8_Overview of National Policies in HIVAIDS Research

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    www.wiki edia.or

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    After 1986, Government took a series ofmeasures:

    1.National AIDS control programme was

    launched in 1987.

    2. Govt. of India started pilot screening of

    high risk population.

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    National AIDS Committee in Year 1986

    To formulate strategy & plan for implementation ofprevention & control of HIV/AIDS in the country,

    to bring together various ministries, NGOs and privateinstitutions for effective co-ordination in implementingthe programme

    The committee acts as the highest-leveldeliberation body

    to oversee the performance of the programme

    to provide overall policy directions,

    to forge multisectoral collaborations.

    Created public awareness, introduction ofblood screening for transfusion andsurveillance activities

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    1989, with WHO support, a medium term planwith US $10 million budget

    Implemented in 5 affected states & UTs(Maharashtra, Tamil Nadu, West Bengal,Manipur, and Delhi).

    Preventive activities like implementation ofeducation and awareness program, bloodsafety measures, control of hospital infection,condom promotion, strengthening clinical

    services gained momentum in 1992.

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    Key objectives

    To reduce the spread of HIV infection in

    India

    Strengthen India s capacity to respond toHIV/AIDS on a long term basis.

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    Implemented in 32 States/UTs & 3 MunicipalCorporations namely Ahmedabad, Chennai& Mumbai through AIDS Control Societies

    The 3 new states (Chattisgarh, Uttaranchal,Jharkhand) establishing their State AIDSControl Societies

    Access to highly active antiretroviral drugs

    Pharma industry instrumental in providinglower cost, generic, fixed dose combinationsfor HIV-infected patients

    Source:psm by park

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    Priority targeted interventions for populations at

    high risk. Preventive interventions for the general

    population. Low Cost care for people living with HIV/AIDS.

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    The WHO declared lack of access to ART asa global health emergency in September

    2003Joint WHO/UNAIDS emergency plan to scale

    up access to treatment for at least 3 millionby 2006.

    Government of India has issued guidelinesof easy access to antiretroviral therapy forpeople living with HIV/AIDS.

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    1 million people in 6 high prevalent stateswill receive antiretroviral (ARV) drugs freeof cost from 1st April 2004, targeted to 3vulnerable groups:

    mothers who participated in the Prevention ofParent to Child Transmission (PPTCT) program asseropositive 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.

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    Feasibility study to reduce mother-to-childtransmission was initiated by NACO in 11maternity hospitals.

    Decision to scale up services to reduce

    mother-to-child transmission in six Indianstates.

    Rapid change from non - recognition toacceptance as a public health problem.

    Decision to provide free ART to personshaving advanced HIV disease was taken

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    IAVI undertook an effective campaign for HIVvaccine trials.

    In Feb 2005, the first Phase I HIV vaccine trialwas initiated in the National AIDS ResearchInstitute (NARI), Pune.

    Another HIV vaccine trial using an indigenously

    developed vaccine has been initiated inTuberculosis Research Centre,in Chennai.

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    Preparedness activities initiated in 2002& Ph I in Feb 2005

    Effective campaign for political advocacyhelped accelerate implementation of HIVprevention & treatment strategies,research responses and its

    implementation Strong political support strengthened

    research efforts in institutions alreadyinvolved in HIV/AIDS work and also those

    who were not adequately exposed

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    Community Involvement Formative Community Research

    Study to see willingness to participate forthe Phase I Vaccine Trial Committee of Parliamentarians Civil Society Stakeholders Interactions

    Media Orientation National AIDS Vaccine Advisory Board

    (NAB)

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    Expert panels were set up to address theconcerns and issues that emerged from theconsultations 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

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    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,imphal4.BMCH,bangalore

    5.osmania medical college & hospital,hyderabad

    6.RML,new delhi

    7.district naga hospital,nagaland.

    source:PSM by park

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    Remember AIDS does not spreads due to kissing or touching..