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THE EPIDEMIC
THEMES
 
Home » Asia Pacific at a Glance » India
 
  INDIA AT A GLANCE
 
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General Information
Indicators
Socio-Economic Background
HIV Situation
Estimates
UN Support
Web Resources
UN Offices
 
 
 
Conventional Long Form: Republic of India
Capital: New Delhi
Currency: Indian Rupee
Independence: 15 August 1947 (from United Kingdom)
 
Flag: Indian Flag
 
National Anthem of India
Map of India
   
  Source: Census of India - 2001, Govt. of India
   
  * Disclaimer
   
  Click Here for a Larger Map
 
General Information
 
Location: South Asia, bordering the Arabian Sea and the Bay of Bengal, slightly more than one-third the size of the US. Neighbouring countries are Bangladesh, Bhutan, Myanmar, China, Nepal and Pakistan
 
Government: Federal Republic
 
Administrative Divisions: 28 states and 7 union territories (UT).
 
Language: English is an important language for national, political, and commercial communication. Hindi (official national language). Regional languages: Bengali (official), Telugu (official), Marathi (official), Tamil (official), Urdu (official), Gujarati (official), Malayalam (official), Kannada (official), Oriya (official), Punjabi (official), Assamese (official), Kashmiri (official), Sindhi (official) and Sanskrit (official). There are many more languages and dialects.
 
Religions: Hindu, Islam, Christian, Sikh, other religions including Buddhist, Jain, Parsi.
 
Ethnic groups: Indo-Aryan, Dravidian, Mongoloid and others
 
EXECUTIVE
Head of State President Abdul Kalam (since 26 July 2002); Vice President Bhairon Singh Shekhawat (since 12 August 2002).
Head of Government Prime Minister Manmohan Singh (since May 2004).
Cabinet Council of Ministers appointed by the president on the recommendation of the prime minister.
Elections Lok Sabha (House of Representatives) last held in May 2004. President elected by an electoral college consisting of elected members of both houses of Parliament and the legislatures of the states for a five-year term; election last held in July 2002 (next to be held in July 2007); vice president elected by both houses of Parliament for a five-year term; election last held 12 August 2002 (next to be held in August 2007); prime minister elected by parliamentary members of the majority party following legislative elections.
LEGISLATURE
  Bicameral Parliament or Sansad consists of the Council of States or Rajya Sabha (a body consisting of not more than 250 members, up to 12 of which are appointed by the president, the remainder are chosen by the elected members of the state and territorial assemblies; members serve six-year terms) and the People's Assembly or Lok Sabha (545 seats; 543 elected by popular vote, 2 appointed by the president; members serve five-year terms)
JUDICIARY
  Supreme Court (judges are appointed by the president and remain in office until they reach the age of 65)
SPECIAL FACTORS
 
  • India is marked by a vast (one billion) and ethnically heterogeneous population, with 13 officially recognised regional languages and many hundreds of ethnic and linguistic groups in the country.
  • Liberalisation of economic policies in the recent past has led to a significant influx of external investment (from the West as well as the East), which in turn has stimulated further developments in the industrial and infrastructural sectors of the country.
  • Due to the lack of balanced economic development throughout the country, large internal population migrations - especially of young men in search of income - are commonplace.
  • Extensive cross-border trade with neighbouring countries (especially Nepal, Bangladesh, Myanmar, Sri Lanka and Pakistan) for commercial and other purposes is present. Reportedly there are some well established sex work traffic routes between Nepal and India and Bangladesh and India. Refugee populations from Tibet, Sri Lanka and Afghanistan can be found concentrated in certain areas of the country.
  • Social Sector Development (especially Health, Education and Social Welfare) fall under the jurisdiction of the respective States and Union Territories. As a consequence, the onus of taking action falls on state governments, rather than Central Government.
  • Issues of human sexuality are extremely sensitive, and attempts to broaden the discourse on human sexuality matters are considered by some as attempts to debase the local cultures and traditions.
 
