Lok Sabha Question No. 1093 (UNSTARRED), answered on 2016-04-29
Subject: HIV Patients
Ministry: HEALTH AND FAMILY WELFARE
Asked by: KALIKESH NARAYAN SINGH DEO, T.G. VENKATESH BABU, BHAGWANTH KHUBA, HARISH DWIVEDI

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

## LOK SABHA UNSTARRED  QUESTION NO. 1093 TO BE ANSWERED ON 29 TH APRIL, 2016

## HIV PATIENTS

## 1093. SHRI KALIKESH N. SINGH DEO:

SHRI VENKATESH BABU T. G.:

SHRI BHAGWANTH KHUBA:

SHRI HARISH CHANDRA ALIAS HARISH DWIVEDI:

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

- (a) whether the Government is aware that India is ranked as the third highest number of HIV infected  people  in  the world and  the  HIV  testing  and  treatment coverage  of  a  meagre  36%, leaving majority of those infected, undetected/untreated, if so, the details thereof, along with the reasons therefor;
- (b) whether the Supreme Court has directed the Government to set up HIV test ing centres in every district particularly in rural areas for treating HIV patients, if so, the details thereof and action taken thereon;
- (c) whether the Government proposes to roll out the third line of treatment for HIV patients, if so, the details thereof along with the current status thereon;
- (d) whether the Government has necessary infrastructure for the above purpose, if so, the details thereof;
- (e) the details of National AIDS Control Programme Centres functioning along with the number of vaca nt posts, post and, State/ UT - wise including Uttar Pradesh; and
- (f) whether the Government has received any complaint of irregularity regarding appointment in these centres, if so, the details thereof and action taken by the Government thereon?

## ANSWER TH E MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI SHRIPAD YESSO NAIK )

- (a ): Yes. G overnment  is  aware  that  that  India  is  ranked  third  in  terms  of  number  of infected people in the world. As per India HIV estimation 2015 report, an estimated 21.17 lakh People are living with HIV. The other two countries having higher numbers are South Afric lakh) and Nigeria (34 lakh) [Source: UNAIDS estimates 2014].

Though  about  21.17  lakh  people  are  estimated  to  be  living  with  HIV  (PLHIV), yet Antiretroviral Therapy (ART) is started only for those patients whose CD4 count becomes than  350.    The  total  number  of  patients  with  CD4  count  of  less  than  350  is  estimat 13,45,678.  Out of this, the number of people on ART is 9.40 lakhs maki ng a coverage rate of 70%. The detail of estimated number of people living with HIV and those who are put on AR enclosed at Annexure I.

( b) : No . However,  under  the  National  AIDS  Control  Programme  (NACP)  at  least  one Integrated Counselling & Testing Ce ntres (ICTC) for HIV testing has been established in each district including in rural areas. As on 31 st March 2016, a total of 19,800 ICTC are set up in India.

(c): Yes. Currently 2 PLHIV are on third line treatment.

( d) : There  are  10  Centres  of Excellences  for  ARV  treatment  in  the  country.  They  are equipped with trained doctors and infrastructure for third line treatment. The third line will be initially rolled out through these centres. The same may be expanded on need basis

( e) : The details of National AIDS Control Programme Centres functioning along with number of vacant posts, postwise/UT - wise including Uttar Pradesh placed are as under: Annexure 2 -Details of ART Centres

Annexure 3 -Details of ICTC Centres

Annexure 4 -Details of STI Centres

( f) : No .

Estimated Number of People living with HIV Infections (PLHIV- Adult & Children) by States/UTs, 2015

