Lok Sabha Question No. 2276 (UNSTARRED), answered on 2015-12-11
Subject: Treatment of HIV/AIDS Patients
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RODMAL NAGAR, PONGULETI SRINIVASA REDDY, ASHOK MAHADEORAO NETE, SANJAY HARIBHAU JADHAV, DALPAT SINGH PARASTE, OM BIRLA

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

## LOK SABHA UNSTARRED QUESTION NO. 2276 TO BE ANSWERED ON 11 TH DECEMBER, 2015

## TREATMENT OF HIV/AID S PATIENTS

## 2276. SHRI NAGAR RODMAL:

SHRI PONGULETI

SRINIVASA REDDY:

SHRI ASHOK MAHADEORAO NETE:

SHRI SANJAY HARIBHAU JADHAV:

SHRI DALPAT SINGH PARASTE:

SHRI OM BIRLA:

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

- (a) the number of cases of HIV/AIDS detected in the country during each of the last three years and the current year, State/ UT - wise;
- (b) the estimated coverage of Anti - Retroviral Treatment (ART) amongst HIV/ AIDS patients along with the number of ART centres in the country, State/UT -wise;
- (c) whether the Government ha s assessed the adequacy and performance of ART centres, if so, the  details  and  the outcome  thereof  along  with  the  steps  taken/ proposed  to  be  taken  by  the Government to strengthen them;
- (d)  the  action  plan  drawn  by  the Government  to  provide  necessary  medi calcare  to  all  the HIV/AIDS patients and develop low -cost drugs and kits for HIV/AIDS diagnosis and treatment; and
- (e) whether a number of health experts have warned against the recently approved single - dose HIV  drug  'Genvoya'  for  being harmful,  if  so, the  details  thereof  along  with the  corrective measures taken/proposed to be taken by the Government in this regard?

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

- (a): The number of cases of HIV /AIDS detected in the country during each of the last three years and the current year, State/UT - wise is enclosed at Annexure 1 .
- (b): According to Government Estimates a total of 12,70,678 adults (aged 15+) People liv with HIV/AIDS (PLHIV) are estimated to be in need of ART; and out of them a total of 8,57,330 adult patients are receiving free ART treatment which is 67.47 % coverage. In addition a 50,331 Children Living with HIV/AIDS (CLHIV) are also receiving free ART treatment which amounts to a to tal of 9,07,661 patients receiving free ART treatment, through 519 ART Centr across the country. The State/UT wise details of patients receiving free ART treatment Annexure 2 .

(c): Yes. NACO  conducted  anation - wide assessment of  ART  Centres  during  the  period  of January 2014 to March 2015 with an overall goal to review the functioning of the ART centers and quality of service delivery. This assessment looked into 4 domains -namely Operat ional, Technical, M&E and Logistics -comprising of 11 attributes necessary for smooth delivery of ART services as well for maintaining quality of care at ART Centres. 357 ART c nters which had been functional for more than one year were assessed by 50 tea ms of ART  xperts.

73% of the total assessed ART Centres are functioning satisfactorily as per nationa guidelines.  However, 27% needs improvement.

The centre - wise detailed reports of the assessment have been sent to every ART cent with directions to improve the functioning of the centre based on gaps identified. The State Control Societies have also been addressed in this behalf. The assessment was disseminate national dissemination meeting held on September 28, 2015 in New Delhi.

(d): Government of India rolled out the free ART initiative under the National AIDS Con Programme  (NACP)  in  2004.  It  provides  a  comprehensive  package  of  care,  support  and treatment services to PLHIV including counseling, ART treatment, treatment of opportu nistic infections  and  linkage  services.  As  mentioned  under  part  (b),  more  than  9  lakh  patie getting free treatment.

(e): The drug 'Genvoya' is not a part of ART drug regimen under the National AIDS Control Programme.

