Populated Printable COP 2009 India Generated 9/28/2009 12:04:44 AM ***pages: 432*** India Page 1 Table 1: Overview Executive Summary File Name Content Type Date Uploaded Description Uploaded By India_COP application/msword 11/14/2008 KBarker 09_Congressional Notification.doc Country Program Strategic Overview Will you be submitting changes to your country's 5-Year Strategy this year? If so, please briefly describe the changes you will be submitting. X Yes No Description: The Government of India (GOI) is now implementing the third phase of the National AIDS Control Program (NACP-III), 2007-2012, a plan developed with input from the donor community, including strong support from USG. The new GOI strategy supports a decentralized response to the epidemic to deliver expanded prevention, treatment and care services, with the goal of integrating HIV/AIDS services within the National Rural Health Mission by 2012. NACP-III has four strategic objectives, focusing on prevention for high-risk groups and the general population; scaling up care, support and treatment for People Living with HIV/AIDS, strengthening systems, and improving strategic information. In FY 2009, USG/India expects to develop a new five-year HIV/AIDS strategy to replace the strategy developed in 2005 for FY 2006-2010. The latter document was written under NACP-II, at a time when the GOI had fewer funds invested in HIV/AIDS programs, and donors funded a significant amount of direct interventions. Since then, the development of NACP-III, the rapid national scale-up of public sector HIV/AIDS services, and the increased investment by the GOI in HIV/AIDS have changed needs for donor support. As a result our strategic approach has changed and continues to evolve in response to the needs of the National AIDS Control Organization (NACO). USG is increasingly being requested to provide technical assistance to NACO and the State AIDS Control Organizations (SACS), as well as continuing to support some direct interventions (with the intention that the direct interventions will be transferred to the GOI at a later date). In September 2008, USG/India submitted a concept paper for a Technical Support Partnership Compact that briefly presented the framework for a new strategic approach. Key elements of the approach are: Institutional Support • Supporting the goal of integration of HIV/AIDS within the NRHM by 2012 • Assisting GOI to decentralize project management to the district level through building the capacity of district-level institutions, including District AIDS Control Units (DAPCUs) • Building the capacity of the SACS through funding Technical Support Units in six States, who will mentor the SACS in planning, implementing and monitoring NGO HIV/AIDS programs • Developing an ongoing mentoring program for NACO staff • Funding staff to support the Country Coordinating Mechanism of the Global Fund Technical Assistance • Technical support in strengthening the quality of service delivery and assessment; specific activities include: o Strengthening the National Reference Laboratory system o Supporting an expanded surveillance system, through funding and training consultants in 37 positions to work on epidemiology o Leading the development of a strategy to strengthen public-private partnerships, including assisting NACO to set up a Trust to support PPPs Demonstration Activities • Implementing a Link Worker program in 4 districts, to demonstrate the GOI’s approach to link most-at-risk populations with services • Implementing Targeted Interventions in selected districts, with the aim of using these programs as learning sites • Training and supervising primary health center nurses to demonstrate a wider role for them in addressing HIV/AIDS Strengthening Human Resource Capacity • Continued funding for capacity building for medical personnel through fellowship and training programs that combine theoretical and experiential training • Supporting training workshops for the Armed Forces Medical Services in prevention, treatment and care • Curriculum, protocol, and guideline development in clinical areas. It is expected that in FY09 this new emphasis on actions to promote long-term sustainability will be formalized in a new HIV/AIDS strategy document. Generated 9/28/2009 12:04:44 AM ***pages: 432*** India Page 2 Ambassador Letter File Name Content Type Date Uploaded Description Uploaded By Ambassador application/pdf 11/14/2008 KBarker Letter_India_COP 2009.pdf Country Contacts Contact Type First Name Last Name Title Email PEPFAR Coordinator Janet Hayman Emergency Plan Coordinator [email protected] DOD In-Country Contact Ahmed Nawab Deputy Chief, Office of Defense [email protected] Cooperation DOD In-Country Contact Harsh Chugh Budget/Training Officer, ODC [email protected] DOD In-Country Contact Heather Luther PEPFAR Coordinator, ODC [email protected] HHS/CDC In-Country Contact Deepika Joshi PEPFAR Strategic Information [email protected] Officer HHS/CDC In-Country Contact Rubina Imtiaz Country Director, CDC [email protected] USAID In-Country Contact Kathryn Barker PEPFAR Program Management [email protected] Assistant USAID In-Country Contact Kerry Pelzman Director, Office of Population, [email protected] Health and Nutrition USAID In-Country Contact Sanjay Kapur Chief - HIV/TB, Office of Population, [email protected] Health and Nutrition U.S. Embassy In-Country A. Sukesh Advisor, Labor and Political [email protected] Contact U.S. Embassy In-Country Steven White Deputy Chief of Mission [email protected] Contact HHS/HRSA In-country Contact Rubina Imtiaz Country Director, CDC [email protected] HHS/OS In-Country Contact Altaf Lal Health Attache, NIH [email protected] HHS/NIH In-Country Contact Altaf Lal Health Attache, NIH [email protected] Global Fund In-Country Kerry Pelzman Director, Office of Population, [email protected] Representative Health and Nutrition Global Fund What is the planned funding for Global Fund Technical Assistance in FY 2009? $100000 Does the USG assist GFATM proposal writing? Yes Does the USG participate on the CCM? Yes Generated 9/28/2009 12:04:44 AM ***pages: 432*** India Page 3 Table 2: Prevention, Care, and Treatment Targets 2.1 Targets for Reporting Period Ending September 30, 2009 National 2-7-10 USG USG Upstream USG Total Target Downstream (Indirect) Target End FY2009 (Direct) Target End FY2009 End FY2009 Prevention End of Plan Goal 1.2 - Number of pregnant women who received HIV counseling and 0 148,044 1,387,856 1,535,900 testing for PMTCT and received their test results 1.3 - Number of HIV-infected pregnant women who received 0 881 4,141 5,022 antiretroviral prophylaxis for PMTCT in a PMTCT setting National 2-7-10 USG USG Upstream USG Total Target Downstream (Indirect) Target End FY2009 (Direct) Target End FY2009 End FY2009 Care (1) 79,135 70,450 149,585 End of Plan Goal 6.2 - Total number of individuals provided with HIV-related palliative 0 72,381 70,200 142,581 care (including TB/HIV) ***7.2 - Number of HIV-infected clients attending HIV care/treatment 0 6,446 16,200 22,646 services that are receiving treatment for TB disease (a subset of indicator 6.2) 8.1 - Number of OVC served by OVC programs 0 6,754 250 7,004 9.2 - Number of individuals who received counseling and testing for 0 217,072 1,659,713 1,876,785 HIV and received their test results (including TB) National 2-7-10 USG USG Upstream USG Total Target Downstream (Indirect) Target End FY2009 (Direct) Target End FY2009 End FY2009 Treatment 8,208 6,000 14,208 End of Plan Goal 11.4 - Number of individuals receiving antiretroviral therapy at the 0 8,208 6,000 14,208 end of the reporting period National 2-7-10 USG USG Upstream USG Total Target Downstream (Indirect) Target End FY2009 (Direct) Target End FY2009 End FY2009 Human Resources for Health 0 0 0 End of Plan Goal 0 Number of new health care workers who graduated from a pre- 0 0 0 0 service training institution within the reporting period. Generated 9/28/2009 12:04:44 AM ***pages: 432*** India Page 4 2.2 Targets for Reporting Period Ending September 30, 2010 USG USG Upstream USG Total Target Downstream (Indirect) Target End FY2010 (Direct) Target End FY2010 End FY2010 Prevention End of Plan Goal 1.2 - Number of pregnant women who received HIV counseling and 160,258 1,577,642 1,737,900 testing for PMTCT and received their test results 1.3 - Number of HIV-infected pregnant women who received 944 4,828 5,772 antiretroviral prophylaxis for PMTCT in a PMTCT setting USG USG Upstream USG Total Target Downstream (Indirect) Target End FY2010 (Direct) Target End FY2010 End FY2010 Care (1) 96,566 80,450 177,016 End of Plan Goal 6.2 - Total number of individuals provided with HIV-related palliative 86,073 80,200 166,273 care (including TB/HIV) ***7.2 - Number of HIV-infected clients attending HIV care/treatment 7,118 18,200 25,318 services that are receiving treatment for TB disease (a subset of indicator 6.2) 8.1 - Number of OVC served by OVC programs 10,493 250 10,743 9.2 - Number of individuals who received counseling and testing for 253,618 1,848,027 2,101,645 HIV and received their test results (including TB) USG USG Upstream USG Total Target Downstream (Indirect) Target End FY2010 (Direct) Target End FY2010 End FY2010 Treatment 8,879 7,000 15,879 End of Plan Goal 11.4 - Number of individuals receiving antiretroviral therapy at the 8,879 7,000 15,879 end of the reporting period USG USG Upstream USG Total Target Downstream (Indirect) Target End FY2010 (Direct) Target End FY2010 End FY2010 Human Resources for Health 0 0 0 End of Plan Goal Number of new health care workers who graduated from a pre- 0 0 0 service training institution within the reporting period.