Lok Sabha Question No. 342 (STARRED), answered on 2016-12-09
Subject: AIDS Control Programme
Ministry: HEALTH AND FAMILY WELFARE
Asked by: HEMANT TUKARAM GODSE, HARISH CHANDRA MEENA

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA STARRED QUESTION NO. 342 TO BE ANSWERED ON THE 9 TH DECEMBER , 2016 AIDS CONTROL PROGRAM ME

## *342. SHRI GODSE HEMANT TUKARAM: SHRI HARISH MEENA:

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

- (a) the details of schemes/programmes under implementation for the treatm of  HIV  and  AIDS  along  with  funds  allocated  and  utilised  by  various  No -Governm ental Organisations (NGOs) during the last three years and the cur year, State/UT - wise;
- (b) whether the Government has taken note of alleged registration of fake patients  by  some  of  the  NGOs  in  various  parts  of  the  country  includ Maharashtra in a bid to manipulate funds meant for their treatment and if s facts in this regard; and
- (c)  the  punitive  measures  taken  or  proposed  to  be  taken  by  the  Governm against such erring NGOs in the country?

## 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. 342* FOR 9 TH DECEMEBER , 2016

…..

(a) National AIDS Control Organization (NACO) is currently implementing National AIDS Control Programme (NACP) Phase IV. One important component of NACP is Care, Support & Treatment (CST) of people living with HIV (PLHIV). All person s who test positive for HIV are linked to Anti - Retro Viral Therapy (ART) Centres. These ART centres are located in tertiary l medical institutions  and  some  District  H ospitals.  All  PLHIV  get  various diagnostic and treatment services free.

At  present , there  are  528  ART  Centres  a nd  1108  Link  ART  Centres (LAC) in the country providing free Anti - Retro  Viral  treatment, treatment for opportunistic infections and counselling services to 10.05 Lakh PLHIVs.

A total of 22 ART centres are run by different NGOs/Corporate Sector s as PPP mo del centres. NACO provides only Anti - Retro Viral (ARV) drugs to these  centres  and  no  funds  are  allocated to  such  NGOs for  treatment  of HIV/AIDS patients. Detailed list attached as Annexure I.

Additionally , 361 Care and Support Centres (CSCs) have been established through civil society organizations which complement the serv provided  by  ART  centres  through  counselling,  outreach  and  linkage  to  n based other government welfare schemes and services. These CSCs have dire funding fr om the Global Fund, an international organization to fight HIV/AIDS, TB and Malaria.

NACO promotes preventive activities in High Risk Groups (HRGs) such as Female Sex Workers (FSW), Men having Sex with Men (MSM), Transgender (TGs),  Injecting  Drug  Users (IDUs)  and  mobile  population  like  high  risk migrants  and  truckers  through  the  State  AIDS  Control  Societies  which implemented by NGO/ Community Based Organizations (CBOs) led Targeted Interventions (TIs). Similarly, Link Worker Schemes (LWS) programme c aters to  HRGs  &  vulnerable  population  in  rural  areas  across  17  states.  Th NGO/CBO  led  targeted  interventions  are  contracted  by  State  AIDS  Contro Societies (SACS). NACO provides grant - in - aid to SACS.

Total funds provided in the last 3 years & current year and utilization is placed at Annexure -II for TI and Annexure -III for LWS.

(b)& (c ) NGOs are not involved in the process of registration of AIDS pati at ART centres , though they register patients in CSCs. Some NGOs/ CBOs are also involved in the process of registration of High Risk Group populati Targeted Intervention (TI) programme. We are not in receipt of any compl regarding registration of fake AIDS pat ients till date. However ,on  PIL No. 135/2016 was filed against Maharashtra State AIDS Control Society and othe in the High Court of Bombay, Nagpur, with regard to fake registration of H by  one  NGO  and  the  matter  is  subjudice  before  the  Hon.  High  Co urt .  It  is pertinent to point out that NGOs are selected by the respective States/UTs

….