## Annexure -I

## State/UT wise HIV positive case diagnosed for the last three years & current year

| Sl.no .   | State/UT                   | 2012-13   | 2013-14   | 2014-15   | 2015-16 (till Sept.'15)   |
|-----------|----------------------------|-----------|-----------|-----------|---------------------------|
| 1         | Andaman & Nicobar Islands  | 29        | 29        | 21        | 11                        |
| 2         | Andhra Pradesh & Telangana | 58,686    | 56,730    | 47,618    | 19191                     |
| 3         | Arunachal Pradesh          | 21        | 4         | 28        | 5                         |
| 4         | Assam                      | 1,280     | 1,161     | 1,304     | 730                       |
| 5         | Bihar                      | 8,323     | 9,323     | 11,388    | 4646                      |
| 6         | Chandigarh                 | 836       | 813       | 863       | 440                       |
| 7         | Chhatisgarh                | 2,430     | 3,009     | 3,047     | 1341                      |
| 8         | Dadra & Nagar Haveli       | 91        | 88        | 114       | 52                        |
| 9         | Daman & Diu                | 67        | 93        | 95        | 23                        |
| 10        | Delhi                      | 7,274     | 6,855     | 7,035     | 2350                      |
| 11        | Goa                        | 515       | 529       | 445       | 151                       |
| 12        | Gujarat                    | 11,746    | 13,771    | 11,068    | 5327                      |
| 13        | Haryana                    | 4,299     | 4,372     | 3,359     | 1067                      |
| 14        | Himachal Pradesh           | 739       | 526       | 575       | 231                       |
| 15        | Jammu & Kashmir            | 403       | 340       | 311       | 196                       |
| 16        | Jharkhand                  | 2,228     | 1,813     | 2,502     | 1082                      |
| 17        | Karnataka                  | 35,838    | 30,906    | 27,804    | 7885                      |
| 18        | Kerala (incl.Lakshadweep)  | 1,916     | 1,660     | 1,717     | 610                       |
| 19        | Madhya Pradesh             | 5,072     | 4,978     | 5,262     | 2214                      |
| 20        | Maharashtra                | 44,389    | 43,926    | 39,111    | 17135                     |
| 21        | Manipur                    | 1,910     | 1,660     | 1,518     | 519                       |
| 22        | Meghalaya                  | 367       | 459       | 545       | 221                       |
| 23        | Mizoram                    | 1,180     | 1,160     | 1,269     | 657                       |
| 24        | Nagaland                   | 1,684     | 1,672     | 1,834     | 906                       |
| 25        | Orissa                     | 3,815     | 3,467     | 3,317     | 1617                      |
| 26        | Pondicherry                | 699       | 635       | 593       | 296                       |
| 27        | Punjab                     | 4,863     | 4,537     | 5,333     | 2677                      |
| 28        | Rajasthan                  | 6,665     | 7,871     | 8,052     | 3817                      |
| 29        | Sikkim                     | 49        | 31        | 34        | 14                        |
| 30        | Tamil Nadu                 | 16,053    | 16,653    | 15,246    | 7180                      |
| 31        | Tripura                    | 197       | 225       | 264       | 167                       |
| 32        | Uttar Pradesh              | 13,977    | 12,954    | 14,035    | 7438                      |
| 33        | Uttaranchal                | 876       | 786       | 845       | 198                       |
| 34        | West Bengal                | 7,342     | 7,198     | 7,171     | 2942                      |
| TOTAL     | TOTAL                      | 245,859   | 240,234   | 223,723   | 93,336                    |

State/UT wise details of PLHIV (including children) receiving free ART treatment as of October 2015

| Sr. No.   | Name of states    |   Number of ART Centres |
|-----------|-------------------|-------------------------|
| 1         | Andhra Pradesh    |                      40 |
| 2         | Arunachal Pradesh |                       1 |
| 3         | Assam             |                       6 |
| 4         | Bihar             |                      16 |
| 5         | Chandigarh        |                       1 |
| 6         | Chattisgarh       |                       5 |
| 7         | Delhi             |                      10 |
| 8         | Goa               |                       1 |
| 9         | Gujarat           |                      30 |
| 10        | Haryana           |                       1 |
| 11        | Himachal Pradesh  |                       6 |
| 12        | Jammu&Kashmir     |                       2 |
| 13        | Jharkhand         |                       7 |
| 14        | Karnataka         |                      64 |
| 15        | Kerala            |                      10 |
| 16        | Madhya Pradesh    |                      17 |
| 17        | Maharashtra       |                      86 |
| 18        | Manipur           |                      12 |
| 19        | Meghalaya         |                       1 |
| 20        | Mizoram           |                       6 |
| 22        | Nagaland          |                       8 |
| 23        | Odisha            |                      15 |
| 24        | Pondicherry       |                       1 |
| 25        | Punjab            |                      12 |
| 26        | Rajasthan         |                      23 |
| 27        | Sikkim            |                       1 |
| 28        | Tamil Nadu        |                      52 |
| 29        | Telangana         |                      22 |
| 30        | Tripura           |                       3 |
| 31        | UttarPradesh      |                      38 |
| 32        | Uttarakhand       |                       3 |
| 33        | West Bengal       |                      19 |
|           | National          |                     519 |