HIV surveillance:
In the year 1985 ICMR started screening of blood from high
risk groups at National Institute of Virology, Pune and Christian Medical
College, Vellor to determine if HIV was presented in India.
As the first case of HIV was detected in 1986 at Chennai,
the surveillance activity was extended by establishing 62 surveillance centres
and 9 referral centres in the country for identification of geographic spread
of HIV and determination of major modes of transmission.
During 1993 a sentinel surveillance system was introduced
with objective to identify trends in seropositivity in different groups.
Initially 55 sentinel centres were established in 26 states / UTs. Later on in
the year 1997, 115 additional sentinel sites were established to carry out
first sentinel survey in the country during February - March 1998, with second
round in the month of September - October 1998. The objective of the sentinel
surveillance is to monitor the trends of the infection by annual
cross-sectional survey of the risk groups in the same place over few years of
unlinked anonymous serological testing procedures.
In this HIV testing is carried out without identification of
name of sample collected for other purposes e.g. VDRL in STD clinics. In this
way the positive person is not identified. At present 180 Sentinel Sites have
been established to provide
information.
education,
communication
social mobilization.
This component includes activities aimed at the generation
of awareness about HIV/AIDS and bringing about positive changes
In the behaviour, removing many misconceptions and ignorance
through well-designed communication system can effectively carry out educating
the public. This Includes mass media campaigns, social mobilization targeted
interventions for high-risk behaviours, inter-sectoral collaboration,
involvement of NGOs, training and research.
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