opensansad/lok-sabha-qa huggingface dataset:
Lok Sabha Question No. 565 (STARRED), answered on 2018-04-06
Subject: Conservation of Vembanad Lake
Ministry: ENVIRONMENT,  FORESTS AND CLIMATE CHANGE
Asked by: ANTO  ANTONY

## GOVERNMENT OF INDIA MINISTRY OF ENVIRONMENT, FOREST AND CLIMATE CHANGE

## LOK SABHA STARRED QUESTION NO. 565

TO BE ANSWERED ON 06.04.2018

## Conservation of Vembanad Lake

- *565. SHRI ANTO ANTONY:

Will the Minister of ENVIRONMENT, FOREST AND CLIMATE CHANGE be pleased to state:

- (a) whether the Government has taken note of the recent reports that the Vembanad Lake, the largest wetland ecosystem in the country, is one of the most polluted water bodies in the world and may vanish in the next fifty years;
- (b) if so, the details thereof; and
- (c) the  steps  being  taken  by  the  Government  to  conserve  the  Vembanad  Lake  and  its ecosystem?

## ANSWER

## MINISTER FOR ENVIRONMENT, FOREST AND CLIMATE CHANGE (DR. HARSH VARDHAN)

- (a) to (c) A Statement is laid on the Table of the House.

*****

Statement  referred  to  in  reply  to  parts  (a)  to  (c)  of  Lok  Sabha  Starred Question  No.  565  to  be  answered  on  Friday,  the  6 th April, 2018  on 'Conservation of Vembanad Lake' raised by Shri Anto Antony

(a) & (b) As per the Report on 'Conservation and Wise use of Vembanad-Kol' submitted by Wetlands International South Asia to Government of Kerala during 2017, Vembanad-Kol, a Ramsar site in Kerala, is polluted mainly due to untreated sewage,  sewage from industrial and manufacturing units, increase in number of houseboats catering to backwater tourism, use of  fertilizer  and  pesticide  for  high  yielding  variety  of  rice,  and  coir  retting  yards  acting  as breeding ground for mosquitoes etc. Based on this report, the State Government of Kerala has submitted the Management Action Plan duly approved by State Level Steering Committee for conservation and management of Vembanad-Kol wetland in October-2017.The conservation activities  in  Vembanad-Kol  wetland  are  monitored  continuously  by  the  State  Wetlands Authority Kerala (SWAK).

(c) Various  steps  have  been  taken  to  conserve  the  Vembanad-Kol  and  its  ecosystem which inter-alia include:

-  Ministry has sanctioned an amount of Rs. 140.75 lakh to Government of Kerala on cost sharing basis of 60:40 which includes Rs. 84.45 lakh as Central share and the rest of Rs. 56.30 lakh as State share during financial year 2017-18. The grant has been sanctioned for undertaking various conservation activities like integrated wetland inventory and assessment, capacity development, training on integrated wetland management and creation of resource material. Also, this includes biodiversity conservation, catchment management and mangrove restoration.
-  Being  a  Ramsar  site,  the  Wetlands  (Conservation  and  Management)  Rules,  2017 meant for regulating activities within the Notified wetlands are also applicable to VembanadKol.

*****
Lok Sabha Question No. 563 (STARRED), answered on 2018-04-06
Subject: Retirement Age of AIIMS Doctors
Ministry: HEALTH AND FAMILY WELFARE
Asked by: GANESH SINGH

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA STARRED QUESTION NO. 563 TO BE ANSWERED ON THE 6 TH APRIL , 2018 RETIREMENT AGE OF AI IMS DOCTORS

## *563. SHRI GANESH SINGH:

Will  the  Minister  of HEALTH  AND  FAMILY  WELFARE be  pleased  to state:

(a)  whether  the  Governing  body  of  the  All  India  Institute  of  Medical

(AIIMS) had cleared the proposal to increase the retirement age of its ent from 65 years to 68 ye

ars and if so, the details thereof;

- (b) whether any proposal is pending with the Government/Cabinet for approval;
- (c) if so, the details thereof and the action taken by the Government in this

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)

(a)to ( c) : A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 563* FOR 6 TH APRIL , 2018

- (a) The Governing body of the All India Institute of Medical Sciences (AIIMS) its  154 th meeting  held  on  21.10.2016  had  cleared  the  proposal  to  increas retirement age of its faculty from 65 years to 67 years.
- (b)  & (c)  The  proposal  has  not  been  approved  since  it  will  have  implicat Central Health Services cadres and other Central/State Government medical ser

*****
Lok Sabha Question No. 562 (STARRED), answered on 2018-04-06
Subject: Breast Milk Banks
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RANGASWAMY DHRUVANARAYANA

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA STARRED QUESTION NO. 562 TO BE ANSWERED ON THE 6 TH APRIL , 2018 BREAST MILK BANKS

## *562. SHRI R. DHRUVA NARAYANA:

Will  the  Minister  of HEALTH AND  FAMILY  WELFARE be  pleased  to state:

- (a) whether breast milk banks exist in the country and if so, the details the
- (b) whether the Government plans to open such banks to provide/supply breas free of cost to sick and premature babies and if so, the details thereof; and
- (c) whether the Government has framed guidelines for such banks and if so, th thereof?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)

- (a)to ( c) : A Statement is laid on the Table of the House.

