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HIV AIDS Chartbook Delhi 2005 |
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1 Pages 1-10 |
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1.1 Page 1 |
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HIV/AIDS
in
DELHI
Meeting the Challenge
Delhi State AIDS Control Society, Government of Delhi
ÁŒÀ‹Ë S≈U≈U ∞«˜U‚ ∑¢§≈˛UÊ‹ ‚Ê‚Êß≈UË, ÁŒÀ‹Ë ‚⁄U∑§Ê⁄U
Population .oundation of India
¬Êڬȋ‡ÊŸ »§Ê©¢U«U‡ÊŸ •ÊÚ»§ ßÁá«UÿÊ
Population Reference Bureau
¬Êڬȋ‡ÊŸ ⁄U»§⁄Uã‚ éÿÍ⁄UÊ
ÁŒÀ‹Ë
״
∞ø •Ê߸ flË/∞«˜U‚
øÈŸıÃË ∑§Ê ‚Ê◊ŸÊ
December 2005
ÁŒ‚ê’⁄U 2005
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1.3 Page 3 |
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HIV/AIDS
in
DELHI
Meeting the Challenge
ÁŒÀ‹Ë
״
∞ø •Ê߸ flË/∞«˜U‚
øÈŸıÃË ∑§Ê ‚Ê◊ŸÊ
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TABLE O. CONTENTS
Áfl·ÿ ‚øÍ Ë
.oreword .................................................................................. 3
Delhis Rapid Population Growth ............................................. 5
Delhis Vulnerable Populations .................................................. 6
Estimating the Extent of the Epidemic ..................................... 7
Knowledge and Behaviour ....................................................... 8
The Spread of HIV/AIDS in Delhi ............................................. 9
AIDS Risk in Delhis Commercial Sex Work .......................... 10
Bridge Populations ................................................................. 11
Mapping the Challenge .......................................................... 12
STDs and HIV/AIDS ............................................................... 13
Testing for HIV/AIDS .............................................................. 14
Stigma A Powerful Ally of HIV/AIDS ................................... 15
Parent to Child Transmission ................................................. 16
A Safe and Secure Blood Supply .......................................... 17
DSACS: Combatting HIV/AIDS .............................................. 18
HIV/AIDS - related Services in Delhi ..................................... 19
Statistical Appendix ............................................................... 20
¬˝SÃÊflŸÊ .................................................................................................... 3
ÁŒÀ‹Ë ∑§Ë ¡Ÿ‚¢ÅÿÊ ◊¥ Ã¡Ë ‚ flÎÁh ................................................................ 5
ÁŒÀ‹Ë ∑§Ë •Á¢flŒŸ‡ÊË‹ ¡Ÿ‚¢ÅÿÊ ................................................................ 6
◊„UÊ◊Ê⁄UË »Ò§‹Êfl ∑§Ë ÁSÕÁà ∑§Ê •Ê∑§‹Ÿ ........................................................... 7
¡ÊŸ∑§Ê⁄UË fl √ÿfl„UÊ⁄U ...................................................................................... 8
ÁŒÀ‹Ë ◊¥ ∞ø •Ê߸ flË/∞«˜U‚ ‚¢∑˝§◊áÊ ∑§Ê »Ò§‹Êfl .................................................. 9
ÁŒÀ‹Ë ∑§ ÿÊÒŸ √ÿfl‚Êÿ ◊¥ ∞«˜U‚ ∑§Ê ¡ÊÁπ◊ .................................................... 10
‚¢flÊ„U∑§ ¡Ÿ‚¢ÅÿÊ ...................................................................................... 11
øÈŸÊÒÁÃÿÊ¥ ∑§Ê ◊ÊŸÁøòÊáÊ ............................................................................... 12
ÿÊÒŸ ‚¢øÊÁ⁄Uà ⁄Uʪ •ÊÒ⁄U ∞ø •Ê߸ flË/∞«˜U‚ ......................................................... 13
∞ø •Ê߸ flË/∞«˜U‚ ∑§ Á‹∞ ¡Ê¢ø .................................................................... 14
∑§‹¢∑§-∞ø •Ê߸ flË/∞«˜U‚ ∑§Ê ‡ÊÁQ§‡ÊÊ‹Ë ‚„UÊÿ∑§.............................................. 15
◊ÊÃÊ-Á¬ÃÊ ‚ ’ëøÊ¥ ◊¥ ‚¢∑˝§◊áÊ...................................................................... 16
‚È⁄UÁˇÊà fl ÁŸ⁄UʬŒ ⁄UQ§ •Ê¬ÍÁø ....................................................................... 17
«UË ∞‚ ∞ ‚Ë ∞‚ - ∞ø •Ê߸ flË/∞«˜U‚ ∑§ ÁflM§h ÿÈh ........................................ 18
ÁŒÀ‹Ë ◊¥ ∞ø •Ê߸ flË/∞«˜U‚ ‚¢’ÁœÃ ‚flÊ∞¢ ...................................................... 19
‚Ê¢ÁÅÿ∑§Ë ¬Á⁄UÁ‡Êc≈U ..................................................................................... 20
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.OREWORD
¬˝SÃÊflŸÊ
The global AIDS epidemic poses an unprecedented threat to
society and India is no exception. In Delhi also, the growing
number of HIV/AIDS cases is a genuine cause for concern. This
chartbook is intended to illustrate the HIV/AIDS situation in Delhi
in a clear and concise format, bringing needed information on the
disease to a wide audience. It is intended to broaden public
understanding of the extent and nature of the threat, how the
disease spreads, and the steps that are being taken against it.
Áfl‡fl ◊¥ ∞ø •Ê߸ flË/∞«˜U‚ ‚¢∑˝§◊áÊ ‚◊Ê¡ ∑§ Á‹∞ ∞∑§ •÷ÍìÍfl¸ øÃÊflŸË „ÒU •ı⁄U ÷Ê⁄UÃ
÷Ë ß‚‚ •¿ÍUÃÊ Ÿ„UË¥ „ÒU– ÁŒÀ‹Ë ◊¥ ÷Ë ∞ø •Ê߸ flË/∞«˜U‚ ∑§Ë ’…∏UÃË ‚¢ÅÿÊ Áø¢ÃÊ ∑§Ê Áfl·ÿ
„ÒU– ß‚ øÊ≈¸U’È∑§ ∑§Ê ©Ug‡ÿ ÁŒÀ‹Ë ◊¥ ∞ø •Ê߸ flË/∞«˜U‚ ‚¢∑˝§◊áÊ ∑§Ë ÁSÕÁà ∑§Ù ‚¢ÁˇÊ#
ÃÕÊ S¬CUÔ M§¬ ◊¥ ¬˝ŒÁ‡Ê¸Ã ∑§⁄UŸÊ „ÒU •ı⁄U „U◊¥ Áfl‡flÊ‚ „ÒU Á∑§ ÿ„U ß‚ ’Ë◊Ê⁄UË ‚ ‚¢’¢ÁœÃ
flÊ¢Á¿Uà ¡ÊŸ∑§ÊÁ⁄UÿÙ¥ ∑§Ù √ÿʬ∑§ ¡Ÿ ‚◊ÈŒÊÿ Ã∑§ ¬„È¢UøÊ∞ªÊ– ß‚ øÃÊflŸË¡Ÿ∑§ ÁSÕÁà ∑§
SÃ⁄U fl ¬˝∑ΧÁÃ, ¡Ò‚ Á∑§ ÿ„U ‚¢∑˝§◊áÊ ∑Ò§‚ »Ò§‹ÃÊ „ÒU •ı⁄U ß‚∑§ ÁflL§h ÄÿÊ ∑§Œ◊ ©U∆UÊ∞
¡ÊŸ øÊÁ„U∞¢, ∑§ ¬˝‚¢ª ◊¥ ¡Ÿ-‚◊ÈŒÊÿ ∑§Ë ‚◊¤Ê ∑§Ù √ÿʬ∑§ ∑§⁄UŸÊ „ÒU–
Delhis rapid population growth, nearly half of which is due to
migration, presents a unique challenge in the struggle against HIV
infection. Migrants often arrive in the city with little or no HIV
knowledge. The slum population, 40 percent of the total, poses a
special problem.
Sexual contact is the most common path by which HIV infection
spreads in Delhi. There are at least 35,000 sex workers, the large
majority of whom are not brothel-based and are thereby difficult to
contact. One of the tragedies of HIV is that clients of sex workers
may unknowingly infect their spouses who may then pass HIV to
their unborn children. Thus far, it appears that HIV has not spread
as widely into the general population of Delhi as has happened in
some other states. Only a sustained effort will prevent this from
taking place.
Information is a key component in the prevention of HIV and we
sincerely hope that this chartbook will prove to be a useful tool in
Delhis campaign against HIV/AIDS.
