NACP III 1

2 NACP III
GUIDING PRINCIPLES
NACP-III is based on eight guiding principles:

The principle of Three Ones, i.e., one Agreed Action Framework, one National
HIV/AIDS Coordinating Authority and one Agreed National Monitoring and Evaluation
System.

Equity in prevention and impact mitigation strategies - quantified and measured through
relevant indicators.

Respect for the rights of the People Living with HIV/AIDS

Promotion of social ownership and community involvement through civil society

representation and participation in planning and implementation.

Creation of an enabling environment wherein those infected and affected by HIV could
lead a life of dignity free from stigma and discrimination.

Up-scaling of HIV prevention, care, support and treatment services with the spirit of
providing universal access.

Implementing an HRD strategy based on qualification, competence, commitment and

continuity.

Evidence-based and result-oriented strategic and programme interventions with scope

for innovations and flexibility, prioritizing local contexts.

NACP
GUIDING
III PRINCIPALS 3
INTRODUCTION
The National AIDS Control Programme Phase III (2007-2012) is being launched with the objective
to halt and reverse the spread of the HIV/AIDS epidemic in India. During this phase the National
AIDS Control Organisation will strengthen capacity, formulate policy and guide implementation
to enable a decentralized response focussed on local needs.

The HIV/AIDS epidemic came to India in 1986 when the first case of HIV was detected in
Chennai. Since then, the number of infected people has grown substantially. Evidence shows
that the epidemic is moving outwards, from high risk groups to the general population and from
urban centres to rural areas. Increasingly youth and women are get ting infected.

The HIV epidemic in India is complex and heterogeneous, impacted by intricate and varied
social structures. As a result, there is not ‘one’ HIV epidemic but ‘many’ concurrent and inter-
related HIV epidemics each of which needs a localized and sensitive response. No state in the
country is unaffected by HIV.

The epidemic can entail adverse consequences to our achievement of health and development
goals, namely child mortality and poverty. AIDS
related productivity losses can be substantial. At There are 187 districts (Type A & Type B)
that have been identified as high risk
the micro level household surveys show a 9.24%
districts, where HIV prevalence among
decline in incomes1 and an increase of 10% in health ANC is more than 1% and HIV
spending. If unchecked the epidemic scenario, over prevalence among high risk group
a 14 year period, can lower labour productivity population is more than 5 %
and increase public health expenditure by
10-15%.

Swif t, ef fec tive and sus tained

Gover nment commitment has
contained HIV prevalence rates amongst
adult population providing a window of
opportunity to restrict and mitigate the social,
developmental and economic impact of the A
B
epidemic.
C
D

notes
1 Study by NCAER, 2006

4 NACP III
TIMELINE
1986 - First case of HIV detected
- AIDS Task Force set up by the
Indian Council of Medical Research
- National AIDS Commit tee (NAC)
established under the Ministry of
Health.
1990 - Medium Term Plan launched in four
states and the four metros
1992 - NACP I launched to slow down the
spread of HIV infection
- National AIDS Control Board
constituted
- National AIDS Control Organisation
set-up
1999 - NACP II begins, focussing on
behaviour change, increased
decentralization and NGO
involvement
- State AIDS Control Societies
established
2002 - National AIDS Control Policy
adopted
- National Blood Policy adopted
2004 - ART Treatment initiated
2006 - National Council on AIDS
constituted under Chairmanship of
Hon’ble Prime Minister
- National Policy on Paediatric ART
formulated

NACP
INTRODUCTION
III 5
 6 NACP III

6 NACP III
 NATIONAL AIDS CONTROL PROGRAMME
(1999 -2007)
NACP II aimed to reduce the spread of HIV infection in India through behaviour change
while increasing capacity to respond to HIV/AIDS on a long-term basis. Measurable objectives
towards stabilizing infection levels were to keep HIV sero-prevalence:
i. below 5% of the adult population in high prevalence states
ii. below 3% in states where the prevalence was moderate, and
iii. below 1 and 2% in the remaining states where the epidemic was at a nascent stage.

Successful implementation led to the achievement of all these targets.

