201

Indian Institute of Planning and Management

Social Campaign on AIDS awareness &

Prevention

Submitted to:
 Prof. Manpreet kaur
Submitted by:
S.No
Name
Roll No

1
Atul Tripathi
15

2
Rimpy Bishnoi
56

3
Saloni Bishnoi
61

4
Tania Mustafa
77

ACKNOWLEDGEMENT
We would like to express our immense gratitude to M/sManpreet Kaur for
assisting & guiding us all in bring up a focused approach towards our
subject “Social Marketing” by means of this project. We as a part of
research now have gained immense exposure of the subject by means of
various analysis.

We would like to bring this collective effort to light by presenting the HIV
AIDS concept which is relevant to the subject by means of data collected.

We would like to thank you again for giving this opportunity.

INDEX
3
S.No Topic Page No
1 Introduction 4
2 History of HIV AIDS in INDIA 4
3 Current estimates 6
4 Who effected from HIV in INDIA 7
5 Campaign of HIV/AIDS 8
6 Movies and Celebrity association for AIDS 13
7 Education Institutes For AID 15
8 Government role 18
9 Participation of NGO’s 20
10 Prevention and Control Policy 21
11 Future of HIV AIDS 25
12 Conclusion and suggested new campaign 27
1.Introduction
In India the Human Immunodeficiency Virus/ Acquired
Immunodeficiency Syndrome (HIV/AIDS) epidemic is now 15
years old. Within this short period it has emerged as one of the most
serious public health problems in the country. The initial cases of
HIV/AIDS were reported among commercial sex workers in
Mumbai and Chennai and injecting drug users in the north-eastern
State of Manipur .

Overview of HIV and AIDS in India

India is one of the largest and most populated countries in the
world, with over one billion inhabitants. Of this number, it's
estimated that around 2.3 million people are currently living with
HIV.
HIV emerged later in India than it did in many other countries.
Infection rates soared throughout the 1990s, and today the epidemic
affects all sectors of Indian society, not just the groups – such as
sex workers and truck drivers – with which it was originally
associated.
In a country where poverty, illiteracy and poor health are rife, the
spread of HIV presents a daunting challenge.

2.The History of HIV/AIDS in India

5
At the beginning of 1986, despite over 20,000 reported AIDS cases
worldwide,India had no reported cases of HIV or AIDS.There was
recognition, though, that this would not be the case for long, and
concerns were raised about how India would cope once HIV and
AIDS cases started to emerge.Later in the year, India’s first cases of
HIV were diagnosed among sex workers in Chennai, Tamil Nadu.It
was noted that contact with foreign visitors had played a role in
initial infections among sex workers, and as HIV screening centres
were set up across the country there were calls for visitors to be
screened for HIV. Gradually, these calls subsided as more attention
was paid to ensuring that HIV screening was carried out in blood
banks.
In 1987 a National AIDS Control Programme was launched to co-
ordinate national responses.By the end of 1987, out of 52,907 who
had been tested, around 135 people were found to be HIV positive
and 14 had AID.
At the beginning of the 1990s, as infection rates continued to rise,
responses were strengthened. In 1992 the government set up
NACO (the National AIDS Control Organisation), to oversee the
formulation of policies, prevention work and control programmes
relating to HIV and AIDS.11 In the same year, the government
launched a Strategic Plan, the National AIDS Control
Programme (NACP) for HIV prevention. This plan established the
administrative and technical basis for programme management and
also set up State AIDS Control Societies (SACS) in 25 states and
7 union territories. It was able to make a number of important
improvements in HIV prevention such as improving blood safety.
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A human daisy chain on World Aids Day in India, December
2004.
By this stage, cases of HIV infection had been reported in every
state of the country.
In 1999, the second phase of the National AIDS Control
Programme (NACP II) came into effect with the stated aim of
reducing the spread of HIV through promoting behaviour change.
During this time, the prevention of mother-to-child transmission
(PMTCT) programme and the provision of free antiretroviral
treatment were implemented for the first time. In 2001, the
government adopted the National AIDS Prevention and Control
Policy and former Prime Minister Atal Bihari Vajpayee referred to
HIV/AIDS as one of the most serious health challenges facing the
country when he addressed parliament. Vajpayee also met the chief
ministers of the six high-prevalence states to plan the
implementation of strategies for HIV/AIDS prevention.
39
The third phase (NACP III) began in 2007, with the highest
priority being the 'saturation' of high-risk groups including sex
workers, men who have sex with men, and injecting drug users with
targeted interventions. The NACP III also seeks to decentralise the
HIV effort to the most local level, districts, and engage more non
governmental organisations in providing welfare services to those
living with HIV/AIDS.

