National AIDS Control Organization 7 th ICAAP Kobe 2 nd July 2005

1. Mainstreaming HIV/AIDS - A multi-sectoral approach: The Indian Perspective National AIDS Control Organization 7th ICAAP Kobe 2nd July 2005 Dr.S.Y. Quraishi Director General, NACO

2. Status of Epidemic • 1 Case 1986 - 5.134 million by 2004 • HIV prevalence among adult population at 0.92% • 6/35 states > 1% prevalence • 111/604 districts > 1% prevalence

3. Sub National Epidemics HIV Prevalence at ANC Site <1 HIV Prevalence at ANC Site 1-2 HIV Prevalence at ANC Site 2-3 HIV Prevalence at ANC Site >=3 Source: NACO’s Sentinel Surveillance data: ANC sites (2001, 2003)

4. Changing face of Epidemic Movement from • High risk groups to general people • From the urban to rural areas • From High Prevalence states to all states • Feminisation • Youth vulnerability high

5. National AIDS Control Program II: 1999-2006 • Reduce growth of HIV infection • Targeted Intervention in HRG • Prevention in general population • Low cost care and support • Increase country’s capacity to respond to HIV/AIDS • Institutional strengthening • Inter-sectoral collaboration

6. Mainstreaming : Challenges • Federal structure and diversity • Migration of 180 million people per year, both intra-state and inter-state • 26% population below poverty line • Literacy rate of 65% • Prevalence of non-regular sex • Sex education still considered taboo • Poor social status of women

7. National Mandate • National Common Minimum Programme : • Increase outlay of Health Sector to 2-3% of GDP • Focus on Communicable Diseases • UPA will provide leadership to National AIDS Control efforts • Prime Minister to lead National AIDS effort • National AIDS Control Policy 2002 committed to zero rate of growth by 2007 (0 X 7)

8. To accomplish the National Mandate We require: • Safe practices by all • Full awareness • Comprehensive service delivery to the entire population

9. The Approach Mainstreaming HIV/AIDS in programs of all government departments & civil society partners including corporate sector

10. Mainstreaming: Political leadership • National Council on AIDS headed by Prime Minister • Inter-ministerial group preceded NCA • Parliamentary /legislative forums • Local Self Government Institutions

11. Education: Integration of HIV in school education Women & Child Development Youth and Sports Rural Development Labour Social Justice & Empowerment Information and Broadcasting Mainstreaming: Government programs

12. Mainstreaming: Government programs (contd…) • Defence and Paramilitary • Home Affairs / Internal security • Transport • Railways • Steel, Coal and Mines • Chemicals and Fertilizers • Industry and Commerce

13. NACO’s Changing Role • From sole implementer to catalyst • Advocacy • Technical Support • Capacity Building • Joint Monitoring • Shared ownership • HIV/AIDS integrated in partners budget

14. A model..Partnering with Dept. of Education • Integration of HIV prevention content into the curriculum and textbooks • Coverage of secondary & higher secondary schools through co-curricular activities (School AIDS Education Program) • Linkages with National Open University, Open school, Indian Technical Training centers • Integration in pre-service and in-service teacher training • Linkages with programs of elementary education, adult education and out-of-school

15. Ministry of Home Affairs Taskforce created • Re-look at legal provisions impeding HIV/AIDS prevention • Situation analysis of Police forces • Training for own safety • Supporting NGOs working with CSWs, MSMs, IDUs • MHA to fund the program from its own budget

16. Mainstreaming with Corporate Sector • Workplace Policy • Reduction of stigma and discrimination • Awareness Program • Care, Support and Treatment • Condom promotion • Help in condom distribution • Piggyback HIV/AIDS messages in corporate advertisement • Facilitate trade unions involvement

17. Civil Society Partnership • More than 1000 CBOs/NGOs are implementing important programs like: • Targeted interventions • Community care centers • PLWHA part of all decision making bodies • NGOs/CBOs integrate HIV/AIDS issues in their ongoing programs • Faith based organizations

18. Process of Mainstreaming • Political leadership- crucial • Ownership of program by all sectors • Allocation of funds within ministries /sectors • Building capacity • Sustainable institutional mechanisms • Robust monitoring and evaluation

19. Unique initiative: PACT India Partnership on AIDS Control and Treatment

20. PACT India partners • Political leaders / Parliamentary forum • Ministries and Department of government • Corporate enterprise • Networks of PLHAs • Media • Legal associations • Private health care providers • NGOs and CBOs • Religious and faith leaders • University, colleges and other academic institutions • Trade unions • Service clubs (Rotary, Lions, etc) • UN, bilateral and other International entities

21. National AIDS Control Program Three Ones Plus: • One national program • One national authority • One monitoring and evaluation framework Plus… • One National Partnership

22. One Nation, One Resolve: We will defeat AIDS Together

23. THANK YOU