ÁŒÀ‹Ë ∑§Ë ÃËfl˝ ¡Ÿ‚¢ÅÿÊ flÎÁh, Á¡‚◊¢ ‹ª÷ª •ÊœË SÕÊŸÊ¢Ã⁄UáÊ ∑§ ∑§Ê⁄UáÊ „ÒU, ∞ø •Ê߸
flË/∞«˜U‚ ‚¢∑˝§◊áÊ ∑§ ÁflL§h ‚¢ÉÊ·¸ ◊¥ ∞∑§ •ÁmÃËÿ øÈŸıÃË ∑§ M§¬ ◊¥ ©U÷⁄U ∑§⁄U ‚Ê◊Ÿ
•ÊÿÊ „ÒU– •ãÿ SÕÊŸÙ¥ ‚ ‡Ê„U⁄U ◊¥ •ÊŸ flÊ‹ ‹Ùª •Ä‚⁄U ∞ø •Ê߸ flË ∑§ Áfl·ÿ ◊¥ •À¬
¡ÊŸ∑§ÊÁ⁄UÿÊ¢ ‹∑§⁄U •Êà „Ò¥U– ¤ÊÈÁǪÿÙ¥ ◊¥ ÁŸflÊ‚ ∑§⁄UŸ flÊ‹Ù¥, ¡Ù Á∑§ ¬Í⁄UË •Ê’ÊŒË ∑§Ê yÆ
¬˝ÁÇÊà „Ò¥U, ∑§Ë ‚◊SÿÊ∞¢ ÷Ë •Áà ÁflÁ‡ÊCUÔ „Ò¥U–
ÿıŸ ‚◊ʪ◊ ∞∑§ ∞‚Ê ◊Êäÿ◊ „ÒU, Á¡‚∑§Ë fl¡„U ‚ ∞ø •Ê߸ flË ‚¢∑˝§◊áÊ ÁŒÀ‹Ë ◊¥
•Áœ∑§ÃÊ ‚ »Ò§‹ ⁄U„UÊ „ÒU– ÁŒÀ‹Ë ◊¥ ‹ª÷ª xz,ÆÆÆ ÿıŸ ∑§◊˸ „Ò¥U ¡Ê ÖÿÊŒÊÃ⁄U fl‡ÿÊ‹ÿ
•ÊœÊÁ⁄Uà Ÿ„UË¥ „Ò¥U, •Ã— ߟ‚ ‚ê¬∑¸§ ∑§⁄UŸÊ ÷Ë ∑§Ê»§Ë ∑§Á∆UŸ „ÒU– ∞ø •Ê߸ flË ∑§Ê ‚’‚
ŒÈπŒ ¬ˇÊ ÿ„U „ÒU Á∑§ ÿıŸ ∑§Êÿ¸∑§Ãʸ ∑§ ª˝Ê„U∑§ •Ÿ¡ÊŸ ◊¥ ÿ„U ‚¢∑˝§◊áÊ •¬ŸË ¬ÁàŸÿÙ¥ ◊¥ ÷Ë
SÕÊŸÊ¢ÃÁ⁄Uà ∑§⁄U ‚∑§Ã „Ò¥U •ı⁄U Ã’ ÿ„U •¡ã◊¥ Á‡Ê‡ÊÈ•Ù¥ Ã∑§ ÷Ë ¬„È¢Uø ‚∑§ÃÊ „ÒU– •’ Ã∑§,
∞‚Ê ¬˝ÃËà „UÙ ⁄U„UÊ „ÒU, Á∑§ ÿ„U ‚¢∑˝§◊áÊ ∑ȧ¿U •ãÿ ⁄UÊÖÿÙ¥ ∑§Ë ÷Ê¢Áà ÁŒÀ‹Ë ∑§Ë ‚Ê◊Êãÿ
¡Ÿ‚¢ÅÿÊ ◊¥ ßß √ÿʬ∑§ SÃ⁄U ¬⁄U Ÿ„UË¥ »Ò§‹Ê „ÒU– ∞‚Ê Ÿ „UÙ, ß‚∑§ Á‹∞ ÁŸÿÁ◊à ¬˝ÿÊ‚
•Êfl‡ÿ∑§ „ÒU–
∞ø •Ê߸ flË/∞«U˜‚ ‚ ’øÊfl ∑§ Á‹∞ ¡ÊŸ∑§Ê⁄UË ∑§Ë •„U◊ ÷ÁÍ ◊∑§Ê „UÒ– „U◊Ê⁄UË ©Uê◊ËŒ „UÒ Á∑§ ÿ„U
øÊ≈U¸’∑È § ∞ø •Ê߸ flË/∞«U˜‚ ∑§ ÁflL§h ÁŒÀ‹Ë ∑§ •Á÷ÿÊŸ ◊¥ ◊„Uàfl¬áÍ Ê¸ ÷ÁÍ ◊∑§Ê ÁŸ÷Ê∞ªË–
New Delhi
December 2005
Delhi State AIDS Control Society,
Government of Delhi
Population .oundation of India
Population Reference Bureau
Ÿß¸ ÁŒÀ‹Ë
ÁŒ‚ê’⁄U wÆÆz
ÁŒÀ‹Ë S≈U≈U ∞«˜U‚ ∑¢§≈˛UÊ‹ ‚Ê‚Êß≈UË,
ÁŒÀ‹Ë ‚⁄U∑§Ê⁄U
¬Êڬȋ‡ÊŸ »§Ê©¢U«U‡ÊŸ •ÊÚ»§ ßÁá«UÿÊ
¬Êڬȋ‡ÊŸ ⁄U»§⁄Uã‚ éÿÍ⁄UÊ
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1.6 Page 6 |
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HIV/AIDS in Delhi
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DELHI’S RAPID POPULATION GROWTH
ÁŒÀ‹Ë ∑§Ë ¡Ÿ‚Å¢ ÿÊ ◊¥ á Ë ‚ flÁÎ h
Delhi has long been noted for its
very high rate of population growth.
Since the 1951 Census, when
Delhis population numbered
1.74 million, the total has grown at
more than twice the national rate.
Between the 1991 and 2001
Censuses, the population of the
National Capital Territory (NCT) of
Delhi grew from 9.42 to 13.85
million. That ten year gain of
4.43 million was its largest ever,
equivalent to adding the entire
population of Chennai Municipal
Corporation. In 2005, the
population is likely to be nearly
16 million.
Delhi is one of the fastest-growing
mega-cities in the world. It was
ranked as the worlds ninth largest
city in 2000 by the United Nations
and is projected to rise to the third
position by 2015, passing such
cities as New York and Mexico City.
.rom 1991 to 2001, migration
accounted for nearly half of Delhis
growth.
Growth of Population between Censuses, 1951-2001
India and the NCT of Delhi
¡ŸªáÊŸÊ fl·¸ v~zv - wÆÆv ◊¥ ¡Ÿ‚¢ÅÿÊ ∑§Ë flÎÁh
÷Ê⁄Uà •ı⁄U ⁄UÊc≈˛UËÿ ⁄UÊ¡œÊŸË ÁŒÀ‹Ë
Census Year
¡ŸªáÊŸÊ fl·¸
India
÷Ê⁄UÃ
Population
in
Millions
Decadal
Percent
Growth
¡Ÿ‚¢ÅÿÊ Œ‡Ê∑§ ◊¥
(ÆÆÆ,ÆÆÆ) flÎÁh ∑§Ê
¬˝ÁÇÊÃ
NCT of Delhi
⁄UÊc≈˛UËÿ ⁄UÊ¡œÊŸË ÁŒÀ‹Ë ˇÊòÊ
Population Decadal
in
Percent
Millions Growth
¡Ÿ‚¢ÅÿÊ Œ‡Ê∑§ ◊¥
(ÆÆÆ,ÆÆÆ) flÎÁh ∑§Ê
¬˝ÁÇÊÃ
1951
361.1
13.3
1.74
90.0
∑§Ê»§Ë ‚◊ÿ ‚ ÁŒÀ‹Ë ∑§Ê ©Uëø ¡Ÿ‚¢ÅÿÊ flÎÁh
Œ⁄U ∑§ Á‹∞ ¡ÊŸÊ ¡ÊÃÊ ⁄U„UÊ „ÒU– v~zv ∑§Ë
¡ŸªáÊŸÊ ∑§ •ŸÈ‚Ê⁄U ÁŒÀ‹Ë ∑§Ë ¡Ÿ‚¢ÅÿÊ v|.y
‹Êπ ÕË Ã÷Ë ‚ ß‚∑§Ë ¡Ÿ‚¢ÅÿÊ flÎÁh Œ⁄U ◊¥
⁄UÊCÔ˛UËÿ Œ⁄U ∑§Ë ÃÈ‹ŸÊ ◊¥ ŒÊªÈŸË flÎÁh „ÈU߸ „Ò–
v~~v ∞fl¢ wÆÆv ∑§Ë ¡ŸªáÊŸÊ ∑§ Œı⁄UÊŸ ⁄UÊCÔ˛UËÿ
⁄UÊ¡œÊŸË ˇÊòÊ ÁŒÀ‹Ë ∑§Ë ¡Ÿ‚¢ÅÿÊ ~y ‹Êπ ‚
’…∏U∑§⁄U v.x~ ∑§⁄UÊ«∏U ¬⁄U ¬„È¢Uø ªß¸ „ÒU– ߟ Œ‚
fl·Ê¸ ◊¥ yy ‹Êπ ∑§Ë flÎÁh „ÈU߸ ¡Ê •’ Ã∑§ ∑§Ë
‚’‚ •Áœ∑§ flÎÁh „ÒU •ÊÒ⁄U øÛÊ߸ ∑§Ë ¡Ÿ‚¢ÅÿÊ
∑§ ‹ª÷ª ’⁄UÊ’⁄U „ÒU– •ŸÈ◊ÊŸ „ÒU Á∑§ fl·¸ wÆÆz
Ã∑§ •Ê’ÊŒË v.{ ∑§⁄UÊ«∏U Ã∑§ ¬„È¢Uø ‚∑§ÃË „Ò¥U–
1961
1971
1981
1991
2001
Registrar General, India
÷Ê⁄Uà ∑§ ◊„Uʬ¢¡Ë∑§Ê⁄U
439.2
21.5
548.2
24.8
683.3
24.7
846.3
23.9
1,028.7 21.5
2.66
4.07
6.22
9.42
13.85
52.4 ÁŒÀ‹Ë ÁflE ∑§ ‚’‚ •Áœ∑§ ¡Ÿ‚¢ÅÿÊ flÎÁh
Œ⁄U flÊ‹ ‡Ê„U⁄UÙ¥ ◊¥ ‚ ∞∑§ „Ò¥U– ‚¢ÿÈQ§ ⁄UÊCÔ˛U ∑§
52.9 mÊ⁄UÊ ÁŒÀ‹Ë ∑§Ê fl·¸ wÆÆÆ ◊¥ ÁflE ∑§Ê ŸÊÒflÊ¢
‚’‚ ’«∏UÊ ‡Ê„U⁄U ÉÊÊÁ·Ã Á∑§ÿÊ ªÿÊ •ÊÒ⁄U ÿ„U
53.0
÷Ë ∑§„UÊ ªÿÊ, Á∑§ fl·¸ wÆvz Ã∑§ ÿ„U ãÿÍÿÊÚ∑¸§
51.5 •ÊÒ⁄U ◊ÒÁÄ‚∑§Ê Á‚≈UË •ÊÁŒ ‡Ê„U⁄UÊ¥ ∑§Ê ¬Ë¿U
¿UÊ«∏UÃÊ „ÈU•Ê ÃË‚⁄U SÕÊŸ ¬⁄U ¬„È¢Uø ‚∑§ÃÊ „ÒU–
47.0 v~~v ‚ wÆÆv ∑§ Œı⁄UÊŸ ¡Ÿ‚¢ÅÿÊU SÕÊŸÊ¢Ã⁄UáÊ
Œ⁄U ∑§È ‹ ¡Ÿ‚Å¢ ÿÊ flÁÎ h Œ⁄U ∑§Ê ‹ª÷ª •ÊœÊ ÕÊ–
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1.8 Page 8 |
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DELHIS VULNERABLE POPULATIONS
ÁŒÀ‹Ë ∑§Ë •ÁÂfl¢ Œ Ÿ‡ÊË‹ ¡Ÿ‚Å¢ ÿÊ
In Delhi in 2004, it is estimated that
0.3 percent of adults were infected
with HIV. Since 1993, there were
945 reported cases of AIDS,
although the reporting of disease is
largely incomplete in India. Delhi is a
major crossroads in India and has
become an important hub for trucking
and transportation. The migratory
population, 900,000 and growing,
often arrives in the city with little or no
HIV knowledge. About 40 percent of
the citys population lives in slums.
The slum population, characterized
by low levels of literacy, poor health
conditions, poverty, and the low
status of women, offers HIV many
opportunities to spread. Delhi must
also be concerned about its large
suburban population in Haryana and
Uttar Pradesh and the daily
movement of many into and out of
the city.