3.Current estimates
In 2006 UNAIDS estimated that there were 5.6 million people
living with HIV in India, which indicated that there were more
people with HIV in India than in any other country in the world. In
2007, following the first survey of HIV among the general
population, UNAIDS and NACO agreed on a new estimate –
between 2 million and 3.1 million people living with HIV.
In 2008 the figure was confirmed to be 2.31 million, which equates
to a prevalence of 0.3%. While this may seem a low rate, because
India's population is so large, it is third in the world in terms of
greatest number of people living with HIV. With a population of
around a billion, a mere 0.1% increase in HIV prevalence would
increase the estimated number of people living with HIV by over
half a million.
The national HIV prevalence rose dramatically in the early years of
the epidemic, but a study released at the beginning of 2006 suggests
that the HIV infection rate has recently fallen in southern India, the
region that has been hit hardest by AIDS. In addition, NACO
released figures in 2008 suggesting that the number of people
living with HIV has declined from 2.73 million in 2002 to 2.27
million in 2008.
Some AIDS activists are doubtful that the situation is improving:
4. Who is affected by HIV and AIDS in India?
People living with HIV in India come from incredibly diverse cultures and
backgrounds. The vast majority of infections occur through heterosexual sex
(80%), and most of those who become infected would not fall into the category
of ‘high-risk groups’ - although members of such groups, including sex
workers, men who have sex with men, truck drivers and migrant workers, do
face a disproportionately higher risk of infection.

Map of India showing the worst affected states:

41
5. Campaigns of HIV AIDS
I.Action Aid India:
• The RIGHTS approach to HIV and AIDS:
ActionAid India looks at HIV and AIDS as a
Rights Issue closely linked with Poverty and
Gender inequities.Poverty linked migration and
trafficking has aggravated vulnerabilities
leading to HIV Our approach hence is to uphold
three interlinking rights such as The Right to
Dignity, the Right to Self Determination and
The Right to Comprehensive Care with a
special focus on Women and Children. .
Campaigns:
• ActionAid India is an active member of the AA International
HIV and AIDS campaign. ActionAid International campaign
is on "Unblocking resources" for Care and support for the
poorest positive person in a community. As part of this they
have initiated work on Budget Tracking and Analysis within
the country focussing on the states of Tamil Nadu, Andhra
Pradesh and Karnataka.
• As part of our campaign on making the Voices of PLWHAs
heard, ActionAid India co-sponsored the AIDS India
conference 2005 held in Chennai in October, 2005 and
organised a Special Workshop on Women, Girls and HIV and
AIDS where positive women from MILANA and Chittoor
Network addressed the participants. We facilitated the
participation of about 100 PLWHAs in this medical
conference and ensured their voices are heard creating the
linkages between medical and social issues.
 • The regions have identified 20 positive people, mostly
women from across the country for leadership Development
for Advocacy. This group will form the core campaign group
for ActionAid India in future.
• PLWHA groups across the country along with NGOs and
Movements are now being encouraged and provided space to
discuss issues of patents and drugs and its impact on
PLWHAs. HIV and AIDS has become an integral part of the
Peoples Caravan for Justice, Dignity and sovereignty.
Programme:
• The thematic Unit is now in the process of developing a Peer
Education Module for PLWHAs and Sex workers.

II.Condom Condom ringtone supports:

The campaign’’s theme Jo Samjha Wohi Sikander (the one
who understands is a winner) reinforces the message that those
who use condoms are winners in life.
“Ringtones have become such personal statements that a
specially created condom ringtone seemed just the right way of
combining a practical message with a fun approach. We have
always had a strong interactive, response-led component in this
ongoing campaign. This downloadable ringtone provides an
opportunity for our audience to translate a message into an
action. This ongoing multi-media campaign will reach an over
100 million people in India.
The “condom condom” campaign is part of a two-year project to
encourage more widespread use of condoms.
It started in 2007 with a three-week contest reaching over 100
million people in four Indian states.
Nearly 400,000 calls were made by people responding to TV,
radio and outdoor advertisements to participate in the contest.
43
 The Bill and Melinda Gates” Foundation provided financial
support for the campaign. (ANI)

