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Accelerating the scale-up of HIV/AIDS treatment and care
The “3 by 5” initiative, launched by UNAIDS and WHO in
2003, was the global target to provide three million people living with
HIV/AIDS in low and middle income countries with life-prolonging
antiretroviral treatment (ART) by the end of 2005. It was a step towards the
goal of making universal access of HIV/AIDS prevention and treatment
accessible for all who need it as a human right.
On November 30th
2003, as part of the World AIDS Day commemoration, the Government of India
(GOI) announced a policy to provide free antiretroviral therapy (ART) with
implementation starting on 1st April 2004. The GOI plans to
provide free ART to 100,000 patients by 2007 and 300,000 by 2011 (NACP-3).
With technical support from
WHO, the GOI has scaled-up ART from 8 centers in six high-prevalence states
and NCR Delhi to 127 ART centers covering all states. Access to treatment and
care is an important component of a comprehensive programme
to combat HIV/AIDS, complementing prevention interventions and forming the
basis of the Continuum of Care for people living with HIV/AIDS (PLHA).
Concurrently, there is increased recognition and work in strengthening the
links with the civil society, private, voluntary and intersectoral
providers of care and treatment for the delivery of good quality prevention,
care and treatment services. These include the following:
 Development of technical guidelines for HIV/AIDS
in adults
Development of technical guidelines for Paediatric HIV/AIDS
Development of operational guidelines for ART
centers
Development of the training curriculum in
HIV/AIDS management for specialists and medical officers
Development of the comprehensive district
training package in the HIV continuum of care and support (based on the WHO
IMAI package)
Development of tools for ART adherence
Technical support for the development of the
Engender Health training package for treatment literacy for counselors and
peer educators
Assistance in procurement of ART and supply
management including tools for supply management
Development of assessment tools for the
preparedness of the health facilities to provide ART services
Development of the NACO ART programme recording and reporting tools
Assistance in identifying needs and gaps in
the national programme
Assistance to NACO and Clinton Foundation in
developing the training curriculum for private medical practitioners
Provision of technical assistance for scale-up
for the ART programme through a network of
technical consultants at central and state level (2004-2006)
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Guidelines and Tools
Training Curriculum
NACO
Training curriculum for specialists in HIV management
NACO
Training curriculum for medical officer in HIV Management
Engender
Health Training Modules for treatment literacy for counselors and peer
educators
Integrated Management of
Adult and Adolescent Illness (India)
IMNCI-HIV
training package (forthcoming)
 Integrated Management of
Adult Illness – WHO Global Toolkit
Pediatric ART adherence Toolkit 2007New
 ART Calendar
Snakes & ladders
Interactive games
Wong-Baker Face Scale &
Visual Analog Scale
Story of Bam Bam Virus
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