Indicators
 
Population ( millions)
Population growth (1991-2001)
Annual Population Growth (percent)
Population Density (per sq.km)
Sex Ratio (females per 1,000 males)
Crude Birth Rate (per 1000 population)
Crude Death Rate
Total Fertility Rate
Infant Mortality (per 1000)
Maternal Mortality Rate (per 100,000)
Human Development Index Ranking
Literacy (Total)
                      - Males
                      - Females
Increase in literacy
People below poverty line (%)
Urban Population (%)
Growth of Urban population (annual)
Life expectancy
Per capita GNP (US $)
Population with access to proper sanitation (%)
Population with access to improved water sources (%)
Health Expenditure-Public (% of GDP)
Health Expenditure - Private (% of GDP)
Physicians per 1000 population
Population with Access to Essential Drugs (%)
1028.60 2001Census of India, 2001
 21.34 2001Census of India, 2001
 1.93 2000Census of India, 2001
 324 2001Census of India, 2001 
 933 2001Census of India, 2001
 26.4 2000Planning Commission of India
 9 2000Planning Commission of India
 3.1 2000-2005UNDP HDR 2005
632004State of the World Report-2003
4072001Census of India, 2001
 127 2005UNDP HDR 2005
 65.38 2001Census of India, 2001
 75.85 2001Census of India, 2001 
 54.16 2001Census of India, 2001
 13.75 2001Census of India, 2001
 28.61990-2002 UNDP HDR 2005
 28.3 2003UNDP HDR 2005
 2.21990-1998 World Bank
 63.3 2003UNDP HDR 2005
 440 1999UNPOP
 30 2002UNDP HDR 2005
 86 2002UNDP HDR 2005
 1.3 2002UNDP HDR 2005
 4.8 2002UNDP HDR 2005
 51 1990-2004UNDP HDR 2005
 0-49 1999UNDP HDR 2003
 
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Socio-Economic Background
 
With more than a billion people, one of the fastest economic growth rates in the world since the 1980s and a robust Information Technology industry that is projected to earn about US $ 50 billion by 2008, India is a country of striking contrasts.
 
With more than a quarter of the population living below poverty line, making the numbers in absolute terms (2002) living below the poverty line, the country has the highest concentration of poverty anywhere in the world. The country accounts for 40 per cent of the world's poor and its social indicators are still poor my most measures of human development. At 6.0 per cent of GDP (March, 2004), its fiscal deficit is one of the highest in the world.
 
  • More than half of all children under the age of four are malnourished and 30 percent of newborns are significantly underweight.
  • India adds 16 million people every year to its population, just two million less than the entire population of Australia
  • 60 per cent of the women are anaemic.
  • Maternal deaths at 540/1000 account for almost 25 percent of the world's childbirth-related deaths.
  • Almost half of Indian women are illiterate though it has the second largest education system in the world after China.
  • India has the largest remaining pool of polio transmission in the world.
 
But the poor indicators do not articulate India's achievements.
 
The general condition of India's population has improved since the 1970s. Average life expectancy at birth has increased from 50 years to 63.9, the infant mortality rate has fallen by half to about 67 per 1,000 live births, and the crude birth rate has fallen to about 25 per thousand population.
 
India's national family welfare program has helped move the country about two-thirds of the way toward its goal of replacement- level fertility. However, population growth and the impending strain on the environment, natural resources, and social services still pose a threat to India's development.
 
Despite some improvement, India's women remain significantly more malnourished than men. Bias against women and girls is reflected in the demographic ratio of 933 females for every 1,000 males. The country's maternal mortality rate at 540 is very high, particularly in rural areas it is even higher.
 
Although declining, largely preventable diseases such as leprosy, tuberculosis, cataract blindness, and malaria continue to account for 50 percent of reported illness, and around 470 deaths per 100,000. Despite a decade of polio initiatives under India's immunisation program, India accounted for more than two-thirds of polio cases reported worldwide in 1998.
 
India made modest increases in primary education enrolment rates in the 1990s.
 
The rise in literacy rates over the last decade indicates India's progress in education. In the last decade, the overall literacy rate increased from 52 percent to 65.38 percent. Yet almost half of Indian women are still illiterate; about 40 million primary school-age children are not in school (mostly girls and those from the poorest and socially-excluded households); and only about one-third of an age group completes the constitutionally prescribed eight years of education.
 