Strong political commitment manifested itself in the formation of the National Council on
AIDS comprising 31 ministries, seven chief ministers and leading civil society representatives
under the chairmanship of the Hon’ble Prime Minister of India. The NCA facilitates a multi-
sectoral response to the epidemic making HIV a development challenge and not merely a
public health problem.

Operationally the programme also aimed to reduce blood borne transmission of HIV to less
than 1%, at tain awareness levels of not less than 90% amongst youth and others in the
reproductive age group and increase condom use to not less than 90% amongst high risk
categories. The programme adopted a decentralized approach by establishing State AIDS
Control Societies and involvement of NGOs, civil society partners, private sector and networks
of People Living with HIV/AIDS (PLHA).

HIV prevalence as indicated by recent studies and analyses seems to be stabilizing. States like Tamil
Nadu, Andhra Pradesh, Karnataka, Maharashtra and Nagaland have started showing declining trends2.
The sentinel surveillance results of 2005 also reinforce the stabilization trends indicating that the expected
outcomes of NACP-II have broadly been accomplished.

notes
2 Rajesh Kumar et al, 2006

NACP
NATIONAL
III AIDS CONTROL PROGRAMME (1999-2007) 7
 ACCOMPLISHMENTS - 1999-2006

Activity/ Component Baseline Achievements

September 1999 (As of June 2007)

Establishment of Sentinel Sites for HIV trends 180 1,162

Knowledge of HIV/AIDS & 50-80% (urban) 43-83%(urban)

at least 2 methods of HIV prevention 13-64% (rural) 24-84% (rural)

Awareness Not measured 84.6%*

(76% in 2001)

Coverage of High-Risk Population across the country 300 1,220

through targeted intervention projects

Coverage of schools and colleges for AIDS awareness 0 112,000

schools

Consistent condom use among female sex workers Not measured 73.4%*

Condom vending machines installed through NACO 0 11,025

(with another 11,025
under installation)

Modernization of district blood banks 685 883

Blood Component Separation Units 40 82

Modernization of Major Blood Banks 235 255

State of art Blood Banks 0 10

Voluntary Blood Donation (% of requirement) 20% 56.4%

Blood Collection 2 million units 4.5 million units

HIV tests conducted 0 10 million

Strengthening of STI clinics 504 845

Establishment of Integrated Counselling & Testing Centres 0 4,132

PLHA networks 0 90

Community Care Centres 0 122

Drop-in Centers 0 84

Exclusive PPTCT centres 0 502

Anti-retroviral Therapy Centres 0 127

Patients on ART 0 80,000

Source: NACO, 2007

* BSS, 2006

8 NACP III
LESSONS LEARNT
Despite the achievements of NACP II, some areas require greater at tention and stronger
focus. Lessons that have emerged from the implementation of NACP-II include the following:
• Complexities and dimensions of the epidemic are yet to be completely understood
especially in the Northern and North Eastern states of the country.
• Continuity of trained staff led by an adequately tenured Project Director is necessary
to achieve appropriate programme implementation.
• Capacity development and technical support of SACS needed for decentralization to
produce the desired results.
• Focused at tention on the High Risk Groups (HRGs) through targeted interventions
(TIs) has proved effective in preventing the spread of infection. However, attitudes towards
high risk behaviours and weak systems for civil society partnership are barriers towards
achieving the target saturation of HRGs. Specifically Men having Sex with Men (MSM)
and Injecting Drug Users (IDU) interventions were low. Out-of-school as well as
unschooled youth, married adolescents and rural population need at tention.
• Aggressive Social Marketing needed for condom promotion to achieve requisite targets
• Participation of the private sector and mainstreaming civil society organisations, village
communities, youth organisations, etc. needs to be enhanced for prevention as well as
building an enabling environment free of stigma and discrimination.
• Convergence between National Rural Health Mission (NRHM) and NACP to be
strengthened.
• AIDS mortality and under repor ting impact on interpretation of data. Appropriate
methodology best suited for India needs to be refined. Identifying causes of spread and
understanding impact of factors like limited access to services on women is also necessary.
• Existing research wing within NACO needs to be strengthened to deal with the emerging
need for knowledge management.
• Greater financial investment in HIV prevention, control, care and support needed.
• Formulation of policies for mitigating the impact of the epidemic on women and children
infected and affected by HIV/AIDS.