III.Spread love, not infection…

Say Yes to Condom – No to HIV”
“A Rupee saves a life”
“Stay Negative Love Condom”
“Love yourself, Love your partner, Love Condom”
With these catchy slogans, a health organisation distributed condoms to
people in New Delhi, much to the irritation of political outfits like
Bhartiya Janata Party (BJP) and Shiv Sena, who along with their
political activities in India, also play the role of moral police
in the country.
Recently, its activists damaged a condom vending machine
and forced the State AIDS Control Society to remove the
machine placed in a park, in one of the northern states of the
country.

IV. Chandigarh starts condom promotion

month
There was a condom bar in the city to increase awareness
about safe sex. Then, condom depots in slums. Now, the
authorities have started a condom promotion month targeting
vulnerable areas of this union territory.
“Our idea is to make people aware and to make the
contraceptive available to the at-risk segments of society that
are generally ignored in the mainstream awareness drives.
They took this message of healthy lifestyle and responsible
behaviour to the masses at large,”
Condom van’ spreads awareness about
HIV/AIDS in Chandigarh
To spread awareness about HIV/AIDS and the usage of
condoms mainly among the most vulnerable section -
truck drivers and their attendants, a van christened
‘Ustad Condom Van’ was introduced in the city.
The van moved across the city for the next 27 days
was a part of a condom promotion awareness
programme, initiated by the union territory’s State
AIDS Control Society (SACS) in association with the
HLL Lifecare limited here.

• Balbir Pasha HIV/AIDS

Campaign - Mumbai, India
For a 4-month period in late 2002 and early 2003,
Population Services International (PSI) India launched an
HIV/AIDS mass media campaign to address urban men
aged 18-34 in the lower socioeconomic groups in Mumbai,
India. The Balbir Pasha campaign sought to dispel
HIV/AIDS myths, increase risk perception, generate
discussion, and motivate people to access HIV/AIDS
hotlines and voluntary counseling and testing (VCT)
services.
Following pre-campaign testing of the acceptability and
comprehension of the messages' tone and content, campaign
materials were designed that featured the following 3 themes:
1. The Alcohol Connection - "I often use condoms, but when I
get drunk, I sometimes forget to use them." (December 1 -
December 20 2002)
2. Regular Partner Issue - "I only have sex with one person (sex
45
 worker or casual partner) and hence I am safe." (December
21 2002 - January 10 2003)
3. Asymptomatic Carrier Issue - "If a person looks healthy
he/she must be safe from HIV/AIDS" (January 11 - January
31 2003)

Due to the large size of the high-risk group the campaign

sought to reach, mass media - especially billboard advertising
concentrated in specific geographic areas - was deemed the
most efficient tool for reaching these people. Posters and
billboards were erected at bus stops, train stations, cinema
halls, and throughout the red light district. Radio and TV
commercials and print ads were also part of the campaign.

The campaign is part of PSI India's Operation Lighthouse, an

HIV/AIDS prevention project in 12 major port communities
of India funded by the U.S. Agency for International
Development (USAID) through PSI's AIDSMark project.

• Red Ribbon Express train -

HIV/AIDS awareness campaign
It's called the express of hope. After completing a
successful run through 100 districts in the state of
Tamil Nadu educating and sensitizing over 75000
people about HIV/AIDS and health. To provide
awareness among the people both urban &rural
population of our country , the Red Ribbon Express
project was developed . The concept of the project
was to provide knowledge, precautions to the public
to fight against the dreadful disease “AIDS”

Some other HIV AIDS campaign:

 Celebrity spoke

 Social Advertising

 Marathon

 Events on World’s AIDS day

 Other Social Organizations organizing events.

