1. INDIA Rajesh Kumar Suresh Kumar Annie Mangsatabam Samiran Panda Manikanta Singh Gary Lewis

2. WHERE TO INTERVENE? 1.Wherever there is existing evidence of the nature and extent of the problem (IDU) – intervene there first 2.Where information does not exist, do time-bound Rapid Assessments 3.Determine who should coordinate the RSAs – e.g., UNODC, NGOs 4.Do RSAs in conjunction with SACS and ensure ownership

3. WHAT TO INTERVENE WITH? Comprehensive “core” Package drug dependence treatment (including drug substitution treatment) outreach referral to services sterile needles and syringes condoms voluntary counselling and testing treatment of STIs ARTs interventions for especially-at-risk populations (prisoners and sex workers who inject drugs).

4. HOW TO INTERVENE? 1.DIC-based, community-based outreach 2.Advocacy with law enforcement 3.Intervention to deliberately also target regular (female) sex partners 4.Capacity-building (especially training) essential at all levels within the SACS, NGOs, outreach worker, peer educator – in the appropriate language 5.Materials, protocols, guidelines already exist – quality generally good

5. HOW TO PROCEED FROM HERE? 1.Establish (resuscitate?) a core group at the national level (e.g., TRG) 2.Establish the need NACO estimate of IDUs = 200,000 NACO already covers 30,000 - 50,000 (can possibly scale up to 100,000 in NACP III) Best case scenario: we reach 100,000 Gap remaining = 100,000 3.Financing the gap = prepare a proposal for Global Fund (+ others?) to reach 100,000 gap

6. DEVELOP A PROPOSAL FOR THE GLOBAL FUND TO COVER THE GAP 1.Engage partners from local interested parties 2.Hire consultants (1 x substantive content, 1 x finance) to develop the proposal 3.Rough costing: to reach 100,000 4.@ Rs. 3,000 per person per month 5.times 9 months 6.Times 100,000 7.= $60m 8.Divided by 5 years = $12m per year

7. Thank you Rajesh Kumar Suresh Kumar Annie Mangsatabam Samiran Panda Manikanta Singh Gary Lewis