LESSONS
NACP III LEARNT 9
 NACP III (2007-2012)

STRATEGIC APPROACH

National AIDS Control Programme III (2007-2012) seeks to halt and reverse the HIV/AIDS epidemic in
India by 2012, bet tering the target of 2015 set in the HIV/AIDS related Millennium Development Goal.

NACP III will be implemented through a four pronged strategy of:

1. Preventing new infections in high risk groups and general population through:
• Saturation of coverage of high risk groups with targeted interventions (TIs)
• Scaled up interventions in the general population
2. Providing greater care, support and treatment
to larger number of PLHA.
3. Strengthening the infrastructure, systems and
human resources for scaling-up prevention,
care, support and treatment programmes
at the district, state and national level.
4. Strengthening the nationwide Strategic
Information Management System.

An investment plan for the programme indicates an estimated requirement of Rs.

11,585 for all the interventions.

REACHING A CONSENSUS
The Third National AIDS Programme Implementation Plan (2007-2012) evolved through a year-long
preparatory process that included wide-ranging consultations with 14 working groups, e-forums, civil society
organisations, PLHA networks, NGOs/CBOs, and national expert groups. A participatory appraisal process
was carried out involving development partner; it incorporated inputs from various assessments and studies.

NACP III will consolidate gains and address identified gaps and weaknesses of NACP 1 and NACP II.

This broad-based consultative process has resulted in evolving a consensus about the goals, objectives and
overall framework of NACP–III.

10 NACP III
 PROGRAMME COMPONENTS

Targeted Interventions ART Establishment Support and Monitoring and Evaluation

among HRGs Capacity Strengthening
(FSW,MSM and IDUs)

Other interventions Paediatric ART Training Surveillance

(Truckers, Prison
inmates, Migrants etc.)

Integrated Counselling Centre of Excellence Managing Programme Research

and Testing Centres Implementation and
Contracts

Blood Safety (including Care and Support Mainstreaming/Private

mobile blood banks) (Community Care Centres Sector Partnerships
and Impact Mitigation)

Communication,
Advocacy and Social
Mobililisation

Condom Promotion

NACP
STRATEGIC
III APPROACH 11
 UP-SCALING PREVENTION

Prevention remains the mainstay of NACP III. Despite the high number of HIV positive
persons in the country, 99% of the population is uninfected. The programme aims to reduce
new infections in all categories and prevent spread from High Risk Groups (HRG) to the
general population. A behaviour change strategy based on an effective Information, Education
and Communication (IEC) campaign and suppor ted by appropriate services will be
implemented. Timely and accessible service delivery will ensure continuum of care at every
level. A package of clearly defined and inter-linked services along with clarity on where they
are available will enhance utilization.

SATURATING COVERAGE IN HRG

NACP III aims to saturate 80% population of HRG within the programme period with the
aim of reducing infection amongst this group. Special focus will be given to IDU and MSM
groups who were not well covered during the last phase of the programme.

The NACP III approach:

• Behaviour Change Communication (BCC) interventions to increase demand for products
and services
• provide STI services including counselling to increase compliance of patients to treatment
regimens, provide risk reduction training, and focus on partner referral;
• promote demand for condoms and ensure availability and easy access
• create an enabling environment to motivate practice of safe behaviours;
• increase programme sustainability through community organizing and ownership amongst
HRG; and
• integrate prevention with care, support and treatment to facilitate access and use of these
services by HRGs.

2100 Targeted Interventions (TIs) will reach out to one million Female Sex Workers (FSW)
and their partners; 1.15 million Men having Sex with Men (MSM) and 190,000 injecting
drug users by 2012.

12 NACP III
SCALING UP INTERVENTIONS IN BRIDGE POPULATIONS
To stop the virus from entering into the general population, interventions with bridge
populations need greater focus. There are an estimated 2.5-3 million long distance truck
drivers in the country with an estimated HIV prevalence of about 11-16%. There are also
more than 8 million temporary and short duration migrants amongst whom prevalence is
unknown. Socio-economic and situational pressures make these groups vulnerable.

