Thursday, October 28, 2010

CURRENT STATUS OF HIV AIDS IN INDIA

CURRENT STATUS OF HIV AIDS IN INDIAThe primary drivers of HIV epidemic in India are unprotected paid sex/commercial female sex worker, unprotected anal sex between men who have sex with men, and injecting drug user. The nature of the epidemic in India is one that is concentrated with overall HIV prevalence among different population groups.

Many people with HIV do not know they are infected as many people do not develop symptoms after they first get infected with HIV while others have a flu-like illness within several days to weeks after exposure to the virus.4 Infection with the human immunodeficiency virus (HIV) ranges from asymptomatic sero-conversion to a severe symptomatic illness which can result in hospitalization.5 World AIDS Day campaign (December 1st) is aimed to raise awareness about AIDS.

OUR FINDINGS & SUGGESTION:
All STD patients must go through HIV test as our results show that most of the patients have found out about their disease after their illness. Some time society’s attitude is not as fair as it should be. We suggest that media can play a vital role to provide the general awareness to the public. it happens due to the lack of knowledge about this disease. Society can offer the best moral support to patient and their families if they are properly educated and aware with this disease.

People with positive network can help a lot for this cause, as we all know that international level bodies like UNIADS, UNESCO are actively involved in promoting the cause of HIV/AIDS affected persons while at national level/state level bodies like NACO,  State AIDS Control Societies are actively involved in promoting the cause of HIV/AIDS affected persons. As our finding says that Discrimination plays important role for spreading this disease Negative attitude from health care staff have generated anxiety and fear among many people living with HIV and AIDS. As a result, many keep their status secret.

SYMPTOMS ARE: Decrease in WeightContinuously Feverish for Long TimeDysenterySwelling in GlandsPainful abscessesHIV and AIDS affected in India

People living with HIV in India come from incredibly diverse cultures and backgrounds. The vast majorities of infections occur through heterosexual sex (80%), and is concentrated among high risk groups including sex workers, men who have sex with men, and injecting drug users as well as truck drivers and migrant workers We can categorize the groups which are more vulnerable to this disease are: Truck drivers, prostitutes,Armed force personnel andthe person living far from home Reason for spreading of this disease as under:By unsafe sexual contactBy infected needle/ syringeBy transmission of infected bloodBy infected motherBy Homosexual Contract  We suggest the loyalty, abstinence and sex education, as the preferred choice of protection, young people are also provided with information about contraception and disease prevention so that they can protect themselves when they do become sexually active.

There is need to educate our health care workers about common sign and symptoms of HIV infected patients and common risk factors for the early detection and proper management of HIV infected patients. More over there is need to create awareness by Media among general population about its risk factors so that rapid spread of this deadly disease is prevented.

According to a National Aids Control Organization (NACO) report published in October this year, there are 25,300 people registered at the six ART centers and 15 other link ART centers in the state. Of these, 6,073 are being treated for HIV-Aids.

This includes 5,689 adults and 384 children. Sriganganagar district is the worst hit, in terms of HIV prevalence. Ajmer, Alwar, Jaipur, Tonk, Udaipur and Banswara next in line. As per the official survey, the number of HIV patients is increasing fast in Chittorgarh.

Meanwhile, gay sex is becoming the second major cause of HIV-Aids in Rajasthan with female sex workers spreading the deadly virus.

This fact was revealed in a recent survey carried out by NACO. Now, RSACS is revalidating the data with the help of non-governmental organizations (NGOs)."The NACO report showed the increasing trend but now we are revalidating the data.  The final report is expected to come by end of December. Our teams have also found that the trend is increasing in few places like Jaisalmer and Ajmer", Dr RND Purohit, director of RSACS said.

Current Status of HIV Aids in RAJASTHAN State: According the general public in Rajasthan men are more responsible for spread of infection.More than 70% public opinion that family members of HIV positive person should provide him proper treatment & care.More than 50% public of Rajasthan is not satisfied with the care and treatment provided to HIV/AIDS patients by the Government Hospital staff.52% of HIV/AIDS infected persons in Rajasthan infected by sexual contact.Some unpleasant points come out during this survey that more than 45% peoples boycott HIV/AIDS infected persons from their locality.According to Health Care Staff in Rajasthan 15 to 30 year is more vulnerable to HIV infected…..

