# Presentation: 552938

## Overview of HHS Activities in India

**Amar Bhat, Ph.D.**
**Director, Office of Asia and the Pacific**
**Office of Global Health Affairs**
**Department of Health and Human Services**

## U.S. Department of Health and Human Services

## HHS Programs in India

## The Health Office in the U.S. Embassy represents the U.S. Department of Health and Human Services (HHS) in South Asia.

Over the past 35 years, the Health office has directed more that $200 million dollars in U.S.-owned rupees to fund cooperative health projects in high-priority areas such as HIV/AIDS, tuberculosis, malaria, polio, leprosy, childhood cancers, and oral cancers.

Today, the cooperation continues through an increasing number of NIH dollar grants, CDC technical assistance and funding, and bilateral programs in high-priority areas of biomedical research and public health.

Total HHS budget around $40 million per year.

- Over the past 35 years, the Health office has directed more that $200 million dollars in U.S.-owned rupees to fund cooperative health projects in high-priority areas such as HIV/AIDS, tuberculosis, malaria, polio, leprosy, childhood cancers, and oral cancers.
- Today, the cooperation continues through an increasing number of NIH dollar grants, CDC technical assistance and funding, and bilateral programs in high-priority areas of biomedical research and public health.
- Total HHS budget around $40 million per year.

**US-India Cooperation**

## Indo-U.S. Vaccine Action Program (VAP)
Indo-U.S. Contraceptive Research Program
Indo-U.S. Disease Surveillance Program 
Indo-U.S. Brain Research Program 
Indo-U.S. HIV/AIDS Prevention Research Program 
Indo-U.S. Maternal & Child Health Research Program 
Indo-U.S. Technology Management Program 
Indo-U.S. Disability Technologies Program 
Indo-U.S. Environmental & Occupational Health Prog.
Indo-U.S. projects between USUHS and research and educational institutions

**Indo-U.S. Contraceptive Research Program**
**Indo-U.S. Disease Surveillance Program **
**Indo-U.S. Brain Research Program **
_**Indo-U.S. HIV/AIDS Prevention Research Program **_
**Indo-U.S. Maternal & Child Health Research Program **
**Indo-U.S. Technology Management Program **
**Indo-U.S. Disability Technologies Program **
**Indo-U.S. Environmental & Occupational Health Prog.**
**Indo-U.S. projects between USUHS and research and educational institutions**

**Bilateral Programs**

## National Institutes of Health

## NIH Awards in India

## Training and Capacity-Building

**30-50 Indian trainees/year in United States, hundreds trained in India (~ $1.5 million/yr)**

**Training and Capacity-Building**

**Over 150 Indian scientists on NIH campus**
**($3.8 million/year)**

**NIH Visiting Program**

## NIH Supported HIV/AIDS Research

- NIAID Comprehensive International Program on AIDS (CIPRA)--New Delhi and Pune
- NIH International AIDS Projects--345 Sites in 105 Countries
- AACTG/PACTG/CPCRA-SMART International Therapeutic Clinical Sites--Chennai and Pune
- NIAID HIV Vaccine and Prevention Trial Networks (HVTN and HPTN)

## Centers for Disease Control and Prevention (CDC)

## CDC Programs and Projects

**Polio Eradication:****	**** $17.22 million/year**
_**Global AIDS Program:**__**	**__** $3 million/year**_
**Tuberculosis Treatment:****	**** $3.3 million/year  **
**Field Epi. Training Prog:****	**** $500,000/year**
**Malaria Field Project:****	**** $200,000 **
**Enteric OI Parasitic Project: $170,000/year**
**TOTAL****	**** $24.4 million/year**

## Global AIDS Program (GAP)

- Established in 2001
- Offices in New Delhi and Chennai
- Works closely with Government Hosp of Thoracic Medicine, Chennai
- Activities include strengthening VCT, ARV treatment, Community-based Care & Support, IT, lab services
- Funded construction of new ward

## Vietnam

## HIV/AIDS in Vietnam

- Prevalence approximately 0.66% in population of 82 million; HIV cases in all 64 provinces, 93% of all districts.
- Vietnam is predicted to have an increase in HIV-infected persons from 130,000 in 2002 to one million by 2010.
- Epidemic found primarily in injecting drug users and commercial sex workers but spreading to the general population.

## HHS Activities in Vietnam

- CDC Global AIDS Program est’d 2001
- In-country presence since 1999
- 2 CDC staff plus Health Attaché at Embassy
- Budget: $2.9 million/year
- Activities include: VCT, Care & Treatment, AIDS Clinics, technical assistance, QA and lab testing for HIV and other STDs
- New GAP office opening in Ho Chi Minh City