Lok Sabha Question No. 3747 (UNSTARRED), answered on 2023-08-11
Subject: National AIDS Control Programme (NACP)
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Sunil Dattatray Tatkare

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH ANDFAMILYWELFARE

## LOKSABHA UNSTARRED QUESTION NO. 3747 TO BE ANSWERED ON 11 TH AUGUST, 2023

## NATIONALAIDS CONTROLPROGRAMME(NACP)

## 3747. SHRI SUNIL DATTATRAY TATKARE:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- (a) whether the Government has assessed/ evaluated the performance of the National AIDS Control Programme (NACP), Phase-IV;
- (b) if so, the details and the outcome thereof indicating the targets set and achieved thereunder, State/UT-wise;
- (c) The funds allocated and utilized under the said programme, State/UT-wise;
- (d) whether the Government has been able to control and prevent AIDS under NACP Phases I to IV and if so, the details thereof and if not, the reasons therefor;
- (e) the corrective steps taken/proposed to be taken by the Government in this regard;
- (f) whether the Government proposes to take any specific steps so that the number of HIV/AIDS patients is reasonably reduced during the current year and if so, the details thereof, year-wise; and
- (g) the other steps taken/proposed to be taken by the Government to check the spread of HIV/AIDS in the country?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (PROF. S. P. SINGH BAGHEL)

(a) to (g): On the advice of NITI Aayog, an external evaluation of National AIDS& STD Control Programme (NACP), Phase-IV (2012-13 to 2016-17)&Phase-IV extension(2017-18 to 2020-21)was conducted in 2020. As per the Evaluation, 'the programme has done a commendable job and performed very well'.The phase largely achieved the goals and targets set out under the phase. As an outcome of the NACP Phase-IV&Phase-IV extension, 75% of the People living with HIV/AIDS (PLHIV) were aware of their HIV status, 84% of the PLHIV who know their status were on Anti-retroviral Treatment (ART), and 85% of the PLHIV who were on ART were virally suppressed. State/UT-wise details are provided at Annexure I.

NACP was initiated by the Government of India in 1992. Four phases of NACP, including the Extension phase of NACP-IV, have been completed in March 2021. As a result of comprehensive and sustained interventions through four phases of NACP, the spread of HIV infections has been halted and reversed in the country. Annual new HIV infections have declined by 87.50% between NACP Phase-I and Phase-IV (including the extension period) as per the latest HIV Estimates 2022 of the Government of India.

NACP is implemented through 36 State AIDS Control Societies/District AIDS Control Society (SACS/DACS), which are under respective State Government. The Government of India provides grant-in-aid to the SACS/DACS every year as per their approved Annual Action Plan. State/UT-wise details of funds allocated and utilised under NACP, Phase-IV & Phase-IV extension are placed at Annexure II.

The Government of India is currently implementing Phase-V of the NACP asa Central Sector Scheme fully funded by the Government of India to prevent the spread of HIV infections keeping more than 99.5% of the country's population HIV free. The present Phase of the Scheme is implemented for a five-year period from 1st April 2021 to 31st March 2026 with an outlay of Rs 15471.94 crore. NACP Phase-V focuses on prevention, detection, treatment and retention. Under NACP, screening, testing, supply of free lifelong medicines and drugs along with viral load testing are provided all over the country. Sampoorna Suraksha Kendras are set up in Phase-V for providing services through a single window model for those 'at risk' of Human Immunodeficiency virus (HIV) & Sexually Transmitted Infections (STI) covering prevention-test-treat-care continuum. It includes a holistic set of services customised as per clients' needs, with strong linkages and referrals within and outside of health systems.

*****

Annexure 1: State/UT-wise progress on PLHIV who know their HIV Status, PLHIV who know their HIV Status and are on ART, and PLHIV who are on ART and are virally suppressed (2021)