47
6. Movie and celebrities associations in cause
of AIDS:
It considers the potential of Indian cinemas to contribute to
stemming the spread of HIV/AIDS beyond India's borders. Despite
India's considerable caseload, the condition remains deeply
stigmatised: this disease is seen as that of 'the other', in India, i.e.
that of homosexuals, drug users, and commercial sex workers.
More recently, it has become a crisis of the poor, who in India's
class-conscious globally driven growth economy are still invisible .
Clearly, AIDS-related stigma is a major problem in India, and one
that could be tackled by India's vast pool of cinematic talent.
1.'Phir Milenge' was produced by Sahara Manarajan/Percept
Picture Company/ Telephoto Entertainments Ltd. The
production was supported by UNAIDS, EMCure
Pharmaceuticals, India Time.Com and FM91.com.
Considered a box office failure, the film and its major star,
Shilpa Sherry, nevertheless won accolades for the acting and
production.
2. My brother Nikhil'. The 118-minute film, released in
2005, was based on the story of Dominic D'Sousa, who was
diagnosed with HIV in Goa, in 1989. The film was written,
directed, and edited by Bhutanese immigrant to India,
Anirban Dhar, who uses the professional name of Onir.
rather was supported by private. It too can be considered a
'social issue' film targeted at 'multiplex' audiences.
Celebrity Associations:
 In February 2006 Shetty lent support to a
BBC World Service Trust television show design to tackle
the problem of HIV-AIDS in India. The project, which also
involved other celebrities Vivek Oberoi, Dia Mirza, and
Raveena Tandon in separate episodes, featured Shetty as she
shadowed a young achiever whose work involved raising
awareness about the condition. According to reports, she
participated in order to show solidarity with HIV-AIDS
sufferers.[
The issue is particularly close to Shetty's heart as she had
portrayed an HIV-positive sufferer in her 2004 movie Phir
Milenge.

John Abraham joins Mukti Foundation’s AIDS

Awareness Campaign:

49
 John Abraham and Smita
Thackeray have came together for a mission – to eradicate
AIDS. The ‘I Pledge’ campaign of Smita Thackeray-helmed
Mukti Foundation took off with actor John Abraham as the
face of the campaign.Considering that more than 2.5 million
AIDS cases in India will be moving to more alarming levels
by 2010 (according to CIA’s National Intelligence Council
Report) Smita’s move seemed to be very timely.

7.Education and AIDS Institute

AIDS Institute Initiatives
• Community-Based Multi-Service Programs
o Community Service Programs (CSP)

o Multiple Service Agencies (MSA)

• Prevention and Support Services

o Anonymous HIV Counseling and Testing Program in
Community and Criminal Justice Settings
o Criminal Justice Initiative

o Lesbian, Gay, Bisexual and Transgender HIV Initiative

 o Lesbian, Gay, Bisexual and Transgender (LGBT) Health &
Human Services Initiative
o Harm Reduction Initiative

o Expanded Syringe Access Demonstration Program (ESAP)

o Peer Delivered Services

o Specialty Targeted Contracts

o Prevention Services for Adolescents and Young Adults

o Prevention Services for Women

o HIV Supportive Services for HIV-Infected Women and Their

Families
o Communities of Color Initiative

• Outreach and Health Promotion Campaigns

o Project WAVE New York

• Health Care Services

o HIV Uninsured Care Programs (ADAP, ADAP Plus, HIV Home
Care, ADAP Plus Insurance Continuation)
o AIDS Nursing Facilities

o AIDS Home Care Programs

o AIDS Adult Day Health Care Programs

o Community-Based HIV Prevention and Primary Care Services

o Designated AIDS Centers

o HIV Special Needs Plans (SNPs) / Managed Care

o HIV Enhanced Fees for Physicians Program

o HIV Primary Care Medicaid Program

51
 o HIV Primary Care and Prevention Services for Substance Users

o Treatment Adherence Initiative

o Family-Centered Health Care Services

o Centers of Excellence in Pediatric HIV Care

o Youth-Oriented Health Care Programs

o Supportive and Legal Services for Families in Transition

o Viral Hepatitis Program

o Oral Health Care

• Prevention of Perinatal Transmission

o Maternal-Pediatric HIV Prevention and Care Program
(MPHPCP)
o Community Action for Prenatal Care Initiative (CAPC)

• Community Support Services

o Case Management

o Ryan White HIV Care Networks

o Mental Health Initiative

o Nutrition Initiative

o General Legal Services

o Statewide AIDS Service Delivery Consortium (SASDC) for

Special Populations
• Housing
o Housing and Supportive Housing Programs

o New York/New York III Supportive Housing Agreement

• Transportation Services
o Medical Transportation Services

• Education Programs
 o The HIV Clinical Education Initiative

o HIV/AIDS Training Services

o The Nicholas A. Rango HIV Clinical Scholars Program

o People Living with HIV/AIDS Leadership Training Institute

(LTI)
• HIV/AIDS Materials Initiative
• Quality of Care Programs
o HIV Quality of Care Program

o AIDS Intervention Management System (AIMS)

o HIV Clinical Guidelines Program

o Part A HIV Quality Management Program

o HIVQUAL

o National Quality Center (NQC)

o HIVQUAL-International (HQ-I)