[*Please contact us for detailed report on Rajasthan and other states]    Graphical Presentation of Survey based on questionnaire: Who is more responsible for spread of infection?Do you think that discrimination meted out to HIV/AIDS patients is also responsible for spread of this Infectious disease?Should HIV positive persons be given a Job?Do you think that there should be separate, Law for dealing with HIV/AIDS Persons?Does refusal to consummate the marriage because the partner is HIV positive amounts to willful refusal of sex a cruelty? Do you think that HIV Positive Male /Female should be allowed to marry without undergoing HIV test?Do you think that HIV Positive spouse should be allowed to procreate child?Is refusal by restaurant /hotel to provide service to HIV positive persons is justified?Do you think that HIV/AIDS status should be a ground for seeking divorce?Do these problems differ from society to society and context to context? Are you satisfied with the availability and affordability of medicines and technical assistance in Government Hospitals?Are you satisfied with the care and treatment provided to HIV/AIDS Patients by the Government Hospital staff?Does insistence by the HIV positive partner to have sex constitute cruelty?Do you think that legal provision to the effect that if one of the partners insists on a test to check the HIV status of the other partner, such test should be carried out by the contracting party to the satisfaction of the person concerned? [*Please contact us for detailed report on Rajasthan and other states] Unlike developed countries, India lacks the scientific laboratories, research facilities, equipment, and medical personnel to deal with an AIDS epidemic [5]

The future of HIV and AIDS in India:

“The challenges India faces to overcome this epidemic are enormous. Yet India possesses in sample quantities all the resources needed to achieve universal access to HIV prevention and treatment… defeating AIDS will require a significant intensification of our efforts, in India, just as in the rest of the world” Peter Piot, former Executive Director of UNAIDS [5]

There are so many Organizations working actively to support HIV Aids Patients. We have gathered the list of those agencies working for this divine cause. If we are missing any name, please feel free to contact us to include your name.

National AIDS Control Organization (1992) India Alternative Names : NACO URL : http://www.nacoonline.org/Location : National AIDS Control Organization Ministry of Health & Family Welfare Government of India, 9th Floor Chandralok Building, 36, Janpath New Delhi - 110 001 IndiaEmail : asec-mdg@hub.nic.inSummary: The National AIDS Control Organization (NACO), part of the Ministry of Health & Family Welfare, is "the nodal organization for formulation of policy and implementation of programs for prevention and control of HIV/AIDS in India.

Partial list of Indian Agencies: 

1. Blue Cross Path Lab
5th floor, 506 Doctor's House, Peddar Road,
Mumbai - 400 026 Phone: 2386 7079 

2. The Salvation Army STD Clinic Anonymous Testing
84, Sankale Street, Madanpura,
Mumbai - 400 008 Phone: 2309 3566  

3. Forum Against AIDS
Informal Conselling Centre, For H.I.V. & AIDS :
Marine Drive, Fly Over Bridge,
E ward, Mumbai - 400 020 Phone: 2208 7914  

4. HIV - AIDS Guidance Centre
Dr. Aruna P. Bohra, Suraj Clinic,
Bldg. No. 6, Dhruvtara, 90 Feet Road,
Pant Nagar, Ghatkopar (East),
Mumbai - 400 075
Phone: 2516 0096  

5. Mukti Sadan
Hiranandani Gardens, A-103, Aden street,
Pavai, Mumbai - 400 072  

6. HIV Medicine Association of India
Dedicated to optimizing health outcomes for people with HIV / AIDS through India-specific, evidence-based treatment management guidelines, training, research, and advocacy. 

7. Durbar Mahila Samanwaya Committee (DMSC)
(Calcutta) They operate a help line, mainly for seropositive sex workers and their families.   

8. HIV Positive People's Networks in India
Humjinsi (Mumbai)
This organization of lesbian and bisexual women has a telephone help line, a resource center and helps to organize "Larzish -- An International Film Festival of Sexuality and Gender Pluralities."
E-mail: festival_humjinsi@hotmail.com  

9. The Humsafar Trust
Workshops, programs and research projects that serve the gay and transgender community in Mumbai.  

10. Lawyer's Collective (New Delhi, Mumbai, bangalore)
Provides free legal services, conducts advocacy and policy research on legal and human rights issues, and develops publications, documentation and trainings through their HIV/AIDS unit.  

11. Sampada Grameen Mahila Sanstha (SANGRAM) (Sangli, Maharashtra)
SANGRAM focuses on HIV education and prevention work with female sex workers, but their programs also include the larger community, especially women and adolescents.
E-mail: san_meena@sancharnet.in   

12. Sangama (Bangalore)
Sangama aims to assist sexual minorities through policy and advocacy initiatives, maintaining a library and documentation center and producing publications.  

13. Solidarity and Action Against the HIV Infection in India
A clearing house for dissemination of research, advocacy, education, funding and training information relevant to fighting HIV in India.  

14. Solution Exchange for the AIDS Community
United Nations-affiliated group made up of representatives from various organizations who work together on HIV prevention and care.  

15. The Naz Foundation (India) Trust
Supports a clinic and home for HIV-positive women and their children.  

16. PRISM
PRISM works on issues concerning sexual minorities through participation in collaborative policy/advocacy initiatives, public education campaigns and building alliances with other marginalized groups.
E-mail: prism_delhi@yahoo.co.in   

17. Sangini
Sangini operates a telephone help line service for lesbians and women exploring their sexuality.  

18. TARSHI (Talking About Reproductive and Sexual Health Issues)
Activities include running a telephone help line, developing public education and advocacy initiatives, producing publications on sexuality issues and hosting a sexuality resource center.  

