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Full Document (English) - POLICY Project

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30<br />

Conclusion<br />

Sentinel surveillance reveals the presence of HIV at low levels all over the state, with<br />

relatively higher prevalence in Eastern UP. The epidemic shows a slow, but<br />

progressive, increase. The primary reason for the spread of infection in this region is<br />

migration, followed by mobile populations. Spouses and children of infected<br />

migrants are at risk of infection. While the mode of transmission is mainly<br />

heterosexual, other modes of transmission—though only in a very small number of<br />

cases—are seen. Poverty, illiteracy, and ignorance render UP’s population highly<br />

vulnerable. This, coupled with the presence of high-risk groups and bridge<br />

populations across the state, displays a potential for further increase. International<br />

experiences show that there can be manifold increase in transmission once a critical<br />

level of infection is attained in high-risk populations. Improvement in the quality<br />

and coverage of interventions is essential to prevent HIV/AIDS infections from<br />

reaching such critical levels.<br />

References<br />

1 Goyal MK. Study of behavioural risk factors of HIV infection in select population subgroups in<br />

and around Varanasi city. Thesis submitted for the degree of Doctor of Medicine to<br />

Banaras Hindu University, 2002; Banaras Hindu University, Varanasi, India.<br />

2. Pandey S. Profiles and illness behaviour of HIV/AIDS patients attending SS Hospital,<br />

Varanasi. Thesis submitted for the degree of Doctor of Medicine to Banaras Hindu<br />

University, 2003; Banaras Hindu University, Varanasi, India.<br />

3. Mishra RN (2003) Personal Communication<br />

4. Behaviour Surveillance Survey, 2001, National AIDS Control Programme,<br />

www.naco.nic.in<br />

Prevention of<br />

HIV/AIDS in Uttar Pradesh

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