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Health Policy Issues and Health Programmes in ... - Amazon S3

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HIV/AIDS <strong>in</strong> India <strong>and</strong> UttaranchalFig ure 1Adult HIV Prevalence ( 2001)Jammu & KashmirCh<strong>and</strong>ig arhHimachalPradeshPunjabHary anaUttaranchalDelhiArunachal PradeshSikkimRajasthanUttar PradeshBiharAssamNag al<strong>and</strong>GujaratMadhya PradeshC h ha tis ga rhJharkh<strong>and</strong>WestBeng alMeg halayaTripuraMizoramManipurDaman & DiuDadra & NagarHaveliMaharashtraAndhraPradeshOrissa> 1% Antenatal wom en> 5% High risk g roup< 5% High risk g roupGoaKarnatakaKeralaTam ilnaduPondicherryAndaman <strong>and</strong> Nicobar Isl<strong>and</strong>sLakshadweeplGroup III <strong>in</strong>cludes the rema<strong>in</strong><strong>in</strong>g states, where the HIV <strong>in</strong>fection <strong>in</strong> any of the high-riskgroups is still less than five percent <strong>and</strong> is less than one percent among antenatal women.Figure 2 shows the sent<strong>in</strong>el surveillance data from antenatal cl<strong>in</strong>ics <strong>in</strong> seven metropolitan cities<strong>in</strong> India. HIV <strong>in</strong>fection has exceeded two per cent <strong>in</strong> Mumbai; is more than one per cent <strong>in</strong>Hyderabad, Bangalore, Chennai; <strong>and</strong> is below one per cent <strong>in</strong> Calcutta, Ahmedabad, <strong>and</strong> Delhi.This data clearly supports the evidence that HIV <strong>in</strong>fection is percolat<strong>in</strong>g from various high-riskgroups to low-risk groups <strong>in</strong> the population.Data from various sent<strong>in</strong>el sites <strong>in</strong> Maharashtra shows that through the years HIV <strong>in</strong>fection<strong>in</strong>creased sharply among commercial sex workers (CSWs), rapidly progress<strong>in</strong>g among STD cl<strong>in</strong>ic177

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