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Full Document (English) - POLICY Project

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18<br />

NACO is positioning VCTCs as a one-stop shop for care seekers, to provide testing<br />

facilities, counselling, advocacy and information, together with products like<br />

condoms and sound referral support services.<br />

Blood Safety<br />

While the vast majority of HIV infections in India are due to sexual transmission,<br />

the transfusion of unsafe blood and blood products accounts for approximately 3<br />

percent of the HIV infections in the country. This form of transmission has nothing<br />

to do with the behaviour pattern of the individual. Blood safety remains an<br />

important component of the National AIDS Control Programme.<br />

A National Blood Policy was formulated by NACO and adopted by the<br />

Government in April 2002. It provides a framework for better management and<br />

availability of blood and blood products in the country. This was followed up with<br />

an action plan with clear articulation of steps to implement the policy. The<br />

National and State Blood Transfusion Councils were registered as societies in 1996<br />

and are funded mainly by NACO. The Councils supplement NACO’s blood safety<br />

activities, particularly voluntary blood donation and appropriate clinical use of<br />

blood, training and manpower development as well as overall supervision of<br />

the programme.<br />

Voluntary (non-remunerated) blood donations are on the rise, particularly in states<br />

such as Maharashtra and West Bengal, as the State AIDS Control Societies undertake<br />

several activities to promote public awareness of the need for blood donation.<br />

During NACP-I (1992-1999), 815 public sector and charitable blood banks were<br />

modernized, 40 Blood Component Separation Facilities established, and a<br />

countrywide network of HIV testing facilities set up. During NACP–II (1999-<br />

2004), NACO has established 40 additional Blood Component Separation Facilities<br />

in different parts of the country and modernized 20 more major blood banks as well<br />

as all the remaining district-level blood banks.<br />

State-of-the-art model blood banks are being developed in under-served states.<br />

These blood banks are expected to function as demonstration projects for the region<br />

in which they are being set up.<br />

NACO’s blood safety initiatives extend beyond HIV to include the screening of<br />

blood for hepatitis C virus (HCV) antibodies in addition to testing for hepatitis B,<br />

syphilis, and malaria. Screening for HCV has been made mandatory from June 1,<br />

2001, and NACO has already provided the necessary technical resources and training<br />

to blood bank personnel.<br />

NACO is committed to providing quality services through the blood safety<br />

programme. In order to improve the standards of manufacturing practices in blood<br />

banks, NACO supports Quality Management Training Programmes. An<br />

accreditation scheme for the blood transfusion services in the country is on the anvil.<br />

Prevention of<br />

HIV/AIDS in Uttar Pradesh

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