Other vulnerable groups:
35,000 female sex workers (.SW),
including 7,000 brothel-based
workers
35,500 street and working children
.requent visitors for business as
well as Delhi residents who travel to
other cities and return
An estimated 10,000 intravenous
drug users who often share needles
Reported Cases of AIDS, Delhi, 1993-2004
(cumulative)
Œ¡¸ Á∑§∞ ª∞ ∞«˜U‚ ∑§‚, ÁŒÀ‹Ë, v~~x-wÆÆy
(‚¢ÁøÃ)
945
881
762
656
498
359
287
219
153
45 64 89
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Delhi State AIDS Control Society
ÁŒÀ‹Ë S≈U≈U ∞«˜U‚ ∑¢§≈˛UÊ‹ ‚Ê‚Êß≈UË
fl·¸ wÆÆy ∑§ •Ê∑§‹Ÿ ∑§ •ŸÈ‚Ê⁄U ÁŒÀ‹Ë ◊¥
Æ.x ¬˝ÁÇÊà √ÿS∑§ ∞ø •Ê߸ flË ‚ ‚¢∑˝§Á◊Ã
Õ– v~~x ‚ ∞«˜U‚ ∑§ ~yz ◊Ê◊‹ ‚Ê◊Ÿ •Êÿ
„ÒU, ÿlÁ¬ ÷Ê⁄Uà ◊¥ ’Ë◊ÊÁ⁄UÿÊ¥ ∑§Ë ‚ÍøŸÊ ’«∏U
SÃ⁄U ¬⁄U •S¬c≈U „ÒU– ¬Í⁄U ÷Ê⁄UÃfl·¸ ◊¥ •Êflʪ◊Ÿ
∑§ Á‹∞ ÁŒÀ‹Ë ∞∑§ ¬˝◊Èπ ˇÊòÊ „ÒU •ÊÒ⁄U ¬Á⁄Ufl„UŸ
∑§Ê ¬˝◊Èπ ∑§ãº˝ „ÒU– SÕÊŸÊ¢Ã⁄UáÊ ¡Ÿ‚¢ÅÿÊ, ¡Ê
~ÆÆ,ÆÆÆ „ÒU •ÊÒ⁄U ’…∏U ⁄U„UË „ÒU, •Ä‚⁄U ‡Ê„U⁄U ◊¥
∞ø •Ê߸ flË ∑§ Áfl·ÿ ◊¥ ∑§◊ ÿÊ Á’ŸÊ
¡ÊŸ∑§ÊÁ⁄UÿÊ¥ ∑§ „UË •ÊÃË „ÒU– ‡Ê„U⁄U ∑§Ë ‹ª÷ª
yÆ ¬˝ÁÇÊà •Ê’ÊŒË ¤ÊÈǪË-¤ÊʬÁ«∏UÿÊ¥ ◊¥ ÁŸflÊ‚
∑§⁄UÃË „ÒU– ß‚ SÃ⁄U ∑§Ë •Ê’ÊŒË ∑§ ‚ÊÕ ÁŸêŸ
Á‡ÊˇÊÊ, π⁄UÊ’ SflÊSÕ, ª⁄UË’Ë fl ◊Á„U‹Ê•Ê¥ ∑§Ë
ŒÿŸËÿ ÁSÕÁà ¡È«∏UË „UÊÃË „ÒU •ÊÒ⁄U ÿ„U ∞ø •Ê߸
flË ∑§Ê »Ò§‹Ÿ ∑§Ê ÷⁄U¬Í⁄U ◊ÊÒ∑§Ê ©U¬‹éœ ∑§⁄UÊÃË
„ÒU– ÁŒÀ‹Ë ¬⁄U „UÁ⁄UÿÊáÊÊ •ÊÒ⁄U ©UûÊ⁄U ¬˝Œ‡Ê ∑§Ë
©U¬Ÿª⁄UËÿ •Ê’ÊŒË fl ÁŒÀ‹Ë ‚ „UÊ∑§⁄U
ÁŸ∑§≈UflÃ˸ ˇÊòÊ ∑§Ë ‹ÊªÊ¥ ∑§ •Êflʪ◊Ÿ ∑§Ê
‚ËœÊ ¬˝÷Êfl ¬«∏UÃÊ „ÒU–
•ãÿ •Á¢flŒŸ‡ÊË‹ ‚◊Í„U
‹ª÷ª xz,ÆÆÆ ◊Á„U‹Ê ÿÊÒŸ ∑§Êÿ¸∑§ûÊʸ,
Á¡‚◊¥ |,ÆÆÆ fl‡ÿÊ‹ÿ-•ÊœÊÁ⁄Uà ÿÊÒŸ
∑§Êÿ¸∑§ûÊʸ ÷Ë ‡ÊÊÁ◊‹ „ÒU¢
xz,zÆÆ »È§≈U¬ÊÕË ’ëø fl ’Ê‹ o˝Á◊∑§
√ÿfl‚ÊÁÿ∑§ ÿÊòÊÊ ¬⁄U •ÊŸ flÊ‹ fl ÁŒÀ‹Ë
‚ ’Ê„U⁄U ¡ÊŸ flÊ‹ ‹ÊªÊ¥ ∑§Ë ’«∏UË ‚¢ÅÿÊ
•Ê∑§‹Ÿ ∑§ •ŸÈ‚Ê⁄U vÆ,ÆÆÆ •¢Ã—Á‡Ê⁄UÊ
«˛UÇ‚ ∑§Ê ©U¬÷ʪ ∑§⁄UŸ flÊ‹ √ÿÁQ§, ¡Ê
•∑§‚⁄U ‚ÍßÿÙ¥ ∑§Ê ‚ʤÊÊ ¬˝ÿÙª ∑§⁄Uà „Ò¥U
6
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1.9 Page 9 |
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ESTIMATING THE EXTENT O. THE EPIDEMIC
◊„UÊ◊Ê⁄UË »§Ò ‹Êfl ∑§Ë ÁSÕÁà ∑§Ê •Ê∑¢ §‹Ÿ
The extent of HIV/AIDS is
estimated by testing at sentinel
sites located at government
hospitals. Both high and low-risk
groups are tested by the Delhi
State AIDS Control Society
(DSACS), the nodal agency.
DSACS was established as an
autonomous body on 1 November
1998 and currently operates 12
sites. High-risk behaviour groups
include intravenous drug users
(IVDUs) who share needles,
commercial sex workers (CSWs),
patients with sexually transmitted
diseases (STDs), and men having
sex with men (MSMs). The low-risk
behaviour group, pregnant women
at antenatal clinics (ANCs) who are
presumed not to engage in risky
sexual behaviour, are taken as
representative of the general
population.
Percent of STD and ANC Patients Testing Positive for HIV
Delhi, 1999-2004
¬˝‚fl¬Ífl¸ Œπ÷Ê‹ ∑§ãº˝Ê¥ ¬⁄U ∞ø •Ê߸ flË ‚¢∑˝§Á◊à ¬Êÿ ª∞ ÿÊÒŸ ‚¢øÊÁ⁄Uà ⁄UÊÁªÿÊ¥ ∑§Ê
¬˝ÁÇÊÃ, ÁŒÀÀÊË, v~~~-wÆÆy
Delhi State AIDS Control Society
ÁŒÀ‹Ë S≈U≈U ∞«˜U‚ ∑¢§≈˛UÊ‹ ‚Ê‚Êß≈UË
STD Patients
ÿÊÒŸ ‚¢øÊÁ⁄Uà ⁄UÊÁªÿÊ¥
ANC Patients
¬˝‚fl¬Ífl¸ Œπ÷Ê‹ ∑§ãº˝ ∑§ ⁄UÙªË
Percent of IVDUs Testing Positive for HIV
Delhi, 2000-2004
•Ê߸ flË «UË ÿÍ ∑§Ê ∞ø •Ê߸ flË ‚ ‚¢∑˝§◊Ÿ ∑§Ê ¬˝ÁÇÊÃ
ÁŒÀ‹Ë, wÆÆÆ-wÆÆy
17.5
States are classified as high,
medium, or low prevalence based
14.4
upon testing of high and low-risk
groups. With less than 1 percent
seropositivity in the low-risk group
(women in antenatal clinics), Delhi
7.2
would fall under the low prevalence
5.0
category. However with more than
5 percent seropositivity in high-risk
2.4
groups, Delhi would be a moderate
prevalence state and is therefore
categorized as a highly vulnerable
state.
2000
2001
Delhi State AIDS Control Society
ÁŒÀ‹Ë S≈U≈U ∞«˜U‚ ∑¢§≈˛UÊ‹ ‚Ê‚Êß≈UË
2002
2003
2004
∞ø •Ê߸ flË/∞«˜U‚ ∑§Ë ÁSÕÁà ∑§Ê •Ê∑§‹Ÿ
ÁŸª⁄UÊŸË ∑§ãº˝Ê¥, ¡Ê ‚⁄U∑§Ê⁄UË •S¬ÃÊ‹Ê¥ ◊¥ ÁSÕÃ
„ÒU¢, ◊¥ ¡Ê¢ø ‚ Á∑§ÿÊ ¡ÊÃÊ „ÒU– ©Uëø •ÊÒ⁄U ÁŸêŸ
¡ÊÁπ◊ ‚◊Í„UÊ¥ ∑§Ë ¡Ê¢ø ÁŒÀ‹Ë S≈U≈U ∞«˜U‚
∑¢§≈˛UÙ‹ ‚Ù‚Êß≈UË («UË ∞‚ ∞ ‚Ë ∞‚), ¡Ê
∞∑§ SflÊÿûÊ ∞¡¥‚Ë „ÒU, ∑§ mÊ⁄UÊ ∑§Ë ¡ÊÃË „ÒU–
«UË ∞‚ ∞ ‚Ë ∞‚ ∑§Ë SÕʬŸÊ SflÊÿûÊ ‚¢ÅÿÊ
∑§ M§¬ ◊¥ v Ÿflê’⁄U v~~} ∑§Ê ∑§Ë ªß¸ ÕË
•ÊÒ⁄U ÿ„U flø◊ÊŸ ◊¥ vw ˇÊòÊÊ¥ ∑§Ê ÁŸÿ¢òÊáÊ ∑§⁄U
⁄U„Ë „ÒU– ©Uëø ¡ÊÁπ◊¬Íáʸ √ÿfl„UÊ⁄U ‚◊Í„UÙ¥ ◊¥
•¢Ã—Á‡Ê⁄UÊ «˛UÇ‚ ∑§Ê ‚flŸ ∑§⁄UŸ flÊ‹ ¡Ê •Ê¬‚
◊¥ ‚Í߸ ’Œ‹Ã „Ò¥U, √ÿfl‚ÊÁÿ∑§ ÿÊÒŸ ∑§Êÿ¸∑§ûÊʸ
ÿÊÒŸ ¡ÁŸÃ ⁄Uʪʥ ∑§ ⁄UÊªË •ÊÒ⁄U ‚◊‹Ò¥Áª∑§ ¬ÈL cÊ
‡ÊÊÁ◊‹ „Ò¥U– ÁŸêŸ ¡ÊÁπ◊ √ÿfl„UÊ⁄U ‚◊Í„U ∑§
•¢Ãª¸Ã fl„U ª÷¸flÃË ◊Á„U‹Ê∞¢ •ÊÃË „Ò¥U ¡Ê
¬˝‚fl ÁÄ‹ÁŸ∑§ ◊¥ „UÊ¥ •ÊÒ⁄U Á¡Ÿ∑§ Áfl·ÿ ◊¥
◊ÊŸÊ ¡ÊÃÊ „ÒU Á∑§ flÊ ¡ÊÁπ◊ÿÈQ§ ÿÊÒŸ √ÿfl„UÊ⁄UÊ¥
◊¥ Á‹# Ÿ„UË¥ „Ò¥U •ÊÒ⁄U ÿ„U ‚Ê◊Êãÿ ¡Ÿ‚¢ÅÿÊ ∑§Ë
¬˝ÁÃÁŸÁœ „Ò¥U–
©UìÊ ÃÕÊ ÁŸêŸ ¡ÙÁπ◊ flÊ‹ ‚◊Í„UÙ¥ ∑§ •ÊœÊ⁄U
¬⁄U ⁄UÊÖÿÙ¥ ∑§Ù ©UìÊ, ◊äÿ◊ ÃÕÊ ÁŸêŸ √ÿÊåÃÃÊ
∑§Ë üÊÁáÊÿÙ¥ ◊¥ ’Ê¢≈UÊ ¡ÊÃÊ „ÒU– ÁŸêŸ ¡ÙÁπ◊¬Íáʸ
‚◊Í„UÙ¥ ∑§ Á‹∞ (¬˝‚fl¬Íáʸ ¡Ê°ø ∑§ Œı⁄UÊŸ ¬Ê∞
¡ÊŸ flÊ‹ ‚¢∑˝§◊áÊ) ◊¥ v ¬˝ÁÇÊà ‚ ∑§◊ ‚⁄UÙ
¬ÊÚÁ ÊÁ≈UflË≈UË ∑§ ∑§Ê⁄UáÊ ÁŒÀ‹Ë ÁŸêŸ √ÿÊåÃÃÊ
flÊ‹Ë üÊáÊË ◊¢ •ÊÃÊ „ÒU ¡’Á∑§ ©UìÊ ¡ÙÁπ◊¬Íáʸ
‚◊Í„UÙ¥ ◊¥ z ¬˝ÁÇÊà ‚ ÷Ë •Áœ∑§ ‚⁄UÙ
¬ÊÚÁ ÊÁ≈UflË≈UË ‚¢∑˝§◊áÊ ∑§ ∑§Ê⁄UáÊ ÁŒÀ‹Ë •ı‚Ã
√ÿÊåÃÃÊ flÊ‹Ê ⁄UÊÖÿ „ÒU •ı⁄U ÿ„U •Á¢flŒŸ‡ÊË‹
⁄UÊÖÿÙ¥ ∑§Ë üÊáÊË ◊¥ •ÊÃÊ „ÒU–
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1.10 Page 10 |
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KNOWLEDGE AND BEHAVIOUR
¡ÊŸ∑§Ê⁄UË fl √ÿfl„UÊ⁄U
In Delhi, as in all-India, sexual
contact is the most common way by
which HIV infection spreads,
beginning in high-risk behaviour
populations, then spreading to
low-risk behaviour populations.
