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									KAMINENI INSTITUTE OF MEDICAL SCIENCES
NATIONAL AIDS CONTROL PROGRAMME Raj sekhar III year MBBS

IMPACT OF HIV EPIDEMIC ON DIFFERENT SECTORS
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Social and economic impact: By 2010 the per capita GDP may drop by 8%. Impact on Education system: Leading to school closures. School dropouts: In 6 to 14 years are almost twice (3.23%). Life Expectancy: Decreased to less than 40 years. Number of orphans: Will increase from 14 million (2001) to 25 million (2010).

Year-wise trends in HIV prevalence among different groups in India.
14 12 10 8 6 4 2 0 ANC STD CSW IDU MSM 2003 2004 2005

NATIONAL AIDS CONTROL PROGRAMME(NACP)

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Was launched in 1992. During (1992 -1999) NACP-1 laid emphasis on Formation of State AIDS cells. Capacity building at State levels. Expansion of sentinel surveillance system. Collaboration with partner agencies.

HIV SENTINEL SURVEILLANCE
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Sentinel surveillance for HIV was first organized in 1994, at 55 sentinel sites which grew to 180 HIV sentinel sites across the country, in 1998. While we have increased the numbers of HIV sentinel sites each year, these 180 sites have remained consistent.

Year No. of sites

2000

2001

2002

2003

2004

232

320

284

455

670

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During (1999-2006) emphasis was laid on strengthening of surveillance system. more collaboration with civil society and NGO. Weaknesses low coverage of TI’S. poor availability of ART.

In tune with UNMDG, India has now developed NACP-3 (2007-2012).
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GOAL:- To halt and reverse the epidemic of HIV by 2012. OBJECTIVE:- To reduce new infections by 60% in high prevalence States and 40% in vulnerable States in 1st year.

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TARG ETS:To increase high risk coverage From 50%-80% by 2011. To scale up ART coverage From less than 10%-80% by 2011.

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PLWHA will come down From 5.7 million (2006)- 3.82 million (2011).

FUNDS
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A World Bank credit of US$ 250 million for the Third National HIV/AIDS Control Project was signed on 5th July 2007 in New Delhi. NACP III is also supported by a 102 million Grant from British Department for International Development, a 214 million Grant from the Global Fund against AIDS, TB and Malaria (GFATM) and a USD 50 million Grant from USAID . According to NACO director Rs.11,585 crore program will focus on prevention and treatment of this Rs.8,023 crore will be by Govt. remaining amount by external agencies.

STRATEGIES
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Saturation of high risk groups and prevention of new infections in high risk groups Commercial sex workers (CSW) and clients. Injecting drug users (IDU). Men having sex with men (MSM). With targeted interventions.

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Increasing access to care, support and treatment of PLWHA by free ART to all HIV-Positives. Strengthening HIV surveillance Strengthening the infrastructure at District, State and National levels.

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TARGETTED PREVENTIVE SERVICES PROPOSED UNDER NACP-III

Present ICTC
CCC

Proposed 4955
350

2815
122

TI Voluntary blood collection Condom outlets Pts on ART

1088 52% of total 6 Lakhs 32744

2100 90% of total 30 Lakhs 3 Lakhs

Condom sale vol. 1.6 billion pieces 3.5 billion pieces

HIGHLIGHTS

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VCTC’S to be remodeled as ICTC’S to provide comprehensive HIV/STI care services. District AIDS prevention control units. To increase targeted interventions.

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To increase condom use.

RECENT INITIATIVES OF NACP-III
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National conference on research in HIV/AIDS held in New Delhi (April-2006). Multimedia campaign on PPTCT (March-April 2006). Covered six high prevalence States Post PPTCT campaign. Safeguarding next generation. Aims at consolidating and strengthening the existing 1600 PPTCT’S centers in six high prevalence states.

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70000 60000 50000 40000 30000 20000 10000 0 Jan feb mar apr AP women counselled AP women tested TN women counselled TN women tested

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Establishment of 10 State- of-the-art model blood banks in various states under govt. approval. Recently 2 more blood banks were made operational and 4 blood banks were accredited by NACOapproved accrediting agencies. Provide 6 exclusive paediatric ART centers.
NACO envisions an INDIA in which every person living with HIV is treated with dignity and has access to quality care.

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