India - Allocative efficiency analysis of the HIV program in the states of Karnataka and Punjab (2015-2030) (Anglais)

The HIV epidemic response in India is in its third decade. The country is considered to have a concentrated epidemic with various high risk group populations driving the epidemic. The adult HIV prevalence at national level has continued its steady decline... Voir la suite The HIV epidemic response in India is in its third decade. The country is considered to have a concentrated epidemic with various high risk group populations driving the epidemic. The adult HIV prevalence at national level has continued its steady decline from an estimated level of 0.41 percent in 2001 to 0.27 percent in 2011. However there are state level variations in both the level and trend of epidemic. In recent surveillance report records, the highest prevalence was in Nagaland (0.88 percent), followed by Mizoram (0.68 percent), Manipur (0.64 percent), Andhra Pradesh (0.59 percent) and Karnataka (0.53 percent). Also, states like Chhattisgarh (0.51 percent), Gujarat (0.50 percent), Maharashtra (0.40 percent), Delhi (0.40 percent) and Punjab (0.37 percent) recorded HIV prevalence of more than the national average. India implemented the third phase of the National AIDS Control Program Plan during 2007-2012 with the goal of ‘halting and reversing the epidemic’ by scaling up prevention efforts among High Risk Groups (HRG) and General Population and integrating them with Care, Support and Treatment services. Thus, prevention and Care, Support and Treatment (CST) formed the two key pillars of all AIDS control efforts in India. Strategic Information Management and Institutional Strengthening activities provided the required technical, managerial and administrative support for implementing the core activities under NACP-III at national, state and district levels. NACP III focused on a decentralized response and an increasing engagement of NGOs and networks of people living with HIV/AIDS. India is currently implementing fourth phase of National AIDS Control Program Phase IV (2012-17). Consolidating the gains made till now, the fourth phase of National AIDS Control Program (NACP-IV) aims to ‘accelerate the process of epidemic reversal’ and further strengthen the epidemic response in India.  Réduire