The NACP III approach:

• peer led interventions to create awareness of vulnerability and increase demand for products
and services;
• promotion and provisioning of condoms through free supplies
NACP III will reach out to 3 million
and social marketing;
truckers and 8.9 million migrants.
• development of linkages with local public sector, private sector
and NGO owned institutions for testing, counseling and STI
treatment services;

• creation of “peer support groups” and “safe spaces” at

destination sites for migrants.

INTERVENTIONS FOR THE GENER AL

POPULATION
Strategies for the general population interventions take
into account specific risk factors and vulnerabilities of
population groups such as women (age 15-49 years); youth
(age 15-29 years); and children (age 0-18 years).

Today, 39% of all HIV infections occur amongst

women. Peak infection amongst women appears
to be around 25 years, which is significantly lower
than the peak age for men. In 2004, it was also
estimated that 22% HIV cases were amongst
housewives with a single partner. Mitigating the
risk to women’s health and parent to child
transmission of HIV are key concerns under
NACP III.

NACP
UPSCALING
III PREVENTION 13
Amongst general population, youth are another vulnerable and heterogeneous group
with differing risk levels. Gender imbalances, societal norms, pover ty and economic
dependence all contribute to young people’s vulnerability. Physiologically, young people
are more vulnerable to STIs than adults; girls more than boys. The primary route of HIV
infection amongst youth is unprotected sex which combined with lack of information,
skills and access to safe sexual practices lead to high risk behaviour. Street children,
adolescent sex workers, orphans and migrant children and youth are ‘marginalized’ groups.

The risk perception and behaviour of young people are likely to determine the future
direction of HIV/AIDS in the country.

In addition tribal populations living in hard to reach areas with limited access to health
care services will receive special at tention. Tribals constitute 8.2% of the total population
in the country and are concentrated mainly in seven states in central and north-eastern
belts. Sexual networking pat terns, migration, trafficking, exposure to tourists and drug
trade combined with low levels of information and poor access to services have been
identified as factors of their vulnerability.

The NACP III approach for saturating HRGs and raising awareness at the community level
will:
• set up a cadre of link workers to approach women and young people in villages (and
tribal areas) with BCC, condom provision and linkages to health services;
• enhance access to HIV testing facilities with links to associated programmes, and to
counselling and treatment services by the establishment of ICTCs;
• establish Red Ribbon Clubs of‘ youth friendly information services;
• improve access to testing and treatment for PPTCT;
• improve availability, testing and assurance of blood and blood products;
• provide STI treatment in public and private health facilities for easy access to the
community; and
• undertake effective communication programmes to encourage social normative changes
aimed at reduction of stigma and discrimination.

8,200 link workers and 187,000 volunteer will

cover 187 dis tric ts and 187,000 villages
reaching out to approximately 187 million
people

14 NACP III
NACP
UPSCALING
III PREVENTION 15
INFORMATION, EDUCATION, COMMUNICATION

The Information, Education, Communication campaign will create a non stigmatizing

environment and promote access to services. The focus will be on promoting a value-based
life-style, reducing vulnerabilities and breaking the silence surrounding issues related to sexuality.
The campaign will focus on reduction of risky behaviour and routinize the use of condoms as
the only prophylaxis against sexually transmit ted infections and unwanted pregnancies. It will
also generate a demand for services.

INTEGRATED COUNSELLING AND TESTING

Only an estimated 5-7% of the people who are infected know
their HIV status. Under NACP-III, Integrated Counselling and
Testing Centres (ICTCs) will become a hub for all HIV related
services. 4,955 IC TCs in public health
facilities and an equal number of
PREVENTION OF PARENT TO CHILD public and private facilities will
TRANSMISSION conduct at least 22 million tests
It has been estimated that out of 27 million pregnancies in India per year by the end of NACP III
about 189,000 occur in HIV+ mothers leading to an estimated
cohort of 56,700 infected babies. Prevention of Parent to Child PPTC T programme will cover
Transmission (PPTCT) programme using Nevirapine was initiated 75,600 HIV+ mother s with
in the country in 2001. This will be up-scaled under NACP III to antiretroviral drug prophylaxis
cover at least 80% of estimated numbers.

