HIV Prevention and Control


Human Immunodeficiency Virus (HIV) attacks not only the body, but also assaults the mind, soul and the basic right to "dignity of life". The stigma associated with being "HIV positive" conveniently licenses the society to discriminate and deprives the infected person from basic care, support and treatment. With an estimated 2.1 million people living with HIV (PLHIV), India now ranks third on the global list of HIV prevalence. Female Sex Workers (FSWs), Men having Sex with Men (MSM), Transgender (TG) communities, Injecting Drug Users (IDUs), Migrant Workers, Truck Drivers are especially at higher risk who need to be made more aware of issues associated with HIV/AIDS.

However, the truth remains that HIV doesn't mean death or end of all hopes. Early diagnosis, timely treatment and adoption of a healthy lifestyle can go a long way in managing the life of a PLHIV and in delaying the advancement of HIV into AIDS (Acquired Immunodeficiency Syndrome).

HLFPPT has been at the forefront to address this issue and work towards containing HIV transmissions and facilitating a better life for PLHIVs. Over the last 22 years, it has collaborated with the government, NGOs, international agencies and local communities through various programme implementations, advocacy efforts, behaviour change communication campaigns, etc. It is working in tune with the objectives laid under the National AIDS Control Programme Phase IV (2012-17) which include: Reducing new infections by 50%; and Offering comprehensive care, support and treatment to all PLHAs. It is currently operational across 15 states with multiple programmes that are focussed on prevention and control of HIV/AIDS.

PROGRAMME DESIGN AND IMPLEMENTATION

1. Targeted Condom Social Marketing Programme

HLFPPT has been at the forefront to address this issue and work towards containing HIV transmissions and facilitating a better life for PLHIVs. Over the last 22 years, it has collaborated with the government, NGOs, international agencies and local communities through various programme implementations, advocacy efforts, behaviour change communication campaigns, etc. It is working in tune with the objectives laid under the National AIDS Control Programme Phase IV (2012-17) which include: Reducing new infections by 50%; and Offering comprehensive care, support and treatment to all PLHAs. It is currently operational across 15 states with multiple programmes that are focussed on prevention and control of HIV/AIDS.

Ongoing since December 2012 | Six States | 431.45 million condoms sold | 24.99 million men contacted in FY 13-14.

To promote the use of condoms as the ultimate prevention against HIV/AIDS, STIs and unwanted pregnancies, HLFPPT is undertaking social marketing of condoms with financial support from NACO. Read More

2. Vihaan

Ongoing since 2013 | Punjab and Chhattisgarh | 7,068 PLHIVs reached out during FY13-14

For improving the quality of life of PLHAs, HLFPPT is facilitating access to cost-effective treatment, care and support through Civil Society Interventions and establishment of Care and Support Centres (CSCs) under Project Vihaan.Read More

3. Source Migrant Intervention Project

Ongoing since 2013 | UP (20 districts)

Our endeavour is to make interventions at every stage of the spectrum. Source Migrant Intervention is a novel approach of targeting migrant workers (who are prone to risky sexual behaviour) at their source villages and creating awareness among them and their families. Considering the big threat posed by migrant population in the spread of HIV, we are working with NACO to implement the Project in areas of high migration. It aims to minimise HIV transmission and mitigate the impact of HIV/AIDS among out-migrant families at their source points.Read More

4. Voluntary Blood Donation Programme

Ongoing since 2009 | Kerala | 6825-voluntary blood donation camps | 242,138 -unit donations

Unsafe blood transfusions pose a big threat of HIV transmissions and other infections. We are working to eliminate this risk at its root by promoting safe, voluntary blood donations in Kerala in alliance with Kerala State Blood Transfusion Council (KSBTC) & Kerala State AIDS Control Society (KSACS). Read More

TECHNICAL ASSISTANCE

1. Technical Support Group - NACO

Ongoing since 2008 | 15 states/UTs | 564.5 million condoms sold during FY13-14

Technical Support Group (TSG) is consistently contributing to the growth of the condom market through Condom Social Marketing Programme (CSMP) - a national initiative by NACO. HLFPPT is a trusted partner of NACO, and through the TSG we provide technical input to the national programme based on our width and depth of experience. Read More

2. Technical Support Units - NACO

Ongoing since 2007 | 3 states | 708,745 HRGs and Vulnerable Populations reached out | 307 targeted interventions (TIs) during FY 13-14

HLFPPT, under NACO's guidance, has been managing Technical Support Units (TSUs) in Chhattisgarh, Andhra Pradesh and Madhya Pradesh which extend technical assistance to State AIDS Control Societies in the development and implementation of HIV/AIDS strategies.

