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DR. S.K CHATURVEDI UNICEF. HIV/AIDS PREVENTION PROGRAMME PROGRAMME PLAN OF COOPERATION 2003-2007. HIV Prevalence in India. > 1% Antenatal Women. 3.82-4.5 Million adults. J & K. < 1% Antenatal Women. Himachal Pradesh. Punjab. Chandigarh. Delhi. Haryana. Arunachal Pradesh. Sikkim.

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dr s k chaturvedi unicef

DR. S.K CHATURVEDIUNICEF

HIV/AIDS PREVENTION PROGRAMME

PROGRAMME PLAN OF COOPERATION

2003-2007

slide2

HIV Prevalence in India

> 1% Antenatal Women

3.82-4.5 Million adults

J & K

< 1% Antenatal Women

Himachal Pradesh

Punjab

Chandigarh

Delhi

Haryana

Arunachal Pradesh

Sikkim

Uttar Pradesh

Rajasthan

Assam

Nagaland

Meghalaya

Bihar

Manipur

Tripura

Mizoram

Madhya Pradesh

Gujarat

West Bengal

Daman & Diu

Orissa

Dadra Nagar Haveli

Maharashtra

Andhra Pradesh

Goa

Pondichery

Karnataka

Andaman & Nicobar

Tamil Nadu

Source: NACO, 2002

Lakshwadeep

Kerala

hiv aids awareness among adolescents 20 years fhac 2000
HIV/AIDS Awareness among Adolescents< 20 years - FHAC 2000

53

32

6.3

3.4

Correct knowledge about benefits

of condom use to prevent STI/HIV

Source: FHAC Coverage Evaluation

AIIMS/INCLEN/USAID 2000

Used condom

during last intercourse

who are now infected affected by hiv aids
Who Are Now Infected & Affected by HIV/AIDS?

Reported Data in 2001

  • Over 50% of all new infections occurring among young people aged below 25.
  • 25% of all HIV infection fall in women, with an accompany increase in vertical transmission and pediatric HIV.
  • Reported median of HIV prevalence among pregnant women exceed 2% in most high prevalence states.
  • Already about 660,000 young women and 345,000 young men aged between 15-24 years are living with HIV/AIDS
  • 120,000 AIDS orphan children and 160,000 AIDS children living in the country.
slide10

ICO HIV/AIDS Programme Strategy

  • Phased approach: Initial focus on four high prevalence states

- 2002-3: High Prevalence 2004-5: Concentrated

2006-7: Low

- AP, Mah, TN & Nagaland + Karnataka and Manipur (PPTCT)

  • Modeling scaled-up actions in support of the National Programme
  • Strong emphasis on building evidence-based approaches
slide11

Thrusts

Projects

Results

PPTCT

VCCT services for

Scaling up to national

PPTCT

l

l

l

pregnant women

level of prevention of

Adolescents & Young

l

Operational network of

health facilities

MTCT

l

People

Prevention of HIV

Integrated

l

Evidence based national

l

l

among young below the

Communication

policy

age of 25

Building an enabling

Replicable district models

l

l

Young People

environment for an

expanded response

Scaled up interventions

l

against HIV

on HIV prevention

Replicable models of

l

Life Skills Education

Coalition of civil society

l

groups & NGOs

Programme Goal: To reduce the prevalence of HIV/AIDS among children and to alleviate the impact of AIDS on children, adolescents and families affected by HIV/AIDS

pmtct
1) Scaling up

Expected outputs

An operational network of health facilities providing quality PPTCT services established

PPTCT used as an opportunity to strengthen MCH services.

2) District Models

Expected outputs

A comprehensive, integrated and sustainable distrit- based PPTCT programme

Pre and in-service training modules for care providers to integrate youth friendly services

PMTCT
  • Key results:
  • Operational network of health facilities for PPTCT established
  • A National Policy for PPTCT
  • Replicable district PPTCT models
  • Partnerships and resources mobilized for scaled up

3) Learning for Policy Development

Expected outputs

  • A Feasibility Study of “PPTCT Plus”
  • Studies on HIV and infant feeding
  • Evidence-based National PPTCT Policy
slide13

Timing:

Cumulative total of medical centres participating:

Pilot project:

2000-2002

11 Centers of Excellence

11

81 Medical Colleges in

High Prevalence States

92

December 2002

159 District Hospitals/

Maternity Hospitals in

High Prevalence States

242

June 2003

59 Medical Colleges in

Low Prevalence States

301

Dec. 2003

450+ District Hospitals/

Maternity Hospitals in

Low Prevalence States

780+

In 2004

Scaling up PPTCT to cover the whole country

slide14

UNICEF’ s Role in PPTCT

Monitoring and Evaluation

Quality assurance of services

Research

Infant

Feeding

Study

design

Counseling

PPTCT

“Plus”

Data

Training

District

Models

Dissemination

of results

Drugs

adolescents young people
1) Preventive & Peer Education in School

Expected outputs

Effective intervention models for scaling up in schools

State-led sustainable response plan

Linkages of life skills education to other key strategies

2) Young People as Agents of Change

Expected outputs

Increased participation of young people in HIV/AIDS prevention

Peer Education Package for out-of-school adolescents and young people

A Youth forum for public debate and dialogue about HIV/AIDS and related issues

Adolescents & Young People
  • Key results:
  • Scaled up interventions on HIV prevention in school
  • Replicable models of skills-based prevention education for young people out of school
  • Coalition of civil society groups and NGOs on YP and HIV/AIDS
integrated communication
1) Advocacy and Mobilization for Social Change

Expected outputs

Documentation on the impact of HIV/AIDS and data analysis to sensitize key stakeholders for policy formulation and increased resource allocation

Communication Strategies to reduce risks, increase demand for health services, and address stigma and discrimination among health care providers and the general population

Expanded partnerships and alliances with civil society & private sector

2) Behavior Development and Change

Expected outputs

Increased participation of communities, families, individuals, and service providers in responding to HIV/AIDS prevention.

Effective communication packages for behavior change, focusing in safe behaviors and health care services

Communication strategy to support PPTCT and Young People interventions

Integrated Communication
  • Key Results:
  • Partnerships and resources mobilized for scaled up interventions
  • Packages of communication initiatives including innovative approaches