## Annexure I

## List of ART Centres under PPP Model with NGO / Corporate sector

|   S. No | State       | Name of ARTC                                  | Sector           |
|---------|-------------|-----------------------------------------------|------------------|
|       1 | Gujarat     | Reliance Hazira Plant Surat, Gujrat           | Corporate Sector |
|       2 | Karnataka   | ACC, Wadi, Karnataka                          | Corporate Sector |
|       3 | Maharashtra | BILT, Chandrapur, Maharashtra                 | Corporate Sector |
|       4 | Maharashtra | Godrej, Vikhroli, Maharashtra                 | Corporate Sector |
|       5 | Maharashtra | L&T, Mumbai, Maharashtra                      | Corporate Sector |
|       6 | Maharashtra | Bajaj YCMH Pimpri Pune, Maharashtra           | Corporate Sector |
|       7 | Maharashtra | Reliance DAH Patalganga, Raigarh, Maharashtra | Corporate Sector |
|       8 | Odisha      | BILT, Koraput, Orissa                         | Corporate Sector |
|       9 | Tamil Nadu  | ACC, CMC Vellore, Tamil Nadu                  | Corporate Sector |

|   S. No | State          | Name of ARTC                                           | Sector   |
|---------|----------------|--------------------------------------------------------|----------|
|      10 | Andhra Pradesh | NRI Guntur, Andhra Pradesh                             | NGO      |
|      11 | Andhra Pradesh | RDT Bathanapalli, Ananthpur, Andhra Pradesh            | NGO      |
|      12 | Karnataka      | Ashakirana, Mysore, Karnataka                          | NGO      |
|      13 | Karnataka      | KIMS, Bangalore, Karanataka                            | NGO      |
|      14 | Karnataka      | KMC, Mangalore, Karanataka                             | NGO      |
|      15 | Karnataka      | St John's Medical Collage Bangalore, Karnataka         | NGO      |
|      16 | Madhya Pradesh | Gardi Medical College Ujjain,MP                        | NGO      |
|      17 | Maharashtra    | Bharti Vidyapeeth, Sangli, Maharashtra                 | NGO      |
|      18 | Maharashtra    | Lotus Foundation, Kohlarpur, Maharashtra               | NGO      |
|      19 | Maharashtra    | Pravara Institue of Medical Science, Loni, Ahmednagar, | NGO      |
|      20 | Manipur        | MSF Holland India, Manipur, Chakpikarong(LAC)          | NGO      |
|      21 | Manipur        | MSF Holland India, Manipur, Churachandpur(ART)         | NGO      |
|      22 | Manipur        | MSF Holland India, Manipur, Moreh(ART)                 | NGO      |

## TI Fund released & Utilization status for the year 2013-14, 2014-15, 2015-16 & 2016-17 (till November 2016) from NACO to SACS

