 1st case in sex workers in Chennai, 1986.

 6 High prevalence States: Maharashtra,

Karnataka, Tamil Nadu, Andhra Pradesh,
Manipur, Nagaland.

 India- world’s 2nd largest burden of HIV-

infected persons.
◦ One of every six new HIV infections
◦ two Indians become HIV-infected every
minute.

 Majority due to sexual transmission

followed by IV drug use and Mother-to-
child transmission.
www.wikipedia.org
 After 1986, Government took a series of
measures:
1.National AIDS control programme was
launched in 1987.
2. Govt. of India started pilot screening of

high risk population.

 National AIDS Committee in Year 1986
◦ To formulate strategy & plan for implementation of
prevention & control of HIV/AIDS in the country,
◦ to bring together various ministries, NGOs and private
institutions for effective co-ordination in implementing
the programme
 The committee acts as the highest-level
deliberation body
◦ to oversee the performance of the programme
◦ to provide overall policy directions,
◦ to forge multisectoral collaborations.
 Created public awareness, introduction of
blood screening for transfusion and
surveillance activities
 1989, with WHO support, a medium term plan
with US $10 million budget

 Implemented in 5 affected states & UTs

(Maharashtra, Tamil Nadu, West Bengal,
Manipur, and Delhi).

 Preventive activities like implementation of

education and awareness program, blood
safety measures, control of hospital infection,
condom promotion, strengthening clinical
services gained momentum in 1992.
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.
 Implemented in 32 States/UTs & 3 Municipal
Corporations namely Ahmedabad, Chennai
& Mumbai through AIDS Control Societies
 The 3 new states (Chattisgarh, Uttaranchal,

Jharkhand) establishing their State AIDS

Control Societies
 Access to highly active antiretroviral drugs
 Pharma industry instrumental in providing

lower cost, generic, fixed dose combinations

for HIV-infected patients

Source:psm by park
 Priority targeted interventions for populations at
high risk.
 Preventive interventions for the general

population.
 Low Cost care for people living with HIV/AIDS.
 The WHO declared lack of access to ART as
a ‘global health emergency’ in September
2003
 Joint WHO/UNAIDS emergency plan to scale

up access to treatment for at least 3 million

by 2006.
 Government of India has issued guidelines

of easy access to antiretroviral therapy for

people living with HIV/AIDS.
 1 million people in 6 high prevalent states
will receive antiretroviral (ARV) drugs free
of cost from 1st April 2004, targeted to 3
vulnerable groups:
◦ mothers who participated in the Prevention of
Parent to Child Transmission (PPTCT) program as
seropositive antenatal cases
◦ seropositive children below the age of 15 years
◦ people with AIDS who seek treatment in selected
government hospitals
 Govt. of India is in dialogue with pharma
companies to reduce cost of ARV drugs.
 Feasibility study to reduce mother-to-child
transmission was initiated by NACO in 11
maternity hospitals.
 Decision to scale up services to reduce

mother-to-child transmission in six Indian

states.
 Rapid change from non - recognition to

acceptance as a public health problem.

 Decision to provide free ART to persons
having advanced HIV disease was taken
 IAVI undertook an effective campaign for HIV
vaccine trials.
 In Feb 2005, the first Phase I HIV vaccine trial
was initiated in the National AIDS Research
Institute (NARI), Pune.
 Another HIV vaccine trial using an indigenously
developed vaccine has been initiated in
Tuberculosis Research Centre,in Chennai.
 NACO, ICMR entered into a Memorandum of
Understanding (MOU) with global, not-for-profit
International AIDS Vaccine Initiative (IAVI) in
December 2000
 An extensive 2 year exercise was undertaken to
prepare the site, design the study and mobilise
the volunteer groups before initiating the HIV
vaccine trial
 Adopted a multiple AIDS vaccine candidate
approach
 Preparedness activities initiated in 2002
& Ph I in Feb 2005
 Effective campaign for political advocacy
helped accelerate implementation of HIV
prevention & treatment strategies,
research responses and its
implementation
 Strong political support strengthened
research efforts in institutions already
involved in HIV/AIDS work and also those
who were not adequately exposed
 Community Involvement
 Formative Community Research
 Study to see willingness to participate for
the Phase I Vaccine Trial
 Committee of Parliamentarians
 Civil Society Stakeholders Interactions
 Media Orientation
 National AIDS Vaccine Advisory Board
(NAB)
 Expert panels were set up to address the
concerns and issues that emerged from the
consultations with the various stakeholders
◦ National AIDS Vaccine Advisory Board
◦ Informed Consent Group
◦ NGO Working Group
◦ National Consultation on HIV Care and Treatment
◦ Gender Advisory Board
 HIV sentinel surveillance mapping of high risk &
vulnerable groups in over 30 states and Uts.
 National Blood Policy, 2002 & Action Plan on Blood
Safety, 2003.
◦ Action Plan has mandated revelation of HIV status to result
seeking donor, & brought in accreditation of blood banks
 Care & support and introduction of ART:
govt hospitals providing free treatment are-
1.Sir JJ Hospital,mumbai
2.institute of thoracic medicine &chest diseases,chennai
3.RIMS,imphal
4.BMCH,bangalore
5.osmania medical college & hospital,hyderabad
6.RML,new delhi
7.district naga hospital,nagaland.
source:PSM by park
Remember AIDS does not spreads due to kissing or touching…..