• Confidentiality and Human Rights

• Coordination/Community Planning
o New York State AIDS Advisory Council (AAC)

o New York State Interagency Task Force on HIV/AIDS

8.Government Role:
NACO- Vision and Values

53
NACO envisions an India where every person living with HIV has access to
quality care and is treated with dignity. Effective prevention, care and
support for HIV/AIDS is possible in an environment where human rights are
respected and where those infected or affected by HIV/AIDS live a life
without stigma and discrimination.NACO has taken measures to ensure that
people living with HIV have equal access to quality health services. By
fostering close collaboration with NGOs, women’s self-help groups, faith-
based organisations, positive people’s networks and communities, It stands
committed to building an enabling environment wherein those infected and
affected by HIV play a central role in all responses to the epidemic – at state,
district and grassroot level.NACO is thus committed to contain the spread of
HIV in India by building an all-encompassing response reaching out to
diverse populations.
The Govt. has been doing this in brave new unorthodox methods:
i.In July, the National AIDS Control Organisation (NACO) in a
bold pilot campaign asked newspaper readers across the
cricket-mad nation to save their “wickets” and not lose their
“stumps” to AIDS.
To drive home the point, the advertisement showed three cricket
wickets covered by condoms, a bold departure from more
conservative TV ads with cricketers like Indian captain Rahul Dravid
wearing a helmet and asking people to protect themselves.
This was followed by another newspaper advertisement warning
readers in a country where most people do not discuss sex openly to
remain “Not out!” to AIDS by praticising safe sex.
ii.[NACO] is helping staid state broadcaster Doordarshan, which
reaches about 400 million viewers, to develop a TV serial
featuring an HIV-infected character, a first for Indian TV.
NACO] is helping staid state broadcaster
iii.The “Red Ribbon Express” will carry actors who will perform
AIDS awareness plays; doctors to carry out HIV tests; and
 volunteers who will cycle to villages every time the train stops.

iv.The AHF has tied up with HLL Lifecare Limited for this
LOVE- Condom campaign. “A key component of the
campaign is the website www.getfreecondoms.org , which
contains crucial information about HIV transmission,
prevention and treatment, including facts about condom use.
This campaign is aimed to bring public-private partnership to
facilitate access to free condoms and is expected to complement
the ongoing social marketing and free distribution of condoms
promoted by Government of India.
The HLL representative claims that the goal of LOVE Condom
Campaign is to scale-up global support for condom usage by
distributing ten million high-quality World Health Organisation
(WHO) approved condoms free of charge to any individual, non-
governmental or government agency, which makes a commitment to
support the campaign’s aim of achieving hundred per cent access to
free condoms worldwide.
v.To achieve ‘Global AIDS Control’ an aggressive inclusion of
condoms as a safety measure is essential. The experts claim that
the ABC model focusing on Abstinence-Be faithful-Condoms,
which proved to be a success in countries such as Uganda, loses
its strength without including C (Call for) condoms. The time
has come to bring Condoms from the back to the forefront and
evolve a new model of ABC (Abstinence-Be faithful-Call for)
Condoms.

55
 9. Participation of NGOs/CBOs
 Non-Governmental organisations have made significant contribution
in the health sector by their innovative approach in the areas of public
health, family welfare and in arresting the spreadof communicable
diseases. It is essential to continue to encourage the involvement of
the voluntary sector in HIV/AIDS. The National AIDS Control
Programme has recognised the importance of NGOs participation in
the Programme for providing community support to people living
with HIV/AIDS and their families and for providing the required care
and counselling.NGOs bring with them their experience of
community level work in enhancing people’s participation by
adopting an interpersonal approach with sensitivity and thus benefit
theHIV/AIDS programme immensely.
 Government commits itself to large-scale involvement and
participation of NGOs/CBOs in NACP in the following manner:
a) Involvement of NGOs at the policy making level through
regular interaction
b) and adequate representation in national and State level bodies.
c) Extending their participation to new areas like provision of
medical facilities
d) including home-based care, opening of community care centres,
etc. apart from
e) the conventional areas of awareness, counselling and targeted
interventions
f) among risk groups.
g) Greater efforts to undertake training and capacity building
programmes for
h) the NGOs to empower them to take up these additional
responsibilities.
i) Periodical updating of guidelines issued by NACO for
involvement of NGOs
j) to facilitate greater participation of NGOs and for better
accountability.
k) Encourage networking among NGOs to avoid duplication of
efforts in some of the areas.
 l) . Efforts will be made to identify nodal NGOs in different
States for
coordinating the work of all the NGOs working in that State.

