Question : Treatment of HIV-AIDS Patients

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

(a) the number of cases of HIV/AIDS detected in the country during each of the last three years and the current year, State/ UT-wise;

(b) the estimated coverage of Anti- Retroviral Treatment (ART) amongst HIV/ AIDS patients along with the number of ART centres in the country, State/UT-wise;

(c) whether the Government has assessed the adequacy and performance of ART centres, if so, the details and the outcome thereof along with the steps taken/ proposed to be taken by the Government to strengthen them;

(d) the action plan drawn by the Government to provide necessary medical care to all the HIV/AIDS patients and develop low-cost drugs and kits for HIV/AIDS diagnosis and treatment; and

(e) whether a number of health experts have warned against the recently approved single-dose HIV drug ''Genvoya'' for being harmful, if so, the details thereof along with the corrective measures taken/proposed to be taken by the Government in this regard?

ANSWER
THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND
FAMILY WELFARE
(SHRI SHRIPAD YESSO NAIK)
(a): The number of cases of HIV /AIDS detected in the country during each of the last three years and the current year, State/UT-wise is enclosed at Annexure 1.
(b): According to Government Estimates a total of 12,70,678 adults (aged 15+) People living with HIV/AIDS (PLHIV) are estimated to be in need of ART; and out of them a total of 8,57,330 adult patients are receiving free ART treatment which is 67.47 % coverage. In addition a total of 50,331 Children Living with HIV/AIDS (CLHIV) are also receiving free ART treatment which amounts to a total of 9,07,661 patients receiving free ART treatment, through 519 ART Centres across the country. The State/UT wise details of patients receiving free ART treatment are at Annexure 2.

(c): Yes. NACO conducted a nation-wide assessment of ART Centres during the period of January 2014 to March 2015 with an overall goal to review the functioning of the ART centers and quality of service delivery. This assessment looked into 4 domains – namely Operational, Technical, M&E and Logistics – comprising of 11 attributes necessary for smooth delivery of ART services as well for maintaining quality of care at ART Centres. 357 ART centers which had been functional for more than one year were assessed by 50 teams of ART experts.

73% of the total assessed ART Centres are functioning satisfactorily as per national ART guidelines. However, 27% needs improvement.
The centre-wise detailed reports of the assessment have been sent to every ART centre with directions to improve the functioning of the centre based on gaps identified. The State AIDS Control Societies have also been addressed in this behalf. The assessment was disseminated at a national dissemination meeting held on September 28, 2015 in New Delhi.

(d): Government of India rolled out the free ART initiative under the National AIDS Control Programme (NACP) in 2004. It provides a comprehensive package of care, support and treatment services to PLHIV including counseling, ART treatment, treatment of opportunistic infections and linkage services. As mentioned under part (b), more than 9 lakh patients are getting free treatment.

(e): The drug ‘Genvoya’ is not a part of ART drug regimen under the National AIDS Control Programme.

Annexure -I

State/UT wise HIV positive case diagnosed for the last three years & current year

Sl.no. State/UT 2012-13 2013-14 2014-15 2015-16 (till Sept.’15)

1 Andaman & Nicobar Islands 29 29 21 11
2 Andhra Pradesh & Telangana 58,686 56,730 47,618 19191
3 Arunachal Pradesh 21 4 28 5
4 Assam 1,280 1,161 1,304 730
5 Bihar 8,323 9,323 11,388 4646
6 Chandigarh 836 813 863 440
7 Chhatisgarh 2,430 3,009 3,047 1341
8 Dadra & Nagar Haveli 91 88 114 52
9 Daman & Diu 67 93 95 23
10 Delhi 7,274 6,855 7,035 2350
11 Goa 515 529 445 151
12 Gujarat 11,746 13,771 11,068 5327
13 Haryana 4,299 4,372 3,359 1067
14 Himachal Pradesh 739 526 575 231
15 Jammu & Kashmir 403 340 311 196
16 Jharkhand 2,228 1,813 2,502 1082
17 Karnataka 35,838 30,906 27,804 7885
18 Kerala (incl.Lakshadweep) 1,916 1,660 1,717 610
19 Madhya Pradesh 5,072 4,978 5,262 2214
20 Maharashtra 44,389 43,926 39,111 17135
21 Manipur 1,910 1,660 1,518 519
22 Meghalaya 367 459 545 221
23 Mizoram 1,180 1,160 1,269 657
24 Nagaland 1,684 1,672 1,834 906
25 Orissa 3,815 3,467 3,317 1617
26 Pondicherry 699 635 593 296
27 Punjab 4,863 4,537 5,333 2677
28 Rajasthan 6,665 7,871 8,052 3817
29 Sikkim 49 31 34 14
30 Tamil Nadu 16,053 16,653 15,246 7180
31 Tripura 197 225 264 167
32 Uttar Pradesh 13,977 12,954 14,035 7438
33 Uttaranchal 876 786 845 198
34 West Bengal 7,342 7,198 7,171 2942
TOTAL 245,859 240,234 223,723 93,336


Annexure - II

State/UT wise details of PLHIV (including children) receiving free ART treatment as of October 2015
Sr. No. Name of states Number of ART Centres
1 Andhra Pradesh 40
2 Arunachal Pradesh 1
3 Assam 6
4 Bihar 16
5 Chandigarh 1
6 Chattisgarh 5
7 Delhi 10
8 Goa 1
9 Gujarat 30
10 Haryana 1
11 Himachal Pradesh 6
12 Jammu&Kashmir 2
13 Jharkhand 7
14 Karnataka 64
15 Kerala 10
16 Madhya Pradesh 17
17 Maharashtra 86
18 Manipur 12
19 Meghalaya 1
20 Mizoram 6
22 Nagaland 8
23 Odisha 15
24 Pondicherry 1
25 Punjab 12
26 Rajasthan 23
27 Sikkim 1
28 Tamil Nadu 52
29 Telangana 22
30 Tripura 3
31 UttarPradesh 38
32 Uttarakhand 3
33 West Bengal 19
National 519