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23 Government is now actively contemplating expansion of the ongoing programme of care and support for people living with HIV/AIDS across the six high-prevalence states, so as to include antiretroviral-specific target groups through the public health care system. Greater Involvement of People Living with HIV and AIDS (GIPA) The best advocates for HIV prevention and the design of care and support responses are people who are themselves living with HIV and AIDS. In India, the involvement of PLHAs has occurred since the inception of NACP, both in prevention and in care and support related to HIV. A major reason for this is that the voices of HIVpositive people are rarely heard and they are seldom seen in public. PLHAs are afraid to come out without fear of having their future shattered in light of the prevailing climate of denial, stigma, and discrimination that exists. Also the capacity of PLHAs to influence decision-making and participate in programmes that affect their lives is severely limited. NACO realizes that a high priority must be given to support existing as well as potential PLHA networks and groups, by strengthening their capacity and voices to fight HIV/AIDS. NACO and SACS are involving PLHAs in decision-making bodies such as Technical Advisory Committees and IEC Committees. NACO supports the set up of drop-in centres and PLHA networks in every state, including building their capacity and strengthening intra-state networking. The number of state-level networks of Indian Networks of Positive People (INP+), has grown to 11. In partnership with INP+ and UN partners, NACO is instrumental in building the capacity of PLHAs through leadership development programmes, which are organized from time to time. Intersectoral Collaboration The HIV/AIDS epidemic is not merely a health concern but also a development challenge that impacts the social, economic, cultural, political, and legal parameters of society. NACO facilitates the involvement of various sectors such as education, defence, labour, youth affairs, steel, railways, industry and transport, rural development, and social justice and empowerment to optimize India’s response to AIDS. To ensure sustainability, NACO promotes HIV/AIDS prevention and care activities into the ongoing governmental programmes. Partnership with UN Agencies NACO works in partnership with several multilateral and bilateral development agencies which provide technical and financial support for HIV/AIDS prevention and care programmes in India. The National AIDS Control Programme together with the Joint United Nations Programme on HIV/AIDS (UNAIDS) and its seven (now eight with WFP included) UN co-sponsor agencies (UNICEF, ILO, UNDP, UNFPA, UNESCO, WHO, UNDCP) and the World Bank are striving to combat the AIDS epidemic through a concerted effort. Session 1 HIV/AIDS in India and Uttar Pradesh
24 Bilateral Agencies Several bilateral agencies have supported India’s efforts for the prevention and control of HIV/AIDS. They include the Department for International Development, UK (DFID); the U.S. Agency for International Development (USAID), APAC and AVERT <strong>Project</strong>s; and Canadian International Development Agency (CIDA). Prevention of HIV/AIDS in Uttar Pradesh
Page 2 and 3: Workshop Proceedings Prevention of
Page 4 and 5: Session 5 Targeted Interventions in
Page 6 and 7: PROJECT Preface Uttar Pradesh, the
Page 8 and 9: GIPA GNP+ GOI GSA HLL ICMR IDU IEC
Page 10: Glossary of Indian Terms Babus Boyf
Page 13 and 14: 2 Prevention of HIV/AIDS in Uttar P
Page 15 and 16: 4 prevalence is less than 10 percen
Page 17 and 18: 6 HIV sentinel surveillance is carr
Page 19 and 20: 8 Strategies for Prevention of HIV/
Page 21 and 22: 10 and economically productive age
Page 23 and 24: 12 approach the high-risk populatio
Page 25 and 26: 14 A realization grew that existing
Page 27 and 28: 16 Advocacy There has been increasi
Page 29 and 30: 18 NACO is positioning VCTCs as a o
Page 31 and 32: 20 Already, 765 doctors and paramed
Page 33: 22 discrimination and providing
Page 37 and 38: 26 the small size of the sample sur
Page 39 and 40: 28 Table 1 Migration Profiles of AI
Page 41 and 42: 30 Conclusion Sentinel surveillance
Page 43 and 44: 32 A project is seen as a solution
Page 45 and 46: 34 Such information must be collect
Page 47 and 48: 36 Figure 13 Figure 14 Solution Imp
Page 50 and 51: Session 2 UPSACS, Multisectoral App
Page 52 and 53: 41 Structure, Functions and Strateg
Page 54 and 55: 43 High-risk groups need informatio
Page 56 and 57: 45 Figure 2 Number of Interventions
Page 58 and 59: 47 To motivate vulnerable groups o
Page 60 and 61: 49 After the initial issue of a li
Page 62 and 63: 51 Regularly supplying condoms C
Page 64 and 65: 53 J.S. Deepak Multi-sectoral Invol
Page 66 and 67: 55 most cases they have no other me
Page 68 and 69: 57 When the epidemic first broke ou
Page 70 and 71: 59 and so forth, as per need. Below
Page 72 and 73: 61 Food and Civil Supplies Ration c
Page 74 and 75: 63 Family Life Education Programme
Page 76 and 77: 65 State Innovations in Family Plan
Page 78 and 79: 67 Murali Dhar Vemuri Sanghita Bhat
Page 80 and 81: 69 a higher percentage of migrants.
