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NACP

The document discusses India's National AIDS Control Program which aims to control the spread of HIV/AIDS. It describes the phases and strategies of the program, including increasing awareness, testing, treatment and prevention efforts targeting high-risk groups and the general population.

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35 views23 pages

NACP

The document discusses India's National AIDS Control Program which aims to control the spread of HIV/AIDS. It describes the phases and strategies of the program, including increasing awareness, testing, treatment and prevention efforts targeting high-risk groups and the general population.

Uploaded by

kajal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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National AIDS

Control Program
Facilitator:
Dr. NAVPREET
Assistant Professor, Department of
Community Medicine
Govt. Medical College & Hospital, Chandigarh.
Specific Learning Objectives
• At the end of session, the learner shall be able to
describe:
 Magnitude of HIV/AIDS
 Phases of NACP
Introduction
• Acquired Immuno Deficiency Syndrome.
• HIV (human immunodeficiency virus)
– Blood transfusion
– Sexual contact.
– Infected pregnant mother to baby during pregnancy or
delivery, as well as through breast‐feeding.
– Needle‐stick injury.
Magnitude of HIV/AIDS
2007 2011
People living with HIV 31.8 million 34.2 million
Newly infected 2.7 million 2.5 million
Died from AIDS‐related 2.1 million 1.7 million
causes

UNAIDS (2011)
Indian Scenerio
• The identification of HIV positive individuals in 1986 resulted
in the Government forming the National AIDS Committee
(NAC) headed by the Union Health Secretary.

• The National AIDS Control Program (NACP), focusing on


increasing awareness of HIV/AIDS, screening of blood for HIV
and testing of individuals practicing risk behavior was
launched in 1987.

• NACP‐I was launched during the 8th Five Year Plan (1992‐
1997)
National Aids Control Programme Phase‐ I
(1992‐1999)

• Since AIDS has no cure, the main objective of this project was to
slow down the spread of HIV/AIDS infection through creation of
awareness.

• Assistance from World Bank to the tune of US $84 million and


another US $1.5 million in the form of technical assistance from
World Health Organization.
• The programme has the following components:
1. Strengthening the Programme Management capacity
at National and State levels;
2. Surveillance & Clinical Management;
3. Ensuring Blood Safety;
4. Control of Sexually Transmitted Diseases;
5. Public Awareness and Community support.
National AIDS Control Programme Phase ‐ II
(1999 ‐ 2006)
• It was a 100% Centrally sponsored scheme
– implemented in 32 States/UTs and 3 Municipal
Corporations namely Ahmedabad, Chennai and Mumbai
through AIDS Control Societies.

• Two key objectives namely:


 To reduce the spread f HIV infection in India;
 Strengthen India’s capacity to respond to HIV/AIDS
on a long term basis.
• Aimed at:

 To shift the focus from raising awareness to changing behaviour


through interventions

 To support decentralization of service delivery

 To protect human rights by encouraging voluntary counselling


and testing and discouraging mandatory testing;

 To support structured and evidence‐based annual reviews and


ongoing operational research ; and

 To encourage management reforms, such as better managed


State level AIDS Control Societies and improved drug and
equipment procurement practices.
NACP‐II Strategies:
National AIDS Control Program Phase III
(2007‐2012)

• Aims to support the Government of India in


achieving its goal of halting and reversing the
HIV/AIDS epidemic over the next five years through
integration of prevention and care, support and
treatment programs.
– It has set itself an ambitious timeframe in proposing to
achieve the target of halting and reversing its HIV/AIDS
epidemic by 2012 (instead of 2015)
NACP III: four main objectives
1. Prevention of new infections in high risk groups and
general population through:
• Saturation of coverage of high risk groups with targeted
interventions (TIs)
• Scaled up interventions in the general population
2. Increasing the proportion of people living with
HIV/AIDS who receive care, support and treatment.
3. Strengthening the infrastructure, systems and human
resources in prevention and treatment program at the
district, state and national levels.
4. Strengthening a nation‐wide strategic information
management system
1. Prevention of new infections: Saturation of coverage of high risk
groups with targeted interventions (TIs)

• Preventive services are:


a) Promoting condom use
b) STI services
c) Needle/syringes & substitution treatment
d) Creating enabling environment
e) Prevention activities & services for MSM
f) Increased ownership of civil societies
(NGOs/PLHA networks)
1. Prevention of new infections: Scaling up interventions
in the general population
STDs Control Program
• NACO has taken over STDs Control Program in 1992
• Syndromic approach
• Integration with STI/RTI Management of RCH‐II
• Family Health Awareness Campaign

ICTC (Integrated Counseling & Testing Centre)


• Increasing availability
• Training grass root level health workers

HIV Testing strategies:


Mandatory Unlinked & anonymous
Voluntary & confidential With explicit contact
1. Prevention of new infections: Scaling up interventions in the general
population

• PPTCT Program

• Universal Precautions & Post Exposure Prophylaxis


(PEP)

• Safe Blood Program


• New initiatives undertaken:
a) Establishment of Model Blood Banks
b) Appropriate clinical use of blood
c) Training & personnel development
d) Legal framework
e) Promotion of Voluntary blood donation
1. Prevention of new infections: Scaling up interventions in the general
population

• Condom Programing
– to ensure easy access to good quality, afffordable &
acceptable condoms to promote safe sex

• Focused Efforts On Women

• Focused Efforts On Children

• Focused Efforts On Young People

• Focused Efforts On Migrants, mobile & cross border


population

• Occupational Health
2. Care, Support and Treatment
• Improved treatment access for opportunistic
infections & Continuum of care
• ANTI‐RETROVIRAL THERAPY
• People living with AIDS (PLWAs)
3. Strengthening the infrastructure,
systems and human resources
• In prevention and treatment program at
 District level,
 State level and
 National level.
4. Monitoring & Evaluation
• Nation‐wide strategic information management
system
• HIV sentinel surveillance
• HIV risk behavior surveillance survey
• Research & Development

• Indigenous System of Medicine


• AIDS Vaccine
Milestones of the programme
NACP Phase ‐ IV
• Program reviews indicate that most of the targets
set for NACP‐III are likely to be achieved
– scale‐up of coverage of HRG, safe blood supply, testing
services, scale‐up of ART and various interventions with
community ownership.
• However, consolidating the gains and ensuring
quality and coverage will require attention in the
next few years.
• The process to develop the plan for the next phase
of the programme is being initiated.
• The next phase will continue to be inclusive and
focused on marginalised, weaker sections and hard‐
to‐reach population.
• NACP IV will continue to provide care, support and
treatment to all eligible population along with
focused prevention services for the high‐risk groups
and vulnerable populations.

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