Although awareness of HIV is
nearly universal in Delhi, only 29
percent of males and 19 percent of
females had fully correct HIV/AIDS
knowledge, according to the 2001
Behavioural Surveillance Survey
(BSS), conducted by National AIDS
Control Organisation (NACO).
Some reported that HIV can be
contracted by sharing a meal with
an infected person or did not know
that consistent condom use guards
against infection.
In Delhi, about 8 percent of males
reported that they had had sex with
a non-regular partner in the
previous year. The BSS also found
that only 33 percent of men and
25 percent of women reported
consistent condom use with non-
regular partners. Without full
understanding of HIV, the risk of
infection may be high.
Percent of Adults Having No Incorrect Beliefs about
HIV Transmission, Delhi, 2001
√ÿS∑§Ê¥ ∑§Ê ¬˝ÁÇÊÃ, Á¡Ÿ∑§Ê ∞ø •Ê߸ flË ‚¢øÊ⁄UáÊ ‚ ‚¢’¢ÁœÃ ∑§Ê߸ ª‹Ã ÷˝Ê¢Áà Ÿ„UË¥ „ÒU
ÁŒÀ‹Ë, wÆÆv
54
44
33
29
25
19
General
population
Male
‚Ê◊Êãÿ
¡ŸSÊ¢ÅÿÊ
¬ÈL ·
General Clients
population of
Female CSWs
‚Ê◊Êãÿ √ÿfl‚ÊÁÿ∑§
¡Ÿ‚¢ÅÿÊ ÿÊÒŸ∑§ûÊʸ•Ê¥
◊Á„U‹Ê
∑§ ª˝Ê„∑§
2001 Behavioural Surveillance Survey
√ÿfl„UÊ⁄U ÁŸ⁄UˡÊáÊ ‚fl¸, wÆÆv
CSWs
√ÿfl‚ÊÁÿ∑§
ÿÊÒŸ∑§ûÊʸ
MSMs
¬ÈL · ‚ ¬ÈL ·
ÿÊÒŸ ‚¢’œ
∑§ûÊʸ
IVDUs
‚È߸ mÊ⁄UÊ Ÿ‡ÊÊ
∑§⁄UŸ flÊ‹
Percent of Adult Population Who Reported Having Sex
with Any Non-regular Partner in the Past Year, Delhi, 2001
ÁflªÃ fl·¸ •ÁŸÿÁ◊à ÿÊÒŸ ‚ÊÕË ‚ ÿÊÒŸ ‚¢’¢œ ¡ÊŸ∑§Ê⁄UË ŒŸ flÊ‹ √ÿS∑§Ù¥ ∑§Ê ¬˝ÁÇÊÃ
ÁŒÀ‹Ë, wÆÆv
7.9
3.9
0.4
Both Sexes
ŒÙŸÙ¥ Á‹¢ª
2001 Behavioural Surveillance Survey
√ÿfl„UÊ⁄U ÁŸ⁄UˡÊáÊ ‚fl¸, wÆÆv
Male
¬ÈL ·
Female
◊Á„U‹Ê
ÁŒÀ‹Ë ◊¥, ¡Ò‚ Á∑§ ÷Ê⁄Uà ◊¥, ÿıŸ ‚◊ʪ◊ ∞∑§
∞‚Ê ‚Ê◊Êãÿ ◊Êäÿ◊ „ÒU, Á¡‚‚ ∞ø •Ê߸ flË
‚¢∑˝§◊áÊ •Ê‚ÊŸË ‚ »Ò§‹ÃÊ „ÒU– ÿ„U ©UìÊ
¡ÙÁπ◊¬Íáʸ √ÿfl„UÊ⁄U ‚◊Í„U ‚ ¬˝Ê⁄¢U÷ „UÙ∑§⁄U ÁŸêŸ
¡ÙÁπ◊ ‚◊Í„U Ã∑§ ¬„È¢UøÃÊ „ÒU– ÿlÁ¬ ∞«˜U‚
¡ÊªL§∑§ÃÊ ÁŒÀ‹Ë ◊¥ ‚Êfl¸÷ıÁ◊∑§ „ÒU, ⁄UÊc≈˛UËÿ
∞«˜U‚ ÁŸÿ¢òÊáÊ ‚¢ª∆UáÊ (ŸÊ∑§Ù) ∑§ mÊ⁄UÊ
‚¢øÊÁ‹Ã fl·¸ wÆÆv ∑§ √ÿfl„UÊ⁄U ÁŸ⁄UËUˇÊáÊ ‚fl¸
∑§ •ŸÈ‚Ê⁄U ◊ÊòÊ w~ ¬˝ÁÇÊà ¬ÈL§·Ù¥ •ı⁄U v~
¬˝ÁÇÊà ◊Á„U‹Ê•Ù¥ ∑§Ù ∞ø •Ê߸ flË/∞«˜U‚ ∑§
Áfl·ÿ ◊¥ ‚„UË ¡ÊŸ∑§Ê⁄UË „ÒU– ∑ȧ¿U ‹Ùª ÿ„U ÷Ë
‚◊¤Êà „Ò¥U Á∑§ ∞«˜U‚ Á∑§‚Ë ‚¢∑˝§Á◊à √ÿÁQ§ ∑§
‚ÊÕ πÊŸÊ πÊŸ ‚ ÷Ë »Ò§‹ÃÊ „ÒU ÿÊ Á»§⁄U fl„U
ÿ„U ÷Ë Ÿ„UË¥ ¡ÊŸÃ, Á∑§ ÁŸÿÁ◊à M§¬ ‚ ∑§¢ «UÙ◊
∑§Ê ©U¬ÿÙª ß‚ ‚¢∑˝§◊áÊ ‚ ⁄UˇÊÊ ∑§⁄UÃÊ „ÒU–
‹ª÷ª } ¬˝ÁÇÊà ¬ÈL§·Ù¥ Ÿ ’ÃÊÿÊ, Á∑§ ÁflªÃ
fl·¸ ©Uã„UÙ¥Ÿ ªÒ⁄U-ÁŸÿÁ◊à ‚ʤʌÊ⁄UÙ¥ ∑§ ‚ÊÕ ÿıŸ
‚¢’¢œ SÕÊÁ¬Ã Á∑§∞– √ÿfl„UÊ⁄U ÁŸÁ⁄UˇÊáÊ ‚fl¸ ‚
ÿ„U ÷Ë ¬ÃÊ ‹ªÊ Á∑§ ◊ÊòÊ xx ¬˝ÁÇÊà ¬ÈM§·
•ı⁄U wz ¬˝ÁÇÊà ◊Á„U‹Ê•Ù¥ Ÿ „UË ªÒ⁄U-ÁŸÿÁ◊Ã
‚ʤʌÊ⁄U ∑§ ‚ÊÕ ¬˝àÿ∑§ ÿıŸ ‚¢’¢œ ∑§ ‚◊ÿ
∑¢§«UÙ◊ ∑§Ê ©U¬ÿÙª Á∑§ÿÊ– ∞ø •Ê߸ flË ¬⁄U
‚¢¬Íáʸ ¡ÊŸ∑§Ê⁄UË ∑§ Á’ŸÊ ß‚ ‚¢∑˝§◊áÊ ∑§Ë flÎÁh
Œ⁄U ’…∏UÃË ⁄U„U ‚∑§ÃË „ÒU–
8
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2 Pages 11-20 |
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2.1 Page 11 |
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THE SPREAD O. HIV/AIDS IN DELHI
ÁŒÀ‹Ë ◊¥ ∞ø •Ê߸ flË/∞«˜U‚ ‚¢∑˝§◊áÊ ∑§Ê »Ò§‹Êfl
Routes of Transmission of Reported AIDS Cases, Delhi, 1993-2003
∞«˜U‚ ∑§Ê ‚¢øÊ⁄UáÊ— Œ¡¸ Á∑§∞ ª∞ ∑§‚, ÁŒÀ‹Ë, v~~x-wÆÆx
As the disease becomes more
widespread, it can be transmitted
through other channels such as by
blood transfusion or from parent to
child. It then becomes a disease
that can affect anyone, not only
those with high-risk behaviour.
In Delhi, the proportion of HIV
transmitted through sexual contact,
64 percent, is lower than that of all-
India at 85 percent. Transmission
by blood transfusion and blood
products is about 5 percent
compared to 2.7 percent at the
national level. .or 26 percent,
transmission routes are not known.
About 35 percent of the reported
AIDS cases are in the age group
15-29 and 45 percent are in the
30-49 age group. Approximately
85 percent of the cases are among
males.
History not
known
ßÁÄUÊ‚
©U¬‹éœ Ÿ„UË
26%¥
Parent to child
◊ÊÃÊ-Á¬ÃÊ ‚ ’ëø ∑§Ê
2%
Injecting drug users
‚È߸ mÊ⁄UÊ Ÿ‡ÊÊ ∑§⁄UŸ flÊ‹
3%
Blood tranfusion and
blood products
⁄UQ§ ∞fl¢ ⁄UQ§ ©Uà¬ÊŒ
5%
Delhi State AIDS Control Society
ÁŒÀ‹Ë S≈U≈U ∞«˜U‚ ∑¢§≈˛UÊ‹ ‚Ê‚Êß≈UË
Sexual
ÿÊÒŸ ‚ê’ãœ
64%
I left Agra and came to Delhi at the age of 18. At Agra, I worked in
a sweet shop. I fell in love with a girl and wanted to marry her. But
my family was against it. I got depressed and started taking drugs
to forget her. After I got addicted, I needed more money. So I
started thieving, gang robbery and other criminal activity. I
remained in prison for many short intervals and after getting bail, I
migrated to Delhi. Here I came to know about intravenous drugs. I
think from there, I picked up this infection.