Back to Top
 
 
HIV Situation
 
An estimated 2.5 million Indians are currently living with HIV. Concentrated in seven states with over 1% antenatal prevalence in four of the industrialized western and southern states of India (specifically Andhra Pradesh, Karnataka, Maharashtra and Tamil Nadu) and in the north-eastern states of Manipur and Nagaland, the epidemic is highly heterogenous. Although data gathered by NACO in 2007 has revealed that HIV prevalence has stabilised in at least Tamil Nadu, Andhra Pradesh, Karnataka, and Maharashtra, it is increasing in at-risk populations in other states. As a result, overall HIV prevalence has continued to rise.
 
A significant proportion of new infections is occurring in women who are married and who have been infected by husbands who either currently or in the past) frequented sex workers. Commercial sex (along with injecting drug use, in the cases of Nagaland and Tamil Nadu) serves as a major driver of the epidemic in most parts of India. Surveys in 2003 found 14% of commercial sex workers in Karnataka and 19% in Andhra Pradesh were infected with HIV. In Mysore, 26% of sex workers were HIV positive, according to a 2005 survey.
 
COMMERCIAL SEX & CONDOM USE
 
Surveys carried out in various parts of India in 2001 found that 30% of street-based sex workers did not know that condoms prevented HIV infection, and in some states, such as Haryana, fewer than half of all sex workers (brothel- and street-based) knew that condoms prevented HIV. Even four years later there seemed to have been no improvement in the situation. Surveys in 2005 again revealed that 42% thought they could tell whether a client had HIV on the basis of his physical appearance. At the same time, another study in Mysore revealed that only 14% of sex workers used condoms consistently with clients and that 91% of them never used condoms during sex with their regular partners.
 
There are some exceptions, of course. Among them are the sex workers of Kolkata’s Sonagachi red-light area (in West Bengal) who have shown that safer sex programmes that empower sex workers can curb the spread of HIV. Condom use in Sonagachi has risen as high as 85% and HIV prevalence among commercial sex workers declined to under 4% in 2004 (having exceeded 11% in 2001). In Mumbai, by contrast, available data suggest that sporadic and piecemeal efforts to promote condom use during commercial sex have not been as effective; there, HIV prevalence among female sex workers has not fallen below 52% since 2000 (NACO, 2004).
 
INJECTING DRUG USE
 
In the north-east of India, HIV transmission is concentrated chiefly among drug injectors and their sexual partners (some of whom also buy or sell sex), especially in the states of Manipur, Mizoram and Nagaland, all of which lie adjacent to the drug-trafficking ‘Golden Triangle’ zone (Solomon et al., 2004). Some 20% of female sex workers said they injected drugs, according to behavioural surveillance. In other north-eastern states, about half as many sex workers have reported injecting drugs.
 
Harm reduction efforts (including needle and syringe exchange, as well as limited drug substitution programmes) were introduced in some states, such as Manipur. There, in 2003 the HIV prevalence among drug injectors was 24%—the lowest levels detected among injecting drug users in that state since 1998. Elsewhere the epidemics among drug injectors appear to be well established, with HIV prevalence having reached 14% in Nagaland in 2000–2003, for example.
 
But not only in the North-east, there has been a sharp rise in HIV infections among drug injectors in the southern state of Tamil Nadu, where 39% were HIV-infected in 2003, compared with 25% in 2001. In Chennai, Tamil Nadu, almost two thirds (64%) of injectors were HIV-positive, according to sentinel surveillance done in 2003.
 
OTHER FACTORS
 
Relatively little is known about the role of sex between men in India’s HIV epidemic. The few studies that have examined this complex dimension of sexuality in India have found that significant numbers of men do have sex with other men. One study, undertaken among residents slum areas in Chennai, has found that 6% of men had had sexual intercourse with another man. Almost 7% of the men who had sex with other men were HIV-positive, and more than half them were married.
 
