National AIDS Control Programme (NACP)-III  Preparatory Phase  National AIDS Control Organization
NACP III  <ul><ul><li>NACP III Planning Team constituted with: </li></ul></ul><ul><ul><li>- Mr.R.K. Mishra, Team Leader </...
Current Scenario <ul><li>1 Case in 1986  -  5.134 million by 2004 </li></ul><ul><li>Second only to South Africa  </li></ul...
Changing Face of Epidemic <ul><li>Movement from … </li></ul><ul><li>High risk groups to general population </li></ul><ul><...
NACP III : Priorities and Thrust Areas <ul><li>Project to  Program mode </li></ul><ul><li>NACO’s changing role:  implement...
NACP III: Priorities and Thrust Areas <ul><li>Increased focus on  vulnerable states  and  NE states </li></ul><ul><li>Up-s...
Assumptions…. <ul><li>Prevention </li></ul><ul><li>Targeted interventions are still a valid approach (i..e. saturation of ...
Assumptions…. <ul><li>Migrant groups will have increased access to quality interventions at source and destination </li></...
Assumptions <ul><li>Capability Development </li></ul><ul><li>NACO and SACS fully staffed with qualified professionals and ...
NACP III  Planning Process <ul><li>The approach:  </li></ul><ul><li>Three Ones </li></ul><ul><li>Participatory Planning </...
NACP III  Planning Process <ul><li>The Process </li></ul><ul><li>Working Groups </li></ul><ul><li>State level consultation...
Summary Update <ul><ul><li>Draft Framework and Timeline for the NACP-III preparatory phase developed </li></ul></ul><ul><u...
Working Groups and conveners <ul><li>Targeted Interventions </li></ul><ul><li>- Dr.Thomas Philip,SHRC </li></ul><ul><li>Ge...
Working Groups and conveners <ul><li>Service Delivery </li></ul><ul><li>-Dr. Dharamshaktu, APD,NACO </li></ul><ul><li>STI/...
Working Groups and conveners <ul><li>Financial Management </li></ul><ul><li>- Director Finance, NACO </li></ul><ul><li>Epi...
E-Consultation <ul><li>A partnership project of UNAIDS and NACO  </li></ul><ul><li>Objectives: </li></ul><ul><li>To provid...
<ul><li>Studies:- </li></ul><ul><ul><li>Situation analysis in rural areas & High Risk Groups (other than those covered by ...
<ul><li>Assessments:   </li></ul><ul><ul><li>Rapid Survey on health care workers’ attitude (Public & Private.) </li></ul><...
NACP III : Proposed Framework <ul><li>1. Executive Summary </li></ul><ul><li>Section I </li></ul><ul><li>2. Program Descri...
<ul><li>3.  Current situation </li></ul><ul><li>4.  Lessons Learned and Key Sector Issues  </li></ul><ul><li>5.  Social, i...
<ul><li>Program Development Objectives </li></ul><ul><li>9.1   Program Strategies </li></ul><ul><li>9.2  Monitoring, Evalu...
<ul><li>Section II </li></ul><ul><li>National AIDS Control Program Phase III   (2006-11) </li></ul><ul><li>Prevention :  O...
<ul><li>B. Scaling up of  interventions among highly vulnerable populations </li></ul><ul><li>a) Increasing awareness, bcc...
<ul><li>Care, Support and Treatment:  Objective # 2 </li></ul><ul><li>Increase in proportion of PLHAs receiving care, supp...
<ul><li>Improving service delivery at district, state and national levels </li></ul><ul><li>a) Improving condom promotion,...
<ul><li>E. Mainstreaming HIV/AIDS and Partnership development </li></ul><ul><li>a) Convergence with RCH, TB and other MOHF...
Proposed Framework .. <ul><li>Monitoring and Evaluation: Objective # 4 </li></ul><ul><li>F. Establishing one nationwide mo...