MANAGEMENT OF SEXUALLY TRANSMITTED INFECTIONS (STI)

An estimated 4-6% of the adult population is affected by STIs. NACP-III, will expand STI
services through effective integration with the National Rural Health Mission (NRHM)
programme. NACO will also support identified NGOs and not-for-profit private providers
in the provision of STI services. Designated NGO routinely screen high risk population for
STIs and referring them for treatment. This will be one of the important STI strategies under
NACP-III.

16 NACP III
CONDOM PROMOTION
Despite high awareness and increase in condom availability during NACP I and II, its use
remains at less than satisfactory levels. Routinizing condom use, ensuring adequate and
convenient supply and promotion of negotiating skills for condom use amongst HRG and
others are important aspects of NACP III.

BLOOD SAFETY
Providing access to safe blood is mandated by law. Under NACP-III the aim is to ensure
provision of safe and quality blood within one hour of requirement in a health facility through
a well-coordinated national blood transfusion service and also to reduce HIV transmission
through blood and blood products to 0.5% from the existing 1.92%. Voluntary blood donation
will be increased to account for 90% of the total requirement

10 million units of blood will

be provided for transfusion
annually by 2012.

NACP
UPSCALING
III PREVENTION 17
STRENGTHENING CARE, SUPPORT AND
TREATMENT

NACP-III will adopt a comprehensive strategy to strengthen care, support and treatment for
PLHA, provide psycho-social suppor t to infected and affected individuals, especially to
marginalized women and children affected by the epidemic, and ensure accessible, affordable
and sustainable treatment services. Expanding care, support and treatment (CST) and linking
them with prevention will not only help reduce AIDS related mortality but also positively
impact by reducing poverty, stigma and discrimination. The strategy will include identification
of institutions, strengthening referral linkages for CD4 testing, capacity building of ART centres
and procurement of ARV drugs. Quality of ART delivery will be enhanced by providing
training to all categories of health service providers, linkages to community care centres,
adherence to monitoring systems, set ting up of an External Quality Assessment of Laboratory
Services (EQAS) and a mechanism for certification and accreditation of services in both the
public and private sectors. The major focus will be on ensuring a very high degree of adherence
to ART (>95%) so that patients can continue on these services for a longer time. A smart
health card will also be provided to all patients on ART and all ART centres will be linked in
a web based system.

Under NACP III this will:

• strengthen PLHA and other networks of vulnerable populations;
• enhance linkages to service centres and risk reduction strategies;
• develop standard HIV and oppor tunistic infection management guidelines including
improved referral to the Revised National Tuberculosis Control Program for TB treatment;
• establish community care centres which will provide outreach, referral, counselling and
treatment, and patient management services; and
• undertake advocacy, social mobilization and BCC to integrate HIV positive persons into
the society while reducing stigma and discrimination.

18 NACP III
 CARE AND SUPPORT
Improving the quality of life, social integration and dignity of people living with HIV is an
ongoing effort. Care and support services through partnership with not for profit organisations
will be enhanced during the NACP III period. Expanding access to care in an enabling
environment will increase the demand for services and motivate those living with HIV to
adopt and sustain safe behaviour. Social suppor t, counselling, treatment and patient
management including referrals will be provided through community care centres. These
centres will act as a bridge between PLHA households and ART centres, focussing on
management of opportunistic infections as well as adherence counselling for ART.

ANTIRETROVIRAL THERAPY
Antiretroviral Therapy (ART) suppresses viral replication, slows or halts disease progression,
prolongs longevity and greatly improves the quality of life of HIV positive people. ART is
given to people at a certain stage of infection. It is provided free of cost through select
government hospitals and not for profit charitable hospitals.

350 community care centres will be established during NACP III.

NACP III will cover 300,000 adults and 40,000 infected children through 250 ART centres.