10. Preventions
National Aids Prevention and Control Policy

POLICY INITIATIVES

One of the biggest lessons learnt globally as well in the country is that
national responses should not wait for HIV/AIDS cases to soar. Policies
should not wait at a time when crucial prevention and care information and
services are needed. HIV is particularly fuelled by situations of injustice and
poverty and its impact is felt beyond health sectors. Another important
lesson learnt is that a multi sectoral response must be designed in the context
of the overall development
strategy to ensure its sustainability and effectiveness. HIV/AIDS control
programme however well planned and designed at the central level remains
ineffective unless they reach out where people live, work, study and access
health and other welfare services including information services.
For this purpose the policy recognizes the following issues as critical for
bringing in a paradigm shift in the response to HIV/AIDS at all levels both
within and outside Government.

57
HIV/AIDS

Gayatri Devi, 24, has her blood tested by Winnie Tauvo in a hospital in Bangalore. ©
UNICEF India

As a part of the joint UN response and within the context of National Aids
Control Plan III, UNICEF collaborates with the Government of India and other
partners in four key areas we call the 4 Ps:

Primary prevention among young people is the greatest hope to defeat the virus.
UNICEF has been carrying out focused popular campaigns to raise awareness
among the children and young people. The Unite for children Unite Against AIDS
campaign calls upon everyone to join together to put the care and protection of
children, adolescents and young people at the centre of the HIV/AIDS agenda.
UNICEF provided technical support to Adolescence Education Programmes
(AEP) in schools. AEP is a joint initiative by the DoE, NACO in collaboration
with NCERT, UNFPA and UNICEF. This programme aims to strengthen life
skills and increase knowledge of young people required to empower them to say
‘no’ to negative peer pressure and use the skills to protect themselves from HIV
infections.
UNICEF is helping to reach at risk adolescents and young people in 43 high
priority and prevalence districts across the country, through focused peer outreach
programmes and by strengthening links to youth-friendly health services and
communication initiatives.
A simple anti-retroviral drug administered to the mother during labour and a spoonful of
syrup to the baby soon after birth can prevent transmission of the AIDS virus to the
newborn.

© UNICEF India

2. Prevention of parent-to-child transmission (PPTCT) focuses on both

women and their partners with a view to create an AIDS free generation.
UNICEF is supporting the government’s PPTCT services in 2433 centers across
the country. Women and their partners will have access to confidential testing and
counseling. HIV positive mothers will receive antiretroviral drugs, as will their
babies soon after the birth. The PPTCT programme supports women in
minimizing the risk of HIV transmission through breastfeeding and follow-up
care.
3. Paediatric HIV/AIDS - NACO with support of UNICEF, Indian Academy of
Paediatrics, Clinton Foundation and WHO has formulated the policy and
guidelines which form the basis of the “National Paediatric initiative” for children
living with HIV. NACO under this initiative has set a target for providing ART to
10,000 children by 2007. This initiative has been launched on 30th November
2006 by Mrs. Sonia Gandhi and William. J. Clinton. Now, as of September 2007,
6,500 children are receiving ART and nearly 19,000 children were identified who
may need ART in future.
4. Protection, care and support for affected children - Among the estimated

59
 2.5 million people in India living with HIV/AIDS, 70,000 are children under 15
years old (UNAIDS 2007). Every year about 21,000 children are infected through
mother to child transmission and thousands of children are affected because their
parents are HIV positive. UNICEF India has been working to get a clear picture
on an evidence-based approach to address the changing needs of the children
affected by HIV/AIDS. On 31st July 2007, Mrs. Renuka Chowdhury, Minister of
State for Women and Child Development, launched the first comprehensive
National Policy on Children and AIDS in India.
5. Communications and Advocacy - Communications and advocacy on HIV/AIDS is
essential to break the silence, contain the spread of the disease, reduce the stigma and
discrimination incidents and to influence the policies that will benefit the HIV positive
children and young people. To achieve this, UNICEF works on two levels - (a) A strategic
anti stigma and discrimination campaign (b) Advocacy with MPs and key policy makers.