NACP III :  Outcomes …… <ul><li>Reduction in number of high prevalence districts (from … to….) </li></ul><ul><li>Ensuring ...
NACP III:  Outcomes…. <ul><li>Increased number of PLHAs receiving ART (from…to…) </li></ul><ul><li>Increased number of org...
Proposed Timeframe…
Proposed Timeframe…
Proposed Timeframe…
Proposed Timeframe
<ul><li>THANK YOU </li></ul>
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Nacpiiipd presentation july12 2005

  1. 1. National AIDS Control Programme (NACP)-III Preparatory Phase National AIDS Control Organization
  2. 2. NACP III <ul><ul><li>NACP III Planning Team constituted with: </li></ul></ul><ul><ul><li>- Mr.R.K. Mishra, Team Leader </li></ul></ul><ul><ul><li>- Dr. Bhagbanprakash, Lead Member, HRD, Research & Trg </li></ul></ul><ul><ul><li>- Dr. Sadhana Rout, Lead Member, IEC & Social Mobilization </li></ul></ul><ul><ul><li>- Dr. K. Sudhakar, Lead Member, M&E </li></ul></ul>
  3. 3. Current Scenario <ul><li>1 Case in 1986 - 5.134 million by 2004 </li></ul><ul><li>Second only to South Africa </li></ul><ul><li>Globally, 1 out of every 8 persons living with HIV is an Indian </li></ul><ul><li>HIV prevalence among adult population at 0.92% </li></ul><ul><li>6/35 states > 1% prevalence </li></ul><ul><li>111/604 districts > 1% prevalence </li></ul>
  4. 4. Changing Face of Epidemic <ul><li>Movement from … </li></ul><ul><li>High risk groups to general population </li></ul><ul><li>Urban to rural areas </li></ul><ul><li>High prevalence states to all states </li></ul><ul><li>Feminisation </li></ul><ul><li>High vulnerability of youth </li></ul>
  5. 5. NACP III : Priorities and Thrust Areas <ul><li>Project to Program mode </li></ul><ul><li>NACO’s changing role: implementation agency to a program catalyst </li></ul><ul><li>Strengthening the state level response: thru organizational restructuring and capacity building </li></ul><ul><li>Building on the gains of NACP II and reaching out to the district level </li></ul><ul><li>Priority for prevention and strengthening of care, support and treatment programs </li></ul>
  6. 6. NACP III: Priorities and Thrust Areas <ul><li>Increased focus on vulnerable states and NE states </li></ul><ul><li>Up-scaling and Improving service delivery </li></ul><ul><li>Establishing robust M&E system at all levels </li></ul><ul><li>Increased attention on mainstreaming and partnership development </li></ul><ul><li>Evidence based planning, program implementation and financial management </li></ul>
  7. 7. Assumptions…. <ul><li>Prevention </li></ul><ul><li>Targeted interventions are still a valid approach (i..e. saturation of high risk groups and “partners” ) </li></ul><ul><li>Public and private sector will play a key role in increasing compliance with national guidelines on blood safety, injection safety and infection control </li></ul><ul><li>All vulnerable populations will be fully aware of HIV transmission and control </li></ul><ul><li>Highly populous states like UP, Bihar, Rajasthan and MP will show greater ownership and stronger response </li></ul>
  8. 8. Assumptions…. <ul><li>Migrant groups will have increased access to quality interventions at source and destination </li></ul><ul><li>Public and corporate sectors will have HIV budget </li></ul><ul><li>Care, support and Treatment </li></ul><ul><li>Increased access and stigma reduction will lead to greater use of services (VCTC, PMTCT, STI and ART) </li></ul><ul><li>Sustained availability of resources for drugs, diagnostic facilities </li></ul><ul><li>Public and private sector will play a key role in providing quality, care and support services at all levels </li></ul><ul><li>Families and communities will provide services for PLHIV </li></ul>