19

NACP
STRENGTHENING
III CARE SUPPORT AND TREATMENT 19
PROGRAMME MANAGEMENT

Effective programme management will be carried out through a decentralization process

right upto the district level and strengthening of computerized Project Financial Management
System (CPFMS) and Strategic Information Management System. Technical Support Units
will also be established at state level to assist SACS in managing the NGO/CBO/civil society
related activities. In addition, bet ter donor coordination and impact mitigation will be
prioritized as part of an overall management strategy.
NACO has established till date:
• 14 technical resource groups
It has also
• technical support group for social marketing of condoms
• a strong financial management team

AUGMENTING CAPACITY AT DISTRICT, STATE AND NATIONAL LEVEL

Skilled and competent human resources at all levels of programme implementation are essential
for the success of the programme. The aim of NACP-III is to undertake strengthening and
skills development of health care providers, namely doctors
and nurses, counsellors and lab technicians, public health
workers, civil society organisations and functionaries of other 380,000 personnel to be
departments at the national, state and district levels to better trained during NACP III
carry out the task of instituting good quality, greatly scaled
up interventions. At the same time, best practices from
private sector will be activated to achieve public health goals.
Streamlining of public health delivery system, function and accountability will synergise with
systems to manage the complex relationship between different levels of the national response
and with non government and private sector partners.

Along with an emphasis on training, resource persons will continue to provide technical
assistance and mentoring. Institutions that need support, including SACS, will be at tached to
those with proven capacity. Appraisal of training will be conducted annually and training
methodologies will be suitably updated.

20 NACP III
NACP
PROGRAMME
III MANAGEMENT 21
Augmenting capacity will involve:
• collaborating with partners on developing standard operating procedures and operational
guidelines in respect of crucial HIV services;
• adopting standard, performance based contractual arrangements linked to delivery of
HIV-related services, as well as the establishment of internal and external quality control
systems;
• providing high quality, operational training in areas such as support to establishment of
CBOs, ART training, etc. within and outside the government sector;
• establishing necessary technical support at all levels through Technical Support Groups
(TSGs) at the national level or Technical Support Units (TSUs) at the level of the SACS;
• engaging the ser vices of procurement agents for carr ying out procurement of
pharmaceuticals, medical supplies, and other goods and works required under the project

STRENGTHENING STRATEGIC INFORMATION

MANAGEMENT
NACP III proposes a significant change in the purpose and effectiveness of data collection
and analysis. A Strategic Information Management Unit (SIMU) will be established at national
and state levels to maximize the effectiveness of available information and implement evidence-
based planning. SIMU will address strategic planning, monitoring and evaluation, surveillance,
and research. In addition, all programme officers will be trained on evidence-based strategic
planning methodologies, information use, and programme management. As of May 2007,

22

22 NACP III
information was being gathered from 1119 sentinel surveillance sites, 127 ART centres, 122
community care centres, 2211 Government, private and charitable blood banks, 4132 ICTCs,
866 STI clinics, and 1220 NGO and TI interventions. Strategic Information Management will
be carried out at national, state and district levels.

The NACP III approach:

• review and validate information or evidence based planning, effective implementation of
interventions and impact assessment;
• strengthen monitoring framework to provide more accessible and ready-to-use information;
• enhance the surveillance systems to provide HIV related epidemiological, clinical and
behavioral data at a state and sub-state level;
• review models used to generate various state and national estimates on the basis of
surveillance data; and
• under take independent evaluation and research to inform and suppor t program
implementation.

STRENGTHENING
NACP III STRATEGIC MANAGEMENT INFORMATION 23
DECENTRALIZATION

Under NACP III, the decentralized model that evolved during NACP II with the set ting up of State
AIDS Control Societies (SACS) will be further devolved to directly penetrate populations at the
district level through District AIDS Prevention and Control Units (DAPCU). SACS will remain
responsible for medical and public health services; communication and social sector services; and
administration, planning, coordination, monitoring and evaluation, finance and procurement.

DAPCU will operate within the District Health Society, sharing the administrative and financial structures
of National Rural Health Mission (NRHM). While the unit will report to and work through the Chief
Medical Officer of the district for medical interventions, it will also be responsible for non-health
related activities such as Adolescent Education Programme, supportive supervision of TIs, monitoring
and evaluation and mainstreaming. These activities will be carried out through the office of the
District Collector or Zilla Panchayat.

