Monday, 17 September 2018

National AIDS Control Organization (NACO)



What to study?

For Prelims: NACO and highlights of the National AIDS Control Programme.
For Mains: Significance and achievements of the programme, what else is needed to achieve the target?

Context: The National AIDS Control Organisation (NACO) has released the report HIV Estimations 2017.

Key facts:

The HIV Estimations 2017 is the 14th round in the series of HIV Estimations under National AIDS Control Programme (NACP).
NACO undertakes HIV estimations biennially in collaboration with the Indian Council of Medical Research (ICMR) – National Institute of Medical Statistics (NIMS).
The first round of HIV estimation in India was done in 1998, while the last round was done in 2015.

Highlights of the report:

As per the report, in 2017, India had around 21.40 lakh people living with HIV (PLHIV) with adult prevalence of 0.22%.
Around 87.58 thousand new HIV infections and 69.11 thousand AIDS related deaths happened in 2017 while around 22,675 mothers needed Antiretroviral Therapy (ART) for prevention of mother to child transmission of HIV.
HIV Estimations 2017 corroborate the previous rounds in terms of characteristic of the HIV epidemic in India i.e. national prevalence and incidence remains low, but the epidemic is high in some geographical regions and population group.
The rate of decline in annual new HIV infections has been relatively slower in recent years.
The report concludes that, overall, the impact of the programme has been significant with more than 80% decline in estimated new infection from peak of epidemic in 1995. Similarly, estimated AIDS related death declined by 71% since its peak in 2005.

Need for data on this:

The objective of HIV Estimations is to provide updated information on the status of HIV epidemic in India at national and State/UT level. Estimations of adult HIV prevalence, annual new infections (HIV incidence), AIDS-related mortality and prevention of mother-to-child transmission (PMTCT) needs are produced as outcomes of HIV estimations. The modelled estimates are needed because there is no direct reliable way of measuring these core indicators which are used to track the epidemic and monitor and evaluate the response in countries around the world.

Way ahead:

The report highlights the significant achievement of National AIDS response on prevention as well as on treatment front but has also indicated that there is no place for complacency as country move forward on ambitious goal of attaining the ‘End of AIDS’ by 2030.

About National AIDS Control Organization:

It is a division of the Ministry of Health and Family Welfare that provides leadership to HIV/AIDS control programme in India through 35 HIV/AIDS Prevention and Control Societies.
In 1986, following the detection of the first AIDS case in the country, the National AIDS Committee was constituted in the Ministry of Health and Family Welfare.
As the epidemic spread, need was felt for a nationwide programme and an organization to steer the programme. In 1992 India’s first National AIDS Control Programme (1992-1999) was launched, and National AIDS Control Organization (NACO) was constituted to implement the programme.

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