  9. 9. Assumptions <ul><li>Capability Development </li></ul><ul><li>NACO and SACS fully staffed with qualified professionals and minimal turnover </li></ul><ul><li>States will invest in human resources and institutional strengthening as a priority </li></ul><ul><li>Civil society will be fully engaged in prevention and care programs </li></ul><ul><li>Monitoring and Evaluation Systems </li></ul><ul><li>Stakeholders will share data regularly </li></ul><ul><li>Implementing units will use the information for program planning </li></ul>
  10. 10. NACP III Planning Process <ul><li>The approach: </li></ul><ul><li>Three Ones </li></ul><ul><li>Participatory Planning </li></ul><ul><li>Increased ownership at state and district levels </li></ul><ul><li>Mainstreaming </li></ul><ul><li>Partnerships </li></ul>
  11. 11. NACP III Planning Process <ul><li>The Process </li></ul><ul><li>Working Groups </li></ul><ul><li>State level consultations for frame work development </li></ul><ul><li>District and State level Program Implementation Plans (PIPs) </li></ul><ul><li>Commission studies or assessments </li></ul><ul><li>Collaboration with Development Partners (DP) </li></ul><ul><li>Consultations with NGOs, civil society, public-sector, private sector and other interest groups </li></ul><ul><li>National PIP </li></ul>
  12. 12. Summary Update <ul><ul><li>Draft Framework and Timeline for the NACP-III preparatory phase developed </li></ul></ul><ul><ul><li>World Bank PHRD Grant agreement for studies / assessments finalized </li></ul></ul><ul><ul><li>Field visits: DSACS, APSACS, UPSACS </li></ul></ul><ul><ul><li>State Program Managers Groups (SPMG) met in Chennai, Bangalore and Kolkata </li></ul></ul><ul><ul><li>Finance working group met in Chandigarh </li></ul></ul><ul><ul><li>Meetings with partners : ongoing </li></ul></ul><ul><ul><li>E-Consultation for civil society participation being launched </li></ul></ul>
  13. 13. Working Groups and conveners <ul><li>Targeted Interventions </li></ul><ul><li>- Dr.Thomas Philip,SHRC </li></ul><ul><li>Gender,Youth,Adolescents,Children </li></ul><ul><li>-Dr Sunil Mehra, MAMTA </li></ul><ul><li>Communication,Advocacy and Community Mobilization. </li></ul><ul><li>- Dr Krishnamurthy, PD,APAC,Chennai </li></ul><ul><li>GIPA,Human Rights,Legal and Ethical issues . </li></ul><ul><li>- Mr. K.Rajan,PD Kerala SACS </li></ul><ul><li>Care,Support and Treatment. </li></ul><ul><li>- Dr Dharamshaktu,APD,NACO </li></ul>
  14. 14. Working Groups and conveners <ul><li>Service Delivery </li></ul><ul><li>-Dr. Dharamshaktu, APD,NACO </li></ul><ul><li>STI/RTI Treatment and Convergence with RCH </li></ul><ul><li>- Mr. James Blanchard,ICHAP </li></ul><ul><li>Condom Programming. </li></ul><ul><li>- Mr. Amit Jain,Head of Social Marketing HLFPPT </li></ul><ul><li>Mainstreaming and Partnerships </li></ul><ul><li> - Ms Damayanthi,PD APSACS </li></ul><ul><li>Programme Management, Programme implementation and organizational restructuring </li></ul><ul><li>- Mr. Vijay Kumar, PD, TNSACS </li></ul>
  15. 15. Working Groups and conveners <ul><li>Financial Management </li></ul><ul><li>- Director Finance, NACO </li></ul><ul><li>Epidemiological Surveillance </li></ul><ul><li>-Dr. Shaukat, JD, NACO </li></ul><ul><li>Research,Development and Knowledge Management </li></ul><ul><li>-Dr. Vijayaluxmi Bose, Consultant, NACO </li></ul><ul><li>Monitoring Evaluation </li></ul><ul><li>-Dr. M. Shaukat, JD, NACO </li></ul>
