National AIDS Control Programme NACP-III Preparatory Phase

1. National AIDS Control Programme (NACP)-III Preparatory Phase 

2. 2 NACP III NACP III Planning Team constituted with: - Mr.R.K. Mishra, Team Leader - Dr. Bhagbanprakash, Lead Member, HRD, Research & Trg - Dr. Sadhana Rout, Lead Member, IEC & Social Mobilization - Dr. K. Sudhakar, Lead Member, M&E

3. 3 Current Scenario 1 Case in 1986 - 5.134 million by 2004 Second only to South Africa Globally, 1 out of every 8 persons living with HIV is an Indian HIV prevalence among adult population at 0.92% 6/35 states > 1% prevalence 111/604 districts > 1% prevalence

4. 4 Changing Face of Epidemic Movement from � High risk groups to general population Urban to rural areas High prevalence states to all states Feminisation High vulnerability of youth

5. 5 NACP III : Priorities and Thrust Areas Project to Program mode NACO�s changing role: implementation agency to a program catalyst Strengthening the state level response: thru organizational restructuring and capacity building Building on the gains of NACP II and reaching out to the district level Priority for prevention and strengthening of care, support and treatment programs

6. 6 NACP III: Priorities and Thrust Areas Increased focus on vulnerable states and NE states Up-scaling and Improving service delivery Establishing robust M&E system at all levels Increased attention on mainstreaming and partnership development Evidence based planning, program implementation and financial management

7. 7 Assumptions�. Prevention Targeted interventions are still a valid approach (i..e. saturation of high risk groups and �partners� ) Public and private sector will play a key role in increasing compliance with national guidelines on blood safety, injection safety and infection control All vulnerable populations will be fully aware of HIV/AIDS transmission and control Highly populous states like UP, Bihar, Rajasthan and MP will show greater ownership and stronger response

8. 8 Assumptions�. Migrant groups will have increased access to quality interventions at source and destination Public and corporate sectors will have HIV/AIDS budget Care, support and Treatment Increased access and stigma reduction will lead to greater use of services (VCTC, PMTCT, STI and ART) Sustained availability of resources for drugs, diagnostic facilities Public and private sector will play a key role in providing quality, care and support services at all levels Families and communities will provide services for PLHAs

9. 9 Assumptions �� Capability Development NACO and SACS fully staffed with qualified professionals and minimal turnover States will invest in human resources and institutional strengthening as a priority Civil society will be fully engaged in prevention and care programs Monitoring and Evaluation Systems Stakeholders will share data regularly Implementing units will use the information for program planning

10. 10 NACP III Planning Process The approach: Three Ones Participatory Planning Increased ownership at state and district levels Mainstreaming Partnerships

11. 11 NACP III Planning Process.. The Process Working Groups State level consultations for frame work development District and State level Program Implementation Plans (PIPs) Commission studies / assessments Collaboration with Development Partners (DP) Consultations with NGOs, civil society, public-sector, private sector and other interest groups National PIP

12. 12 Summary Update� Draft Framework and Timeline for the NACP-III preparatory phase developed World Bank PHRD Grant agreement for studies / assessments finalized Field visits: DSACS, APSACS, UPSACS State Program Managers Groups (SPMG) met in Chennai, Bangalore and Kolkata Finance working group met in Chandigarh Meetings with partners : ongoing E- Consultation for civil society participation being launched

13. 13 Working Groups and conveners Targeted Interventions - Dr.Thomas Philip,SHRC Gender,Youth,Adolescents,Children -Dr Sunil Mehra, MAMTA Communication,Advocacy and Community Mobilization. - Dr Krishnamurthy, PD,APAC,Chennai GIPA,Human Rights,Legal and Ethical issues . - Mr. K.Rajan,PD Kerala SACS Care,Support and Treatment. - Dr Dharamshaktu,APD,NACO

14. 14 Working Groups and conveners Service Delivery -Dr. Dharamshaktu, APD,NACO STI/RTI Treatment and Convergence with RCH - Mr. James Blanchard,ICHAP Condom Programming. - Mr. Amit Jain,Head of Social Marketing HLFPPT Mainstreaming and Partnerships - Ms Damayanthi,PD APSACS Programme Management, Programme implementation and organizational restructuring - Mr. Vijay Kumar, PD, TNSACS

15. 15 Working Groups and conveners Financial Management - Director Finance, NACO Epidemiological Surveillance -Dr. Shaukat, JD, NACO Research,Development and Knowledge Management -Dr. Vijayaluxmi Bose, Consultant, NACO Monitoring Evaluation -Dr. M. Shaukat, JD, NACO

