INDIA
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Presentation Transcript
INDIA Rajesh KumarSuresh KumarAnnie MangsatabamSamiran PandaManikanta SinghGary Lewis
WHERE TO INTERVENE? Wherever there is existing evidence of the nature and extent of the problem (IDU) – intervene there first Where information does not exist, do time-bound Rapid Assessments Determine who should coordinate the RSAs – e.g., UNODC, NGOs Do RSAs in conjunction with SACS and ensure ownership
WHAT TO INTERVENE WITH? • Comprehensive “core” Package • drug dependence treatment (including drug substitution treatment) • outreach • referral to services • sterile needles and syringes • condoms • voluntary counselling and testing • treatment of STIs • ARTs • interventions for especially-at-risk populations (prisoners and sex workers who inject drugs).
HOW TO INTERVENE? DIC-based, community-based outreach Advocacy with law enforcement Intervention to deliberately also target regular (female) sex partners Capacity-building (especially training) essential at all levels within the SACS, NGOs, outreach worker, peer educator – in the appropriate language Materials, protocols, guidelines already exist – quality generally good
HOW TO PROCEED FROM HERE? • Establish (resuscitate?) a core group at the national level (e.g., TRG) • Establish the need • NACO estimate of IDUs = 200,000 • NACO already covers 30,000 - 50,000 (can possibly scale up to 100,000 in NACP III) • Best case scenario: we reach 100,000 • Gap remaining = 100,000 • Financing the gap = prepare a proposal for Global Fund (+ others?) to reach 100,000 gap
DEVELOP A PROPOSAL FOR THE GLOBAL FUND TO COVER THE GAP Engage partners from local interested parties Hire consultants (1 x substantive content, 1 x finance) to develop the proposal Rough costing: to reach 100,000 @ Rs. 3,000 per person per month times 9 months Times 100,000 = $60m Divided by 5 years = $12m per year
Thank you Rajesh KumarSuresh KumarAnnie MangsatabamSamiran PandaManikanta SinghGary Lewis