MAINSTREAMING…

The AIDS control programme is slated to move beyond addressing risks to addressing vulnerabilities
and mitigating impact of AIDS on the community. NACP-III will therefore see a broadening of the
national response through more sectors and organisations. It encourages developing ownership of
AIDS prevention and control programmes in their sphere of influence, driven by the leadership
provided by National Council on AIDS and technical assistance from NACO. While providing general
support to all 31 member ministries of NCA, NACO has identified 11 priority depar tments for

24 NACP III
mainstreaming. These are: Education, Home Affairs, Labour, Panchayati Raj, Ports and Surface Transport,
Railways, Rural Development, Tourism, Women and Child Department, Tribal Affairs, Youth Affairs
and Sports. NACO will also collaborate with the Ministries of Defence, Industry, Labour and Railways
to use their medical infrastructure for prevention and treatment, including treatment of STIs, promotion
of condoms, ICTC, PPTCT, treatment of opportunistic infections and ART.

The strategy of NACP-III on mainstreaming will work towards having:

• HIV mainstreamed into the work plan of major government/ private (for profit and not-for-profit)
organisations and modify their core practices to respond to the challenges of HIV/AIDS; and
• Partner organisations demonstrate ownership of the HIV/AIDS prevention and control strategies
by allocating internal resources to the programme.

…AND PARTNERSHIP
NACO will work in close coordination with Development Partners at both the national and state
levels through the establishment of a coordination framework enjoining each to the spirit of “Three
Ones”. A Steering Commit tee for Donor Coordination will be established to:
• prevent duplication and maximize effort, resources and impact;
• share information on action plans; and
• jointly review programme performance during quarterly reviews.
Partners would include UN, bilateral, multilateral and other key funding agencies.

NACP
DECENTRALIZING
III MAINSTREAMING AND PARTNERSHIP 25
 ENABLING ENVIRONMENT AND GIPA
Effective prevention, care and support for HIV/AIDS is possible in an environment in which human
rights are respected and where those infected with or affected by HIV live a life of dignity, without
stigma or discrimination. This necessitates a review and reform of structural constraints, legal
procedures and policies that impede interventions aimed at marginalised populations. Affirmative
action is needed to reduce stigma and discrimination associated with the infected and affected
persons and their access to prevention and quality treatment, care, insurance and legal services.
NACP-III will work in partnership with PLHA networks and other stakeholders towards creating
an enabling environment by addressing issues of stigma, discrimination, legal and ethical concerns.

WHAT DO WE HOPE TO ACHIEVE IN NACP III

TARGETS NUMBERS

PREVENTION
Targeted Interventions 2100
High risk groups reached through TIs 2.34 million annually
(FSWs, MSM & IDU)
Bridge populations covered 11.9 million
(truckers and migrants)
Rural population reached through mass media, etc. 280 million
Adolescent Education Programme 144,409 schools
Non-student youth reached 70 million
Condoms sold 3.5 billion/year
Outlets selling condoms 3 million (by 2010)
No. of units of blood for blood transfusion 10 million annually

CARE SUPPORT & TREATMENT

ICTCs in public health facilities 4,955
Tests per year 22 million in government sector
and 12 million in private sector
HIV+ pregnant women covered under PPTCT 75,600
Number of opportunistic infection episodes
treated in public sector 330,000
Number of adults to receive ART 300,000 (in public sector)
Number of children to receive ART 40,000
Number of PLHA get ting TB referral 2.8 million

26 NACP III
 AND ALL THIS
WILL BE POSSIBLE
WITH

CONTINUED POLITICAL COMMITMENT

PARTICIPATION BY ALL STAKEHOLDERS

COORDINATION AND IMPLEMENTATION OF THE

SHARED VISION

AND

SHARED ACCOUNTABILITY

27

NACP III 27
 9th Floor, Chandralok Building. 36 Janpath, New Delhi 110 001
Tel: + 91 11 2332 5343, 2373 1774, 2373 1778 Fax: +91 11 2373 1746
e mail: info@[Link]
Website: [Link]: [Link]
28 NACP III