  16. 16. E-Consultation <ul><li>A partnership project of UNAIDS and NACO </li></ul><ul><li>Objectives: </li></ul><ul><li>To provide inputs from all stakeholders to the working groups in particular </li></ul><ul><li>To inform the NACP III Planning process in general </li></ul><ul><li>Public website: http:// www.unaids.org.in/nacp 3discussion </li></ul>
  17. 17. <ul><li>Studies:- </li></ul><ul><ul><li>Situation analysis in rural areas & High Risk Groups (other than those covered by TIs) </li></ul></ul><ul><ul><li>MSM sexual attitudes & practices vis a vis sexual transmission percentage </li></ul></ul><ul><ul><li>National & State level response including Public & Private sectors. </li></ul></ul><ul><ul><li>Effectiveness of existing IEC / BCC efforts </li></ul></ul>Studies/Assessments (under PHRD Grant)
  18. 18. <ul><li>Assessments: </li></ul><ul><ul><li>Rapid Survey on health care workers’ attitude (Public & Private.) </li></ul></ul><ul><ul><li>Existing M&E system. </li></ul></ul><ul><ul><li>Resources needed to provide ART in selected states. </li></ul></ul><ul><ul><li>Existing strategy / implementation of TI (CSWs, truckers and other clients of CSWs I.e. migrant workers, IDUs, MSMs, street children) </li></ul></ul><ul><ul><li>Social Marketing efforts </li></ul></ul>Studies/Assessments (under PHRD Grant)…
  19. 19. NACP III : Proposed Framework <ul><li>1. Executive Summary </li></ul><ul><li>Section I </li></ul><ul><li>2. Program Description </li></ul><ul><li>2.1 Background </li></ul><ul><li>2.2 Initial response of the government of India (1986-90) </li></ul><ul><li>2.3 Medium-Term Plan with WHO Collaboration (1990-92) </li></ul><ul><li>2.4 National AIDS Control Program (NACP) I&II (1992- 2005) </li></ul><ul><li>2.5 Limitations in the Implementation of the NACP </li></ul>
  20. 20. <ul><li>3. Current situation </li></ul><ul><li>4. Lessons Learned and Key Sector Issues </li></ul><ul><li>5. Social, institutional, environmental & NGO Assessments </li></ul><ul><li>6. National AIDS Prevention and Control Policy (2002) </li></ul><ul><li>7. Expanded National AIDS Control Programme </li></ul><ul><li>8. Third Phase of the NACP (2006-2011) </li></ul>Proposed Framework…..
  21. 21. <ul><li>Program Development Objectives </li></ul><ul><li>9.1 Program Strategies </li></ul><ul><li>9.2 Monitoring, Evaluation and MIS </li></ul><ul><li>9.3 The Process of Program Preparation </li></ul><ul><li>9.4 Implementation Arrangements </li></ul><ul><li>9.5 Multi- Sector Issues </li></ul><ul><li>10. Program Cost Summary </li></ul>Proposed Framework…..
  22. 22. <ul><li>Section II </li></ul><ul><li>National AIDS Control Program Phase III (2006-11) </li></ul><ul><li>Prevention : Objective # 1 </li></ul><ul><li>Prevent new infections (Zero rate of growth by 2007) </li></ul><ul><li>Saturation of Targeted Interventions for high risk groups/high risk areas </li></ul><ul><li>a) Expansion of coverage of HRGs (quality STI and condom promotion services) </li></ul><ul><li>b) Increased involvement of PLHIV, NGOs, CBOs and civil society </li></ul><ul><li>c) Reducing stigma, discrimination </li></ul><ul><li>d) Integration of care and treatment activities </li></ul><ul><li>e) Prevention programs for PLHIV </li></ul>Proposed Framework …
  23. 23. <ul><li>B. Scaling up of interventions among highly vulnerable populations </li></ul><ul><li>a) Increasing awareness, bcc activities, community mobilization, advocacy </li></ul><ul><li>b) Focused efforts on gender, youth, adolescents and children </li></ul><ul><li>c) Expanding workplace interventions </li></ul><ul><li>d) Focused efforts on migrant populations and cross-border areas </li></ul><ul><li>e) Improved access to quality condom and STI services </li></ul>Proposed Framework… Prevention : Objective # 1….
