The National AIDS Control Programme was launched in 1987 in India with the aims of preventing further HIV transmission, decreasing HIV-related morbidity and mortality, and minimizing the socioeconomic impacts of HIV. It has gone through several phases focused on prevention, care, treatment, infrastructure development and information. The current phase aims to reverse the HIV epidemic over 5 years by reducing new infections by 60% in high prevalence states and 40% in vulnerable states. It prioritizes prevention efforts for high-risk groups, treatment for those infected, and prevention of parent-to-child transmission.

2. NATIONAL AIDS CONTROL PROGRAMME

3. INTRODUCTION Launched in 1987 AIM To prevent the further transmission of HIV To decrease the morbidity and mortality To minimise the socioeconomic impact resulting from HIV infn

4. MILESTONES 1986 1990 1992 1999 2002 2004 2006 2007

6. NACP III GOAL Reverse the epidemic in India over the next 5 years

7. Contd.. FOUR STAGES 1. Prevention of new infn in high risk groups 2. Providing greater care,support,treatment 3. Strengthening the infra structure and human resources 4. Strengthening a nation wide strategic informn

8. Contd.. OBJECTIVES Reduce new infns in year 1 of the progm by 60% in high prevalence states 40% in vulnerable states

9. PROGRAMME PRIORITIES Considering 99% free from infn- Preventure efforts HIGHEST PRIORITY- High risk popln General popln who have greater need for accessing prevention such as treatment of STDs All persons who need treatment(ART) Prevention of parent to child transmission

10. NATIONAL AIDS PREVENTION AND CONTROL POLICY INTRODUCTION In April 2002 OBJECTIVE Reduction of the impact of epidemic and bring about a zero transmission by the year 2007

11. COMPONENTS OF NAC P OLICY

12. BLOOD SAFETY PROGRAMME Licensed blood banks Safe procedures Zonal blood testing centres

13. HIV TESTING

14. COUNSELLING Pre and post test counselling Voluntary counselling and testing

15. STD CONTROL PROGRAMME Syndromic approach Integrate treatment of RTIs & STDs

16. CONDOM PROMOTION NACO-significant progress in 3 major areas 1. Quality control of condoms 2.Social marketing of condoms 3.Involvement of NGOs in the programme

17. HIV SURVEILLANCE OBJECTIVE To identify trends of seropositivity in specific high risk groups & low risk groups

18. TARGETTED INTERVENTIONS Behaviour change Communication Treatment of STD Creating an environment that ll facilitate behaviour changes

19. SCHOOL AIDS EDUCATION PROGRAMME Learning for life University talk AIDS project

20. INFORMATION EDUCATION COMMUNICATION SOCIAL MOBILISATION OBJECTIVES 1. To raise awareness 2. To promote desirable practice such as use of condom 3. To create a supportive environment for care of persons with HIV

21. Contd.. Awareness campaign through multimedia Print media, electronic media, press campaign, field publicity

22. Contd.. Massive media campaign- - posters - film cilpings - TV spots - cinema slides

23. FAMILY HEALTH AWARENESS CAMPAIGN Period:15 days OBJECTIVES - To raise awareness in rural & slum areas -To facilitate early detection and prompt teratment

24. Contd.. - To strengthen the capacity of medical & paramedical professionals -To create awareness among mothers with HIV

25. ANTI RETRO VIRAL TREATMENT To provide ART free of cost for 6 HIV prevalence states

26. NATIONAL AIDS TELEPHONE HELPLINE Toll free National AIDS telephone helpline 1097 voice response sytem linked with telephone helpline

27. INTEGRATED COUNSELLING & TESTING CENTERS Prevention of parent to child transmission National paediatric AIDS initiatives