NATIONAL AIDS CONTROL

PROGRAMME
INTRODUCTION
 LOOKING AT THE GRAVITY OF HIV
INFECTION IN THE COUNTRY .
 INDIAN GOVERNMENT LAUNCHED NACP
IN THE YEAR 1987.
 THE MINISTRY OF HEALTH AND FAMILY
WELFARE HAS SET UP NACO AS A
SEPARATE WING TO IMPLEMENT AND
CLOSELY MONITOR THE VARIOUS
COMPONENTS OF THE PROGRAMME.
AIMS OF THE PROGRAMME
 TO PREVENT FURTHER TRANSMISSION OF
HIV.

 TO DECREASE MORBIDITY AND

MORTALITY ASSOCIATED WITH HIV
INFECTION .

 TO MINIMIZE THE SOCIO-ECONOMIC

IMPACT RESULTING FROM HIV INFECTION
.
STRATEGIES AND APPROCHES
 IDENTIFICATION OF HIGH RISK GROUP
 ISSUING SPECIFIC GUIDELINE FOR
MANAGEMENT OF DETECTED CASES AND
THEIR FOLLOW UP.
 FORMULATING GUIDELINES FOR BLOOD
BANKS , BLOOD PRODUCTS
MANUFACTURERS, BLOODDONORS AND
DIALYSIS UNITS.
 IEC ACTIVITIES INVOLVING MASS MEDIA ,
PROMOTING USE OF NIRODH, BEHAVIOURAL
CHANGES AND RESEARCH.
MILESTONES OF THE PROGRAMME
 1986 - FIRST CASE OF HIV DETECTED.
- AIDS TASK FORCE SET UP BY THE
ICMR.
- NATIONAL AIDS COMMITTEE

ESTABLISHED UNDER THE

MINISTRY OF
HEALTH.
 1990 - MEDIUM TERM PLAN LAUNCHED
FOR
CONTI…..
 1992 - NACP-I LAUNCHED TO SLOW DOWN
THE SPREAD OF HIV INFECTION.
- NATIONAL AIDS CONTROL BOARD
CONSTITUTED.
- NACO SET UP.
 1999 - NACP-II BEGINS , FOCUSSING ON
BEHAVIOUR CHANGE , INCREASED
DECENTRALIZATION AND NGO
INVOLVEMENT.
CONTI……
 2002 – NATIONAL AIDS CONTROL POLICY
ADOPTED.
- NATIONAL BLOOD POLICY ADOPTED.
 2004 – ANTI-RETROVIRAL TREATMENT
INITIATED.
 2006 – NATIONAL COUNCIL ON AIDS
CONSTITUTED UNDER CHAIRMANSHIP
OF THE PRIME MINISTER.
- NATIONAL POLICY ON PAEDIATRIC ART
FORMULATED.
CONTI….
 2007 – NACP-III LAUNCHED FOR 5 YEAR
(2007-12).
 2014 – NACP-IV LAUNCHED FOR 5 YEAR
(2012-17).
 NACO
 NATIONAL AIDS CONTROL ORGANIZATION IS
THE “ ORGANIZATION FOR FORMULATION OF
POLICY AND IMPLEMENTATION OF
PROGRAMME FOR PREVENTION AND
CONTROL OF HIV/AIDS IN INDIA. ”
 IT WAS ESTABLISHED ON 1992 .
 IT PROVIDES LEADERSHIP TO HIV/AIDS
CONTROL PROGRAMME IN INDIA THROUGH
35 HIV/AIDS PREVENTION AND CONTROL
SOCIETIES.
NATIONAL AIDS PREVENTION & CONTROL POLICY

 UNION GOVERNMENT APPROVED THE

NATIONAL AIDS PREVENTION AND
CONTROL POLICY IN APRIL 2002.
 OBJECTIVES :-

1. REDUCTION OF IMPACT OF EPIDEMIC .

2. TO BRING ABOUT ZERO
TRANSMISSION RATE OF AIDS .
 NATIONAL COUNCIL ON AIDS (NCA)
 IT PROVIDE POLICY GUIDELINE AND POLITICAL
LEADERSHIP TO NACP .
 OBJECTIVES:-
 TO MAINSTREAM HIV/AIDS ISSUES IN ALL

MINISTRIES AND DEPARTMENT BY TREATING IT

AS A DEVELOPMENTAL CHALLENGE AND NOT
MERELY A PUBLIC HEALTH PROBLEMS.
 TO PROVIDE LEADERSHIP TO INCREASE

MULTISECTORAL RESPONSE TO COMBAT

HIV/AIDS IN THE COUNTRY WITH SPECIAL
REFERENCE TO YOUTH, WOMEN & THE
WORKFORCE. .
 MAIN ACTIVITIES/INTERVENTION UNDER NACP

 BLOOD SAFETY:-
 PROVISION OF ADEQUATE, SAFE AND
QUALITY BLOOD TO EVERY PATIENT .
 TESTING OF EVERY UNIT OF BLOOD
AGAINST TTIs(TRANSFUSION
TRANSMISSIBLE INFECTION :- HIV ,
HEPATITIS B, HEPATITIS C, SYPHILIS AND
MALARIA)
 BLOOD STORAGE UNITS AT FRUs.
 STD/STIS CONTROL :-

 STD INCREASES THE CHANCES OF HIV

INFECTION .
 THIS HIGHLIGHT THE NEED FOR
CONCOMITANT CONTROL OF STDs AS A
PROGRAMME STRATEGY .
 OBJECTIVES :-

 REDUCTION STD CASES & THERE BY

CONTROL HIV TRANSMISSION
 PREVENT FROM MORBIDITIY &
MORTALITY DUE TO STDs.
TARGETED INTERVENTION FOR POPULATION AT HIGH RISK

 INTERRUPTION THE HIV TRANSMISSION

AMONG HIGHLY VULNERABLE
POPULATION .
 TARGETED HIGH-RISK GROUP INCLUDE_

 FEMALE SEX WORKERS

 MEN WHO HAVE SEX WITH MEN

 INJECTING DRUG USERS

 BRIDGE POPULATION – TRUCKERS &

MIGRANTS .
 CONTI….