.rom Positive Voices Dr. Sunil Mehra and Subir Kole, 2003
◊Ò¥ v} fl·¸ ∑§Ë •ÊÿÈ ◊¥ •Êª⁄UÊ ‚ ÁŒÀ‹Ë •Ê ªÿÊ– ◊Ò¥ ∞∑§ Á◊∆UÊ߸ ∑§Ë ŒÈ∑§ÊŸ ¬⁄U ∑§Ê◊
∑§⁄UÃÊ ÕÊ– ◊È¤Ê ∞∑§ ‹«∏U∑§Ë ‚ ¬˝◊ „UÊ ªÿÊ •ÊÒ⁄U ◊Ò¥ ©U‚‚ ÁflflÊ„U ∑§⁄UŸÊ øÊ„UÃÊ ÕÊ– ◊⁄UÊ
¬Á⁄UflÊ⁄U ß‚∑§ Áπ‹Ê»§ ÕÊ– ◊Ò¥ •fl‚ÊŒ ‚ ÷⁄U ªÿÊ •ÊÒ⁄U ©U‚∑§Ê ÷È‹ÊŸ ∑§ Á‹∞ «˛UÇ‚ ∑§Ê
‚flŸ ∑§⁄UŸ ‹ªÊ– ¡’ ◊Ò¥ ß‚∑§Ê •ÊŒË „UÊ ªÿÊ ÃÊ ◊È¤Ê •ÊÒ⁄U •Áœ∑§ ¬Ò‚Ê¥ ∑§Ë
•Êfl‡ÿ∑§ÃÊ „UÊŸ ‹ªË– ß‚Á‹∞ ◊Ò¥Ÿ øÊ⁄UË, ªÒ¥ª «U∑Ò§ÃË fl •ãÿ •Ê¬⁄UÊÁœ∑§ ªÁÃÁflÁœÿÊ¢
‡ÊÈM§ ∑§⁄U ŒË– ∑§ß¸ •fl‚⁄UÊ¥ ¬⁄U ÕÊ«∏U-ÕÊ«∏U ‚◊ÿ ∑§ Á‹∞ ◊Ò¥ ¡‹ ÷Ë ªÿÊ– ¡◊ÊŸÃ
Á◊‹Ÿ ∑§ ’ÊŒ ◊Ò¥ ÁŒÀ‹Ë •Ê ªÿÊ– ÿ„UÊ¢ ◊È¤Ê •¢Ã—Á‡Ê⁄UÊ «˛UÇ‚ ∑§Ë ¡ÊŸ∑§Ê⁄UË Á◊‹Ë– ◊ȤÊ
‹ªÃÊ „ÒU, Á∑§ ÿ„UË¥ ‚ ◊È¤Ê ‚¢∑˝§◊áÊ „UÈ•Ê–
““¬ÊÚÁ$¡Á≈Ufl flÊÚÿ‚”” «UÊ. ‚ÈŸË‹ ◊„U⁄UÊ •ÊÒ⁄U ‚È’Ë⁄U ∑§Ê‹ ‚ ©UhÃ, wÆÆx
øÍ¢Á∑§ ÿ„U ’Ë◊Ê⁄UË √ÿʬ∑§ SÃ⁄U ¬⁄U »Ò§‹ øÈ∑§Ë „ÒU
•Ã— ÿ„U •ãÿ ◊Êäÿ◊Ê¥ ‚ ÷Ë »Ò§‹ ‚∑§ÃË „ÒU,
¡Ò‚ ⁄UQ§ ø…∏UÊŸ ÿÊ ◊ÊÃÊ-Á¬ÃÊ ‚ ’ëø ∑§Ê,
ßàÿÊÁŒ– ÿ„U Ã’ ∞‚ ⁄Uʪ ∑§Ê M§¬ œÊ⁄UáÊ ∑§⁄U
‹ÃÊ „ÒU, ¡Ê Ÿ Á‚»¸§ •Áœ∑§ ¡ÊÁπ◊¬Íáʸ √ÿfl„UÊ⁄U
∑§⁄UŸ flÊ‹Ê¥, ’ÁÀ∑§ Á∑§‚Ë ∑§Ê ÷Ë ¬˝÷ÊÁflà ∑§⁄U
‚∑§ÃÊ „ÒU–
ÁŒÀ‹Ë ◊¥ ÿÊÒŸ ‚¢’¢œÊ¥ ∑§ ∑§Ê⁄UáÊ ∞ø •Ê߸ flË
‚¢∑˝§◊áÊ ∑§ »Ò§‹Ÿ ∑§Ê •ŸÈ¬Êà {y ¬˝ÁÇÊà „ÒU,
¡Ê ⁄UÊCÔ˛UËÿ SÃ⁄U ¬⁄U ‹ª÷ª }z ¬˝ÁÇÊà „ÒU– ⁄UQ§
ø…∏UÊŸ ÿÊ ⁄UQ ©Uà¬ÊŒÊ¥ ‚ ß‚∑§ »Ò§‹Êfl ∑§Ê
•ŸÈ¬Êà ⁄UÊCÔ˛UËÿ SÃ⁄U ¬⁄U w.| ¬˝ÁÇÊà „ÒU ¡’Á∑§
ÁŒÀ‹Ë ◊¥ ÿ„U z ¬˝ÁÇÊà „ÒU– w{ ¬˝ÁÇÊà ∑§
Á‹∞ ‚¢∑˝§◊áÊ ∑§Ê ∑§Ê⁄UáÊ ôÊÊà Ÿ„UË¥ „ÒU–
∞«˜U‚ ∑§ xz ¬˝ÁÇÊà ôÊÊà ◊Ê◊‹ vz-w~ •ÊÿÈ
flª¸ ‚ „Ò¥U, ¡’Á∑§ yz ¬˝ÁÇÊà xÆ-y~ •ÊÿÈ
flª¸ ‚ ‚¢’¢ÁœÃ „ÒU– ‹ª÷ª }z ¬˝ÁÇÊà ◊Ê◊‹Ê¥
◊¥ ‚¢∑˝§◊áÊ ¬ÈL§·Ù¥ ◊¥ ¬ÊÿÊ ªÿÊ „ÒU–
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2.2 Page 12 |
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AIDS RISK IN DELHIS COMMERCIAL SEX WORK
ÁŒÀ‹Ë ∑§ ÿÊÒŸ √ÿfl‚Êÿ ◊¥ ∞«˜U‚ ∑§Ê ¡ÊÁπ◊
Average Number of Paying Clients on Last Working Day, Sex Workers
Selected States, 2001
•¢ÁÃ◊ ∑§Êÿ¸ ÁŒfl‚ ¬⁄U ª˝Ê„U∑§Ê¥ ∑§Ë •ÊÒ‚Ã ‚¢ÅÿÊ ÿÊÒŸ ∑§Êÿ¸∑§ûÊʸ, øÈŸ „ÈU∞ ⁄UÊÖÿ, wÆÆv
Delhis commercial sex workers are
both brothel-based and non-
brothel-based and average over
four clients a day, the highest in
India. In 2004, 8 percent of the
brothel-based CSWs tested positive
for HIV, as did 1.2 percent of non-
brothel CSWs. Knowledge of the
condom is widespread among
CSWs; about 73 percent had used
a condom with a paying partner
during their last sexual encounter.
Only about 64 percent used a
condom consistently with paying
partners. The primary reason for
non-use of the condom is that
clients object. Often, the sex
workers, about two-thirds of whom
are illiterate, are likely to be
economically dependent upon their
dalal and fearful of insisting upon
condom use. As one measure of
condom promotion, DSACS now
distributes about 14 million
condoms per year and has set up
150 condom dispensing machines,
half on G.B. Road.
Delhi
ÁŒÀ‹Ë
Gujarat
ªÈ¡⁄UÊÃ
Maharashtra
◊„UÊ⁄UÊCÔ˛U
Goa
ªÊflÊ
4.3
3.1
3.1
3.0
Andhra Pradesh
2.8
•Êãœ˝ ¬˝Œ‡Ê
Tamil Nadu
2.5
ÃÁ◊‹ŸÊ«ÈU
West Bengal
2.3
¬Á‡ø◊ ’¢ªÊ‹
Haryana
2.2
„UÁ⁄UÿÊáÊÊ
2001 Behavioural Surveillance Survey
√ÿfl„UÊ⁄U ÁŸ⁄UˡÊáÊ ‚fl¸, wÆÆv
Percent of Sex Workers Using a Condom, Delhi, 2001
∑¢§«UÊ◊ ∑§Ê ©U¬ÿʪ ∑§⁄UŸ flÊ‹Ë ÿÊÒŸ ∑§Êÿ¸∑§ûÊʸ, ÁŒÀ‹Ë, wÆÆv
Last time with
paying client
73
Á¬¿U‹Ë ’Ê⁄U ÷ȪÃÊŸ ∑§⁄UŸ
flÊ‹ ª˝Ê„U∑§ ∑§ ‚ÊÕ
Last time with
non-paying client
Á¬¿U‹Ë ’Ê⁄U ÷ȪÃÊŸ Ÿ
67
∑§⁄UŸ flÊ‹ ª˝Ê„U∑§ ∑§ ‚ÊÕ
Consistent use:
ÁŸÿÁ◊à ¬˝ÿʪ —
Paying clients
64
÷ȪÃÊŸ ∑§⁄UŸ flÊ‹ ª˝Ê„U∑
Non-paying clients
46
÷ȪÃÊŸ Ÿ ∑§⁄UŸ flÊ‹ ª˝Ê„U∑
ÁŒÀ‹Ë ∑§Ê ÿÊÒŸ √ÿfl‚Êÿ fl‡ÿÊ‹ÿ •ÊœÊÁ⁄UÃ
•ÊÒ⁄U fl‡ÿÊ‹ÿ ∑§ Á’ŸÊ ŒÊŸÊ¥ „UË SÃ⁄U ¬⁄U ‡ÊÊÁ◊‹
„Ò¥U, Á¡Ÿ◊¥ •Ê҂ß ¬˝ÁÃÁŒŸ øÊ⁄U ÿÊ •Áœ∑§
ª˝Ê„U∑§ „UÊà „Ò¥U ¡Ê ÷Ê⁄Uà ◊¥ ‚flʸÁœ∑§ „ÒU– fl·¸
wÆÆy ◊¥ } ¬˝ÁÇÊà fl‡ÿÊ‹ÿ •ÊœÊÁ⁄Uà ÿÊÒŸ
∑§Êÿ¸∑§ûÊʸ ∞ø •Ê߸ flË ∑§ Á‹∞ ¡Ê¢ø ◊¥ ‚¢∑˝§Á◊Ã
¬Ê߸ ªß¸ •ÊÒ⁄U v.w ¬˝ÁÇÊà flÒ‚Ë ◊Á„U‹Ê∞¢ „Ò¥U, ¡Ê
fl‡ÿÊ‹ÿ ‚ ’Ê„U⁄U ∑§Êÿ¸ ∑§⁄UÃË „Ò¥U– ÿÊÒŸ
∑§Êÿ¸∑§ûÊʸ•Ê¥ ◊¥ ÿlÁ¬ ∑¢§«UÊ◊ ∑§Ë √ÿʬ∑§
¡ÊŸ∑§Ê⁄UË „ÒU, Á»§⁄U ÷Ë ∑§fl‹ |x ¬˝ÁÇÊà ∞‚
∑§Êÿ¸∑§ûÊʸ „Ò¥U Á¡ã„UÙ¥Ÿ Á¬¿U‹Ë ’Ê⁄U ÷ȪÃÊŸ ∑§⁄UŸ
flÊ‹ ª˝Ê„U∑§ ∑§ ‚ÊÕ ∑¢§«UÊ◊ ∑§Ê ©U¬ÿʪ Á∑§ÿÊ–
∞«˜U‚ ∑§Ë ⁄UÊ∑§ÕÊ◊ ∑§Ë ¬˝◊Èπ ⁄UáÊŸËÁÃ, ∑¢§«UÊ◊
∑§Ê ¬˝àÿ∑§ ’Ê⁄U ¬˝ÿʪ ∑§Ê ¬˝ÁÇÊà ÷Ë ÷ȪÃÊŸ
∑§⁄UŸ flÊ‹ ‚ʤʌÊ⁄UÊ¥ ∑§ ‚ÊÕ ∑¢§«UÊ◊ ∑§ ¬˝ÿÙª
∑§Ê ◊ÊòÊ {y ¬˝ÁÇÊà „ÒU– ß‚∑§Ê ¬˝ÊÕÁ◊∑§ ∑§Ê⁄UáÊ
„ÒU, Á∑§ ª˝Ê„U∑§ Áfl⁄UÊœ ∑§⁄Uà „Ò¥U– •Ä‚⁄U, ÿÊÒŸ
∑§Êÿ¸∑§ûÊʸ, Á¡Ÿ◊¥ ŒÊ-ÁÄUÊ߸ •Á‡ÊÁˇÊà „UË „UÊÃË
„ÒU, •ÊÁÕ¸∑§ M§¬ ‚ •¬Ÿ Œ‹Ê‹Ê¥ ¬⁄U ÁŸ÷¸⁄U „UÊÃË
„Ò •ÊÒ⁄U ∑¢§«UÊ◊ ∑§ ©U¬ÿʪ ∑§ Á‹∞ ¬˝Á⁄Uà ∑§⁄UŸ ∑§
¬˝Áà ÷ÿ÷Ëà ⁄U„UÃË „Ò– ∑¢§«UÊ◊ ∑§ ©U¬ÿʪ ∑§Ê
¬˝Êà‚ÊÁ„Uà ∑§⁄UŸ ∑§ Á‹∞ ÁŒÀ‹Ë S≈U≈U ∞«˜U‚
∑¢§≈˛UÊ‹ ‚Ê‚Êß≈UË •’ ‹ª÷ª v.y ∑§⁄UÊ«∏U ∑¢§«UÊ◊
¬˝ÁÃfl·¸ ÁflÃÁ⁄Uà ∑§⁄U ⁄U„UË „ÒU ‚ÊÕ „UË vzÆ ∑¢§«UÊ◊
Á«USʬ¥Á‚¢ª ◊‡ÊËŸ ÷Ë SÕÊÁ¬Ã ∑§Ë ªß¸ „Ò¥U, Á¡Ÿ◊¥
‚ •ÊœË ¡Ë ’Ë ⁄UÊ«U ◊¥ SÕÊÁ¬Ã ∑§Ë ªß¸ „Ò¥U–
2001 Behavioural Surveillance Survey
√ÿfl„UÊ⁄U ÁŸ⁄UˡÊáÊ ‚fl¸, wÆÆv
10
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2.3 Page 13 |
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BRIDGE POPULATIONS
‚¢flÊ„U∑§ ¡Ÿ‚¢ÅÿÊ
HIV/AIDS is not simply a problem
for those engaging in high-risk
behaviour. Husbands who engage
in risky sexual behaviour may
unknowingly infect their wives
whose own behaviour is not risky.