| States/UT                 | Estimated Number of People living with HIV Infections   | HIV infected people put on ART (As on March 2016)   |
|---------------------------|---------------------------------------------------------|-----------------------------------------------------|
| Andhra Pradesh            | 3,94,661                                                | 2,01,538                                            |
| Arunachal Pradesh         | 606                                                     | 84                                                  |
| Assam                     | 12,090                                                  | 3,914                                               |
| Bihar                     | 1,50,689                                                | 29,715                                              |
| Chhattisgarh              | 30,838                                                  | 8,370                                               |
| Delhi                     | 30,216                                                  | 20,823                                              |
| Goa                       | 4,619                                                   | 2,365                                               |
| Gujarat                   | 1,66,333                                                | 48,537                                              |
| Himachal Pradesh          | 5,723                                                   | 3,138                                               |
| Haryana                   | 22,596                                                  | 6,618                                               |
| Jharkhand                 | 34,386                                                  | 6,748                                               |
| Jammu & Kashmir           | 2,777                                                   | 1,824                                               |
| Karnataka                 | 1,99,060                                                | 1,28,399                                            |
| Kerala                    | 23,376                                                  | 10,626                                              |
| Meghalaya                 | 1,122                                                   | 923                                                 |
| Maharashtra               | 3,01,453                                                | 2,00,522                                            |
| Manipur                   | 24,457                                                  | 10,524                                              |
| Madhya Pradesh            | 44,409                                                  | 15,992                                              |
| Mizoram                   | 5,762                                                   | 4,232                                               |
| Nagaland                  | 11,050                                                  | 5,295                                               |
| Odisha                    | 67,654                                                  | 12,135                                              |
| Punjab                    | 36,794                                                  | 18,333                                              |
| Rajasthan                 | 1,03,148                                                | 26,882                                              |
| Sikkim                    | 939                                                     | 128                                                 |
| Tamil Nadu                | 1,42,982                                                | 92,744                                              |
| Tripura                   | 7,238                                                   | 172                                                 |
| Uttarakhand               | 7,059                                                   | 2,546                                               |
| Uttar Pradesh             | 1,50,361                                                | 46,204                                              |
| West Bengal               | 1,28,757                                                | 25,492                                              |
| Andaman & Nicobar Islands | 186                                                     | -                                                   |
| Chandigarh                | 2,933                                                   | 4,296                                               |
| Dadar& Nagar Haveli       | 463                                                     | -                                                   |
| Daman & Diu               | 284                                                     | -                                                   |
| Puducherry                | 1,560                                                   | 1,068                                               |
| India                     | 21,16,581                                               | 9,40,187                                            |

Annexure II Details of ART Centers functioning along with the number of vacant posts, post-wise, State/UT-wise including Uttar Pradesh as of December 2015

| Sl. No   | HR Status of ART Staff Lab Data   |
|----------|-----------------------------------|

| 20   | Mizoram     |   3 |   3 | 3    | 3    | 5    | 5    | 9     | 9     | 3    | 3    | 4    | 4    | 6    | 6    | 3     | 2     | 3 3     |   36 | 35    |   1 |
|------|-------------|-----|-----|------|------|------|------|-------|-------|------|------|------|------|------|------|-------|-------|---------|------|-------|-----|
| 21   | Mumbai*     |  14 |   0 | 14   | 5    | 18   | 22   | 39    | 34    | 18   | 14   | 22   | 20   | 21   | 18   | 14    | 14    | 14 10   |  160 | 137   |  23 |
| 22   | Nagaland    |   6 |   2 | 6    | 0    | 5    | 8    | 12    | 12    | 6    | 6    | 8    | 9    | 8    | 8    | 6     | 5     | 6 6     |   57 | 54    |   3 |
| 23   | Orissa      |  13 |   2 | 13   | 11   | 11   | 5    | 26    | 21    | 16   | 14   | 15   | 15   | 15   | 13   | 13 12 | 13    | 11      |  122 | 102   |  20 |
| 24   | Pondicherry |   1 |   0 | 1    | 0    | 1    | 0    | 1     | 1     | 2    | 2    | 1    | 1    | 1    | 1    | 1     | 1     | 1 1     |    9 | 7     |   2 |
| 25   | Punjab      |   9 |   3 | 9    | 5    | 13   | 12   | 28    | 27    | 11   | 10   | 14   | 13   | 13   | 13   | 9     | 8     | 9 9     |  106 | 97    |   9 |
| 26   | Rajasthan   |  19 |   4 | 19   | 6    | 23   | 6    | 52    | 45    | 21   | 20   | 29   | 24   | 24   | 21   | 19    | 18    | 19 16   |  206 | 156   |  50 |
| 27   | Sikkim      |   1 |   0 | 1    | 0    | 0    | 1    | 1     | 1     | 1    | 1    | 1    | 1    | 1    | 1    | 1     | 0     | 1 1     |    7 | 6     |   1 |
| 28   | Tamil Nadu  |  51 |   0 | 51   | 7    | 65   | 78   | 149   | 120   | 69   | 64   | 84   | 71   | 61   | 50   | 51    | 45    | 51 43   |  581 | 478   | 103 |
| 29   | Tripura     |   1 |   0 | 1    | 1    | 1    | 1    | 2     | 2     | 1    | 1    | 2    | 1    | 1    | 1    | 1     | 1     | 1 1     |   10 | 9     |   1 |
| 30   | UP          |  29 |   9 | 28   | 15   | 35   | 22   | 79    | 68    | 35   | 33   | 42   | 40   | 42   | 39   | 29    | 28    | 29 25   |  319 | 270   |  49 |
| 31   | Uttarakhand |   2 |   1 | 2    | 2    | 3    | 1    | 6     | 5     | 2    | 2    | 3    | 2    | 3    | 3    | 2     | 2     | 2 2     |   23 | 19    |   4 |
| 32   | West Bengal |  16 |   3 | 17   | 9    | 22   | 18   | 52    | 39    | 20   | 19   | 28   | 23   | 19   | 13   | 17    | 16 17 | 14      |  192 | 151   |  41 |
|      | Total       | 465 |  45 | 45 7 | 21 8 | 59 9 | 49 3 | 131 7 | 111 4 | 55 9 | 51 2 | 74 6 | 65 6 | 63 7 | 51 8 | 46 0  | 42 2  | 458 405 | 5233 | 433 8 | 895 |

