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AT GLANCE

AT GLANCE. Framework. HIV / AIDS and Global Health Agenda (Millennium Development Goals) World AIDS Day 2011-15 Current Epidemiological Status of HIV/ AIDS Response to the HIV Epidemic in India – NATIONAL AIDS CONTROL PROGRAMME (NACP). Story of Kausar.

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AT GLANCE

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  1. AT GLANCE

  2. Framework • HIV / AIDS and Global Health Agenda (Millennium Development Goals) • World AIDS Day 2011-15 • Current Epidemiological Status of HIV/AIDS • Response to the HIV Epidemic in India – NATIONAL AIDS CONTROL PROGRAMME (NACP)

  3. Story of Kausar • KausarKhan, a mother of three, contracted HIV/AIDS from her husband who then abandoned her. The hospital that she visited did not provide her with proper care. Weak and feeble, she went into acute depression and began to lose hope in life. • She then came in contact with a NGO. Kausar was counseled and treated in the drop-in center and was also facilitated a CD4 test. Kausar had no money for the necessary medical treatment so she was referred to the appropriate antiretroviral treatment center at a local government hospital.

  4. Story of Kausar……….. cont. • Due to prompt treatment, her CD4 count went up and her health began to improve. The NGO also provided her training in embroidery and Kausar began to earn 2000 rupees per month. • Today, Kausar is living with her children. After receiving training in peer education and home-based care services for HIV/AIDS patients, she now works with the same NGO making home visits and providing encouragement and care to people living with HIV/AIDS. • Kausarhas also become a strong and vocal advocate for the rights of HIV/AIDS infected patients, especially women.

  5. HIV / AIDS and Global Health Agenda

  6. HIV / AIDS and MDGs

  7. "Getting to zero: zero new HIV infections. Zero discrimination. Zero AIDS related deaths”

  8. Current Epidemiological Status of HIV/AIDS

  9. Global summary

  10. Key features of HIV epidemic globally • 25 countries, since 2001, have reduced new infections by > 50% • Half of all reductions in new HIV infections in the last two years have been among newborn children. In 2011, new infections in children were 43% lower than in 2003, and 24% lower than 2009. • In the past two years there has been a 60% increase in the number of people accessing life-saving treatment. • The number of people dying of AIDS- related causes fell to 1.7 million in 2011, a decline of 24% since the peak in 2005. • In sub-Saharan Africa, annual new infections in 2011 reached 1.7 million people, including 300,000  children. This is 21 percent lower than the 1997 peak and 15 percent lower than in 2001. • 57% of HIV-positive pregnant women received treatment to prevent HIV transmission to their child in 2011

  11. Number of people living with HIV in the world (Millions), 1990-2011 Source: The Millennium Development Goals Report 2012

  12. Adult HIV prevalence (%)

  13. AIDS Deaths

  14. New HIV infections 100 69.2 10.4 5.0 1.2 3.2 2.9 3.5 0.7 0.2 2.7

  15. Indian scenario

  16. Key features of HIV epidemic in India • Estimated 3 million PLHA in India - third largest number of people living with HIV/AIDS (PLHA) • HIV epidemic in India is heterogenous and concentrated in nature • Spread in all states and union territories • Across all age groups

  17. Estimated Adult HIV Prevalence Source: Technical Report on HIV Estimations, 2010, NACO & NIMS.

  18. HIV prevalence across states

  19. Declining trends of Adult HIV Prevalence in HighPrevalence States & Mizoram Source: Technical Report on HIV Estimations, 2010, NACO & NIMS.

  20. Rising Trends of Adult HIV Prevalence inLow Prevalence States Source: Technical Report on HIV Estimations, 2010, NACO & NIMS.

  21. Annual New HIV Infections

  22. State wise distribution of New HIV infections

  23. Concentrated Epidemic Source: HIV Sentinel Surveillance, 2008-09 taken from Annual Report, Department of AIDS Control, MOHFW 2011-12

  24. Primary Drivers of HIV epidemic in India • Sex work continues to act as the most important source of HIV infection in India due to the large size of clients who get infected from sex workers. • Along with High risk groups (FSW, MSM, IDU), Long-distance Truckers and Single Male Migrants are the key drivers of HIV epidemic in India

  25. Routes of HIV Transmission, India Source: NACO CMIS 2010-11

  26. AIDS Deaths

  27. District Categorization India A = 156B = 39C= 296D= 118

  28. Epidemic scenario

  29. Maharashtra

  30. Response to the HIV Epidemic in India – NATIONAL AIDS CONTROL PROGRAMME (NACP)

  31. Milestones in HIV/AIDS control in India

  32. Model of HIV treatment service

  33. Infrastructure for Care, Support &Treatment Services in NACP III

  34. Target Achievements by NACO for 2010-11 and 2011-12 *up to January 2012 **up to December 2011

  35. Target Achievements by NACO for 2010-11 and 2011-12 *up to January 2012 **up to December 2011

  36. Social protection for people living with HIV • Thirty-five year old HariharBabu had a comfortable job as a taxi driver earning Rupees 10,000-12,000 every month. He travelled frequently, driving passengers all over his home state of Chhattisgarh in central India. But all this changed in 2007 when he and his wife tested HIV positive. • “I thought that as long as I kept quiet about my illness, it would not affect my family or income,” he said. • But the bouts of illness became longer and driving over long distances became impossible for him. In addition to dealing with the stigma of living with HIV, Babu saw his income decline by 50 percent.

  37. Social protection for people living with HIV • In January 2011, Babu and his family received monthly food rations through a nationwide scheme that provides subsidized food to families living below the poverty line. He and his family found relief thanks to a special amendment approved by the Chhattisgarh government to include people living with HIV. • Babu’s family can now buy rice, sugar and salt at nominal prices. This support has gone a long way in ensuring the family has enough nutrition in times of distress

  38. References • Department of AIDS Control. Ministry of Health & Family Welfare. GOI. Annual Report 2011-12 • Millennium Development Goals. India country report. Central Statistical Organization, Ministry of Statistics and Programme Implementation, Government of India. 2011. • Millennium Development Goals. Global report. 2012. • State Fact Sheets. National AIDS Control Program III. March 2012 • NATIONAL AIDS CONTROL PROGRAMME : Response to the HIV Epidemic in India. • http://transition.usaid.gov/in/newsroom/success_stories/kausar.htm • http://www.worldaidsday.org/

  39. THANK YOU

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