National AIDS and STD Control Programme for RBI Assistant Exam 2021

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  • The National AIDS Control Programme (NACP) , launched in 1992, is being implemented as a comprehensive programme for prevention & control of HIV/AIDS in India. The focus has shifted from raising awareness to behavior change, from a national response to a more decentralized response & to increasing involvement of NGOs & networks of People living with HIV (PLHIV) .
  • The NACP I started in 1992 was implemented with an objective of slowing down the spread of HIV infections so as to reduce morbidity, mortality & impact of AIDS in the country.
  • In November 1999, to reduce the spread of HIV infection in India the second National AIDS Control Project (NACP II) was launched, & (ii) to increase India՚s capacity to respond to HIV/AIDS on a long-term basis.
  • NACP III was launched in July 2007 with the goal of Halting & Reversing the Epidemic over its five-year period.
  • NACP IV, launched in 2012, aims to accelerate the process of reversal & further strengthen the epidemic response in India through a cautious & well defined integration process over the next five years.

NACP - IV - Objectives

  • Reduce new infections by 50 % (2007 Baseline of NACP III)
  • Provide comprehensive care & support to all persons living with HIV/AIDS & treatment services for all those who require it.

Key Strategies

  • Increasing & consolidating prevention services, with a focus on High Risk Groups (HRGs) & vulnerable population.
  • Increasing access & promoting comprehensive care, support & treatment
  • Expanding IEC services for general population & high risk groups with a focus on behavior change & demand generation.
  • Building capacities at national, state, district and facility levels
  • Strengthening Strategic Information Management System.
STD Control

Key Priorities under NACP IV

  • Preventing new infections by sustaining the reach of current interventions & effectively addressing emerging epidemics.
  • Prevention of Parent to Child transmission.
  • Focusing on IEC strategies for behavior change in HRG, awareness among general population & demand generation for HIV services.
  • Providing comprehensive care, support & treatment to eligible PLHIV.
  • Reducing stigma & discrimination through Greater involvement of PLHA (GIPA) .
  • De-centralizing rollout of services including technical support.
  • Ensuring effective use of strategic information at all levels of programme.
  • Building capacities of NGO & civil society partners especially in states with emerging epidemics.
  • Integrating HIV services with health systems in a phased manner.
  • Mainstreaming of HIV/AIDS activities with all key central/state level. Ministries/departments will be given a high priority & resources of the respective departments will be leveraged. Social protection & insurance mechanisms for PLHIV will be strengthened.

Package of Services Provided under NACP IV Prevention Services

  • Targeted Interventions for High Risk Groups & Bridge Population (Female Sex Workers (FSW) , Men who have Sex with Men (MSM) , Transgender/Hires, Injecting Drug Users (IDU) , & Truckers & Migrants) .
  • Needle-Syringe Exchange Programme (NSEP) & Opioid Substitution Therapy (OST) for IDUs.
  • Prevention Interventions for Migrant population at source, transit & destination.
  • Link Worker Scheme (LWS) for HRGs & vulnerable population in rural areas.
  • Prevention & Control of Sexually Transmitted Infections/Reproductive Tract Infections (STI/RTI) .
  • Blood Safety.
  • HIV Counseling & Testing Services 8. Prevention of Parent to Child Transmission.
  • Condom promotion.
  • Information, Education & Communication (IEC) & Behavior Change Communication (BCC) .
  • Social Mobilization, Youth Interventions & Adolescent Education Programme.
  • Mainstreaming HIV/AIDS response.
  • Work Place Interventions.

Care, Support & Treatment Services

  • Laboratory services for CD4 Testing & other investigations.
  • Free First line & second line Anti-Retroviral Treatment (ART) through ART centres & Link ART Centres (LACs) , Centres of Excellence (COE) & ART plus Centres.
  • Pediatric ART for children.
  • Early Infant Diagnosis for HIV exposed infants & children below 18 months.
  • HIV-TB Coordination (Cross- referral, detection & treatment of co-infections) .
  • Treatment of Opportunistic Infections.
  • Drop-in Centres for PLHIV networks.

New Initiatives under NACP IV

  • Differential strategies for districts based on data triangulation with due weightage to vulnerabilities.
  • Scale up of programmes to target key vulnerabilities.
  • Scale up of Opioid Substitution Therapy (OST) for IDUs.
  • Scale up & strengthening of Migrant Interventions at Source, Transit & Destinations including roll out of Migrant Tracking System for effective outreach.
  • Establishment and scale up of interventions for Transgender (TGs) by bringing in community participation & focused strategies to address their vulnerabilities.
  • Employer-Led Model for addressing vulnerabilities among migrant labour. Female Condom Programme
  • Scale up of Multi-Drug Regimen for Prevention of Parent to Child Transmission (PPTCT) in keeping with international protocols
  • Social protection for marginalized populations through mainstreaming & earmarking budgets for HIV among concerned government departments
  • Establishment of Metro Blood Banks & Plasma Fractionation Centre
  • Launch of Third Line ART and scale up of first & second Line ART
  • Demand promotion strategies specially using mid-media, e. g. , National Folk Media Campaign & Red Ribbon Express & buses (in convergence with the National Health Mission)

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