E- Entitled F - Filled

Annexure 3 Status on Human Resource at Stand Alone ICTC under Basic Services as on Jan - 2016

| State                | Counsellors (SA)   | Counsellors (SA)   | LTs (SA)   | LTs (SA)   |
|----------------------|--------------------|--------------------|------------|------------|
|                      | Sanctioned         | Vacancy            | Sanctioned | Vacancy    |
| Andaman & Nicobar    | 14                 | 0                  | 13         | 0          |
| Andhra Pradesh       | 253                | 13                 | 222        | 9          |
| Arunachal Pradesh    | 37                 | 0                  | 37         | 0          |
| Assam                | 109                | 20                 | 109        | 29         |
| Bihar                | 210                | 27                 | 208        | 23         |
| Chandigarh           | 15                 | 2                  | 15         | 0          |
| Chhattisgarh         | 132                | 34                 | 132        | 52         |
| Dadar & Nagar Haveli | 2                  | 0                  | 1          | 0          |
| Daman & Diu          | 4                  | 0                  | 4          | 0          |
| Delhi                | 137                | 11                 | 117        | 3          |
| Goa                  | 17                 | 0                  | 17         | 2          |
| Gujarat              | 368                | 29                 | 330        | 67         |
| Haryana              | 135                | 24                 | 131        | 24         |
| Himachal Pradesh     | 47                 | 2                  | 47         | 1          |
| Jammu & Kashmir      | 38                 | 6                  | 36         | 4          |
| Jharkhand            | 105                | 57                 | 102        | 51         |
| Karnataka            | 591                | 42                 | 559        | 24         |
| Kerala               | 175                | 12                 | 173        | 7          |
| Lakshadweep          | 1                  | 0                  | 1          | 0          |
| Madhya Pradesh       | 246                | 110                | 246        | 123        |
| Maharashtra          | 734                | 88                 | 626        | 57         |
| Manipur              | 65                 | 5                  | 67         | 2          |
| Meghalaya            | 21                 | 1                  | 19         | 1          |
| Mizoram              | 41                 | 2                  | 41         | 0          |
| Mumbai               | 104                | 26                 | 75         | 11         |
| Nagaland             | 74                 | 1                  | 70         | 0          |
| Orissa               | 235                | 25                 | 232        | 126        |
| Puducherry           | 17                 | 0                  | 14         | 1          |
| Punjab               | 136                | 2                  | 130        | 5          |
| Rajasthan            | 266                | 94                 | 261        | 189        |
| Sikkim               | 14                 | 0                  | 14         | 0          |
| Tamil Nadu           | 829                | 44                 | 821        | 28         |
| Telangana            | 197                | 15                 | 169        | 10         |
| Tripura              | 26                 | 1                  | 24         | 1          |
| Uttar Pradesh        | 413                | 32                 | 411        | 36         |
| Uttrakhand           | 51                 | 5                  | 50         | 4          |
| West Bengal          | 420                | 160                | 397        | 128        |
| Total                | 6279               | 890                | 5921       | 1018       |