Annexure II

| Sr. No   | Name of State          | 2013-14            | 2013-14      | 2014-15          | 2014-15     | 2015-16          | 2015-16     | 2016-17          | 2016-17     |
|----------|------------------------|--------------------|--------------|------------------|-------------|------------------|-------------|------------------|-------------|
| Sr. No   | Name of State          | TI fund released * | Utilizati on | TI fund released | Utilization | TI fund released | Utilization | TI fund released | Utilization |
| 1        | Ahmedabad MCACS        | 351.29             | 448.33       | 325              | 329.40      | 0                |             |                  |             |
| 2        | AP SACS (Telangana)    | 0                  | 0            | 0                | 0           | 774.65           | 796.12      | 560.66           | 247.18      |
| 3        | AP SACS Unit           | 2227.69            | 2592.89      | 2615.32          | 3008.89     | 1190.59          | 929.44      | 762.32           | 0.00        |
| 4        | Arunachal Pradesh SACS | 207.03             | 551.48       | 419.00           | 404.94      | 315.14           | 121.04      | 248.28           | 56.64       |
| 5        | Assam SACS             | 305.95             | 431.12       | 833.89           | 803.82      | 782.74           | 590.22      | 574.47           | 43.98       |
| 6        | Bihar SACS             | 340.38             | 256.06       | 528.00           | 148.85      | 464.94           | 863.38      | 450.99           | 7.43        |
| 7        | Chandigarh SACS        | 178.51             | 172.93       | 263.31           | 250.96      | 171.45           | 201.33      | 160.08           | 76.08       |
| 8        | Chattisgarh SACS       | 486.67             | 562.79       | 876.00           | 333.70      | 416.74           | 860.40      | 663.15           | 146.67      |
| 9        | Daman &Diu SACS        | 91.26              | 136.50       | 98.72            | 91.08       | 88.22            | 93.08       | 73.14            | 132.33      |
| 10       | Dadra Nagar Haweli     | 0.00               |              | 19.00            |             | 0.00             | 0.39        | 24.00            | 0.00        |
| 11       | Delhi SACS             | 1695.25            | 1457.41      | 1560.00          | 1710.84     | 1767.53          | 897.94      | 1380.03          | 65.19       |
| 12       | Goa SACS               | 189.19             | 170.89       | 272.00           | 255.38      | 156.54           | 178.15      | 178.59           | 124.28      |
| 13       | Gujarat SACS           | 1621.86            | 1379.18      | 2075.87          | 1936.71     | 1306.30          | 1277.95     | 1511.01          | 749.33      |
| 14       | Haryana SACS           | 749.08             | 847.22       | 1114.35          | 200.07      | 542.10           | 673.70      | 356.46           | 176.06      |
| 15       | Himachal Pradesh SACS  | 308.78             | 354.93       | 266.47           | 286.74      | 319.64           | 195.49      | 220.53           | 31.62       |
| 16       | Jammu& Kashmir SACS    | 135.62             | 154.96       | 301.32           | 232.75      | 194.36           | 214.79      | 201.21           | 12.33       |
| 17       | Jharkhand SACS         | 201.86             | 111.81       | 942.37           | 269.97      | 382.32           | 498.28      | 429.93           | 14.88       |
| 18       | Karnataka SACS         | 2819.12            | 2344.23      | 2411.95          | 2220.67     | 1708.24          | 878.50      | 1539.21          | 773.88      |
| 19       | Kerala SACS            | 902.57             | 967.46       | 975.93           | 1173.13     | 776.39           | 775.92      | 863.61           | 353.48      |
| 20       | Lakshadweep SACS       | 0.00               | 0.39         | 0.00             | 0.00        | 0.00             | 0.00        | 0                | 0.00        |
| 21       | Madhya Pradesh SACS    | 1010.94            | 817.33       | 1556.00          | 1155.35     | 1026.59          | 1182.97     | 1085.64          | 326.18      |
| 22       | Maharashtra SACS       | 2007.42            | 1882.11      | 2153.75          | 2224.42     | 1572.93          | 1305.88     | 1603.08          | 856.58      |
| 23       | Manipur SACS           | 853.41             | 891.34       | 1254.77          | 1333.60     | 967.58           | 744.34      | 840.9            | 594.57      |
| 24       | Meghalaya SACS         | 99.09              | 106.43       | 172.74           | 174.03      | 154.18           | 113.59      | 129.21           | 46.55       |
| 25       | Mizoram SACS           | 562.80             | 562.74       | 709.51           | 770.09      | 557.34           | 588.25      | 486.15           | 277.70      |
| 26       | MumbaiMC ACS           | 776.57             | 762.98       | 798.67           | 958.42      | 592.24           | 725.18      | 606.9            | 214.63      |
| 27       | Nagaland SACS          | 702.12             | 1011.47      | 1062.32          | 1275.06     | 868.73           | 891.66      | 695.91           | 266.53      |
| 28       | Orissa SACS            | 568.01             | 513.96       | 776.00           | 675.53      | 610.10           | 742.21      | 693.42           | 168.38      |

| 29   | Pondicherry SACS   |    73.12 | 75.15     |    77.10 |    85.45 | 82.90    |    93.89 |    58.05 |    0.00 |
|------|--------------------|----------|-----------|----------|----------|----------|----------|----------|---------|
| 30   | Punjab SACS        |   819    | 993.54    |  1240.75 |  1315.38 | 1,013.60 |  1185.95 |   967.92 |  324.71 |
| 31   | Rajasthan SACS     |   431.03 | 551.97    |   807.32 |   553.04 | 671.61   |   778.07 |   660.15 |  338.71 |
| 32   | Sikkim SACS        |    87.33 | 110.01    |   125.63 |   138.34 | 116.73   |   121.43 |    86.46 |   32.03 |
| 33   | Tamil Nadu SACS    |  1019.47 | 1499.07   |  1564.13 |  1588.93 | 1190.40  |   921.67 |  1034.46 | 1032.54 |
| 34   | Tripura SACS       |   153.93 | 178.14    |   316    |   224.76 | 162.59   |   234.46 |   206.4  |  126.17 |
| 35   | Uttar Pradesh SACS |  1143.93 | 906.09    |  1496.06 |  1065.2  | 1492.46  |  1339.05 |  1402.2  |  322.96 |
| 36   | Uttarakhand SACS   |   397.47 | 396.78    |   398.49 |   360.88 | 371.93   |   629.15 |   393.75 |   13.81 |
| 37   | West Bengal SACS   |   528.59 | 681.53    |   846    |   523.77 | 631.21   |   836.32 |   690.18 |  246.86 |
|      | INDIA              | 24046.3  | 24881.2 2 | 31253.7  | 28080.2  | 23441.01 | 22480.2  | 21838.5  | 8200.27 |

