The first phase on National AIDS Control Programme (NACP I) was launched in 1992 with objectives to slow down the spread of HIV virus in the country and to reduce impact of HIV/AIDS in the country. State AIDS cells were established in the country including Delhi. A National AIDS Control Board and National AIDS Control Organization (NACO) were set up.Delhi State AIDS Control Society was established on 1st November, 1998.
The second phase on National AIDS Control Programme (NACP II) was launched in 1999 with shifting of focus from awareness to change in behavior, greater involvement of NGOs, counseling & testing services for general population as well as antenatal women and provision of care, support and antiretroviral treatment. A National AIDS Council, chaired by Honí Prime Minister, was set up.
With the lessons learnt from NACP II, the third phase on National AIDS Control Programme (NACP III) was launched on 6th July, 2007.
Delhi has been implementing AIDS Control programme since 1992. The Delhi State AIDS Control Society is an autonomous body of Delhi Govt. which became functional from Ist November, 1998. To stop and reverse the epidemic in Delhi over the next 5 years, the third phase of National AIDS Control Programme, a four-pronged strategy, was launched from 6th July, 2007. The key components of NACP III include:
Targeted Intervention ( for HRGs & Bridge population- truckers, migrant workers): through a net work of NGOs
Integrated Counseling & Testing Centers (for general population & antenatal women): through VCTC/PPTCTC/ICTCs
Provision of supply of safe & adequate quantity of blood: through blood banks, blood storage centers, promotion of voluntary blood donations.
Prevention of sexually transmitted infections in risky Behavior population: through STI Clinics, condom promotion
IEC: Mass media, Mid-media, Interpersonal communication, Mainstreaming Govt. departments and Public sector, IEC material development.
Care Support & Treatment of PLHAs: through Anti Retroviral Treatment (ART) centers, Community Care Centers & Drop in centers
Strengthening of Infrastructure & Capacity building, Centre for excellence in Pediatric ART at Kalawati Children Hospital, Model Blood bank at one Delhi Govt Blood Bank, Regional STD Lab at S.J. Hospital, Quality Assurance through two National & 4 State Reference Laboratories in Delhi.
Strategic Management Information: Computerization of all service outlets, nationwide common reporting format
Programme Implementation: Delhi State AIDS Control programme is being implemented through following service outlets:
Integrated Counseling & Testing Centers: It acts as a key entry point to prevention of HIV infection & to treatment & care of people who are infected with HIV.
STI Clinics: The prevention, control & management of RTI/STI are an important strategy for controlling the spread of HIV. It is important that all clients attending STI/RTI clinics, including Obst. & Gynae OPDs, & those referred through T.I. NGOs (working with High Risk Population), should be referred to ICTCs for counseling & testing.
Community Care Centers - Under the national programme CCC is a place which facilitates out -patient & inpatient treatment. All patients started on ART are required to be admitted in a CCC for a minimum of 5 days inpatient care. These centers make referral to ICTC for confirmation of HIV status, PPTCTC for care of HIV positive pregnant women, pediatric HIV services, ART centers for CD4 or other tests and DOTS for treatment of TB, the commonest OI.
Drop in Centers: DICs are meant to promote positive living and build capacity & skills among People Living with HIV/AIDS (PLHAs to cope with infections. They are run by network of PLHAs as CBOs and help creating an enabling environment & establish linkages with existing health services, NGOs & CBOs and to protect & promote the rights of the infected individuals.
ART Centers: The main objective of Anti Retroviral Therapy is to provide comprehensive services to eligible persons with HIV/AIDS.ART centre identifies eligible persons with HIV/AIDS requiring ART through laboratory services (HIV testing, CD4 Count & other required investigations to rule out/detect any underlying OI).
Blood banks: DSACS is supporting 19 blood banks of Delhi to ensure uninterrupted supply of safe blood to the state. Efforts are being made to enhance collections through voluntary blood donations.