Anti Stigma and Discrimination Campaign

HIV positive children face discrimination in their everyday life. This stigma and
discrimination practiced by the general public against the HIV positive children denies
their access to education, health and many other crucial government provided services.
It is clear from various studies that HIV positive children who are being denied an
education based on their HIV status are due to lack of knowledge or awareness about how
HIV/AIDS spreads. The campaign carried out by UNICEF will focus on health and
education settings creates awareness on the modes of HIV/AIDS transmission, why HIV
positive people deserve our respect and why HIV positive people should have
uninterrupted access to all public services.
Policy and Advocacy work with MPs

UNICEF works hand in hand with the Government of India through NACO, Parliamentary
Forum on HIV/AIDS and MPs to influence the HIV/AIDS policies. UNICEF plans to influence
the new HIV/AIDS Bill to make sure that children and women are well represented. UNICEF
also works towards supporting the GOI's commitment and leverage local resources towards the
betterment of children, young people and families living with HIV/AIDS.
 11. The future of HIV and AIDS in
India
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81
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HIV/AIDS information painted on a wall in Darjeeling, India

Various groups have made predictions about the effect that AIDS will have
on India and the rest of Asia in the future, and there has been a lot of dispute
about the accuracy of these estimates. For instance, a 2002 report by the
CIA's National Intelligence Council predicted 20 million to 25 million
AIDS cases in India by 2010 - more than any other country in the
world.India's government responded by calling these figures completely
inaccurate, and accused those who cited them of spreading panic. The
government has also disputed predictions that India’s epidemic is on an
African trajectory, although it claims to acknowledge the seriousness of the
crisis.
Indeed, recent surveys do suggest that national HIV prevalence has probably
fallen slightly in recent years. This trend is mainly due to a drop in infections
in southern states; in other areas there has been no significant decline.
“In the north-east, the dual HIV epidemic driven by unsafe sex and
injecting drug use is highly concerning. Moreover, there are many areas
in the northern states where HIV is increasing, particularly among
injecting drug users.” Sujatha Rao, Director General of NACO .
HIV spending increased steadily in India from 2003 to 2007 but has since
fallen. Currently, India spends about 5% of its health budget on HIV and
AIDS.However, the World Bank has warned that India will have to scale up
prevention efforts in order to avoid spending more of its health budget in the
future. According to the World Bank’s report, by 2020 India will have to
spend 7% of its health budget on AIDS if the rising tide of the AIDS
epidemic in New Delhi, Mumbai, the north and the north east is not
halted.This would put further strain on a struggling health sector which, on
top of HIV and AIDS, faces a growing multitude of health challenges
including malaria, diabetes, heart disease and cancer. Yet, in 2008-2009
spending on HIV/AIDS fell by 15% to $146 million.
“The challenges India faces to overcome this epidemic are enormous.
Yet India possesses in ample quantities all the resources needed to
achieve universal access to HIV prevention and treatment… defeating
AIDS will require a significant intensification of our efforts, in India,
just as in the rest of the world” Peter Piot, former Executive Director of
UNAIDS.

83
 12.CONCLUSION
Just as the HIV infection is transcending the boundaries of high risk groups
and spreading into the general populace, prevention and care programmes
have also reached a critical phase. Government of India is fully committed to
prevent the spread of HIV/AIDS at the initial stage itself before it emerges
into a catastrophic epidemic. Government of India looks at HIV/AIDS
prevention and control as a developmental issue with deep socio-economic
implications. It touches all sections of the population, both infected and
affected, irrespective of their regional, economic or social status.
We after analyzing various campaigns thought of one new campaign for
AIDS awareness which will be for urban India AIDS- ALL INDIA DAY
OF SAFETY and for rural India “AAJ INDIA KA DIN SURAKSHA KE
LIYE”. This campaign will be for rural and urban India both, which will be
out through a video displaying the people who are suffering from this life
threatening disease.This will be dedicated to those people who are living
each day close to death. By this message everyone can know worse side of it
and will be targeting all the areas across India which are highly affected
through this disease.
85