HIV can also be transmitted by
blood transfusion. Migrants to the
city may bring HIV with them or
contract it after arrival, then spread
it to others in the community.
HIV infection often begins with
high-risk populations such as men
who visit sex workers and needle-
sharing drug users. These groups
act as a bridge to the general
population. Married women can, in
turn, contract the disease and pass
it to their unborn children. There are
indications that this is now taking
place in Delhi, threatening a
generalized epidemic.
High-risk •Áœ∑§ ¡ÊÁπ◊¬Íáʸ
Groups ‚◊Í„U
CSWs - √ÿfl‚ÊÁÿ∑§ ÿÊÒŸ∑§ûÊʸ
MSMs - ¬ÈL · ‚ ¬ÈL ·
ÿÊÒŸ ‚ê’ãœ
Eunuchs - Á„U¡«∏UÊ/Á∑§Ÿ⁄U
IVDUs - ‚È߸ mÊ⁄UÊ Ÿ‡ÊÊ
∑§⁄UŸ flÊ‹ Bridge Groups ‚¢flÊ„U∑§ ‚◊Í„U
Truckers
- ≈˛U∑§ øÊ‹∑§
Street Children - »È§≈U¬ÊÕË ’ëø
Migrant Workers - SÕÊŸÊ¢Ã⁄UáÊ ∑§Êÿ¸∑§ûÊʸ
General Population •Ê◊ ‹Êª
Married Women - ÁflflÊÁ„Uà ◊Á„U‹Ê∞¢
Babies and Children - Á‡Ê‡ÊÈ •ÊÒ⁄U ’ëø
Youth
- ÿÈflÊ
Men
- ¬ÈL ·
My husband was a truck driver and used to earn well. He died of
AIDS in the hospital 5 years ago. After his death, I came to know
that I am also HIV positive. By that time, I already had two children,
one of 4 years and another of 2 years. After I came to know of my
positive status, I tested both of my child and the youngest one
found out to be positive. Since there is no blood transfusion as yet, I
feel I am the only source for my child getting HIV.
.rom Positive Voices Dr. Sunil Mehra and Subir Kole, 2003
◊⁄U ¬Áà ∞∑§ ≈˛U∑§ «˛UÊßfl⁄U Õ •ÊÒ⁄U ©UŸ∑§Ë •Ê◊ŒŸË ÷Ë •ë¿UË ÕË– ©UŸ∑§Ë ◊ÊÒà •Ê¡ ‚
¬Ê¢ø ‚Ê‹ ¬„U‹ ∞«˜U‚ ∑§ ∑§Ê⁄UáÊ „ÈU߸– ©UŸ∑§Ë ◊ÊÒà ∑§ ’ÊŒ ◊È¤Ê ¬ÃÊ ø‹Ê Á∑§ ◊Ò¥ ÷Ë ∞ø
•Ê߸ flË ‚¢∑˝§Á◊à „Í¢U– ©U‚ ‚◊ÿ Ã∑§ ◊⁄U ŒÊ ’ëø „UÊ øÈ∑§ Õ– ◊È¤Ê ¡’ ◊⁄UË „UÊ‹Ã ∑§
’Ê⁄U ◊¥ ¬ÃÊ ø‹Ê ÃÊ ◊Ò¥Ÿ ’ëøÊ¥ ∑§Ë ¡Ê¢ø ∑§⁄UflÊŸ ∑§Ê ÁŸ‡øÿ Á∑§ÿÊ– ¿UÊ≈U ’ëø ∑§Ê ÷Ë
∞ø •Ê߸ flË ‚¢∑˝§Á◊à ¬ÊÿÊ ªÿÊ– Ã’ Ã∑§ ◊È¤Ê ∑§÷Ë ÷Ë ⁄UÄà ø…∏UÊŸ ∑§Ë ¡M§⁄Uà Ÿ„UË¥
¬«∏UË ÕË, ◊Ò¥ ‚◊¤ÊÃË „Í¢U Á∑§ ◊⁄U ’ëø ∑§ ‚¢∑˝§Á◊à „UÊ ¡ÊŸ ∑§Ê ∞∑§ ◊ÊòÊ ◊Êäÿ◊ ◊Ò¥ „UË „Í¢U–
““¬ÊÚÁ$¡Á≈Ufl flÊÚÿ‚”” «UÊ. ‚ÈŸË‹ ◊„U⁄UÊ •ÊÒ⁄U ‚È’Ë⁄U ∑§Ê‹ ‚ ©UhÃ, wÆÆx
∞ø •Ê߸ flË/∞«˜U‚ ∑§Ë ‚◊SÿÊ ◊ÊòÊ ©UŸ ‹ÊªÊ¥ ∑§Ë
„UË Ÿ„UË¥ „ÒU ¡Ê ©Uëø ¡ÊÁπ◊¬Íáʸ √ÿfl„UÊ⁄UÊ¥ ◊¥ Á‹#
„Ò¥U– ∞‚ ¬Áà ¡Ê ¡ÊÁπ◊¬Íáʸ √ÿfl„UÊ⁄U ◊¥ Á‹# „Ò¥U
fl„U •¢¡ÊŸ ◊¥ •¬ŸË ¬%Ë ∑§Ê ‚¢∑˝§Á◊à ∑§⁄U ‚∑§Ã
„Ò¥U, Á¡‚∑§Ê •¬ŸÊ ÁŸ¡Ë √ÿfl„UÊ⁄U ¡ÊÁπ◊¬Íáʸ Ÿ„UË
„ÒU– Á¡‚ √ÿÁQ§ ∑§Ê ß‚∑§Ê πÃ⁄UÊ Ÿ„UË¥ „ÒU fl„U ÷Ë
‚¢∑˝§Á◊à ⁄UQ§ ø…∏UÊ ÁŒ∞ ¡ÊŸ ‚ ‚¢∑˝§◊áÊ ∑§Ê
Á‡Ê∑§Ê⁄U „UÊ ‚∑§ÃÊ „ÒU– SÕÊŸÊ¢Ã⁄UáÊ ‚ ÷Ë ∞ø •Ê߸
flË ‚¢∑˝§◊áÊ ∑§Ê πÃ⁄UÊ ⁄U„UÃÊ „ÒU ÿÊ ÿ„U „UÊ ‚∑§ÃÊ
„ÒU Á∑§ ©U‚ SÕÊŸ ‚ flʬ‚ ‹ÊÒ≈UŸ ∑§ ’ÊŒ ©U‚
√ÿÁQ§ ∑§ ∑§Ê⁄UáÊ ‚◊Ê¡ ∑§ •ãÿ √ÿÁQ§ ∑§ ©UìÊ
¡ÙÁπ◊ √ÿfl„UÊ⁄U ‚ ‚¢∑˝§Á◊à „UÊŸ ∑§Ë ‚¢÷ÊflŸÊ
’…∏U ‚∑§ÃË „ÒU
∞ø •Ê߸ flË ‚¢∑˝§◊áÊ •∑§‚⁄U ©Uëø ¡ÊÁπ◊ ÷⁄UË
ªÁÃÁflÁœÿÊ¥ ‚ ‡ÊÈM§ „UÊÃÊ „ÒU, ¡Ò‚ ¬ÈL · ¡Ê ÿÊÒŸ
∑§Êÿ¸∑§ûÊʸ•Ê¥ ∑§ ¬Ê‚ ¡Êà „Ò¥U, ‚Í߸UÿÙ¥ ∑§ ‚ʤÊ
¬˝ÿÙª mÊ⁄UÊ Ÿ‡ÊË‹ ŒflÊ•Ù¥ ∑§ ©U¬ÿʪ∑§ûÊʸ, ÿ„U
ªÁÃÁflÁœÿÊ¢ ‚Ê◊Êãÿ ¡Ÿ‚¢ÅÿÊ ∑§ Á‹∞ ∞ø •Ê߸
flË ∑§ ‚¢flÊ„U∑§ ∑§Ê ∑§Ê◊ ∑§⁄UÃË „ÒU– ÁflflÊÁ„UÃ
◊Á„U‹Ê∞¢ ß‚ ¬˝∑§Ê⁄U ‚¢∑˝§Á◊à „UÙ •¬Ÿ •¡ã◊¥
Á‡Ê‡ÊÈ•Ù¥ ∑§Ù ‚¢∑˝§Á◊à ∑§⁄U ‚∑§ÃË „Ò¥U ÿ„U ‚¢∑§Ã
Á◊‹Ÿ ‹ª „Ò¥U Á∑§ ÁŒÀ‹Ë ◊¥ ß‚ ¬˝∑§Ê⁄U ∑§
‚¢∑˝§◊áÊ ‡ÊÈL§ „UÙ ¡ÊŸ ∑§ ‚¢∑§Ã Á◊‹Ÿ ‹ª „Ò¥U,
¡Ê ∞∑§ ’…∏UÃË ◊„UÊ◊Ê⁄UË ∑§Ë øÃÊflŸË „ÒU–
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2.4 Page 14 |
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MAPPING THE CHALLENGE
øÈŸÊÒÁÃÿÊ¥ ∑§Ê ◊ÊŸÁøòÊáÊ
In order to devise a comprehensive
programme to address specific
groups at risk of HIV infection,
DSACS carried out a mapping
study to locate them. Such an
exercise provides a solid basis for
implementing targeted interventions
for groups whose needs vary
greatly. .or example, migrant
workers and truckers who spend
time away from home must be fully
educated to the dangers of HIV.