## Annexure 4

|                     | Facility Level HR Detail                         | Facility Level HR Detail                            | Facility Level HR Detail                     | State Wise and Facility Wise SACS Level HR Details Tot   | State Wise and Facility Wise SACS Level HR Details Tot   | State Wise and Facility Wise SACS Level HR Details Tot    | State Wise and Facility Wise SACS Level HR Details Tot                   | State Wise and Facility Wise SACS Level HR Details Tot   | State Wise and Facility Wise SACS Level HR Details Tot   | Status of STI Division State Reference Centre and Regional Centre   | Status of STI Division State Reference Centre and Regional Centre   | Status of STI Division State Reference Centre and Regional Centre   | Status of STI Division State Reference Centre and Regional Centre   | Status of STI Division State Reference Centre and Regional Centre   | Status of STI Division State Reference Centre and Regional Centre   | Status of STI Division State Reference Centre and Regional Centre   | Status of STI Division State Reference Centre and Regional Centre   | Status of STI Division State Reference Centre and Regional Centre   | Status of STI Division State Reference Centre and Regional Centre   |
|---------------------|--------------------------------------------------|-----------------------------------------------------|----------------------------------------------|----------------------------------------------------------|----------------------------------------------------------|-----------------------------------------------------------|--------------------------------------------------------------------------|----------------------------------------------------------|----------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|
| Name of State       | Total Num ber of Desi gnat ed clini c (201 5-16) | Total Num ber of Post of Coun sello rs Sanc tione d | Total Num ber of Coun sello rs in Posi stion | Tota l Num ber of Vac ancy of Cou nsell or               | Total Num ber of post of STI Foca l Pers on San ction ed | al Nu mb er of STI Fo cal Per so n in SA CS in Po siti on | Vac any in SAC (Indi cate AD/ DD/ JD) STI Clin ical Offi cer San tion ed | TSU TS U STI Clin ical Ser vice Offi cer in Pos isti on  | TS U Cli nic al Ser ivc es offi cer Vac ant              | LT post sanc tion ed in Stat e Refe renc e Cent re (SR C)           | LT in Posi stion ed in SRC                                          | Vac anc y of LT in SR C                                             | LT Post San ction ed in Regi onal Cent re                           | LT in pos isti on in Reg ion al Cen tre                             | Vac anc y of LT in Re gio nal Ce ntr e                              | Researc h/Techni ical Officed post Sanction ed in Regional Centre   | Res earc h/ Tec hnic al Offi cer in Posi stio n                     | Vac anc y of res ear ch/ Tec hni cal Offi cer in regi ona l Cen tre |                                                                     |
| Andman & Nicobar    | 1                                                | 1                                                   | 1                                            | 0                                                        | 0                                                        | 0                                                         | 0                                                                        | 0 0                                                      | 0                                                        | 0                                                                   | 0                                                                   | 0                                                                   | 0                                                                   | 0                                                                   | 0                                                                   | 0                                                                   | 0                                                                   | 0                                                                   |                                                                     |
| Andhra Pradesh      | 50                                               | 55                                                  | 54                                           | 1                                                        | 1                                                        | 1                                                         | 0                                                                        | 1 1                                                      | 0                                                        | 3                                                                   | 3                                                                   | 0                                                                   | 0                                                                   | 0                                                                   | 0                                                                   | 0                                                                   | 0                                                                   | 0                                                                   |                                                                     |
| Arunanc hal Pradesh | 18                                               | 18                                                  | 17                                           | 1                                                        | 0                                                        | 0                                                         | 0                                                                        | 0 0                                                      | 0                                                        | 1                                                                   | 0                                                                   | 1                                                                   | 0                                                                   | 0                                                                   | 0                                                                   | 0                                                                   | 0                                                                   | 0                                                                   |                                                                     |
| Assam               | 28                                               | 28                                                  | 28                                           | 0                                                        | 2                                                        | 0                                                         | 2                                                                        | 0 0                                                      | 0                                                        | 1                                                                   | 1                                                                   | 0                                                                   | 2                                                                   | 2                                                                   | 0                                                                   | 1                                                                   | 1                                                                   | 0                                                                   |                                                                     |
| Bihar               | 44                                               | 44                                                  | 37                                           | 7                                                        | 2                                                        | 2                                                         | 0                                                                        | 1 1                                                      | 0                                                        |                                                                     | 2                                                                   | 1                                                                   | 1 0                                                                 | 0                                                                   | 0                                                                   | 0                                                                   | 0                                                                   | 0                                                                   |                                                                     |
| Chandig arh         | 5                                                | 7                                                   | 7                                            | 0                                                        | 0                                                        | 0                                                         | 0                                                                        | 0 0                                                      |                                                          | 0                                                                   | 0                                                                   | 0                                                                   | 0                                                                   | 2                                                                   | 2 0                                                                 | 1                                                                   | 1                                                                   | 0                                                                   |                                                                     |
| Chattisg            | 31                                               | 31                                                  | 23                                           | 8                                                        | 1                                                        | 1                                                         | 0                                                                        | 1 1                                                      | 0                                                        |                                                                     | 1                                                                   | 0                                                                   | 1 0                                                                 | 0                                                                   | 0                                                                   | 0                                                                   | 0                                                                   | 0                                                                   |                                                                     |

