1. DR. S.K CHATURVEDI UNICEF
HIV/AIDS PREVENTION PROGRAMME
PROGRAMME PLAN OF COOPERATION
DR. S.K CHATURVEDI UNICEF

2. HIV Prevalence in India
> 1% Antenatal Women
Million adults
J & K
< 1% Antenatal Women
Himachal Pradesh
Punjab
Chandigarh
Haryana
Delhi
Arunachal Pradesh
Rajasthan
Uttar Pradesh
Sikkim
Assam
Nagaland
Meghalaya
Bihar
Manipur
Tripura
Mizoram
Gujarat
Madhya Pradesh
West Bengal
Daman & Diu
Dadra Nagar Haveli
Orissa
Maharashtra
Andhra Pradesh
Goa
Karnataka
Pondichery
Tamil Nadu
Andaman & Nicobar
Source: NACO, 2002
Lakshwadeep
Kerala

3. Child Mortality as an Indicator of Vulnerability
HIV +
U5MR

4. Percent women aged 15-49 who have heard of HIV/AIDS
MICS-2000

5. Percent women aged 15-49 who know all three modes of vertical transmission of HIV/AIDS
MICS-2000

7. HIV/AIDS Awareness among Adolescents < 20 years - FHAC 200053 32
6.3
3.4
Correct knowledge about benefits
of condom use to prevent STI/HIV
Source: FHAC Coverage Evaluation
AIIMS/INCLEN/USAID 2000
Used condom
during last intercourse

9. Who Are Now Infected & Affected by HIV/AIDS?
Reported Data in 2001
Over 50% of all new infections occurring among young people aged below 25.
25% of all HIV infection fall in women, with an accompany increase in vertical transmission and pediatric HIV.
Reported median of HIV prevalence among pregnant women exceed 2% in most high prevalence states.
Already about 660,000 young women and 345,000 young men aged between years are living with HIV/AIDS
120,000 AIDS orphan children and 160,000 AIDS children living in the country.

10. ICO HIV/AIDS Programme Strategy
Phased approach: Initial focus on four high prevalence states
: High Prevalence : Concentrated
2006-7: Low
- AP, Mah, TN & Nagaland + Karnataka and Manipur (PPTCT)
Modeling scaled-up actions in support of the National Programme
Strong emphasis on building evidence-based approaches

11. Programme Goal: To reduce the prevalence of HIV/AIDS among children and to alleviate the impact of AIDS on children, adolescents and families affected by HIV/AIDS
Thrusts l
Scaling up to national
level of prevention of
MTCT
Prevention of HIV
among young below the
age of 25
Building an enabling
environment for an
expanded response
against HIV
Results l
Scaled up interventions
on HIV prevention
Replicable models of
Life Skills Education
Replicable district models
Young People
Coalition of civil society
groups & NGOs
VCCT services for
pregnant women
Evidence based national
Operational network of
health facilities
policy
PPTCT
Projects l
PPTCT
Adolescents & Young
People
Integrated
Communication

12. PMTCT
Key results:
Operational network of health facilities for PPTCT established
A National Policy for PPTCT
Replicable district PPTCT models
Partnerships and resources mobilized for scaled up
1) Scaling up
Expected outputs
An operational network of health facilities providing quality PPTCT services established
PPTCT used as an opportunity to strengthen MCH services.
2) District Models
Expected outputs
A comprehensive, integrated and sustainable distrit- based PPTCT programme
Pre and in-service training modules for care providers to integrate youth friendly services
3) Learning for Policy Development
Expected outputs
A Feasibility Study of “PPTCT Plus”
Studies on HIV and infant feeding
Evidence-based National PPTCT Policy

13. Scaling up PPTCT to cover the whole country
Timing:
Cumulative total of medical centres participating:
11 Centers of Excellence
Pilot project: 11
81 Medical Colleges in
High Prevalence States
December 2002 92
159 District Hospitals/
Maternity Hospitals in
High Prevalence States
June 2003
242
59 Medical Colleges in
Low Prevalence States
Dec. 2003
301
The going to scale has come about very quickly because of strong and expert lobbying on our part and the part of professional medical associations. It also demonstrates how UNICEF can respond quickly to a crisis - even on a national scale.
We have facilitated this expansion, working with a nucleus of advocates - ‘India moves India.’
450+ District Hospitals/
Maternity Hospitals in
Low Prevalence States
In 2004
780+

14. Monitoring and Evaluation Quality assurance of services
UNICEF’ s Role in PPTCT
Monitoring and Evaluation
Quality assurance of services
Research
Infant
Feeding
Study
design
Counseling
PPTCT
“Plus”
Data
Training
District
Models
Dissemination
of results
Drugs

15. Adolescents & Young People
Key results:
Scaled up interventions on HIV prevention in school
Replicable models of skills-based prevention education for young people out of school
Coalition of civil society groups and NGOs on YP and HIV/AIDS
1) Preventive & Peer Education in School
Expected outputs
Effective intervention models for scaling up in schools
State-led sustainable response plan
Linkages of life skills education to other key strategies
2) Young People as Agents of Change
Expected outputs
Increased participation of young people in HIV/AIDS prevention
Peer Education Package for out-of-school adolescents and young people
A Youth forum for public debate and dialogue about HIV/AIDS and related issues

16. School AIDS Prevention Programme: Achievements so far….

17. Impact of school HIV education
Source: AMREF 2001

18. Integrated Communication
Key Results:
Partnerships and resources mobilized for scaled up interventions
Packages of communication initiatives including innovative approaches
1) Advocacy and Mobilization for Social Change
Expected outputs
Documentation on the impact of HIV/AIDS and data analysis to sensitize key stakeholders for policy formulation and increased resource allocation
Communication Strategies to reduce risks, increase demand for health services, and address stigma and discrimination among health care providers and the general population
Expanded partnerships and alliances with civil society & private sector
2) Behavior Development and Change
Expected outputs
Increased participation of communities, families, individuals, and service providers in responding to HIV/AIDS prevention.
Effective communication packages for behavior change, focusing in safe behaviors and health care services
Communication strategy to support PPTCT and Young People interventions