Poverty combined with low status does not allow a vast majority of women to negotiate safe sex, and thus makes them vulnerable to the disease. Like in many other developing countries, migration and mobility not only makes people vulnerable to HIV but is also a contributing factor to the spread of the disease.
 
GOVERNMENT RESPONSE
 
Beginning with the establishment of a National AIDS Control Program (NACP), managed by a small unit within the Ministry of Health and Family Welfare, the government has over time scaled up its response considerably.
 
The Government has already implemented various programmes and amended rules regarding blood safety and established a decentralized mechanism to facilitate effective state-level responses to HIV prevention programmes, through NACP I and II. It is currently preparing for NACP III.
 
The design of NACP 3 includes a complex consultative process. State specific and nationwide consultations are being held with national stakeholders such as PLWHA networks, local and international NGOs, experts and practitioners of HIV control initiatives, as well as international development partners.
 
NACP I, II and III
 
The NACP 1 which lasted from 1992-1999 met several challenges – from limited capacity to denial and low commitment -- headlong and registered some success. The achievements included capacity building in manegerial and technical aspects of the programme in all states and union territories, setting up of training centres for personnel in management of HIV and strengthening some 500 STD clinics. Importantly, blood transfusion without license was made illegal and by the end of the project term in 1999, there were no unlicensed blood banks. Also, 154 zonal blood testing centres were set up and 815 public sector and voluntary blood banks strengthened. Surveillance capacity was developed in 140 centres and 180 sentinel sites nationwide.
 
The NACP II which finished its run in March 2006, sought to shift focus from raising awareness to changing behaviour through interventions. The Project aimed at evidence-based planning, prevention and an expanded mandate for care and support for people living with HIV/AIDS.
 
Priority was given to setting up annual sentinel surveillance, HIV case detection, mapping of high-risk groups and behavioural survelliance. Building on the experience of the first phase, there was a twin drive to focus on coverage amongst high risk groups like sex workers, truck drivers and injecting drug users and to make the programme multi-sectoral. It resulted in a strongly decentralized programme with the responsibility of implementation vested with the states. Flexible State AIDS Societies were formed with stronger mechanisms for state level programme management. The outcomes envisaged in the NACP II were to keep HIV seroprevalence below 5% of the adult population in high prevalence states, below 3% in the moderate prevalence states and below 1% in the low prevalence states.
 
The NACP III (2007-2012), launched recently, has been designed after series of consultation at the national, state and district levels drawing from the experiences NACP I & II. With the overall goal to halt and reverse the epidemic in India over the next five years by integrating programmes for prevention, care, support and treatment, the NACP III will use a four pronged strategy of:
  • Preventing new infections in high risk groups and general population
  • Providing greater care, support and treatment to PLHAs
  • Strengthening the infrastructure systems and human resources in prevention, care, support and treatment programmes at the district, state and national level
  • Strengthening the nationwide Strategic Information Management System
The specific objectives of NACP-III are to reduce the estimated new infections:
  • By 60 percent in the first year of the programme in high-prevelance states, so as to obtain reversal of the epidemic
  • By 40 percent in the vulnerable states so as to stabilize the HIV epidemic.
The total proposed financial requirement of Rs 11,585 crore including budgeting and extra budgetary support.
 
ANTI-RETROVIRAL TREATMENT
 
As Indian-manufactured generic drugs entered the market and costs of anti-retroviral treatment registered a sharp decline, conditions were feasible, to some extent, for the government to provide free anti-retroviral treatment. From April 1, 2004, anti-retroviral treatment is being provided free of cost at government hospitals in six high prevalence states of Tamil Nadu, Andhra Pradesh, Maharashtra, Karnakata, Manipur, Nagaland and Delhi.
 
Additionlly, the government priorised three categories for intial outreach: 1) the HIV positive women who access government antinatal clinics, 2) children up to 15 years of age and 3) adults with full blown AIDS who access government hospitals for care and treatment. Between 2004-05, the government sought to increase the number of ART centres from 8 to 25.
 