 COMPONENT OF TARGETED INTERVENTIONS:-

 BCC (BEHAVIOURAL CHANGES COMMUNICATION)

 SAFE SEX PRACTICES

 NEEDLE SYRINGES EXCHANGES PROGRAMME

 SURVEILLANCE:-
 DETECTION OF SPREAD OF DISEASE, PATTERN OF BEHAVIOUR AND
MAKING THE APPROPRIATE STRATEGY
 TYPES OF SURVEILLANCE

 HIV SENTINEL

 AIDS CASE SURVEILLANCE

 STD SURVEILLANCE

 BEHAVIOURAL SURVEILLANCE

 HIV –TB

 OTHER DISEASE INTEGRATION SURVEILLANCE

 SCHOOL AIDS EDUCATION PROGRAMME:-
 DEVELOPING A SAFE AND RESPONSIBLE LIFE
STYLE .
 UNIVERSITY TALK AIDS PROJECT .

 DISTRIBUTION OF TRAINING MODULE

“LEARNING FOR LIFE”
 FAMILY HEALTH AWARENESS CAMPAIGN :-

 ADDRESSING THE ISSUES OF REPRODUCTIVE

HEALTH IN THE FAMILIES ESPECIALLY IN
THE RURAL AND VULNERABLE SECTION .
CONTI….
 RAISING THE AWARENESS ABOUT HIV /AIDS ,
AVAILABLE SERVICES FOR TREATMENT OF
STD/STIs TRANSMISSION OF HIV INFECTION .
 CAPACITY BUILDING OF MEDICAL , NURSING
AND PARAMEDICAL PROFESSIONALS.
 CONDOM PROMOTION:-

 USE OF CONDOM AS A PROTECTION AGAINST

SITs, HIV/AIDS IN ADDITION TO FAMILY
PLANNING .
CONTI…
 FREE DISTRIBUTION OF CONDOM
THROUGH SOCIAL MARKETING .
 AVAILABILITY OF CONDOM VENDING
MACHINES.
 NATIONAL PAEDIATRIC AIDS

INITIATIVE:-
 PROVIDING COMPREHENSIVE CARE AND
SUPPORT INCLUDING ART TO CHILDREN
INFECTED AND AFFECTED BY HIV .
CONTI….
 ESTABLISHMENT OF REGIONAL PAEDIATRIC
CENTRES, TREATMENT OF OPPORTUNISTIC
INFECTION AND MICRONUTRIENT
SUPPLEMENTATION .
 CARE AND SUPPORT TO CHILD LIVING WITH
HIV/AIDS AND VULNERABLE CHILDREN .
 CARE & SUPPORT-ART CENTERS:-

 PROVIDING FREE ART.

 ESTABLISHMENT OF ART CENTER

 COMMUNITY CARE CENTER ACROSS THE

COUNTRY FOR PROVIDING CARE & SUPPORT
SERVICES TO PERSONS LIVING WITH HIV/AIDS.
INTEGRATED COUNSELLING AND TESTING CENTER :- ICTCS

 INTEGRATED COUNSELLING AND TESTING

CENTER :- ICTCs
 MERGING PPTCT & VCTC INTO A ICTCs

PPTCT – PREVENTION OF PARENTS TO CHILD TRANSMISSION

VCTC – VOLUNTARY COUNSELLING AND TESTING CENTER.
 ESTABLISHMENT OF ICTCs AT MEDICAL
COLLEGES, DISTRICT HOSPITAL, SUB-DISTRICT
HOSPITAL AND AT FEW COMMUNITY CENTERS.
 OBSTETRIC & GYNAECOLOGY DEPARTMENT
OF SUCH HOSPITAL HAVING LARGE NUMBER
OF ANCs AND INSTITUTIONAL DELIVERIES .
 INFORMATION EDUCATION & COMMUNICATION:

 NACOs FOCUS ON REDUCTION OF STIGMA

, PROMOTION OF SERVICES , ROUTINE
USE OF CONDOM , & BLOOD SAFETY .
 SET UP OF TOLL FREE NATIONAL AIDS
TELEPHONE HELP LINE HAVING
COMPUTERIZED 4 DIGIT NUMBER 1097.
 COMMUNITY NURSING CENTER
 NACO STARTED COMMUNITY NURSING CENTER
IN THE COUNTRY TO TAKE CARE OF HIV INFECTED
PATIENTS.
 ACTIVITIES :-

 PROVIDING SHELTER

 PROVIDING BALANCED AND THERAPEUTIC

NUTRITION
 PROVIDING NURSING CARE

 PROVIDING RECREATIONAL FACILITIES

 PROVIDING SPIRITUAL NURSING

 ROLE OF NURSE
 PROVISION OF ANTENATAL SERVICES
 PROMOTION OF RATIONAL USE OF BLOOD
 CARE & SUPPORT OF HIV INFECTED
PERSONS
 ORIENTATION TRAINING FOR CONTROL
OF INFECTION
 ROUTINE MEDICAL CHECK-UP IN THE
HOSPITAL BY THE EMPLOYER
 COUNSELLING
 HEALTH EDUCATION
CONTI….
 SOCIAL SUPPORT
 CARE AT HOME & COMMUNITY
 USE OF STERILE EQUIPMENT
 PRACTICE OF ASEPTIC METHOD
 ORGANISED TRAINING STAFF FOR ALL
THE FIELD STAFF.