities answering queries relating to HIV/AIDS 5. Priority targeted intervention for populations at high risk: This aims to reduce the spread of HIV in groups at high risk by identifying target populations and providing personal counseling . This is largely done by NGOs. 965 targeted intervention projects have been taken up for various risk groups. 6. Low cost care of HIV/AIDS patients : Financial assistance is provided for home based and community based care including the availability of cost effective interventions for common opportunistic infections. Necessary funds have been provided to all medical colleges and large hospitals to ensure...
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