RESEARCH, VACCINE TRIALS
 
Almost 60 microbicidial products or compounds are under development world-wide and some of these have entered into phase II clinical trials. In India, research and development is being undertaken on polyherbal neem based microbicide tablets. Phase I trial of this microbicide was conducted by National Institute of Research on Reproductive Health, Mumbai and PGI, Chandigarh. The product has been found safe. Extended and initial efficacy trials are being conducted by National AIDS Research Institute, Pune.
 
Condom use, mutual monogamy and abstinence are not any real options for a lot of women, specially in a developing country where poverty and gender inequality is high. For those who lack the power of negotiating sex safe, microbicides are a potentially lifesaving alternative to condoms.
 
As regards vaccines, several of these have been reviewed to select the most appropriate one for India. A multistakeholder Advisory Board is in place to deliberate the legal, ethical and socio-behavioural issues related to vaccine trials in the country. In July 2005, India and America agreed to speed up the review of generic antiretroviral drugs by the U.S. Food and Drug Administration. (eight of the 10 drugs approved so far are made in India.)
 
CORPORATE SUPPORT AND HIV/AIDS
 
By corporate sector’s own admission, their proactive engagement into HIV/AIDS in India has till recently remained piecemeal. From late 2005, however, there has been a flurry of activity with business houses coming together to chalk out a roadmap in establishing corporate HIV/AIDS programs targeted at the workforce and/or community of private sector companies.
 
A mid-2005 Global Health Initiative study of the World Economic Forum had revealed that just 7% of Indian companies expected HIV/AIDS to have any serious impact on their operations. The report “Business & HIV/AIDS : A Healthier Partnership?” surveyed 11,000 business leaders in 117 countries between January and May 2005. Of the Indian corporate bodies surveyed, only 11% had any written policy to combat discrimination in promotion, pay or benefits based on HIV status. About 31% reported having an informal policy, while 52% had no policy to face the expected challenge.
 
The report observes that 76% of Indian companies surveyed claim to have a prevention programme, while only 29% have provision for any voluntary testing against the global average of 33%. In 50% of cases there was no provision for voluntary testing, 45% had no facilities to distribute condoms, and 67% had no treatment programme.
 
On the positive side, 14% had an active policy to protect workers, with 10% ensuring access to anti-retroviral treatment, 19% to promotion of condom usage, and 29% to providing voluntary testing facilities.*
 
In September 2005 CoRE-BCSD India - a 52 company strong platform for Indian corporates to accomplish their mission for sustainable development - initiated action to strengthen Indian industry’s response to the HIV epidemic. The process is expected to generate a dialogue in the company on a disease that concerns everyone. Three possible areas where business houses could initiate, support/ scale up awareness and prevent the spread of the epidemic were identified:
 
  • their workplace – by raising awareness about HIV/AIDS and promoting prevention among employees in the workplace, and by extending such education programs throughout their operations and to partners in their supply chain;
  • their clinical facilities – by training medical and clinical staff on HIV/AIDS and sexually transmitted infections (STIs), i.e. modes of transmission, prevention (with a special focus on universal precautions related to HIV infection in clinical settings), basic counseling skills, syndromic management of STIs, opportunistic infections related to HIV and anti-retroviral treatment therapies;
  • their communities – by supporting or scaling-up the awareness and prevention efforts within high risk or vulnerable populations around their operations, particularly the migrant workers and trucking community which some companies see as key stakeholders, or with whom they interact on a day-to-day basis.
 
Intervention also includes forming an action plan that will be reviewed on a regular basis and drafting a HIV/AIDS policy that will be promoted at all levels at the workplace.
 
In March 2006, Global Business Coalition on HIV/AIDS (GBC) and the Confederation of Indian Industry (CII) jointly initiated a project engaging corporations involved in Business Process Outsourcing. GBC’s work with India’s growing BPO industry is supported by Prime Minister Manmohan Singh and GBC Corporate Advisory Board member Ratan N. Tata.
 
Non-Governmental Organizations (NGOs)
 
There are numerous NGOs working on HIV/AIDS issues in India at the local, state, and national levels. Projects include targeted interventions with high risk groups; direct care of people living with HIV/AIDS; general awareness campaigns; and care for children orphaned by AIDS. Funding comes from local contributors, international donors as well as state and central governments.
 