| S N o   | India/State/UT                     | PLHIV who know their HIV Status (%)   | PLHIV who know their HIV Status and are on ART (%)   | PLHIV who are on ART and are virally suppressed (%)   |
|---------|------------------------------------|---------------------------------------|------------------------------------------------------|-------------------------------------------------------|
| 1       | Andaman &Nicobar Islands           | 35                                    | 91                                                   | -                                                     |
| 2       | Andhra Pradesh                     | 80                                    | 78                                                   | 86                                                    |
| 3       | Arunachal Pradesh                  | 26                                    | 67                                                   | 78                                                    |
| 4       | Assam                              | 46                                    | 72                                                   | 89                                                    |
| 5       | Bihar                              | 53                                    | 85                                                   | 83                                                    |
| 6       | Chandigarh                         | >=95                                  | 82                                                   | 93                                                    |
| 7       | Chhattisgarh                       | 57                                    | 77                                                   | 76                                                    |
| 8       | Dadra &Nagar Haveli and Daman &Diu | 15                                    | >=95                                                 | 82                                                    |
| 9       | Delhi                              | 90                                    | 73                                                   | 88                                                    |
| 10      | Goa                                | 81                                    | 84                                                   | 89                                                    |
| 11      | Gujarat                            | 81                                    | 84                                                   | 84                                                    |
| 12      | Haryana                            | 54                                    | 81                                                   | 78                                                    |
| 13      | Himachal Pradesh                   | 75                                    | 87                                                   | 73                                                    |
| 14      | Jammu &Kashmir and Ladakh          | 58                                    | 80                                                   | 90                                                    |
| 15      | Jharkhand                          | 62                                    | 86                                                   | 77                                                    |
| 16      | Karnataka                          | 78                                    | 83                                                   | 81                                                    |
| 17      | Kerala                             | 81                                    | >=95                                                 | 92                                                    |
| 18      | Madhya Pradesh                     | 74                                    | 78                                                   | 77                                                    |
| 19      | Maharashtra                        | 88                                    | 84                                                   | 88                                                    |
| 20      | Manipur                            | 60                                    | 90                                                   | >=95                                                  |
| 21      | Meghalaya                          | 65                                    | 74                                                   | 88                                                    |
| 22      | Mizoram                            | 73                                    | 85                                                   | 91                                                    |
| 23      | Nagaland                           | 67                                    | 76                                                   | 86                                                    |
| 24      | Odisha                             | 51                                    | 83                                                   | 85                                                    |
| 25      | Puducherry                         | 57                                    | 77                                                   | 83                                                    |
| 26      | Punjab                             | 76                                    | 83                                                   | 79                                                    |
| 27      | Rajasthan                          | 86                                    | 86                                                   | 85                                                    |
| 28      | Sikkim                             | 71                                    | 84                                                   | 91                                                    |
| 29      | Tamil Nadu                         | 89                                    | 85                                                   | 86                                                    |
| 30      | Telangana                          | 68                                    | >=95                                                 | 77                                                    |
| 31      | Tripura                            | 61                                    | 86                                                   | 78                                                    |
| 32      | Uttar Pradesh                      | 61                                    | 84                                                   | 85                                                    |
| 33      | Uttarakhand                        | 56                                    | 67                                                   | 86                                                    |
| 34 35   | West Bengal India                  | 78 75                                 | 84 84                                                | 87 85                                                 |

Note: (i) The denominator for the first 95 is informed by HIV Estimates 2022; (ii) Data for UTs of Dadra & Nagar Haveli and Daman & Diu and Lakshadweep is not available, (iii) Data of UTs need to be analysed with caution and to account for the use of the facilities from neighbouring States