## a)

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 562* FOR 6 TH APRIL , 2018

- There  are  some  breast milk  banks  established  under  private  and  governmen establishments in the country.
- Detailed information on private milk banks is not available. However, National Government has supported for establishment of one milk bank in West Be and 10 milk banks in Tamil Nadu as innovation projects under National Mission (NHM).
- (b)& (c)
- The  Government  has  released  the  'National  Guidelines  on  establishment  of Lactation Management Centres in public health facilities' in June 2017. This is a guiding document for setting up of comprehensive lactation management ser that  includes  establis hment  of  'Comprehensive  Lactation  management  Centres (CLMCs)' in large District Hospitals and Medical Colleges for improving access to  human  milk  for  sick  newborns  and  infants  admitted  in  these  Govern hospitals.  These  guidelines  are  available  online  on Nat onal  Health  Mission websit e at http://nhm.gov.in/images/pdf/programmes/IYCF/National\_Guideline \_Lactation Management\_Centres.pd f

*****
Lok Sabha Question No. 561 (STARRED), answered on 2018-04-06
Subject: Non-Performing Assets
Ministry: FINANCE
Asked by: PARESH RAWAL, DIPSINH SHANKARSINH RATHOD

## GOVERNMENT  OF INDIA MINISTRY  OF FINANCE DEPARTMENT  OF FINANCIAL SERVICES

LOK SABHA

STARRED  QUESTION  NO:

*561

TO BE ANSWERED  ON THE 6 th  APRIL,  2018/CHAITRA  16, 1940 (SAKA)

## QUESTION NON-PERFORMING  ASSETS

## *561:   SHRI PARESH RAVAL: SHRI  D.S.  RATHOD:

Will  the Minister  of FINANCE  be pleased to state:

- (a) whether  the Government  has any  data pertaining  to Non-Performing  Assets (NPAs) from 2005 to 2014 and if so, the details  thereof;  and
- (b) the details  of the NPAs  during  the period  from  2014 to  2018?

## ANSWER THE MINISTER  OF STATE  IN THE  MINISTRY  OF FINANCE

(SHRI SHIV PRATAP  SHUKLA )

- (a) to (b): A statement  is laid  on the Table  of the House.

***

Statement  as referred  to in reply  to paragraphs (a) and (b) of Lok Sabha starred question  no.  *561   for   answer  on  6 th April,   2018/Chaitra   16,  1940   (Saka)  by Shri  Paresh Raval  and Shri  D.S. Rathod  regarding  Non-Performing  Assets

## (a) and (b): The data on Gross NPAs  of Scheduled  Commercial Banks is given  below:

Amounts  in crore  Rs.

| Mar-05   | Mar-06   | Mar-07   | Mar-08   | Mar-09   | Mar-10   | Mar-11   |
|----------|----------|----------|----------|----------|----------|----------|
| 58,023   | 51,242   | 49,996   | 55,694   | 68,213   | 81,805   | 94,117   |

## Amounts  in crore  Rs.

| Mar-12   | Mar-13   | Mar-14   | Mar-15   | Mar-16   | Mar-17   | Dec-17   |
|----------|----------|----------|----------|----------|----------|----------|
| 1,37,096 | 1,83,848 | 2,51,054 | 3,09,399 | 5,66,247 | 7,28,740 | 8,31,141 |

RBI has apprised  that,  from the data,  it may  be observed  that  there  is a sharp increase  in NPAs during  2015-16 (by 125% in New  Accretion  to NPAs).  This  was mainly  due to Asset Quality  Review  (AQR)  undertaken  by  RBI with  the help of newly  introduced  large borrower  database (CRILC)  which  provides  system-wide  view  of a borrower  and, thus, enabled  better  identification of NPA  hitherto  not recognised  by  banks.

The new accretion  to NPA  i.e.  incremental  NPA  is coming  down  since the last financial year  ended March  2017 (decline  by  6.4% over previous  year).  In financial  year  (FY) 201718, till  December  2017, it declined  by  1.8% on year-on-year  basis.