Donors
 
India receives technical assistance and funding from a variety of UN partners and bilateral donors. Bilateral donors such as USAID, CIDA, and DFID have been involved since the early 1990s at the state level in a number of states. USAID has committed more than US$70 million since 1992, CIDA US$11 million, and DFID close to US$200 million.
 
The number of major financers and the amount of funding available has increased significantly in the last year. Since 2004, the Gates Foundation has pledged US$200 million for the next five years, the Global Fund has approved US$54 million for HIV/AIDS for projects in rounds two, three and four. DFID has also increased its financing and is considering the inclusion of additional states. Other more recent donors include DANIDA, SIDA, the Clinton Foundation and the European Union.
 
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HIV/AIDS Estimates
 
HIV in India - A fast spreading epidemic
 
  • 1986: First case of HIV detected in Chennai
  • 1990: HIV levels among High Risk Groups like Sex workers and STD clinic attendants in Maharashtra and amongst Injecting Drug Users in Manipur reaches over 5 percent.
  • 1994: HIV no longer restricted to high risk groups in Maharashtra, but spreading into the general population. HIV also spreading to the states of Gujarat and Tamil Nadu where high risk groups have over 5 percent HIV prevalence.
  • 1998: Rapid HIV spread in the four large southern states, not only in highrisk groups but also in the general population where it has reached over 1percent. Infection rate among antenatal women reaches 3.3 in Namakkal in Tamil Nadu and 5.3 in Churachandpur in Manipur. Among IDUs in Churachandpur it crosses 76 percent and in Mumbai, 64.4 per cent.
  • 1999: The infection rate in antenatal women in Namakkal rises to 6.5. About 60 per cent of the sex workers in some Mumbai sites are infected. Infection rates among STD patients have reached up to 30 percent in Andhra Pradesh and 14-60 per cent in Maharashtra. About 64.4 percent IDUs at one of the sites in Mumbai and 68.4 percent in Chruachandpur are infected.
  • 2001: Infection crosses one per cent in six states. These states account for 75 per cent of the country's estimated HIV cases. The Prime Minister addresses the Chief Ministers of high prevalence states and urges them to intensify prevention activities.
  • 2002: In year 2003 there has been an increase of about 6 lakh infections (4.58 million). This increase has been noticed primarily in states of Karnataka, Rajasthan, West Bengal, Tamil Nadu, Gujarat, Bihar, Madhya Pradesh and Rajasthan. There is no significant increase in HIV infections in the country. India continues to be in the category of low prevalence countries with overall prevalence of less than 1 percent.
 
 
Estimated Number of People Living With HIV/AIDS : 5.1 million (2003)
 
Previous Years
Year 1998 1999 2000 2001 2002
No. of cases 3.5 million 3.7 million 3.86 million 3.97 million 4.58 million
 
Estimated Number of New Infections in 2001 : 0.16 Million
 
Previous Years
Year 1999 2000      
No. of cases 0.2 million 0.16 million      
 
Source : National Aids Control Organisation (NACO)
 
 
Figures
ValueYearSource
2,50,0002007NACO/ UNAIDS
0.36%2007NACO/ UNAIDS
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 Estimated Number of HIV cases (Adults and children)
 Adults (15-49 years)
 Women (15-49)
 Children
 Esimated number of deaths due to AIDS
 Estimated Number of AIDS orphans
 
An Overview of the Spread and Prevalence of HIV/AIDS in India
 
HIV Estimates (2003)
 
