Friday, 24 August 2012

HIV/AIDS Cases

HIV/AIDS Cases

Based on HIV Estimations 2010, the number of new annual HIV infections has declined by around 56% during the last decade. It is estimated that India had approximately 1.2 lakh new infections in 2009, as against 2.7 lakh in 2000. Similar reduction in HIV incidence has been noted in all the high prevalence States in the Southern and North-Eastern region. However, some low prevalence States have shown a slight increase in the number of new infections over the past two years. Of the 1.2 lakh estimated new infections in 2009, the six high prevalence States account for only 39% of the cases, while the States of Odisha, Bihar, West Bengal, Uttar Pradesh, Rajasthan, Madhya Pradesh and Gujarat account for 41% of new infections.

In regard to number of reported HIV/AIDS cases registered in ART centres for HIV care, during the year 2010 – 11, 320114 HIV/AIDS cases were registered against 246627 in 2009-10. However, during 2011-12, the same number has been decreased to 275377 cases.

A statement indicating number of new HIV/AIDS cases registered in ART centres during last three years and the current year, year-wise and State-wise is Annexed.
The performance of NACP - III has been assessed through the HIV estimates derived using globally comparable methods, periodical Joint Implementation Reviews involving development partners and the Government, and independent Impact Assessment studies.

            The mid-term review of NACP-III and subsequent Joint Implementation Review Missions reported that most of the targets have been achieved and even surpassed. Impressive gains have been made in Anti Retroviral Therapy services, upscaling of Integrated Counseling & Testing Centres and identifying People Living with HIV/AIDS. There has been a significant scale-up of Targeted Interventions and Condom distribution has increased.

          An independent Impact Assessment Study undertaken by a consortium of three public health institutes in India: PGIMER, Chandigarh; National AIDS Research Institute, Pune; and National Institute of Cholera and Enteric Diseases, Kolkata reported, in November 2009, that the HIV epidemic had remained contained, and was declining in the country. Also there was significant decline in HIV prevalence among female sex workers and young women (15-24 years) seeking antenatal care in the high-prevalence southern states. Another study showed the cost-effectiveness of targeted HIV-prevention interventions for female sex workers.
NACP-IV seeks to consolidate the gains of NACP-III and learn from the lessons of the previous phases of programme implementation. It aspires to further strengthen and decentralize the programme to state and district levels.  NACP-IV remains a prevention-oriented plan with adequate coverage of HIV care in the context of the concentrated epidemic situation in India. 

Taking into account the successful implementation of NACP III and outcome of wider consultation, the salient features of NACP IV are:

·         Preventing new infections by sustaining the reach of current interventions and effectively addressing emerging epidemics
·         Preventing Parent-to-child transmission
·         Focusing on IEC strategies for behaviour change in HRG, awareness among general population and demand-generation for HIV services
·         Providing comprehensive care, support and treatment to eligible PLHIV
·         Reducing stigma and discrimination through Greater involvement of PLHIV (GIPA)
·         Ensuring effective use of strategic information at all levels of programme
·         Integrating HIV services with the health system in a phased manner
·         Mainstreaming HIV/AIDS activities with all key central- and state-level Ministries/departments and leveraging resources of the respective departments.
NACP IV in its entirety will be finalized after the allocation in XII Five Year Plan is made available to the department.
This information was given in written reply by the Minister of State for Health & Family Welfare Shri S. Gandhiselvan in Lok Sabha today.

BN/ls
Annexure
State/UT-wise details of new AIDS/HIV cases registered in the country
Sl. No.
Name of the state
2009-10
2010-11
2011-12
2012-13*
1
Andhra Pradesh
69155
76650
61121
9363
2
Arunachal Pradesh
20
14
11
3
3
Assam
882
1062
1047
307
4
Bihar
5699
8497
9129
1886
5
Chandigarh
799
1011
1264
245
6
Chhatisgarh
1644
2340
2060
899
7
Delhi
8228
3559
5359
1656
8
Goa
779
681
608
102
9
Gujarat
14728
18201
16072
2218
10
Haryana
1608
2033
1896
646
11
Himachal Pradesh
990
1390
923
203
12
Jammu & Kashmir
568
436
495
90
13
Jharkhand
1515
2862
1997
488
14
Karnataka
38276
50737
42043
7400
15
Kerala
2551
2539
1958
509
16
Madhya Pradesh
3803
5082
5127
822
17
Maharashtra
36791
61445
49644
13107
18
Manipur
2013
2663
1996
373
19
Meghalaya
109
215
279
30
20
Mizoram
840
1071
1548
216
21
Nagaland
1400
1682
1521
440
22
Orissa
1343
3628
4218
641
23
Pondicherry
227
246
250
39
24
Punjab
4488
5715
5024
887
25
Rajasthan
5983
7401
9463
1387
26
Sikkim
31
36
24
9
27
Tamil Nadu
25812
38182
24837
3532
28
Tripura
158
175
202
30
29
Uttar Pradesh
9834
11874
17185
3238
30
Uttaranchal
446
859
692
147
31
West Bengal
5907
7828
7384
656

Total
246627
320114
275377
51569
                                                                                                (*As on 31st May 2012)         

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