The table illustrates the variety of
patterns among high-risk groups
throughout the NCT of Delhi.
Estimated High-risk and Bridge Groups by District as per
Mapping Study, Delhi, 2002
◊ÊŸÁøòÊ •äÿÿŸ - wÆÆw ∑§ •ŸÈ‚Ê⁄U ©Uëø ¡ÊÁπ◊¬Íáʸ fl ‚¢flÊ„U∑§ ‚◊Í„U, ÁŒÀ‹Ë
Street Migrant
District
CSWs MSMs Eunuchs IVDUs Truckers* Children Workers
Á¡‹Ê
√ÿfl‚ÊÁÿ∑§ ¬ÈL · ‚ Á„U¡«∏UÊ/ ‚È߸ mÊ⁄UÊ ≈˛U∑§ »È§≈U¬ÊÕË SÕÊŸÊ¢Ã⁄UáÊ
ÿÊÒŸ∑§ûÊʸ ¬ÈL · ÿÊÒŸ Á∑§Ÿ⁄U Ÿ‡ÊÊ øÊ‹∑§ ’ìÊ ∑§Êÿ¸∑§ûÊʸ
‚ê’ãœ
∑§⁄UŸ
flʋ
East
3,900 1,293 1,169 1,233 2,793 7,755 109,320
¬Ífl¸
Northeast
4,450 510 1,028 1,215 5,860
495 107,625
©UûÊ⁄U¬Ífl¸
North
6,879 2,017 1,680 1,973 1,740 7,655 127,155
©UûÊ⁄U
Northwest
9,497 1,286 1,527 2,158 7,512 2,386 123,023
©UûÊ⁄U ¬Á‡ø◊
Central
730 568
356 530
275 3,515 29,750
∑§ãº˝
New Delhi
462 110
85 215
0
125 6,045
Ÿß¸ ÁŒÀ‹Ë
West
4,312 928
771 1,340 3,330
800 118,884
¬Á‡ø◊
South
3,728 275
308 531 7,330 10,348 160,785
ŒÁˇÊáÊ
Southwest
1,104 545
393 408
572 2,411 105,235
ŒÁˇÊáÊ ¬Á‡ø◊
NCT of Delhi 35,062 7,532 7,317 9,603 29,412 35,490 887,822
⁄UÊCÔ˛UËÿ ⁄UÊ¡œÊŸË ˇÊòÊ,
ÁŒÀ‹Ë
*Stationed per day
¬˝ÁÃÁŒŸ L§∑§Ÿ ’Ê‹Ù¥ ∑§Ë ‚¢ÅÿÊ
Delhi State AIDS Control Society
ÁŒÀ‹Ë S≈U≈U ∞«˜U‚ ∑¢§≈˛UÊ‹ ‚Ê‚Êß≈UË
∞ø •Ê߸ flË ‚¢∑˝§◊áÊ ∑§ ¡ÊÁπ◊ ◊¥ ÁÉÊ⁄U ∑ȧ¿U
ÁflÁ‡ÊCÔU ‚◊Í„UÊ¥ ∑§ Á‹∞ √ÿʬ∑§ ∑§Êÿ¸∑˝§◊ ∑§Ë
M§¬-⁄UπÊ ÃÒÿÊ⁄U ∑§⁄UŸ ∑§ Á‹∞ «UË ∞‚ ∞ ‚Ë ∞‚
Ÿ ∞∑§ ◊ÊŸÁøòÊáÊ ∑§Êÿ¸ •¬ŸÊÿÊ „ÒU, ÃÊÁ∑§ ©UŸ∑§Ê
¬ÃÊ ‹ªÊÿÊ ¡Ê ‚∑ – ∞‚ •èÿÊ‚ ©UŸ ‚◊Í„UÊ¥ ∑§
Á‹∞ ‹ÁˇÊà „USÃˇÊ¬Ê¥ ∑§Ê Á∑˝§ÿÊÁãflà ∑§⁄UŸ ∑§Ê
∆UÊ‚ •ÊœÊ⁄U ©U¬‹éœ ∑§⁄UflÊà „Ò¥U Á¡Ÿ∑§Ê ß‚∑§Ë
•ÁÕÊfl‡ÿ∑§ÃÊ „ÒU– ©UŒÊ„U⁄UáÊ ∑§ Á‹∞, ¬‹ÊÿŸ
∑§⁄U ÿÊ ≈˛U∑§ «˛UÊßfl⁄U ¡Ê •Áœ∑§Ê¢‡Ê ‚◊ÿ ÉÊ⁄U ‚
’Ê„U⁄U ⁄U„Uà „Ò¥U ©UŸ∑§Ê ∞ø •Ê߸ flË ∑§ πÃ⁄UÊ¥ ∑§
Áfl·ÿ ◊¥ ‚¢¬Íáʸ Á‡ÊˇÊÊ ŒË ¡ÊŸË øÊÁ„U∞– ‚Ê⁄UáÊË
⁄UÊCÔ˛UËÿ ⁄UÊ¡œÊŸË ˇÊòÊ ÁŒÀ‹Ë ◊¥ ©Uëø ¡ÊÁπ◊¬Íáʸ
‚◊Í„UÊ¥ ∑§ ◊äÿ ÁflÁ÷ÛÊ ¬˝∑§Ê⁄U ∑§ ¬˝ø‹ŸÊ¥ ∑§Ê
¬˝ŒÁ‡Ê¸Ã ∑§⁄UÃË „ÒU¢–
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2.5 Page 15 |
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STDS AND HIV/AIDS
ÿÊÒŸ ‚¢øÊÁ⁄Uà ⁄Uʪ •ÊÒ⁄U ∞ø •Ê߸U flË/∞«˜U‚
Percent of Adult Population Reporting STD Symptoms in the Past Year
India and Delhi, 2001
Á¬¿U‹ fl·¸ ÿÊÒŸ ‚¢øÊÁ⁄Uà ⁄Uʪʥ ∑§ ‹ˇÊáÊ √ÿQ§ ∑§⁄UŸ flÊ‹ √ÿS∑§Ê¥ ∑§Ê ¬˝ÁÇÊÃ
÷Ê⁄Uà •ı⁄U ÁŒÀ‹Ë, wÆÆv
Both Sexes
4.6
ŒÙŸÙ¥ Á‹¢ª
10.5
The presence of a sexually
transmitted disease (STD) or
reproductive tract infection makes
one more vulnerable to HIV
infection. The proportion of Delhi
adults interviewed in the BSS who
reported a possible STD symptom
was well above the national
average and was the highest of
any state along with Haryana.
Knowledge that the presence of a
STD increases the risk of
contracting HIV was somewhat
higher in Delhi than the all-India
average.
Male
¬ÈL ·
Female
◊Á„U‹Ê
2.8
7.5
6.3
India
÷Ê⁄UÃ
Delhi
ÁŒÀ‹Ë
13.3
2001 Behavioural Surveillance Survey
√ÿfl„UÊ⁄U ÁŸ⁄UˡÊáÊ ‚fl¸, wÆÆv
Percent of Adult Population Aware of the Linkage between STDs and
HIV Infection, India and Delhi, 2001
ÿÊÒŸ ¡ÁŸÃ ⁄Uʪʥ fl ∞ø •Ê߸ flË ∑§ ◊äÿ ‚¢’¢œ ∑§Ë ¡ÊŸ∑§Ê⁄UË ⁄UπŸ flÊ‹
√ÿS∑§Ê¥ ∑§Ê ¬˝ÁÇÊÃ, ÷Ê⁄Uà •ı⁄U ÁŒÀ‹Ë, wÆÆv
24
21
28
23
India
÷Ê⁄UÃ
Delhi
ÁŒÀ‹Ë
20
19
ÿÊÒŸ ‚¢øÊÁ⁄Uà ⁄Uʪʥ ÿÊ ¬˝¡ŸŸ ‚¢’¢œË ⁄Uʪʥ ∑§Ë
©U¬ÁSÕÁà √ÿÁQ§ ∑§Ê ∞ø •Ê߸ flË ‚¢∑˝§◊áÊ ∑§
¬˝Áà •Áœ∑§ ‚êflŒ‡ÊË‹ ’ŸÊ ŒÃË „ÒU– ÁŒÀ‹Ë ◊¥
ÿÊÒŸ ‚¢øÊÁ⁄Uà ⁄Uʪʥ ∑§Ë ‚¢÷ÊflŸÊ ∑§ ◊gŸ Ê⁄U
√ÿfl„UÊ⁄U ÁŸÁ⁄UˇÊáÊ ‚fl¸ ◊¥ ‚ÊˇÊÊà∑§Ê⁄U ‹Ÿ ∑§
¬‡øÊà ÿ„U Ãâÿ ‚Ê◊Ÿ •ÊÿÊ „ÒU Á∑§ ©UŸ∑§Ë
ÁSÕÁà Œ‡Ê ∑§ •ÊÒ‚Ã ‚ •Áœ∑§ ÕË, „UÁ⁄UÿÊáÊÊ
•ÊÒ⁄U ÁŒÀ‹Ë ∑§Ê •ÊÒ‚Ã Œ‡Ê ∑§ Á∑§‚Ë ÷Ë ⁄UÊÖÿ
‚ •Áœ∑§ „ÒU– ÿÊÒŸ ‚¢øÊÁ⁄Uà ⁄Uʪʥ ∑§ ∑§Ê⁄UáÊ ∞ø
•Ê߸ flË ‚¢∑˝§◊áÊ ∑§Ê πÃ⁄UÊ ’…∏U ¡ÊÃÊ „ÒU •ÊÒ⁄U ÿ„U
¡ÊŸ∑§Ê⁄UË ÁŒÀ‹Ë ◊¥ ÷Ê⁄Uà ∑§Ë ÃÈ‹ŸÊ ◊¥ ∑ȧ¿U
•Áœ∑§ „ÒU Á»§⁄U ÷Ë ÿ„U •ı‚à ∑§Ê»§Ë ∑§◊ „ÒU–
Both Sexes
ŒÙŸÙ¥ Á‹¢ª
2001 Behavioural Surveillance Survey
√ÿfl„UÊ⁄U ÁŸ⁄UˡÊáÊ ‚fl¸, wÆÆv
Male
¬ÈL ·
Female
◊Á„U‹Ê
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2.6 Page 16 |
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TESTING .OR HIV/AIDS
∞ø •Ê߸ flË/∞«˜U‚ ∑§ Á‹∞ ¡Ê¢ø
The fact that many people are
infected with HIV and do not realize
it is an ever-present danger in the
city. Voluntary, confidential testing
for HIV infection is a key element in
the struggle against the disease.
However, only about 18 percent of
the respondents in the BSS knew
where to go for a test. This is
despite the fact that about 80
percent of Delhiites in the survey
also said that they felt it was
possible to be tested for HIV.