19 .Asian AIDS/HIV Information Archive  

20. CARAM Asia
Coordination of Action Research on AIDS & Mobility.  

21. SEA-AIDS
Bulletin board site for discussion of HIV/AIDS in Asia.  

22. The South and Southeast Asia Resource Centre on Sexuality
Their website includes information on sexual and reproductive rights and health, HIV, violence against women, sex work and LGBT issues. 


Partial list of Foreign Agencies: 
1. Ms. Doris D' Cruz Grote,
UNAIDS - India
C-199, Defence Colony,
New Delhi-110 024.
Tel:- 6875760
Fax:- 6885540   

2. Ms.Poonam Mutreja,
MacArthur Foundation,
Core C, Zone VA, 1st Floor,
India Habitat Centre,
Lodi Estate,
New Delhi-110003.

3. Ms. Yasmin Zaveri,SIDA,
C/o Swedish Embassy,
Nyaya Marg,Chanakya Puri,
Behind Russian Embassy,
New Delhi-21.
Tel:-6875760
Fax:- 6885540  

4. Mrs. Geeta Sethi,
Officer-in-charge,
Regional Project on HIV and Development,
C-199, Defence Colony,
New Delhi-110003.
Tel:-4632339
Fax:-4631647  

5. Dr. Isabelle de Zoysa,
Population Council of India,
Zone 5A, Ground Floor,
India Habitat Centre,
Lodhi Road, New Delhi - 110003.
Tel:-4642901   

6. Shri Mehboob Dada,
European Commission,
42-A, Golf Link,
New Delhi-110003.
Tel:- 4627896  

7. Dr. Ravi Anand,
CEDPA,
IFPS,
Liason Office,
4/2, Shanti Niketan,
New Delhi-110021.  

8. Dr. Sanjiv Kumar
UNICEF, India Country Office,
73, Lodhi Estate, New Delhi-110003.
Tel:- 4690401
Fax:- 4690410  

9. Dr. Abdul Latif,
Regional Representative,
UNDCP,
11C, 40 Max Mueller Marg,
New Delhi- 110003  

10. Ms. Tara A. Sharma,
Programme Officer,
NORAD,
50-C, Shantipath,
Chanakyapuri, New Delhi-110019  

11. Dr. T. Walia,
WHO/WR India,
Tel:- 3018955.   

12. Mr. Bob Fryatt
/Mr. G. Balasubramanium /
Ms. Madhu Deshmukh,
DFID-Health & Population Office,
50-M, Shantipath,Gate No. 4, Niti Marg,
Chanakyapuri,New Delhi-110021.
Tel:- 6871657  

13. Mr. J.P. Narain,
Regional Advisor on AIDS,
WHO House,
I.P. Estate,
New Delhi.  Tel: 331 7804  

14. Ms. Asa Anderson,UNESCO,
UNESCO House,
9, Poorvi Marg, Vasant Vihar,
New Delhi-110057.
Tel:-6141437   

15. Dr. K. Sudhakar,
Office of Population, Health & Nutrition,
USAID, B-28, Institutional Area,
Qutab Hotel Road,
New Delhi-110016.
Tel:-6865301
Fax:-6868594
  
16. Dr. Jomes Abraham,Director,
HOPE Foundation,
(An affiliate of Hope Worldwide),
D-32, 1st Floor, Jangpura Extension,
New Delhi-110014.
Tel:-4321515, 4311359     

17. Ms. Geetanjali Mishra,
Programme Officer,
Ford Foundation,
55, Lodi Estate,
New Delhi-110003.
Tel:- 4619441  

18. Ms. Jillian Nellsop,
AusAid,
Australian High Commission,
New Delhi.
Tel:- 6888223
  

19. Mr. Wasim Zaman/Dr. Farah Usman,
UNFPA, Representative,
55, Lodi Estate,
New Delhi - 110003.
Tel:-4628877, 3782317  

20. Mr. Werner K. Blenk,
Director, ILO Area Office,
3rd Floor, India Habitat Centre,
Lodhi Road, New Delhi- 110003.
  
21. Dr. Raj Kumar
Public Health Specialist,
World Bank, New Delhi.
Tel:-4617241  

22. Dr. Henry Alderfex,
Project Concern International,
Tel:-4641624
Fax:-4641625


References for collecting the names of agencies: http://t8web.lanl.gov/people/rajan/AIDS-india/invngo.html http://www.mumbaimirchi.com/mumbai_info/AIDS_ngos_mumbai.htm
http://www.thebody.com/index/hotlines/asia.html#india
http://www.hivpolicy.org/biogs/HPE0016b.htm
http://www.avert.org/aidsindia.htm

Jodhpurdoctors.org has been working actively to get a better life for HIV Aids patients and their devastated families. With the help of surveys, workshops and other interactive methods we wish to come up with better solutions. In this regard we are happy to share our work with the organizations working for HIV Aids patients.