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PAST PROGRAMMES

1. Swagati

2004-2014 | Andhra Pradesh | Reduced HIV prevalence among FSWs (11% to 7%) and MSM (23% to 10%) from 2008 to 2011

To reduce HIV and STIs prevalence among Vulnerable Groups (FSWs MSM and TGs) residing in coastal Andhra Pradesh, HLFPPT implemented project Swagati, with support from Bill and Melinda Gates Foundation. Swagati (meaning 'self-propelled') focussed on design and implementation of Targeted Interventions for HIV reduction and on strengthening Community Based Organisations. It has effected behaviour change among 40,000 FSWs and MSMs. Read More

2. Link Worker Scheme

2012-14 | Uttar Pradesh | Reached out to 60,168 people during FY 13-14

NACP Phase III launched nation-wide Link Worker Scheme, aimed at building capacities of rural communities and equipping them with HIV related knowledge to combat the epidemic. HLFPPT implemented the project in UP under NACO's guidance and with financial support from UPSACS. Read More

3. SANKALP:

Karnataka (10 Districts) and Uttar Pradesh (44 districts)

This workplace intervention programme was a joint initiative of Employees' State Insurance Corporation (ESIC) and HLFPPT for benefitting insured persons in seeking HIV/AIDS and Reproductive & Child Health services. The idea was to address the needs of a cluster population and spread awareness on issues related to HIV/AIDS and reproductive health.

4. Promoting Access to Care and Treatment (PACT):

3 states- MP, UP and Rajasthan | 35 Community Care Centers (CCC) established

HLFPPT successfully executed "PACT" in these states with an aim to increase the access treatment to PLHIVs. Patients on ART at the public ART centers are referred to these CCCs for care and treatment.

5. Female condom project

a. FC 4: Andhra Pradesh, Tamil Nadu, West Bengal and Maharashtra | 250 TI NGOs and 2.5 lakh High Risk Groups (HRGs) contacted | Approx 2.5 million FCs sold

The project focussed on increased awareness and availability of Female Condoms among Female Sex Workers. It was an innovative initiative that offered an alternative to FSWs for practising safe sex, thus helping them address their vulnerabilities and adding to their basket of choice.

b. FC 9: Assam, Uttar Pradesh, Chhattisgarh, Delhi, Gujarat, Haryana, Karnataka, MP, and Punjab | 52,100 FCs socially marketed | 35,758 FSWs contacted

HLFPPT, with support from NACO, implemented the programme with the goal of addressing the vulnerability of women and promoting female controlled prevention method.

6. HIV/AIDS Mainstreaming Project

2013-14 | Delhi | Trained 1,000 ASHAs, 4O NGOs and 125 School Teachers

In order to build the capacity of local stakeholders (ASHAs, local NGOs, school teachers etc) on HIV/AIDS related issues, HLFPPT was entrusted with conducting in-depth training on modes of transmission, prevention techniques, treatment methods, etc, by Delhi SACS.

7. Condom Vending Machine (CVM) Programme

Delhi, Mumbai, Chennai and Kolkata | Later scaled up to U P. and Orissa | 10,025 CVMs installed till Dec 2011

The Ministry of Health and Family Welfare (MoHFW) and NACO, with HLFPPT as the implementing partner, established CVMs in urban areas to facilitate quick and secure access of condoms without any human interface. The programme particularly intended to cater to the youth and high risk groups, middle and lower-middle class population and low literate workforce. As of Dec 2011, 10025 CVMs had been installed in Delhi, Lucknow, Kanpur, Mumbai, Thane, Kolkata, Chennai, Agra, Varanasi, Gorakhpur and 5 districts of Orissa.

8. Life Bus Campaign :

Kerala

This was an advocacy initiative for creating awareness on health issues. In partnership with Karnataka State AIDS Control Society (KSACS) and NACO, HLFPPT coordinated the life bus campaign with an objective to connect grassroots level health management system, performers, positive network at the district level and the social marketing organisations.

9. Red-Ribbon Express

Launched on the World AIDS Day, 2007

A pan India initiative by NACO, Red Ribbon Express aimed at providing HIV/AIDS related awareness and services across the nation. As a contributor to this initiative, HLFPPT supported Red Ribbon Express by periodically organising programmes that emphasised on the vulnerability of youth on issues surrounding HIV/AIDS.

10. Samarth Project :

Uttar Pradesh (72 districts) | Capacity building of 60 UPSACS staff, 500 NACO staff, 470 TIO Staff, and 2200 HSPs |

Based on its broad expertise in HIV related issues, HLFPPT provided technical assistance to UPSACS and conducted trainings of health care providers and TI NGOs across UP under Project Samarth. The Project, implemented with support from FHI, aimed at strengthening the infrastructure, systems and human resources in HIV prevention, care, support and treatment at the district, state and national levels.

11. HIV/AIDS Prevention and Care Programme:

Orissa (4 districts) and Rajasthan (2 districts)

The programme was essentially meant to create reproductive health awareness among the youth. It aimed at increasing access to correct information and services regarding reproductive & sexual health and HIV/AIDS to 300,000 out-of-school rural and tribal youth.

12. Regional Resource Centres

Himachal Pradesh and Andhra Pradesh | 556 HSPs trained (Himachal Pradesh)

The MoHFW instituted Regional Resource Centres (RRCs) in ten states to provide technical assistance and support to the State NGO Committee, Mother NGOs (MNGOs), Service NGOs (SNGOs), Field NGO (FNGOs) networks and other stakeholders across the country. HLFPPT established RRC by MoHFW in two states - Himachal Pradesh and Andhra Pradesh - and successfully conducted a series of training sessions in Sirmour and Kangra districts of HP on menstrual hygiene management.

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