Situation Analysis:

• With 0.8% of the adult population living with HIV/AIDS, the epidemic is moving from targeted population to general people.
• Nearly one out of every 10 HIV/AIDS infected persons of the world live in India.
• India is among three countries: China and Russia being the other two which will face the biggest threats from HIV/AIDS by 2025 (China 70 million, India 110 million and Russia 13 million).
• India’s life expectancy would be reduced by 13 years by 2025.
• More than 3, 10,000 persons have died to date due to AIDS.
• Incidence of HIV infection has crossed nearly 1% in ante-natal women.
• 50% of all HIV infection occur among young persons (age 10-29).
• There is high prevalence of HIV/AIDS infection in States like Maharashtra, Tamil Nadu where reproductive health including family planning programme has responded well and the states are fast moving towards population stabilization.
• HIV/AIDS is a development challenge than simply a public health issue. It increases human rights violations which include gender disparities, absence of choices and lack of access to resources.

Strategic Direction: By integrating gender sensitive programmes for HIV/AIDS prevention and management with ongoing SRH including FP services, in high prone areas served by the MA.

Goal: Reduction in the global incidence of HIV/AIDS and the full protection of the rights of people infected and affected by HIV/AIDS.

Objective 1: To increase access to interventions for the prevention of STIs / HIV / AIDS integrate gender sensitive SRH & FP programmes at 50% of MAs service delivery points.

Activities:

• Collate data available about antenatal clients visiting SDPs in high prone areas and analyze clients vulnerability to HIV.
• Conduct baseline survey covering 15 Branches to assess women’s negotiating skills about safe sex with their partners. 
• Organise capacity building programmes for volunteers and staff for integrating SRH into HIV/AIDS related services
• Condom promotion to prevent HIV infection among sexually active youth utilizing community based approaches as also promote condom use as a dual protection among contraceptive users Upgrade facilities:

1. At 5 SDPs for investigation and treatment for STIs
2. At 10 SDPs for integrating HIV/AIDS related services with ongoing SRH services viz Prevention of Parents to Child Transmission (PPCT), Voluntary and Confidential Counselling and Testing (VCCT)
3. Develop networks for referral support to high risk HIV/AIDS infected/ affected persons.
4. Carryout integration of SRH services into STIs/ HIV/AIDS in outreach settings at 10 locations.

• Develop monitoring and evaluation tools and documentation package.

Objective 2: To reach out to 50% of population in HIV prone areas to reduce social, religious, cultural, economic, legal and political barriers that make people vulnerable to HIV/AIDS.

Activities:

• Develop policy paper on HIV/AIDS prevention and management and hold orientation workshops/seminars for volunteers and staff to sensitise them to the need for implementing HIV/AIDS programmes
• Organize capacity building programmes for volunteers and staff for management of advocacy campaigns
• Carry out twice a year:

1. Awareness generation campaigns focusing on risks and methods of prevention with involvement of various stakeholders including PLWHAs.
2. Family Health Promotion Campaigns to encourage appropriate health seeking behaviour
3. Behaviour change communication campaigns focusing on dissemination of scientific information about the mode of HIV transmission and promoting a judicious mix of messages on ABC as a life time approach

• Organise for various stakeholders educational programmes on gender and HIV/AIDS including women’s empowerment to negotiate safe sex.
• Conduct formative studies on stigma and denial faced by HIV/AIDS affected persons
• Document and disseminate results including experience sharing with policymakers/ partners/donors
• Develop qualitative and quantitative monitoring and evaluation tools to measure advocacy and empowerment impact.

Outcomes and Indicators: