In order to prevent and control HIV/AIDS in India, the National AIDS Control Programme (NACP), which was first introduced in 1992, is currently being implemented. The emphasis has shifted over time from behavior change to raising awareness, from a national response to one that is more decentralized, and from a focus on NGOs to one that is more focused on networks of people living with HIV (PLHIV).
In order to lower morbidity, mortality, and the effects of AIDS in the nation, the NACP program, which was started in 1992, aimed to slow down the spread of HIV infections.
1. The second National AIDS Control Project (NACP II) was started in November 1999 to (i) stop the spread of HIV infection in India and (ii) improve India's ability to deal with HIV/AIDS on a long-term basis.
2. To stop and reverse the epidemic over a five-year period, NACP III was introduced in July 2007.
3. Launched in 2012, NACP IV aims to strengthen the epidemic response in India and accelerate the process of reversal over the course of the following five years.
1. (2007 NACP III Baseline) Decrease new infections by 50%.
2. Provide all people living with HIV/AIDS with comprehensive care and support.
3. For all those who need it, treatment services.
1. Enhancing and integrating prevention programs with a focus on vulnerable groups and high risk groups (HRGs).
2. Promoting comprehensive care, support, and treatment while expanding access.
3. Expanding IEC services with an emphasis on behavior change and demand creation for the (a) general population and (b) high risk groups.
4. Building capacities at the facility, district, state, and national levels.
5. Developing a stronger strategic information management system.
Maintaining the effectiveness of current interventions and successfully combating new epidemics in order to prevent new infections.
Prevention of transmission from parent to child.
Concentrating on IEC tactics for raising public awareness, changing HRG behavior, and increasing demand for HIV services.
Offering eligible PLHIV complete care, support, and treatment.
GIPA: Greater PLHA Involvement to Reduce Stigma and Discrimination.
Decentralizing the delivery of services, including technical assistance.
Ensuring the efficient use of strategic information at all levels of the program.
Strengthening the capabilities of partners in the NGO and civil society, particularly in states where epidemics are just starting to emerge.
HIV services should be gradually integrated into health systems.
The integration of HIV/AIDS activities with all important central/state level Ministries/departments will be given a high priority, and resources from the relevant departments will be used. Mechanisms for PLHIV social protection and insurance will be strengthened.
Services offered as part of the NACP IV package.
1. Targeted interventions for high-risk populations and the bridge population, including truck drivers, migrants, and transgender or Hijra people.
2. IDUs may benefit from the Needle-Syringe Exchange Program (NSEP) and opioid replacement therapy (OST).
3. Interventions for migrants in need of prevention at the points of origin, transit, and destination.
4. For HRGs and vulnerable rural populations, there is the Link Worker Scheme (LWS).
5. Prevention & Control of Sexually Transmitted Infections/Reproductive Tract Infections (STI/RTI).
1. Counseling on HIV. Transmission from parent to child prevention.
2. Promoting condoms.
3. Information and Instruction
4. Youth Interventions, Adolescent Education Programs, and Social Mobilization.
5. Integrating the HIV/AIDS response.
Interventions at the workplace.
Laboratory services for CD4 testing and other research.
First line is unpaid.
Children with pediatric ART.
HIV-exposed newborns and children under the age of 18 months should receive an early infant diagnosis.
Cross-referral, co-infection detection, and treatment in HIV-TB coordination.
Treatment of opportunistic infections.
Drop-in Centers for PLHIV networks.
Different tactics for districts based on triangulating data and giving vulnerabilities the weight they deserve.
1. Program expansion to focus on critical vulnerabilities.
2. Opioid Substitution Therapy (OST) for IDUs should be expanded.
3. Migrant interventions at the source, transit, and scaled-up.
4. The establishment and expansion of interventions for transgender people (TGs), with community involvement and targeted approaches to address their vulnerabilities.
5. Employer-Led Model for Addressing Vulnerabilities Among Migrant Labor e. The female condom program.
6. Expanding the PPTCT (Prevention of Parent to Child Transmission) multi-drug regimen in accordance with international standards.
7. By mainstreaming and allocating funds for HIV among concerned government departments, social protection is provided for marginalized groups.
8. Creation of a plasma fractionation center and blood banks in Metro.
9. Third Line ART is launched, and the first and second Line ART are scaled up.
10. Strategies for promoting demand that specifically use mid-media, e.g. Campaign for National Folk Media.
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