Independent Evaluation of National AIDS Control Programme

Agency : National AIDS Control Organization, Ministry of health and Family Welfare, Government of India

A consortium of IhMR, JhU and IIM Calcutta had been entrusted with the task of carrying out the evaluation. The broad objective was to evaluate the performance and functioning of the NACP during Phase II. The evaluation covered various programme components including STI clinics, ART centers, VCTCs, Blood banks, NGOs, targeted interventions, community care centers, drop-in-centers, networks of PLhAs, etc. It also covered management aspects of NACO, SACS and other functional units. The management aspects included human resources, IEC, finance management, logistics and supplies management, training, IEC, intersectoral collaboration, inter-departmental coordination, convergence, etc.

The study revealed that in spite of rapid expansion of STD clinics, VCTCs and ART Centers, the problem of accessibility for rural people persisted in most of the states. The drop-out rate among the ART patients was high, which was mainly due to poor mechanism for follow-up and adherence to the treatment. Drug resistance appeared to be an emerging issue, and many ART users were demanding free provision of the more expensive 'second line' drugs that they now required. Targeted interventions appeared to be an effective measure to respond to the epidemic. An important challenge in the implementation of TIs was that the mistrust between government and NGOs still persisted. Moreover, mapping and need assessment were not strong enough to help effectively in planning and implementation of TIs. The study also found that although there was a reduction in the magnitude over the years, stigma and discrimination still persisted. Delayed release and underutilization of funds at the state level appeared to be a key management concern.

The study recommended strong monitoring and follow-up of the clients. Improving data management, timely release of funds, involvement of PLhAs in planning process, strong BCC strategy, promoting publicprivate partnership and inter-sectoral coordination were the major points of recommendations.



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