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Untitled Document
ABOUT THE BOOK
The book is about the changing face of the
epidemic which has induced concurrent changes
in strategies of “National AIDS Control
Programme and Policies”. Over the years the
focus has shifted from awareness rising to
behaviour change, from a national response
to a decentralized response implemented by
Indian states and a growing recognition
of the importance of engaging Non Governmental Organisations, Community
Based Organisations (CBOs) and networks of
people living with HIV/AIDS.
Since 1986, the Government of India has been
responding to these challenges through
preventive awareness, targeted interventions,
care and support programmes under the
leadership of Ministry of Health. Its planned
initiatives so far include the Medium Term Plan
(1990-92), the first five-year strategic plan
(NACP – I, 1992-99), the second five-year
strategic plan (NACP – II, 1999-2006) and the
third five-year strategic plan (NACP –III, 2007-2012). The present publication is an edited
version.–“Governance of Public Health Response
to HIV/AIDS in India”. Strategically, this
describes the richness of multiple specialities of
Trans-disciplinary experiences in planning phase
of HIV/AIDS management under this third
phase in India.
This reference book will be useful in the form of
users as well as learners guide for public health
practitioners, health policy makers, social science
researchers, NGOs and Civil Society
Organisations actively engaged in HIV/AIDS
Planning, Strategy Development and Research
in India and in South Asia. This Book will be
benefited as academic text for students of
Preventive & Social Medicine Departments of
Medical Colleges and Ph.D. & Masters
Programmes in Public Health, MBA-Health
Care Administration in Indian Universities and
PG Diploma in Health Management & Health
Care Administration as offered by various
Management Schools and Indian Institutions.
ABOUT THE AUTHOR
Presently, Dr. Manoj Kar is a Professor of Public
Policy and Health Governance areas in the
Indian Institute of Education, Pune. He has been
serving in the areas of Health Policy & Strategy
Development, Health Education & Training of
Health Professionals, NGOs, Rural Poverty
Reduction, Malnutrition, Public Heal,
HIV/AIDS, Youth Reproductive Rights,
Gender in Health issues, Health Systems
Development and in Global Health for more
than 24th years.
Academically, Prof. Kar has received his M.Phil.
and Ph.D. degree in “Public Health –
Interdisciplinary” from the Centre for Social
Medicine and Community Health, School of
Social Science, Jawaharlal Nehru University,
New Delhi. He has been nominated by WHO
and recipient of East West Centre, Hawaii
Fellowship for 'Public Health Policy &
HIV/AIDS Modelling in the Asia & Pacific
countries', Indian Institute of Management
(IIM)-Bangalore for Executive Development
Programme and WHO-SEARO Recognition
for “Extraordinary Dedication during
Emergency and Rehabilitation in Gujarat
Earthquake” are worth mentioning.
He has been professionally associated with
WHO and UNAIDS in India, WHO-SEARO Bangkok (Thailand), WHO-SPC in New
Caledonia (Pacific), East West Centre, Hawaii
(USA), UNESCO-Bangkok, IIM-Bangalore,
Indian Institute of Health Management
Research-Jaipur, National AIDS Control
Programme (NACP)-National Planning Team,
NACO and National Health Systems Resource
Centre (NHSRC)- MoHFW, New Delhi,
Ministries of Health- the Solomon Islands &
Maldives, Aga Khan Health Services India
(AKHSI)-Mumbai, Aga Khan Development
Network- Istanbul , UNDP- Turkmenistan,
UNDP-Ukraine, ACTIONAID-Nepal and
CARE – India.
CONTENTS
Preface .................................................................................................... .. 11
Acknowledgments ...................................................................................... 19
Glossary of Terms ...................................................................................... 21
Acronyms ................................................................................................... 33
Introduction ............................................................................................... 39
1. National Strategic Planning & Objectives ............................................ 53
2. National Situation-Epidemiological Assessments and Projections ..................................................................................... 63
3. Programme Strategies – Prevention ..................................................... 75
4. Programme Strategies – Targeted Interventions among Bridge Populations ............................................................................... 93
5. Programme Strategies – Targeted Interventions among General Population ............................................................................ 101
6. Programme Strategies – Communication and Social Mobilisation ..... 123
7. Programme Strategies – Prevention ................................................... 147
8. Programme Strategies – Care and Support ......................................... 177
9. Programme Strategies – Treatment .................................................... 189
10. Programme Strategies – Assuring Quality of Care ............................. 199
11. Programme Strategies – Public-Private Partnership ........................... 203
12. Programme Strategies – Human Resource Development ................... 209
13. Programme Strategies – Enabling Environment ................................. 221
14. Programme Strategies – Management of Institutional Systems .......... 227
15. Programme Strategies–Monitoring and Evaluation, Surveillance and Research Outcomes ................................................ 239
16. Programme Strategies – Procurement Systems .................................. 255
17. Programme Strategies – Financial Planning & Management ............. 261
18. Programme Strategies – Financial Projections and Requirement ....... 277
19. Programme Strategies – Outcome, Challenges and Risks .................. 305
20. Programme Strategies – Targets for NACP Implementation .............. 309
References .......................................................................................... 317
Annexures .......................................................................................... 323
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