RBI  had  carried   out  a  temporal   analysis   of  NPA   in  large   borrowers   (based  on  large borrowers'   data  reported   to  CRILC   database).   As  per  the  analysis,   funded  advances outstanding   of  fresh  loans  sanctioned   to  large   borrowers   up  to  September   2014 constituted   66.6%  of  all  large   borrowers' funded  advances  while   NPA   ratio   for  such borrowers  stood at 20.6% as at end quarter  September  2017.

On the other  hand,  for the period  post September  2014, the funded advances constituted 33.4% and the NPA  ratio  for such borrowers  stood at 5.3%.
Lok Sabha Question No. 6670 (UNSTARRED), answered on 2018-04-06
Subject: GST Rate on Sanitary Napkins
Ministry: FINANCE
Asked by: HARISH CHANDRA MEENA

## GOVERNMENT OF INDIA MINISTRY OF FINANCE DEPARTMENT OF REVENUE

*****

## LOK SABHA

## UNSTARRED QUESTION NO.6670

## TO BE ANSWERED ON FRIDAY THE 06 TH  APRIL, 2018 CHAITRA  16, 1940 (SAKA)

## GST RATE ON SANITARY NAPKINS

## 6670. SHRI HARISH MEENA:

Will the Minister of FINANCE be pleased to state: (a) whether the Government proposes to exempt the sanitary pads from Goods and Services Tax (GST) to increase its accessibility and affordability for all especially the low income groups and if so, the details thereof; and (b)  if  not,  the  alternative  measures  planned/being  planned  by  the  Government  to

- promote menstrual hygiene?

## ANSWER

## MINISTER OF STATE IN THE MINISTRY OF FINANCE (SHRI SHIV PRATAP SHUKLA)

(a): Sir, at present there is no proposal to exempt sanitary napkins from GST. (b):  Sir,  states are  provided funds for Menstrual Hygiene Scheme under the programme implementation plans for decentralized procurement of sanitary napkins at their own level. These are then distributed at a subsidized rate of Rs. 1 per napkin to the adolescent girls residing primarily in rural areas.

Further,  funds  are  also  given  for  capacity  building  of  health  workers  and information, education and communication to promote menstrual hygiene.

*****
Lok Sabha Question No. 6669 (UNSTARRED), answered on 2018-04-06
Subject: Seniority List
Ministry: HEALTH AND FAMILY WELFARE
Asked by: KAUSHALENDRA KUMAR

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 6669 TO BE ANSWERED ON 6 TH APRIL, 2018

## SENIORITY LIST

## 6669. SHRI KAUSHALENDRA KUMAR:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a)  whether  even  after  five  years  of setting  up  All  India  Institute  of  Medical Sciences (AIIMS) in Patna, the inter seniority list of the doctors, professors have not been prepared in various departments and if so, the reasons therefor;
- (b) whether the Government intends to prepare the inter - seniority list of doctor professors in AIIMS, Patna as per the verdicts of High Court, Delhi;
- (c) if so, the details thereof; and
- (d) if not, the reasons therefor?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

- (a)A total number of 305 posts of various Faculty disciplines have been created for e six  functional  six  new  AIIMS  at  Bhopal,  Bhubaneswar,  Jodhpur,  Raip ur,  Rishikesh  and Patna.

The inter - seniority  list  for  doctors  and  professors  has  not  been  prepared  at  AI Patna.

- (b)& (c): AIIMS Patna intends to prepare the inter - seniority list. The inter - seniority list is under preparation and it will be published shortly.
- (d) : Does not arise.
Lok Sabha Question No. 6668 (UNSTARRED), answered on 2018-04-06
Subject: Visits of World Bank Team
Ministry: FINANCE
Asked by: ASHOK MAHADEORAO NETE

## LOK SABHA UNSTARRED QUESTION NO. 6668

## TO BE ANSWERED ON FRIDAY April 06, 2018 / Chaitra 16, 1940 (Saka)

## Visits of World Bank Team

## QUESTION

## 6668. SHRI ASHOK MAHADEORAO NETE:

Will the Minister of FINANCE be pleased to state: -

(a)  the  details  of  places  and  villages  particularly  backward  and  tribal  villages visited by the team of World Bank till date during the last three years, State/UTwise, project-wise;

- (b) the main objectives/purpose of the visit; and

(c) the reaction of the team of World Bank regarding implementation of the above said projects?