* Release fugures for the year 2013-14 are as per fund released by SACS to NGO's.

Annexure III:

## LWS Fund released from NACO & Utilization status of SACS for the year 2013-14, 2014-15, 2015-16 & 2016-17 (till November 2016)

| Sr. No   | Name of State       | 2013-14          | 2013-14     | 2014-15          | 2014-15     | 2015-16          | 2015-16     | 2016-17          | 2016-17      |
|----------|---------------------|------------------|-------------|------------------|-------------|------------------|-------------|------------------|--------------|
| Sr. No   | Name of State       | TI fund released | Utilization | TI fund released | Utilization | TI fund released | Utilization | TI fund released | Utilizat ion |
| 1        | Andhra Pradesh      | 275.68           | 461.75      | 354.82           | 433.22      | 168.77           |             | 162.8            | 59.63        |
| 2        | Telangana           | NA               | NA          | NA               | NA          | 131.15           | 60.36       | 94.92            | 0.00         |
| 3        | Bihar               | -                | 198.63      | 96.00            | 73.52       | 128.56           | 170.53      | 122.1            | 0.00         |
| 4        | Chattisgarh         | -                | 24.42       | 54.00            | 41.99       | 13.21            | 82.38       | 81.39            | 28.50        |
| 5        | Gujarat (Ahmedabad) | 248.39           | 289.56      | 191.75           | 185.65      | 164.26           | 161.95      | 183.15           | 42.95        |
| 6        | Jharkhand           | 33.93            | 14.34       | 41.00            | 11.27       | 46.5             | 108.52      | 40.71            | 0.00         |
| 7        | Karnataka           | 197.12           | 152.74      | 96.61            | 110.51      | 143.5            | 0.00        | 101.76           | 73.91        |
| 8        | Madhya Pradesh      | 39.19            | 280.86      | 239.00           | 219.00      | 176.65           | 109.91      | 183.15           | 61.30        |
| 9        | Maharashtra         | 391.68           | 595.42      | 441.65           | 476.48      | 404.67           | 205.37      | 427.32           | 180.22       |
| 10       | Orissa              | 43.19            | 152.91      | 115.00           | 121.96      | 90.21            | 116.86      | 122.1            | 54.05        |
| 11       | Punjab              | -                | 47.94       | 47.60            | 38.51       | 34.32            | 36.22       | 40.71            | 0.45         |
| 12       | Rajasthan           | 87.61            | 79.94       | 115.11           | 95.45       | 103.77           | 0.00        | 0.00             | 0.00         |
| 13       | Tamil Nadu          | 475.48           | 496.79      | 368.10           | 378.71      | 362.62           | 327.13      | 305.25           | 0.02         |
| 14       | Uttar Pradesh       | -                | 214.54      | 200.00           | 211.01      | 212.46           | 86.26       | 122.1            | 157.48       |
| 15       | West Bengal         | 159.47           | 305.00      | 252.00           | 203.32      | 185.33           | 187.07      | 223.83           | 25.86        |
| 17       | Manipur             | 311.47           | 276.19      | 167.55           | 258.53      | 167.47           | 127.33      | 183.12           | 191.38       |
| 18       | Mizoram             | 73.71            | 84.13       | 66.38            | 76.75       | 60.4             | 67.34       | 61.05            | 41.32        |
| 19       | Tripura             | 31.34            | 49.51       | 56.00            | 38.34       | 30.71            | 52.00       | 40.68            | 26.57        |
|          | INDIA               | 2368.26          | 3724.68     | 2902.57          | 2974.22     | 2624.56          | 1899.22     | 2496.14          | 943.63       |