Annual Report 2002-2004
 
 
Back to Top
 
 
National HIV Policy India
 
UN Support
 
  • Ministry of Human Resource Development (Dept. of Youth & Sports) involved in implementation of "Universities Talk AIDS" Programme of the National Service Scheme covering 158 universities, 5000 colleges and 2000 senior secondary schools.
  • National Council of Education Research & Training (NCERT) involved in development of school curriculum package for integration of HIV/AIDS into school education (extra-curricular activities).
  • A national consultation on the integration of HIV/AIDS into school education has been organised under the auspices of UNAIDS by UNESCO, UNFPA, and UNICEF with financial support from NACO and the active involvement of the Department of Education and five key states where these activities have been implemented. Follow-up is expected between NACO and the Department of Education with support from the UN System.
  • Nehru Yuvak Kendra (NYK) involved in the implementation of non-formal educational approaches and rural outreach programmes on HIV/AIDS through its national volunteer network in communities in the country.
  • The Ministry of Information & Broadcasting has been of assistance through its Directorate of Audiovisual Publicity (DAVP), the Song & Drama Division, All India Radio and Doordarshan (national television service) in providing time and forums for the dissemination of public service programming and messages on HIV/AIDS prevention and care.
  • Ministry of Railways undertook in 1994 a study of risk behaviors amongst its employees with assistance from UNDP. Survey results encouraged Ministry of Railways to design and approach NACO with INR 220 million proposal for response to HIV/AIDS in Railways sector; proposal currently under discussion with NACO.
  • Ministry of Defence (Health Services) conducts IEC programmes and HIV screening within defence populations with assistance from NACO.
 
World Bank Support
 
The Bank has provided two IDA credits to support India's National AIDS Control Program in collaboration with the World Health Organization, other donors and UNAIDS. Through its general health projects and dialogue with other South Asian countries, the Bank is focusing on HIV/AIDS as a major public health and development issue. In India, the Bank is supporting the country's ongoing program to reduce the growth of HIV infection and strengthen capacity to respond to the epidemic through information awareness efforts, focused interventions promoting behaviour change, voluntary testing and counselling, and reducing transmission by blood transfusions and occupational exposure.
 
Support by Industry
 
Industrial federations (West Bengal Chamber of Commerce & Industry, Confederation of Indian Industry, Federation of Indian Chambers of Commerce & Industry) becoming involved in stimulating discussions on needs for industrial sectors response to HIV/AIDS. "AIDS & the Workplace" advocacy & IEC package developed by Confederation of Indian Industry (CII) with assistance from WHO/UNAIDS/USAID for promotion of industry action on HIV/AIDS prevention and workplace policies. The Trucking Corporation of India (TCI) is actively participating in a national network of NGO service providers being coordinated with support from ODA for the assurance of HIV/STD interventions for truck drivers.
 
Legislation and policies
 
  • Goa Public Health Act Amendment of 1985 (Section 53.I.vii) allowed the public health authorities and police discretion to isolate people with HIV/AIDS; repealed in 1996.
  • Railway Board Administrative Notification of 1989 designating HIV/AIDS as "infectious disease" which can allow denial of passage; rescinded in 1996.
  • Draft legislation in 1989 Session of National Parliament, which was evaluated as extremely prejudicial to rights of PLWH/As withdrawn after intervention of WHO and national authorities.
  • 1992 Administrative Notification from Minister of Health & Family Welfare (GOI) to all State Governments directing them to ensure non-discriminatory access to treatment and care for PLWH/As in all Central and State Government health care institutions.
  • The Government has, by Administrative Order, required the screening for HIV of all units of blood to be used for transfusion purposes.
  • May 1997 Mumbai High Court Judgment held that employers cannot base employment decisions on HIV status of employee.
 
WHO - Global Atlas Of Infectious Diseases: Dynamic Country wise Epidemiological Fact Sheets on HIV/AIDS and Sexually Transmitted Infections
 
 
Web Resources
 
Government of India
www.goidirectory.nic.in/
 
National AIDS Control Organisation
www.nacoonline.org/
 
UN Agencies
 
UNDP
UNDP is the UN's global development network, advocating for change and connecting countries to knowledge, experience and resources to help people build a better life.
http://www.undp.org.in/
 
UNAIDS
UNAIDS, the Joint United Nations Programme on HIV/AIDS, brings together the efforts and resources of ten UN system organisations to the global AIDS response.
www.unaids.org.in
 
World Health Organisation
The World Health Organization is the United Nations specialized agency for health. WHO's objective, as set out in its Constitution, is the attainment by all peoples of the highest possible level of health.
www.who.int/countries/ind/en/
 
