Question : HIV AIDS PATIENTS



(a) the number of HIV/AIDS patients across different population segments, separately in the country along with the number of new HIV/AIDS infected cases and related deaths reported during each of the last three years and the current year, State/UT-wise;

(b) the number of HIV/AIDS patients receiving free first and second line Anti-Retroviral Treatment (ART) in the country, State/UT-wise;

(c) whether shortage of essential drugs and testing kits for treatment of HIV/AIDS patients have been reported from Mumbai and other parts of the country and if so, the reasons therefor along with the corrective measures being taken by the Government in this regard;

(d) whether the Government proposes to encourage participation of private sector and NGOs in campaign agaist HIV/AIDS and also to promote sex education and use of condoms/contraceptive pills for prevention of HIV transmission, if so, the details thereof and if not, the reasons therefor; and

(e) the other steps being taken by the Government for prevention, care and treatment of HIV/AIDS patients along with the funds earmarked, released and utilised for the purpose during the said period, State/UT-wise?

Answer given by the minister



THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI SHRIPAD YESSO NAIK)

(a): A total of 8,12,888 HIV/AIDS patients are currently on Antiretroviral Therapy at 456 ART centres across the country. The State/UT wise details are at Annexure I.

A total of 8,97,486 new HIV/AIDS infected cases are reported during the last three years. The State/UT wise details are at Annexure II.

The number of HIV/AIDS related death reported during the current and last three years State/UT wise is at Annexure III.

(b): As on 31st October 2014, a total of 8,12,888 patients are receiving ART. Of them, 10,270 patients are on second line ART in the country. The state/UT wise details of number of patients receiving ART are at Annexure IV.

(c): There have been critical stocks for Tenofivir 300 mg + Lamivudine 300 mg + Efavirenz 600 mg (TLE) single pill tablets and Lopinavir + Ritonavir (LPV/r) syrup which were indented for the first time. However, presently, there is no shortage of life saving medicines for HIV/AIDS patients in the country and procurement of drugs for year 2014-15 is in process. These supplies are meant for 12 months and buffer of 3 months.

There was no shortage of Test Kits for testing of HIV /AIDS across the country.

(d): National AIDS Control Organisation (NACO) encourages engagement of private sector in the campaign against HIV/AIDS. Under Employer-led model, NACO plans to involve major industries and associations to integrate comprehensive HIV prevention to care programmes for migrant workforce within their existing infrastructure. For engagement of large scale industries, employers have been sensitized to increase awareness about prevention of HIV transmission among the workers. State AIDS Control Societies have entered into Memoranda of Understanding with 27 large scale industries till now, and more are being encouraged.

NGOs are involved in increasing awareness and preventing HIV transmission through the Targeted Interventions approach which is mainly one-to-one communication (Behaviour change communication). NGOs promote condom usage among high risk populations such as Female Sex Workers, Men who have Sex with Men, Injecting Drug Users, Migrants & Truckers. These NGOs are contracted by the State AIDS Control Societies and currently, 1,844 interventions are functional.

Further, NACO implements Adolescent Education Programme that imparts life skills education to adolescents and youth through State AIDS Control Societies by involving NGOs and Private Sector. The programme is being implemented in secondary and senior secondary schools to build up life skills of adolescents to cope with physical and psychological changes associated with growing up and to enable them protect themselves from HIV/AIDS/STI.

(e): In order to control the spread of HIV/AIDS, Government of India is implementing the National AIDS Control Programme (NACP) as a 100% centrally sponsored scheme. NACP Phase-IV

(2012-2017) has the goal to accelerate reversal and integrate response in the country over the next 5 years by integrating programmes for prevention, care, support and treatment. The programme has adopted a five-pronged strategy:
1. Intensifying and consolidating prevention services, with a focus on HRGs and vulnerable population
2. Increasing access and promoting comprehensive care, support and treatment
3. Expanding IEC services for (a) general population and (b) high risk groups with a focus on behavior change and demand generation.
4. Building capacities at national, state, district and facility levels
5. Strengthening Strategic Information Management Systems

These are being achieved by up-scaling preventive services to high risk populations through targeted interventions, behavior change communication for improved awareness, expanding counseling and testing services, safety of blood and blood products through mandatory screening of every unit of blood before use, treatment of Sexually Transmitted Infections, condom promotion, care, support and treatment of HIV infected persons including the treatment of opportunistic infections, provision of free anti-retroviral treatment and mainstreaming of HIV/AIDS with other ministries/departments, industry and private sector.

The funds earmarked, released and utilised for HIV/AIDS intervention during the last three years and the current year are at Annexure V.

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