National AIDS Control
Programme-IV
Reshma S
Milestones
 1990, Medium Term Plan (1990-1992)was launched
 First National AIDS Control Programme (NACP-I) was launched
in 1992.
 NACP-II launched in 1999: decentralization of programme
implementation to State level and greater involvement of NGOs.
 NACP- III implemented during 2007-2012: scaling up HIV
prevention interventions for HRG and general population, and
integrate them with Care, Support & Treatment services.
 NACP-IV has been developed for the period 2012-2017.
Objectives
 Objective 1: Reduce new infections by 50% (2007 Baseline of
NACP III)
 Objective 2: Comprehensive care, support and treatment to all
persons living with HIV/AIDS
Intensify
&consolidate
preventive
services
Strengthening
Strategic
Information
Management
system
Capacity
building
Key
Strategies
under
NACP-IV
Increase access
&promote
comprehensive
care, support
& treatment
Expanding
IEC services
Key priorities under NACP-IV
 Preventing new infections
 Prevention of Parent to child transmission
 Focusing on IEC strategies for behaviour change in HRG, awareness
among general population and demand generation for HIV services
 Providing comprehensive care, support and treatment to eligible
PLHIV
 Integrating HIV services with health systems in a phased manner
New Initiatives under NACP-IV
 Scale up of programmes to target key vulnerabilities
 Establishment of Metro Blood Banks and Plasma Fractionation Centre
 Scale-up of Opioid Substitution Therapy for IDUs
 Scale-up and Strengthening of Migrant Interventions at Source,
Transit & Destinations
 Female Condom Programme
 Scale up of Second Line ART
Package of services provided under NACP-IV
Prevention
High risk
populations
Low risk
populations
• Targeted intervention
• Needle-Syringe Exchange Programme and
Opioid Substitution Therapy for IDUs
• Prevention Interventions for Migrant
population at source, transit and destination
• Link Worker Scheme for HRGs in rural areas
• Prevention & Control of STI/RTI
• Blood Safety
• HIV Counseling & Testing Services
• Prevention of mother to child transmission
• Condom promotion
• Social Mobilization, Adolescent and Youth
Interventions Programme
Care, Support and Treatment
People living
with HIV/AIDS
• Laboratory services for CD4Testing
• Free First line & second line ART
• Pediatric ART for children
• Early Infant Diagnosis for HIV
• Nutritional and Psycho-social support
through Community Care Centres
• Treatment of Opportunistic Infections
Targeted intervention
• Key risk groups covered under
Targeted Intervention programme
- High risk group
- Bridge population
 TIs provide services, such as
behaviour change communication,
condom promotion, clean needle
and syringe for people who inject
drugs, STI care, referrals for HIV
and Syphilis testing and linkages
with Anti-Retroviral Treatment
Link Workers Scheme
 Community-based intervention
 Provide services to high risk groups,
vulnerable population, bridge
population and PLHIV in rural areas
 IEC under Link Worker Scheme:
Mid-media programmes
include wall writings, wall
paintings, folk performances
and hoardings.
 Rural interventions continue to be
challenge owing to inadequate
infrastructures, poor outreach
initiatives and stigma associated with
HIV
Prevention & treatment of RTI/STI
 Counselors are provided at designated STI/RTI Clinics
 Colour-coded STI/RTI kits provided for free supply at all
government STI/RTI clinics, CHC/ PHC and NGOs
 All HRG population receives packages of
- Free consultation and treatment for their
symptomatic STI complaints
- Quarterly medical check-up
- Bi-annual syphilis and HIV screening
Blood safety
 Increase regular voluntary blood
donation
 Promote component preparation
 Enhance blood access through well
coordinated blood transfusion
services
 Establish Quality Management
Systems to ensure Safe and quality
Blood
Condom promotion
 Condom Social Marketing Programme
(CSMP) was launched by NACO
 Establishment of rural outlets, nontraditional outlets and outlets in TI
project areas and truckers’ halt-points
 Consistent condom use promoted
through Folk Media Campaign, Red
Ribbon Express Campaign, Migrant
Campaigns and Health Camps across
various programme States.
 NACO completed implementation of
scaled-up FC Programme
Model of HIV treatment Services
Select Medical college
CoE &ART plus
Medical college and District
Hospital
Sub-district Hospital/ CHC
ART centres
Linked ART centres and LAC plus
centres
ART Scale up for PLHIV in India,
2005 - 2012
ART Scale up for Children Living
with HIV/AIDS in India, 2005 - 2012
Thank you