  24. 24. <ul><li>Care, Support and Treatment: Objective # 2 </li></ul><ul><li>Increase in proportion of PLHAs receiving care, support and Treatment </li></ul><ul><li>C. Care, Support and Treatment </li></ul><ul><li>a) Improving treatment access for OIs, STI/RTI </li></ul><ul><li>b) Developing capacity for ART roll out and increasing delivery </li></ul><ul><li>of ART </li></ul><ul><li>c) Expansion of PPTCT and PEP programs </li></ul><ul><li>d) Community care and support programs </li></ul><ul><li>e) Integration of prevention measures and linkages with TIs </li></ul><ul><li>f) Collaboration with PLHA networks </li></ul>Proposed Framework ..
  25. 25. <ul><li>Improving service delivery at district, state and national levels </li></ul><ul><li>a) Improving condom promotion, STI Care, VCTC and PPTCT </li></ul><ul><li>b) Ensuring safe blood, injections, diagnostics and infection control </li></ul><ul><li>c) Support to PLHAs, NGOs, CBOs and, networks </li></ul>Proposed Framework …. Capability Development: Objective # 3 Strengthening the capabilities at district, state and national levels (infrastructure, ,systems & human resources)
  26. 26. <ul><li>E. Mainstreaming HIV/AIDS and Partnership development </li></ul><ul><li>a) Convergence with RCH, TB and other MOHFW projects </li></ul><ul><li>b) M ainstreaming (government departments/agencies and other public sector institutions) </li></ul><ul><li>c) Partnerships (private sector, voluntary & faith based groups, CBOs & civil society) </li></ul><ul><li>d) Coordination with donors, stakeholders and interest groups </li></ul>Proposed Framework …. Capability Development: Objective # 3….
  27. 27. Proposed Framework .. <ul><li>Monitoring and Evaluation: Objective # 4 </li></ul><ul><li>F. Establishing one nationwide monitoring and evaluation system </li></ul><ul><li>a) Improving strategic planning, management capability </li></ul><ul><li>b) evidence based planning and effective use of information for program implementation </li></ul><ul><li>c) Strengthening research, development and knowledge management </li></ul><ul><li>d) effective linkages between technical and financial management systems </li></ul><ul><li>e) pooling of funds and Joint reviews </li></ul>
  28. 28. NACP III : Outcomes …… <ul><li>Reduction in number of high prevalence districts (from … to….) </li></ul><ul><li>Ensuring the vulnerable districts remain low prevalent </li></ul><ul><li>increased consistent condom use among high risk groups (from … to…) </li></ul><ul><li>Decreased number of partners among vulnerable populations </li></ul><ul><li>Increased use of quality services (VCTC, STI, blood banks) </li></ul><ul><li>Increased number of pregnant women receiving PPTCT services (from….to…) </li></ul>
  29. 29. NACP III: Outcomes…. <ul><li>Increased number of PLHAs receiving ART (from…to…) </li></ul><ul><li>Increased number of organizations that practice GIPA (from ….to…) </li></ul><ul><li>Number of states and districts with established HIV/AIDS committees chaired by political leaders </li></ul><ul><li>Number of states and districts with HIV/AIDS consortiums of public and private partners </li></ul>
  30. 30. Proposed Timeframe…
  31. 31. Proposed Timeframe…
  32. 32. Proposed Timeframe…
  33. 33. Proposed Timeframe
  34. 34. <ul><li>THANK YOU </li></ul>

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