## ANSWER

## MINISTER OF STATE IN THE MINISTRY OF FINANCE ( SHRI P . RADHAKRISHNAN)

(a) to (c)     The World Bank  does not maintain a centralized record of the visit of their staff  to various project sites, including main objectives/purpose of their visits and  their  findings  regarding  implementation  of  the  said  projects.  At  the  end  of every  mission,  an  aide  memoire  is  issued  for  each  mission.  Information  for  any specific mission can be provided.
Lok Sabha Question No. 6666 (UNSTARRED), answered on 2018-04-06
Subject: Treatment in Hospitals
Ministry: HEALTH AND FAMILY WELFARE
Asked by: TAMRADHWAJ SAHU

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

LOK SABHA UNSTARRED QUESTION NO. 6666 TO BE ANSWERED ON 6 TH APRIL, 2018

## TREATMENT IN HOSPITA LS

## 6666. SHRI TAMRADHWAJ SAHU:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether the Government has taken note of the difficulties being faced by the patients visiting  Central  Government Hospitals  including  All  India  Institute  of Medical  Sciences, Post - Graduate  Institute of Medical Education and Research, Lucknow and Chandigarh for surgery and if so, the reaction of the Government ther to;
- (b) whether the Government has assessed the number of patients who come to these hospitals for various surgeries and if so, the details thereof; and
- (c) the corrective measures taken/being taken by the Government to lessen the waiting time for surgery?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

(a)to (c) : The number of patients visiting Central Government Hospitals for treatment including surgery is much larger as compared to their handling capacity in terms of n of beds, manpower and other resources. Despite availability o f huge infrastructure and other services in these Ho spitals, there is a waiting period for certain procedures and surgerie to the ever increasing pressure on infrastructure and available manpower in these hos which varies from Department to Department.

Expansion of existing facilities and creation of new facility in a Hospital is an on -going process and is undertaken as per the requirement and availability of resources. Proj for augmentation of capacity are undertaken from time -to -time.
Lok Sabha Question No. 6665 (UNSTARRED), answered on 2018-04-06
Subject: Global Norms for Diabetes
Ministry: HEALTH AND FAMILY WELFARE
Asked by: G. HARI

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

LOK SABHA UNSTARRED QUESTION NO. 6665 TO BE ANSWERED ON 6 TH APRIL, 2018

## GLOBAL NORMS FOR DIABETES

## 6665. SHRI G. HARI:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether a new set of global guidelines on managing diabetes that aim to replace those followed for over three decades has been objected by medical community;
- (b) if so, the details thereof;
- (c) whether the guidelines relaxing blood sugar targets lead to complications in managing diabetes;
- (d) if so, the details thereof along with reaction of the Government in this regard; and
- (e) the details of guidelines issued by the Government in this regard?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SMT. ANUPRIYA PATEL )

(a) to (e ): There are number of global guidelines on managing diabetes. One of them i American College of Physicians (ACP). These guidelines change on the basis of developme and  clinical  outcome.  As  informed  by  Indian  Council  of  Medical  Research  (ICMR),  th American  College  of  Physicians  (ACP)  recently  came  out  with  Guidelines  saying  th glycosylated hemoglobin (HbA1c) level of 7 -8% is sufficient for majority of patients with diabetes. It is true that in some patients who are old, frail or have multiple comp ns, relaxation of the control may be acceptable but not for the majority of patients as s by the American College of Physicians.

As informed by ICMR, for every 1% in glycosylated hemoglobin (HbA1c) levels, studies  have  shown  that  there  could  be  a 25% - 33%  increase  in  the  risk  of  developing complications like eye, kidney and nerves.

The Indian Council of Medical Research (ICMR) has recently revised its earlier 20 guidelines. In the revised 2018 guidelines on management of diabetes, the ICMR stil l recommends that most patients with diabetes should try to get HbA1c level to 7%.

As  per  the  Training  Module  for  Medical  Officers  for  Population  level  Preventi Control  and  Screening  for  Hypertension,  Diabetes  and  Common  Cancer  (Oral,  Breast  & Cervic al)under  the National  Health  Mission (NHM),  HbA1C  level  of  less  than  7 %  is recommended for most of the patients.
Lok Sabha Question No. 6664 (UNSTARRED), answered on 2018-04-06
Subject: Pension Rates under CPF
Ministry: FINANCE
Asked by: SUKHBIR SINGH JAUNPURIA

## GOVERNMENT OF INDIA MINISTRY OF FINANCE DEPARTMENT OF FINANCIAL SERVICES

*****

## LOK SABHA UN STARRED QUESTION NO. 6664 TO BE ANSWERED ON APRIL 6, 2018/CHAITRA 16, 1940 PENSION RATES UNDER CPF

6664. Shri Sukhbir Singh Jaunapuria

Will the Minister of FINANCE be pleased to state

- (a) the  current  pension  rate  of  Contributory  Provident  Fund  (CPF)  pensioners  in  the country;
- (b) whether the Government proposes to increase the pension rate;
- (c) if so, the details thereof and the reasons therefor, State-wise; and
- (d) the details of the number of CPF pensioners likely to increase by 31st March, 2018?