| Dadra &Nagar Haveli   | 1 1   |   0 |   1 |   0 |   0 |   0 |   0 |    |    |   0 |   0 |   0 |   0 |   0 | 0   | 0   |   0 | 0   |
|-----------------------|-------|-----|-----|-----|-----|-----|-----|----|----|-----|-----|-----|-----|-----|-----|-----|-----|-----|
| Daman and Diu         | 3 3   |   3 |   0 |   0 |   0 |   0 |   0 |  0 | 0  |   0 |   0 |   0 |   0 |   0 | 0 0 |     |   0 | 0   |
| Delhi                 | 28 34 |  33 |   1 |   1 |   0 |   1 |   1 |  0 | 1  |   1 |   0 |   1 |   4 |   4 | 2   |     |   2 | 0   |
| Goa                   | 4 4   |   4 |   0 |   0 |   0 |   0 |   0 |  0 |    |   1 |   1 |   0 |   0 |   0 | 0 0 | 0   |   0 | 0   |
| Gujarat               | 66 66 |  58 |   8 |   3 |   1 |   2 |   1 |  0 | 1  |   2 |   1 |   1 |   2 |   2 | 0   | 1   |   1 | 0   |
| Haryana               | 31 32 |  29 |   3 |   2 |   2 |   0 |   1 |  0 | 1  |   1 |   0 |   1 |   0 |   0 | 0   | 0   |   0 | 0   |
| Himacha l Pradesh     | 20 20 |  20 |   0 |   1 |   1 |   0 |   0 |  0 | 0  |   1 |   1 |   0 |   0 |   0 | 0   | 0   |   0 | 0   |
| Jammu and Kashmir     | 6 8   |   5 |   3 |   1 |   1 |   0 |   0 |  0 |    |   1 |   0 |   1 |   0 |   0 | 0   | 0   |   0 | 0   |
| Jharkha nd            | 28 29 |  16 |  13 |   2 |   2 |   0 |   0 |  0 | 0  |   1 |   0 |   1 |   0 |   0 | 0   | 0   |   0 | 0   |
| Karnatak a            | 54 54 |  48 |   6 |   3 |   1 |   2 |   1 |  1 | 0  |   2 |   1 |   1 |   0 |   0 | 0   | 0   |   0 | 0   |
| Kerala 23             | 23    |  23 |   0 |   2 |   1 |   1 |   1 |  0 | 1  |   1 |   1 |   0 |   0 |   0 | 0   | 0   |   0 | 0   |
| Madhya Pradesh 66     | 66    |  58 |   8 |   2 |   1 |   1 |   1 |  1 | 0  |   2 |   2 |   0 |   0 |   0 | 0   | 0   |   0 | 0   |
| Maharas hatra 53      | 53    |  45 |   8 |   2 |   1 |   1 |   1 |  0 | 1  |   2 |   2 |   0 |   2 |   2 | 0   | 1   |   1 | 0   |
| Manipur 10            | 10    |   7 |   3 |   1 |   1 |   0 |   0 |  0 | 0  |   1 |   0 |   1 |   0 |   0 | 0   | 0   |   0 | 0   |
| Meghala ya 9          | 9     |   8 |   1 |   0 |   0 |   0 |   0 |  0 | 0  |   1 |   0 |   1 |   0 |   0 | 0   | 0   |   0 | 0   |
| Mizoram 10            | 9     |   9 |   0 |   1 |   1 |   0 |   0 |  0 | 0  |   1 |   0 |   1 |   0 |   0 | 0   | 0   |   0 | 0   |
| Mumbai 27             | 27    |  26 |   1 |   1 |   1 |   0 |   1 |  0 | 1  |   0 |   0 |   0 |   2 |   2 | 0   | 1   |   0 | 1   |
| Nagalan d 12          | 12    |  12 |   0 |   1 |   1 |   0 |   0 |  0 | 0  |   1 |   1 |   0 |   0 |   0 | 0   | 0   |   0 |     |
| Odisha                | 40 40 |  37 |   3 |   2 |   1 |   1 |   1 |  0 | 1  |   1 |   1 |   0 |   0 |   0 | 0   | 0   |   0 | 0   |

