NACP (National AIDS Control Programme) launched on February 12 ,2014. The Objectives was: - Reduce new infections by 50% (2007 Baseline of NACP III) - Comprehensive care, support and treatment to all persons living with HIV/AIDS

1. NACP
Dr. Animesh Gupta
MBBS, MD, FAGE
Assistant Professor
Dept. of Community Medicine, SIMS & RC
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2. Burden
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3. Milestones
 1986: First case of HIV detected
 1986: GOI established the National AIDS Committee within the Ministry of
Health and Family Welfare.
 1990: Medium Term Plan (1990-1992)was launched
 First National AIDS Control Programme (NACP-I) was launched in 1992.
 NACP-II launched in 1999: decentralization of programme implementation
to State level and greater involvement of NGOs.
 2004: ART initiated.
 NACP- III (2007-2012): scaling up HIV prevention interventions for HRG and
general population, and integrate them with Care, Support & Treatment
services.
 NACP-IV has been developed for the period 2012-2017.
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4. NACP IV
 Launched on February 12 ,2014
 Objectives
Reduce new infections by 50% (2007 Baseline of NACP III)
Comprehensive care, support and treatment to all persons
living with HIV/AIDS
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5. Key
Strategies
under NACP-
IV
Intensify
&consolidate
preventive
services
Increase access &
promote
comprehensive
care, support &
treatment
Expanding
IEC services
Capacity
building
Strengthening
Strategic
Information
Management
system
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6. Key priorities under NACP-IV
 Preventing new infections
 Prevention of 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
 Integrating HIV services with health systems in a phased manner
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7. PACKAGES
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8. Prevention Services
1. Targeted Interventions for High Risk Groups and Bridge Population (Female
Sex Workers (FSW), Men who have Sex with Men (MSM),
Transgenders/Hijras, Injecting Drug Users (IDU), Truckers & Migrants)
2. Needle-Syringe Exchange Programme (NSEP) and Opioid Substitution
Therapy (OST) for IDUs
3. Prevention Interventions for Migrant population at source, transit and
destination
4. Link Worker Scheme (LWS) for HRGs and vulnerable population in rural
areas
5. Prevention & Control of Sexually Transmitted Infections/Reproductive Tract
Infections (STI/RTI)
6. Blood Safety
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9. Prevention Services…
7. HIV Counseling & Testing Services
8. Prevention of Parent to Child Transmission
9. Condom promotion
10.Information, Education & Communication (IEC) & Behaviour Change
Communication (BCC).
11.Social Mobilization, Youth Interventions and Adolescent Education
Programme
12.Mainstreaming HIV/AIDS response
13.Work Place Interventions
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10. Care, Support & Treatment services
1. Laboratory services for CD4 Testing and other investigations
2. Free First line & second line Anti-Retroviral Treatment (ART) through ART
centres and Link ART Centres (LACs), Centres of Excellence (COE) & ART
plus Centres.
3. Pediatric ART for children
4. Early Infant Diagnosis for HIV exposed infants and children below 18
months
5. HIV-TB Coordination (Crossreferral, detection and treatment of co-
infections)
6. Treatment of Opportunistic Infections
7. Drop-in Centres for PLHIV networks
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11. New Initiatives under NACP-IV
 Scale up of programmes to target key vulnerabilities
 Establishment of Metro Blood Banks and Plasma Fractionation
Centre
 Scale-up of Opioid Substitution Therapy for IDUs
 Scale-up and Strengthening of Migrant Interventions at Source,
Transit & Destinations
 Female Condom Programme
 Scale up of Second Line ART
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12. SERVICES
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13. Treatment13
First-line ART
Alternative
first-line ART
Tenofovir + Lamivudine /Emtricitabine +Efavirenz
Zidovudine + Lamivudine +Efavirenz or
Zidovudine + Lamivudine + Nevirapine
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14. CD4 testing
• Free ART
&
Paediatric
ART
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CD4 cell /mm3 ACTIONS
<200 Treat irrespective of clinical stage
200-300 Offer ART to symptomatic patients
>350 Defer treatment in asymptomatic
AGE <12
months
12-36
months
36 -59
months
5 yrs or
more
%CD4
ALL
<20 <20 <15
ABSOLUTE CD4
count
<750mm3 <350mm3 <200mm3
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15. Targeted intervention
 FSW
STI services
Condom use
Behaviour Change Communication (BCC) through peer and outreach
 Linking prevention to HIV related care and support services
 IDU
Detoxification, de-addiction and rehabilitation
Needle exchange
Substitution therapy
Abscess management and other health services
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16. Link Workers Scheme
 Community-based intervention
 Provide services to high risk groups,
vulnerable population, bridge
population and PLHIV in rural areas
 IEC under Link Worker Scheme:
 Mid-media programmes include wall
writings, wall paintings, folk
performances and hoardings.
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17. Blood safety
 Increase regular voluntary blood
donation
 Promote component preparation
 Enhance blood access through well
coordinated blood transfusion
services
 Establish Quality Management
Systems to ensure Safe and quality
Blood
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18. Condom promotion
 Condom Social Marketing Programme (CSMP) was launched by
NACO
 Establishment of rural outlets, non-traditional outlets and outlets in
TI project areas and truckers’ halt-points
 Consistent condom use promoted through Folk Media Campaign,
Red Ribbon Express Campaign.
 Vending machines
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19. Prevention & treatment of RTI/STI
 Counselors are provided at designated STI/RTI Clinics
 Colour-coded STI/RTI kits provided for free supply at all
government STI/RTI clinics, CHC/ PHC and NGOs
 All HRG population receives packages of
 Free consultation and treatment for their symptomatic STI
complaints
Quarterly medical check-up
Bi-annual syphilis and HIV screening
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20. Pre Packed Colour-coded STI/RTI kits
 Kit 1 – grey, for urethral discharge, ano-rectal discharge and
cervicitis
 Kit 2 – green, for vaginitis
 Kit 3 white, for genital ulcers
 Kit 4 - blue, for genital ulcers
 Kit 5 – red, for genital ulcers
 Kit 6 - yellow, for lower abdominal pain
 Kit 7 – black, for scrotal swelling
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21. COUNSELLING AND HIV TESTING
SERVICES
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Integrated Counselling and Testing Centres
(ICTC)
Prevention of parent-to-child transmission of
HIV (PPTCT)
HIV/tuberculosis collaborative activities
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22. Model of HIV treatment Services
CoE &ART plus
ART centres
Linked ART centres and LAC plus
Sub-district Hospital/ CHC
Medical college and
District Hospital
Select Medical college
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23. Thank you 7/13/2017
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