2. Back ground
• First case of HIV in India -1986.
• NACP – 1987 ---Four phases.
• NACP IV- 2012-2017.
• NSP-2017-2024, frame work document.
• Designed for a period of Seven years.
3. • 66% reduction in new infections from 2000-
2015.
• 54% reduction in AIDS related deaths since
2007.
• 2.3 million PLHIV in India (2019).
• 28% of PLHIV do not know their HIV status.
• Around 6000 PLHIV in J&K.
4. Vision
• An AIDS Free India.
• It was framed in tune with SDG 3, That
encompasses:
• “Ending of AIDS by 2030”.
5. Mission
• Attain universal coverage of HIV prevention,
treatment to care continuum that are
effective, inclusive, equitable and adapted to
needs.
8. Prevent
• Increased coverage for improved prevention,
testing and care linkages.
• Systematic evidence generation to reach 'at
risk' population.
• Retain Key Population with adequate and
appropriate services.
9. TEST
• Geo-prioritise differential approach.
• Use graded approach to increase HIV testing.
• Pilot and scale up newer modalities of testing
(e.g. CBT, Self Testing, etc.).
• Active use of IEC to increase demand for HIV
testing
10. Treat
• Accelerate uptake of ART
• Improve ART retention by engaging
community/NGOs/ private sector.
• Ensure supportive environment for achieving
universal access to ART
• Address co-morbidities of HIV infection to lower
mortality and morbidity.
11. Objective
• Reduce new infection of HIV by 80% by 2024.
• Link 95% of PLHIV with services by 2024.
• Ensure ART initiation and retention of 95% of
PLHIV for sustained viral load suppression by
2024.
• Eliminate mother to child transmission of HIV
and Syphilis by 2024.
12. • Eliminate HIV related stigma and
discrimination by 2020.
• Facilitate sustainable NACP service delivery
by 2024.
13.
14. By 2024
• Estimated new infections will reduce from
102,226 (2010) to < 21,000 per year.
• 2.14 million PLHIV of the total estimated PLHIV
(2.25 million) would know their status.
• 2.03 million PLHIV would be put on ART.
• 1.93 million PLHIV would be retained on
treatment and have HIV VL <1000 copies/Ml.
15. • Fulfilment of<50 cases of new paediatric HIV
infections per 100,000 live births with a
mother-to-child transmission rate of <5% by
2020 and maintenance of same thereof.
• Attainment of <50 cases of congenital syphilis
per 100,000 live births and maintenance of
same thereof.
• HIV/AIDS will be perceived as chronic
manageable disease with no stigma and
discrimination attached to it.
16. • Key components of the NACP such as
prevention outreach, testing, treatment,
prevention of mother-to-child transmission,
viral load suppression, care and support, as
well as social protection schemes will continue
through 100% domestic funding.
17. Major strategies
• Fast-Tracked Flexible Approach to HIV
Programming
• The HIV epidemic is not uniform in all States/
UTs of India, and even within the State/UTs,
there are vast differences in both situational
and epidemic trends.
18. • Leveraging integration of the AIDS
Programme with the National Health Mission
• Many components of the NACP require
support from general health systems and other
programmes.
• For example, PPTCT is heavily dependent on
the RMNCH+A programme to get pregnant
mother
under ANC care and hence tested for HIV.
19. • Active collaboration with private sector
• Engaging public and private sector companies
through their corporate social responsibility
(CSR)functions and funds.
• Developing an Advocacy, Communication and
Social Mobilisation (ACSM) approach.
20. Indicators for monitoring NSP
progress 2017-24
• Number of people living with HIV/ AIDS (in
million) 2.25
• Percentage of HIV response financed through
domestic budget - 100%
• Percentage of condom use among key
populations and sterile needles/ syringes
among PWID-90%
21. • Number and percentage of PLHIVs who have
been diagnosed with HIV (in million) 2.14
(95%).
• Number and percentage of diagnosed PLHIVs
currently on ART (in million) 2.03 (95%).
• Percentage of PLHIVs retained and surviving
on ART -95% - 12 months.
• Percentage of PLHIV undergone VL test (in
million) 1.6.
22. • Number and percentage of PLHIV and on ART
who are virologically suppressed 1.52 (95%).
• Number and percentage of pregnant women
tested for HIV-25.69 (95%).
• Number and percentage of HIV related deaths.
• Number and percentage of new HIV infections
(Incidence)-(80%).
23. Priority areas
• Accelerating HIV Prevention in ‘at risk’
population including ‘key population.
• Expanding quality assured HIV testing with
universal access to comprehensive HIV care.
• Elimination of mother to child transmission of
HIV and syphilis.
24. • Addressing the critical enablers in HIV
programming.
• Restructuring the strategic information system
to be efficient and patient-centric.