Page 82 and 83: 71 Figure 2 Share of States by in a
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73 attract migrants from Uttar Prad
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75 Conclusion As mentioned, we do n
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77 Table 1 Percentage of Migrants t
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79 Table 4 Percentage of Migrants b
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81 Map 1 Top 5 districts gaining po
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83 Map 3 Urban Net Migrants in Utta
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85 Table 7 District-Wise Distributi
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87 Table 8 Ranking of Districts by
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89 Deoria 150 575 -425 Maharajganj
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91 Table 12 Percentage Distribution
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Session 3 Behavioural Surveillance
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95 Behavioural Dynamics of HIV/AIDS
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97 society and contribute to smooth
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99 Data and Methodology The basic d
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101 Table 4 shows the distribution
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103 consumed alcohol in their lives
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105 Table 1 Distribution and Mean A
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107 Table 3 Distribution of Husband
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109 Table 5 Distribution of Males w
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111 Table 7 Logistic Regression Ana
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113 The Balbir Pasha Story An Innov
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115 The project has documented nota
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117 engages in behaviour that may p
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119 “Balbir Pasha sometimes forge
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121 Hindu name, the campaign target
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123 tremendous shifts in risk perce
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125 executed fairly quietly, withou
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127 “Penury and the hope of a bet
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129 State. It is already being impl
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Session 4 Successful Interventions
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133 HIV/AIDS Prevention Programmes
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135 Capacity Building of NGO Partne
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137 STI health care providers to un
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139 Figure 8 Voluntary Condom Procu
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141 The frameworks of male-to-male
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143 polymorphous behaviours, and th
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145 Ongoing monitoring and evalu
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147 sexualities. In both countries,
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149 prevention and care programmes
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151 collection of how many condoms
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153 Annex 2 Examples of Outputs fro
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155 equally important from an HIV i
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157 than criminals, is of paramount
Page 170 and 171:
Session 5 Targeted Interventions in
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161 Jyoti Mehra Targeted Interventi
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163 staff including project co-ordi
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165 Economic Vulnerability The very
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167 However, peer educators require
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169 Referrals SKS offers referral s
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171 The Prevention of Immoral Traff
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173 awareness about their legal rig
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175 enabling approaches that remove
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177 References 1. Family Health Int
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179 the UP State AIDS Central Socie
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181 Background of the Projects Like
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183 In order to reduce the incidenc
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185 treatment in the project, while
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187 Blood Banks and Safety Measures
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189 The motivation of donors is bei
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191 Clinicians should be sensiti
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193 regarding use, availability, an
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195 Most of the increase in statewi
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197 were aware that HIV could be tr
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199 50 years as a family planning m
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Session 6 GIPA and PLHA Network Cha
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203 Satheesh Chandran David Stephen
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205 Table 1 Overview Table: Percept
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207 Capacity building on organi
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209 As well as continued activism a
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211 programmes; and the barriers an
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213 involved in any of the programm
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215 Benefits of Involvement This se
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217 However, unlike the PLHAs, prog
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219 Programme mangers, however, fee
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221 value of the GIPA approach wher
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223 Annex GIPA Models Reproduced fr
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225 Networking for Change The India
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227 Gujarat, Karnataka, Kerala, Mah
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229 education centre, which provide
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231 the national network and the ce
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233 Africa, where the estimated num
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235 Developing IEC Materials IEC ma
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Session 7 VCTCs, Treatment, Care an
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239 Voluntary Counselling and Testi
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241 inform the person about the ava
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243 Voluntary Counselling and Testi
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245 Timings of VCTC The working hou
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247 As part of infection control me
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249 exposure to the field of HIV/AI
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251 Counselling, Consent, and Confi
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253 sent by courier, especially dur
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255 Availability of Condoms Condoms
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257 for outreach sessions, it can b
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259 Care and support for PLHAs, the
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261 infected, to the terminally ill
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263 and evaluation of care and supp
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265 enhanced STI treatment services
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267 continuing education will be ne
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269 to ensure a care continuum; and
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271 Printing of information, educat
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273 Possible Next Steps The steps c
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275 Group Discussion HIV/AIDS Preve
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277 HIV/AIDS Prevention Strategies
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279 viewed as small media- posters,
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281 manner appropriate to the needs
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283 Lack of conceptual clarity
Page 296 and 297:
285 About Chairpersons, Discussants
Page 298 and 299:
287 List of Participants Akash Gula
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289 Jyoti Mehra Programme Associate
Page 302 and 303:
291 Rajesh Bangia Project Manager S
Page 304:
POLICY is a five-year project funde
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