| Annexure 2: Allocation &Utilisation-NACPIV &Extended Period (2012-13 to 2020-21)   | Annexure 2: Allocation &Utilisation-NACPIV &Extended Period (2012-13 to 2020-21)   | Annexure 2: Allocation &Utilisation-NACPIV &Extended Period (2012-13 to 2020-21)   | Annexure 2: Allocation &Utilisation-NACPIV &Extended Period (2012-13 to 2020-21)   |
|------------------------------------------------------------------------------------|------------------------------------------------------------------------------------|------------------------------------------------------------------------------------|------------------------------------------------------------------------------------|
|                                                                                    |                                                                                    | (Amount                                                                            | (Amount                                                                            |
| S. No.                                                                             | State/UT                                                                           | FY2012-13 to                                                                       | 2020-21 Utilization                                                                |
| 1                                                                                  | Ahmedabad SACS                                                                     | Allocation 2933.07                                                                 | 1692.86                                                                            |
| 2                                                                                  | Andaman &Nicobar SACS                                                              | 1696.62                                                                            | 1418.64                                                                            |
| 3                                                                                  | Andhra Pradesh SACS                                                                | 68825.60                                                                           | 61392.35                                                                           |
| 4                                                                                  | Arunachal Pradesh SACS                                                             | 8879.26                                                                            | 8840.25                                                                            |
| 5                                                                                  | Assam SACS                                                                         | 19234.45                                                                           | 15706.29                                                                           |
| 6                                                                                  | Bihar SACS                                                                         | 30601.61                                                                           | 21446.58                                                                           |
| 7                                                                                  | Chandigarh SACS                                                                    | 6593.05                                                                            | 5835.39                                                                            |
| 8                                                                                  | Chhattisgarh SACS                                                                  | 21093.52                                                                           | 15340.28                                                                           |
| 9                                                                                  | Chennai SACS                                                                       | 644.49                                                                             | 420.16                                                                             |
| 10                                                                                 | Dadra &Nagar Haweli SACS                                                           | 988.24                                                                             | 721.55                                                                             |
| 11                                                                                 | Daman &Diu SACS                                                                    | 2186.48                                                                            | 1480.52                                                                            |
| 12                                                                                 | Delhi SACS                                                                         | 33623.74                                                                           | 28390.57                                                                           |
| 13                                                                                 | Goa SACS                                                                           | 5822.24                                                                            | 5035.01                                                                            |
| 14                                                                                 | Gujarat SACS                                                                       | 55790.15                                                                           | 46226.07                                                                           |
| 15                                                                                 | Haryana SACS                                                                       | 19665.74                                                                           | 14657.57                                                                           |
| 16                                                                                 | Himachal Pradesh SACS                                                              | 11654.36                                                                           | 8957.46                                                                            |
| 17                                                                                 | Jammu &Kashmir SACS                                                                | 9381.06                                                                            | 7305.35                                                                            |
| 18                                                                                 | Jharkhand SACS                                                                     | 18213.77                                                                           | 10376.98                                                                           |
| 19                                                                                 | Karnataka SACS                                                                     | 76724.55                                                                           | 65596.08                                                                           |
| 20                                                                                 | Kerala SACS                                                                        | 28411.02                                                                           | 24240.72                                                                           |
| 21                                                                                 | Lakshadweep SACS                                                                   | 204.96                                                                             | 109.32                                                                             |
| 22                                                                                 | Madhya Pradesh SACS                                                                | 40775.13                                                                           | 28156.82                                                                           |
| 23                                                                                 | Maharashtra SACS                                                                   | 99683.57                                                                           | 83276.65                                                                           |
| 24                                                                                 | Manipur SACS                                                                       | 25970.87                                                                           | 23081.04                                                                           |
| 25                                                                                 | Meghalaya SACS                                                                     | 5834.54                                                                            | 5210.37                                                                            |
| 26                                                                                 | Mizoram SACS                                                                       | 15609.12                                                                           | 15268.76                                                                           |
| 27                                                                                 | Mumbai SACS                                                                        | 23006.87                                                                           | 18716.34                                                                           |
| 28                                                                                 | Nagaland SACS                                                                      | 21055.95                                                                           | 21927.75                                                                           |
| 29                                                                                 | Orissa SACS                                                                        | 32271.37                                                                           | 24979.65                                                                           |
| 30                                                                                 | Pondicherry SACS                                                                   | 4168.47                                                                            | 3479.68                                                                            |
| 31                                                                                 | Punjab SACS                                                                        | 29887.34                                                                           | 27663.57                                                                           |
| 32                                                                                 | Rajasthan SACS                                                                     | 35109.59                                                                           | 26471.84                                                                           |
| 33                                                                                 | Sikkim SACS                                                                        | 4831.79                                                                            | 4793.20                                                                            |
| 34                                                                                 | Tamil Nadu SACS                                                                    | 74750.26                                                                           | 66532.20                                                                           |
| 35                                                                                 | Telangana SACS                                                                     | 24958.81                                                                           | 22739.90                                                                           |
| 36                                                                                 | Tripura SACS                                                                       | 7647.53                                                                            | 6831.09                                                                            |
| 37                                                                                 | Uttar Pradesh SACS                                                                 | 62947.80                                                                           | 48936.54                                                                           |
| 38                                                                                 | Uttarakhand SACS                                                                   | 13047.96                                                                           | 10213.76                                                                           |
| 39                                                                                 | West Bengal SACS Total                                                             | 41541.11 986266.03                                                                 | 32202.11 815671.28                                                                 |