| Puduche rry   |    5 |    5 | 5        |   0 |   0 |   0 |   0 |   0 |   0 |   0 |   1 |   1 |   0 |   0 |   0 |   0 0 |   0 |   0 |
|---------------|------|------|----------|-----|-----|-----|-----|-----|-----|-----|-----|-----|-----|-----|-----|-------|-----|-----|
| Punjab        |   31 |   34 | 34 0     |   2 |   1 |   1 |   1 |   0 |   1 |   1 |   0 |   1 |   0 |   0 |   0 |     0 |   0 |   0 |
| Rajastha n    |   53 |   53 | 43 10    |   1 |   1 |   0 |   1 |   0 |   1 |   2 |   0 |   2 |   0 |   0 |   0 |     0 |   0 |   0 |
| Sikkim        |    6 |    6 | 6 0      |   0 |   0 |   0 |   0 |   0 |   0 |   1 |   0 |   1 |   0 |   0 |   0 |     0 |   0 |   0 |
| Tamil Nadu    |  156 |  106 | 95 11    |   2 |   1 |   1 |   1 |   0 |   1 |   4 |   2 |   2 |   2 |   2 |   0 |     1 |   1 |   0 |
| Telanga na    |   50 |   50 | 46 4     |   1 |   0 |   1 |   1 |   1 |   0 |   1 |   1 |   0 |   2 |   2 |   0 |     1 |   1 |   0 |
| Tripura       |   18 |   18 | 18 0     |   0 |   0 |   0 |   0 |   0 |   0 |   1 |   1 |   0 |   0 |   0 |   0 |     0 |   0 |   0 |
| Uttar Pradesh |   98 |   98 | 95 3     |   4 |   2 |   2 |   1 |   0 |   1 |   3 |   3 |   0 |   0 |   0 |   0 |     0 |   0 |   0 |
| Uttarakh and  |   27 |   28 | 28 0     |   2 |   1 |   1 |   1 |   0 |   1 |   1 |   1 |   0 |   0 |   0 |   0 |     0 |   0 |   0 |
| West Bengal   |   48 |   55 | 44 11    |   3 |   2 |   1 |   1 |   1 |   0 |   2 |   0 |   2 |   2 |   2 |   0 |     1 |   1 |   0 |
| Total         | 1160 | 1137 | 1022 115 |  46 |  28 |  18 |  19 |   7 |  12 |  45 |  25 |  20 |  20 |  20 |   0 |    10 |   9 |   1 |