16. 16 E-Consultation A partnership project of UNAIDS and NACO Objectives: To provide inputs from all stakeholders to the working groups in particular To inform the NACP III Planning process in general Public website: http://www.unaids.org.in/nacp3discussion

17. 17 Studies:- Situation analysis in rural areas & High Risk Groups (other than those covered by TIs) MSM sexual attitudes & practices vis a vis sexual transmission percentage National & State level response including Public & Private sectors. Effectiveness of existing IEC / BCC efforts

18. 18 Assessments: Rapid Survey on health care workers� attitude (Public & Private.) Existing M&E system. Resources needed to provide ART in selected states. Existing strategy / implementation of TI (CSWs, truckers and other clients of CSWs I.e. migrant workers, IDUs, MSMs, street children) Social Marketing efforts

19. 19 NACP III : Proposed Framework 1. Executive Summary Section I 2. Program Description 2.1 Background 2.2 Initial response of the government of India (1986-90) 2.3 Medium-Term Plan with WHO Collaboration (1990-92) 2.4 National AIDS Control Program (NACP) I&II (1992- 2005) 2.5 Limitations in the Implementation of the NACP

20. 20 3. Current situation 4. Lessons Learned and Key Sector Issues 5. Social, institutional, environmental & NGO Assessments 6. National AIDS Prevention and Control Policy (2002) 7. Expanded National AIDS Control Programme 8. Third Phase of the NACP (2006-2011)

21. 21 Program Development Objectives 9.1 Program Strategies 9.2 Monitoring, Evaluation and MIS 9.3 The Process of Program Preparation 9.4 Implementation Arrangements 9.5 Multi- Sector Issues 10. Program Cost Summary

22. 22 Section II National AIDS Control Program Phase III (2006-11) Prevention : Objective # 1 Prevent new infections (Zero rate of growth by 2007) Saturation of Targeted Interventions for high risk groups/high risk areas a) Expansion of coverage of HRGs (quality STI and condom promotion services) b) Increased involvement of PLHAs, NGOs, CBOs and civil society c) Reducing stigma, discrimination d) Integration of care and treatment activities e) Prevention programs for PLHAs

23. 23 B. Scaling up of interventions among highly vulnerable populations a) Increasing awareness, bcc activities, community mobilization, advocacy b) Focused efforts on gender, youth, adolescents and children c) Expanding workplace interventions d) Focused efforts on migrant populations and cross-border areas e) Improved access to quality condom and STI services

24. 24 Care, Support and Treatment: Objective # 2 Increase in proportion of PLHAs receiving care, support and Treatment C. Care, Support and Treatment a) Improving treatment access for OIs, STI/RTI b) Developing capacity for ART roll out and increasing delivery of ART c) Expansion of PPTCT and PEP programs d) Community care and support programs e) Integration of prevention measures and linkages with TIs f) Collaboration with PLHA networks

25. 25 Improving service delivery at district, state and national levels a) Improving condom promotion, STI Care, VCTC and PPTCT b) Ensuring safe blood, injections, diagnostics and infection control c) Support to PLHAs, NGOs, CBOs and, networks

26. 26  E. Mainstreaming HIV/AIDS and Partnership development a) Convergence with RCH, TB and other MOHFW projects b) Mainstreaming (government departments/agencies and other public sector institutions) c) Partnerships (private sector, voluntary & faith based groups, CBOs & civil society) d) Coordination with donors, stakeholders and interest groups

27. 27 Proposed Framework .. Monitoring and Evaluation: Objective # 4 F. Establishing one nationwide monitoring and evaluation system a) Improving strategic planning, management capability b) evidence based planning and effective use of information for program implementation c) Strengthening research, development and knowledge management d) effective linkages between technical and financial management systems e) pooling of funds and Joint reviews

28. 28 NACP III : Outcomes �� Reduction in number of high prevalence districts (from � to�.) Ensuring the vulnerable districts remain low prevalent increased consistent condom use among high risk groups (from � to�) Decreased number of partners among vulnerable populations Increased use of quality services (VCTC, STI, blood banks) Increased number of pregnant women receiving PPTCT services (from�.to�)

29. 29 NACP III: Outcomes�. Increased number of PLHAs receiving ART (from�to�) Increased number of organizations that practice GIPA (from �.to�) Number of states and districts with established HIV/AIDS committees chaired by political leaders Number of states and districts with HIV/AIDS consortiums of public and private partners

30. 30

31. 31

32. 32

33. 33

34. 34 THANK YOU