## ANSWER

The Minister of State in the Ministry of Finance (Shri Shiv Pratap Shukla)

(a) to (d) The Central Government employees who are covered by CPF Rules (India) 1962 and who retired on or after 01.01.1986 are not entitled to any monthly pension/ex-gratia amount. However, the Government employees under CPF who retired between 18.11.1960 and 31.12.1985 are entitled to monthly ex-gratia amount of the following rates:

|   S.No | Group of Service to which CPF retirees belonged at the time of retirement   | Enhanced amount of basic monthly ex-gratia   |
|--------|-----------------------------------------------------------------------------|----------------------------------------------|
|      1 | Group A Service                                                             | Rs. 3,000/-                                  |
|      2 | Group B Service                                                             | Rs. 1,000/-                                  |
|      3 | Group C Service                                                             | Rs. 750/-                                    |
|      4 | Group D Service                                                             | Rs. 650/-                                    |
|      5 | Widows and dependent children of the deceased CPF beneficiary               | Rs. 645/-                                    |

Dearness ex-gratia equal to 50% of the amount of ex-gratia and Dearness Relief, as notified from time  to  time  as  per  5 th Central  Pay  Commission  series,  on  the  sums  of  amount  of  ex-gratia  and dearness ex-gratia is being paid to them. There is no proposal to increase the aforesaid rates.

********
Lok Sabha Question No. 6663 (UNSTARRED), answered on 2018-04-06
Subject: Viral Load Testing for HIV Patients
Ministry: HEALTH AND FAMILY WELFARE
Asked by: CH. MALLA REDDY, PRATHAP SIMHA, SUNIL KUMAR SINGH

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 6663 TO BE ANSWERED ON 6 TH APRIL, 2018

## VIRAL LOAD TESTING F OR HIV PATIENTS

## 6663. SHRI CH. MALLA REDDY: SHRI PRATHAP SIMHA: SHRI SUNIL KUMAR SINGH:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a)  whether  the  Government  has launched  the  viral  load  testing  for  HIV positive  people recently;
- (b) if so, the details thereof and the number of affected people likely to be benefitted;
- (c)  whether  new  pockets  of  HIV infection  have  emerged  in  Gujarat,  Bihar, Delhi, Chhattisgarh, Rajasthan, Odisha, Uttar Pradesh and Jharkhand and if so, the details thereof;
- (d) whether the NACO Report 2017 indicates decli ning HIV prevalence trends in traditional high - prevalence  States  such as Andhra Pradesh, Karnataka, Maharashtra, Tamil Nadu and Telanganaand if so, the details thereof; and
- (e)  whether  the  Government  is focusing  on  high -risk  and  working  with communitiesto prevent HIV and if so, the key steps taken to prevent and control the HIV epidemic?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SMT. ANUPRIYA PATEL )

- (a): Yes.
- (b): All the patients receiving Anti Retroviral Treatment th rough Anti Retroviral Therapy centres  across  India  that  is  approx  11.9  lakhs  people  living  with  HIV  (PLHIV)  wil benefited by viral load testing.
- (c): No.
- (d): Yes.  NACO's  technical  report  from  HIV  surveillance  system  for  2016 - 17  has indicated declining  HIV  prevalence  trends  in  traditional  high - prevalence  States  such  as Andhra  Pradesh,  Karnataka,  Maharashtra,  Tamil  Nadu  and  Telangana.  HIV  prevalence among  pregnant  women  (treated  as  proxy  for  general  population)  in  these  States  for 2007 and2017 is as below

| State          | 2007   |   2017 |
|----------------|--------|--------|
| Andhra Pradesh | 1.07*  |   0.41 |
| Karnataka      | 0.86   |   0.38 |
| Maharashtra    | 0.76   |   0.26 |
| Tamil Nadu     | 0.58   |   0.27 |
| Telangana      | 1.07*  |   0.28 |

* represent prevalence of erstwhile undivided Andhra Pradesh

(e): Yes. Government is focusing on high - risk and working with communities to prevent HIV  through  Targeted  Intervention  (TI)  programme.  Currently,  there  are  1467  targe interventions operational across country focusing on delivery of comprehensive package of HIV prevention, testing and linkage to treatment services among those who are at high These services are offered through peer - led approach as people from high risk communities themselves are engaged at targeted interventions to deliver these services .