World Bank
The World Bank is a vital source of financial and technical assistance to developing countries around the world. We are made up of two unique development institutions owned by 184 member countries—the International Bank for Reconstruction and Development (IBRD) and the International Development Association (IDA).
www.worldbank.org/in
 
National and International Organisations
 
Bill & Melinda Gates Foundation
Through our Global Health program, the foundation works to close the gap between rich and poor countries by encouraging new research and supporting healthcare organizations that reach people most in need.
http://www.gatesfoundation.org/default
 
USAID
USAID provides economic and humanitarian assistance in more than 100 countries to provide a better future for all.
http://www.usaid.gov/pop_health/aids/
 
Canadian International Development Agency (CIDA)
CIDA’s mandate is to support sustainable development in developing countries in order to reduce poverty and contribute to a more secure, equitable, and prosperous world. The Agency’s work is concentrated in the poorest countries in Africa, Asia, and Latin America.
http://www.acdi-cida.gc.ca/
 
UK Development (DFID)
The Department for International Development (DFID) is the part of the UK Government that manages Britain's aid to poor countries and works to get rid of extreme poverty.
http://www.dfid.gov.uk/countries/asia/india.asp
 
Population Council
Horizons is a team of US-based and international organizations working to prevent the spread of HIV/AIDS and mitigate its impact on individuals and communities.
http://www.popcouncil.org/horizons/
 
CDC Global AIDS Program in India
The Centers for Disease Control and Prevention (CDC) is one is the principal agency in the United States government for protecting the health and safety of all.
www.cdc.gov/nchstp/od/gap/countries/india.htm
 
Family Health International
Family Health International (FHI) is among the largest and most established non-profit organizations active in international public health with a mission to improve lives worldwide through research, education, and services in family health.
www.fhi.org/en/cntr/asia/india/indiaofc.html 
 
Solidarity and action against the HIV infection in India
SAATHII strengthens prevention and treatment services in India through information dissemination, networking, technical assistance and advocacy.
http://www.saathii.org/
 
The International HIV/AIDS Alliance
The mission of the International HIV/AIDS Alliance (the Alliance) is to reduce the spread of HIV and meet the challenges of AIDS. They are committed to prevent HIV infection; improve access to treatment, care and support; and lessen the impact of AIDS.
http://www.aidsalliance.org/sw7221.asp
 
Save the Children
HIV/AIDS, family conflicts, misuse of drugs and alcohol, lack of care and support, parents in jails are some reasons why children are without family support and/or on the street. The aim of our work is to promote social work as a support to families and children in difficult circumstances, but also to support quality counselling as well as lobbying the Vietnamese Government to enforce laws that protect children.
www.rb.se/eng/AboutUs/Ourworkinternationally/southeastasia/
 
International Centre for Research on Women
ICRW is a private, non-profit organization dedicated to improving the lives of women in poverty, advancing equality and human rights, and contributing to broader economic and social well-being.
http://www.icrw.org/html/projects/projects_hivaids.htm
 
Others
 
National Aids Research Institute
The National AIDS Research Institute (NARI) was established in 1992 with the mission to provide leadership in biomedical research on HIV/AIDS in India with an aim to compliment and strengthen the National AIDS Control Programmes.
www.icmr.nic.in/pinstitute/nari.htm
 
National Institute of Communicable Diseases
The National Institute of Communicable Diseases was established to develop a national centre for teaching and research in various disciplines of epidemiology and control of communicable diseases.
http://www.nicd.org/
 
MDG Report 2005
http://mospi.nic.in/login_correct1.htm?rept_id=ssd04_2005&type=CSO_SSD
 
State Human Development Report
http://www.undp.org.in/hdrc/shdr/
 
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UN Offices
 
 
 
UNDP ( United Nations Development Programme ) UNAIDS (Joint United Nations Programme on HIV/AIDS )
   
UN Resident Coordinator &
UNDP Resident Representative
55 Lodi Estate
New Delhi - 110003
India
Mail Address:UNDP India
P.O.Box No.3059
New Delhi 110 003, India
Phone: