Lok Sabha Question No. 1933 (UNSTARRED), answered on 2018-12-21
Subject: Transmission of HIV
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAKSHA NIKHIL KHADSE

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

## LOK SABHA UNSTARRED QUESTION NO. 1933 TO BE ANSWERED ON 21 ST DECEMBER, 2018

## TRANSMISSION OF HIV

## 1933. SHRIMATI RAKSHATAI KHADSE:

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

- (a)  whether  the  Government  proposes  to  eliminate  mother  to  child  transmission  of  HIV Syphilis by 2020 and if so, the details thereof;
- (b)  whether the  Government  proposes  to  provide  complete  ante - natal  checkup  facility  to  all pregnant women across the country including HIV testing and if so, the details thereof; an
- (c) whether the Government has established a comprehensive grievances redressal me chanism with ombudsman and if so, the details thereof?

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

- (a): Yes.

Government is committed to work towards elimination of mother to child transmission HIV and Syphilis by 2020.

All  HIV  positive  pregnant  women  are  initiated  on  lifelong  triple  drug  treatmen immediate  basis.  Babies  born  to  HIV  positive  women  are  pro vided  with  prophylactic  drug immediately after birth and are followed up with periodic testing from the age of 6week the age of 18 months in all the States and Union Territories in the country.

(b): Yes.

Government  is  providing  complete  ante - natal  checkup  facility  to  all  pregnant  women across the country including HIV testing, details are placed at Annexure.

(c ): Yes.

As per the provisions of HIV and AIDS (Prevention & Control) Act, 2017, every Sta Government has to appoint one or more Ombudsman as per their State rules. The terms and condition of the Ombudsman are to be finalized by State Government. The Ombudsman will inquire  into  the  complaint  made  by  any  person  in  relation  to  the  violations  of  the provisions  of  the  Act, particularly,  concerning  discrimination.  The  Ombudsman  may  ask  any person to furnish the information on the matter relating to the complaints and the person deemed to be legally bound to furnish such information and failure to do so shall be puni shable.

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Under National Health Mission, the key steps taken by Government of India toprovide complete ante -natal checkup facility to all pregnant women across the co untry including HIV testing are:

- Promotion of institutional deliveries through Janani Suraksha Yojana (JSY),  a conditiona transfer scheme.
- Janani  Shishu  Suraksha  Karyakaram (JSSK)  entitles  all  pregnant  women  delivering  in  public health institutions to absolutely free and no expense delivery, including caesarean section entitlements have been put in place for all sick infants accessing public health instit treatment.
- Operationalization  of  Sub - Centers,  Primary  Health  Centers,  Community  Health  Centers  and District Hospitals for providing 24x7 basic and comprehensive obstetric care.
- Capacity  building  of  health  care  providers  in  basic  and  comprehensive  obstetric car with  a strategic  initiative  'Dakshata'  to  enable  service  providers  in  providing  high  quality  services during childbirth at the institutions
- Mother  and  Child  Tracking  System  is  being  implemented  to  ensure  antenatal,  intranatal postnatal care alon g- with immunization services.
- Engagement  of  more  than  10    lakh  Accredited  Social  Health  Activists  (ASHAs)  to  generat demand and facilitate accessing of health care services by the community.
- Establishing Maternal and Child Health (MCH) Wings at high casel oad facilities to improve the quality of care provided to mothers and children.
- Newer interventions to reduce maternal mortality and morbidity - Diagnosis & management of Gestational Diabetes Mellitus, Hypothyroidism during pregnancy, Training of General S urgeons for performing  Caesarean Section, Calcium supplementation during pregnancy and lactation, -worming  during  pregnancy,  Maternal  Near  Miss  Review,  Screening  for  Syphilis  during pregnancy  and  Dakshata guidelines for strengthening intra - partum care .
- The Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) has been introduced with the aim of conducting special ANC checkups for pregnant women (in their 2 nd / 3 rd Trimesters of pregnancy) in the country on 9th of every month by Medical Officer/OBGY special ist in the government health  facilities  and alsothrough  Private  sector  on  voluntary  basis for  tracking  of  high  risk pregnancy to ensure institutional deliveries.
- Enhancing  the  availability  of  human  resources      particularly  in    high  priority  district through  a  slew  of  measures    like -improving  retention  of  specialists,  medical  officers  and nursing personnel particularly in difficult areas through  special incentives;  hiring of contractual personnel    including  MOs  and    Nurses    particularly  for  operationalization  of  comprehen RMNCH services  at Delivery Points
- The  government  has  framed  a  set  of  Performance  Based  Incentives  for  the  human  resourc workingin these HPDs.
- Referral transport for pregnant women, sick neonates and sick infants is being provided States as per their local needs, using different models i.e. 108/102  which include a ne emergency response vehicles using toll free numb er, government ambulances, available transport under public private partnership etc.

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