The number of people tested for
HIV infection at Voluntary
Counseling and Confidential
Testing Centres (VCCTCs)* has
risen steadily, reaching 66,390
in 2004. Of these, 2,784 or 4.2
percent were found to be HIV-
positive. This proportion is not
necessarily representative of
Delhis general population as those
tested may have had some reason
to suspect that they were positive.
It is also important that patients be
counseled on the need for the test
and on the treatment available.
In 2004, 43,296 patients were so
counseled, 65 percent of the total.
Percent of Adult Population Aware of a HIV Testing Facility
India and Delhi, 2001
Á¡Ÿ∑§Ê ∞ø •Ê߸ flË ¡Ê¢ø ‚ÈÁflœÊ•Ê¥ ∑§Ë ¡ÊŸ∑§Ê⁄UË „ÒU √ÿS∑§Ê¥ ∑§Ê ¬˝ÁÇÊÃ,
÷Ê⁄Uà •ı⁄U ÁŒÀ‹Ë, wÆÆv
Both Sexes
ŒÙŸÙ¥
10.4
17.9
Male
¬ÈL ·
13.0
21.1
Female
◊Á„U‹Ê
India
7.8
÷Ê⁄UÃ
14.9
Delhi
ÁŒÀ‹Ë
2001 Behavioural Surveillance Survey
√ÿfl„UÊ⁄U ÁŸ⁄UˡÊáÊ ‚fl¸, wÆÆv
Testing at Voluntary Counseling and Confidential Testing Centres
Delhi, 2002 - 2004
SflÒÁë¿U∑§ ¬⁄UÊ◊‡Ê¸ ∞fl¢ ªÙ¬ŸËÿ ¡Êø ∑§ãº˝Ù¥ ◊¥ ¡Ê¢ø, ÁŒÀ‹Ë, wÆÆw - wÆÆy
66,390
49,390
55,612
34,863
43,296
14,884
*A list can be found on page 19.
3,005
2,269
2002
Total tested
∑ȧ‹ ¡Ê¢ø ª∞
2003
Persons found HIV-positive
∞ø •Ê߸U flË ¬ÊÁ¡Á≈Ufl ¬Ê∞ ª∞
Delhi State AIDS Control Society
ÁŒÀ‹Ë S≈U≈U ∞«˜U‚ ∑¢§≈˛UÊ‹ ‚Ê‚Êß≈UË
2,784
2004
Persons counseled
¬⁄UÊ◊‡Ê¸ ÁŒ∞ ª∞
ÿ„U Ãâÿ Á∑§ ∑§ß¸ ‹Êª ∞ø •Ê߸ flË ‚ ‚¢∑˝§Á◊Ã
„Ò¥U •ÊÒ⁄U ÿ„U Ÿ„UË¥ ¡ÊŸÃ Á∑§ ÿ„U ‡Ê„U⁄U ∑§ Á‹∞
∞∑§ ‚ŒÒfl ◊ÊÒ¡ÍŒ ⁄U„UŸ flÊ‹Ê πÃ⁄UÊ „ÒU– ß‚ ⁄Uʪ
∑§ ÁflM§h ∑§Ê⁄UflÊ߸ ◊¥ ∞ø •Ê߸ flË ∑§Ë SflÒÁë¿U∑§
fl ªÈ# ¡Ê¢ø ∞∑§ ◊„Uàfl¬Íáʸ Ãàfl „ÒU– Á»§⁄U ÷Ë
‹ª÷ª v} ¬˝ÁÇÊà √ÿÁQ§ÿÊ¥ ∑§Ê „UË ÿ„U ¬ÃÊ „ÒU
Á∑§ fl ¡Ê¢ø ∑§ Á‹∞ ∑§„UÊ¢ ¡Ê∞¢– ß‚ Ãâÿ ∑§
’Êfl¡ÍŒ √ÿfl„UÊ⁄U ÁŸ⁄ËUˇÊáÊ ‚fl¸ ◊¥ ÿ„U ¬ÊÿÊ ªÿÊ
Á∑§ ÁŒÀ‹Ë ∑§ }Æ ¬˝ÁÇÊà ÁŸflÊ‚Ë ÿ„U ∑§„Uà „Ò¥U
Á∑§ ©UŸ∑§Ù ‹ªÃÊ „ÒU ∞ø •Ê߸ flË ∑§ Á‹∞ ¡Ê¢ø
∑§⁄UflÊ߸ ¡Ê ‚∑§ÃË „ÒU–
SflÒÁë¿U∑§ ¬⁄UÊ◊‡Ê¸ ∞fl¢ ªÙ¬ŸËÿ ¡Ê¢ø ∑§ãº˝Ù¥* ◊¥
¡Ê¢ø Á∑§∞ ª∞ ‹ÙªÙ¥ ∑§Ë ‚¢ÅÿÊ œË⁄U-œË⁄U ’…∏U
⁄U„UË „ÒU •ı⁄U wÆÆy ◊¥ ߟ∑§Ë ‚¢ÅÿÊ {{,x~Æ ÕË–
ߟ ◊¥ ‚ w,|}y ÿÊ y.w ¬˝ÁÇÊà ∞ø •Ê߸ flË
¬ÊÁ¡Á≈Ufl ¬Ê∞ ª∞ Õ– ÿ„U •ŸÈ¬Êà ‚Ê◊Êãÿ
¡Ÿ‚¢ÅÿÊ ∑§Ë ¬˝ÁÃÁŸÁœàfl Ÿ„UË¥ ∑§⁄UÃË ÄÿÙ¥Á∑§
ÁŒÀ‹Ë ◊¥ ߟ ∑§Ê •ŸÈ¬Êà ∑§Ê»§Ë •Áœ∑§ „UÙŸ
∑§Ë ‚ê÷ÊflŸÊ „ÒU– ß‚Á‹∞ ⁄UÙÁªÿÙ¥ ∑§Ë ¡Ê¢ø
∑§⁄UÊŸ ∑§Ë •Êfl‡ÿ∑§ÃÊ ÃÕÊ ¡Ê¢ø ∑§⁄UŸ ∑§Ë
‚ÈÁflœÊ•Ù¥ ∑§Ë •Ù⁄U äÿÊŸ ÁŒ‹ÊŸ ∑§Ë ¡M§⁄Uà „ÒU–
wÆÆy ∑§ ∑ȧ‹ yx,w~{ ⁄UÙÁªÿÙ¥ ∑§Ù ¬⁄UÊ◊‡Ê¸ ÁŒÿÊ
ªÿÊ •ı⁄U ÿ„U ∑ȧ‹ ¡Ê¢ø ª∞ ⁄UÙÁªÿÙ¥ ∑§Ê
{z ¬˝ÁÇÊà „ÒU–
* ‚ÍøË ¬Îc∆U v~ ¬⁄U ©U¬‹éœ „ÒU–
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2.7 Page 17 |
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STIGMA - A POWER.UL ALLY O. HIV/AIDS
∑§‹¢∑§-∞ø •Ê߸ flË/∞«˜U‚ ∑§Ê ‡ÊÁQ§‡ÊÊ‹Ë ‚„UÊÿ∑§
Misconceptions about HIV/AIDS
only help to spread the disease.
People who feel they might be
infected hesitate to be tested lest
they be ostracized from their
village, job, and home. By 2001,
about 2 percent of Delhiites knew
someone who was infected with
HIV or who had died from AIDS.
Dispelling myths about HIV/AIDS is
an urgent concern. People must be
informed of the following:
■ HIV does not travel through the
air nor can it be contracted
through mosquito or insect bites.
Thus, merely having a
HIV-positive person in ones
village or place of work carries
no risk of HIV transmission.
■ HIV cannot be contracted by
sharing a meal or shaking hands
with a HIV infected person, or by
a cough or sneeze.
■ HIV-positive people can live
normal and meaningful lives with
treatment and proper nutrition.
∞ø •Ê߸ flË/∞«˜U‚ ∑§ Áfl·ÿ ◊¥ •flœÊ⁄UáÊÊ∞¥ ß‚
’Ë◊Ê⁄UË ∑§Ê »Ò§‹Ÿ ◊¥ ‚„UÊÿ∑§ ∑§Ë ÷ÍÁ◊∑§Ê
ÁŸ÷ÊÃË „ÒU– flÒ‚ ‹Êª ¡Ê ÿ„U ‚Êøà „Ò¥U, Á∑§ fl
÷Ë ß‚ ’Ë◊Ê⁄UË ∑§ Á‡Ê∑§Ê⁄U „UÊ ‚∑§Ã „Ò¥U, flÊ ß‚
÷ÿ ‚ ¡Ê¢ø ∑§⁄UflÊŸ ‚ Á„Uø∑§Ã „Ò¥U, Á∑§ ∑§„UË¥
©UŸ∑§Ê ªÊ¢fl, ∑§Êÿ¸ˇÊòÊ ÿÊ ÉÊ⁄U ‚ ’Ê„U⁄U Ÿ ÁŸ∑§Ê‹
ÁŒÿÊ ¡Ê∞– fl·¸ wÆÆv Ã∑§ ‹ª÷ª w ¬˝ÁÇÊÃ
ÁŒÀ‹Ë ∑§ ÁŸflÊ‚Ë Á∑§‚Ë Ÿ Á∑§‚Ë √ÿÁQ§ ∑§Ê
•fl‡ÿ ¡ÊŸÃ Õ, ¡Ê ÿÊ ÃÊ ∞ø •Ê߸ flË ‚
‚¢∑˝§Á◊Ã Õ ÿÊ ∞«˜U‚ ‚ Á¡Ÿ∑§Ë ◊ÊÒà „ÈU߸ ÕË–
∞ø •Ê߸ flË/∞«˜U‚ ∑§ Áfl·ÿ ◊¥ ߟ ÷˝Ê¢ÁÃÿÊ¥ ∑§Ê
ŒÍ⁄U ∑§⁄UŸÊ •Ê¡ ∑§Ë ¬˝◊Èπ •Êfl‡ÿ∑§ÃÊ ’Ÿ ªß¸
„ÒU– ‹ÊªÊ¥ ∑§Ê ÁŸêŸÁ‹πà ÃâÿÊ¥ ∑§ ’Ê⁄U ◊¥
ÁŸÁ‡øà M§¬ ‚ ¡ÊŸ∑§Ê⁄UË ŒË ¡ÊŸË øÊÁ„U∞—
Immediately after knowing status, my mother, brother everybody
told me that now you can not stay with us. Please go back
wherever you have come from. We do not want AIDS here. I was
badly shocked with the behaviour of my family members. I left
everything on God and again came back to Delhi and started
staying in the park.
.rom Positive Voices Dr. Sunil Mehra and Subir Kole, 2003
◊⁄UË ÁSÕÁà ¡ÊŸŸ ∑§ ‚ÊÕ „UË ◊⁄UË ◊Ê¢, ◊⁄U ÷Ê߸ ‚’ Ÿ ◊Ȥʂ ÿ„U ∑§„UŸÊ ‡ÊÈM§ ∑§⁄U ÁŒÿÊ,
Á∑§ ◊Ò¥ ©UŸ∑§ ‚ÊÕ Ÿ„UË¥ ⁄U„U ‚∑§ÃÊ ¡„UÊ¢ ‚ ÃÈ◊ •Ê∞ „UÊ fl„UË¥ flʬ‚ ø‹ ¡Ê•Ê– „U◊
•¬Ÿ ÉÊ⁄U ◊¥ ∞«˜U‚ Ÿ„UË¥ øÊ„UÖ ◊È¤Ê •¬Ÿ ¬Á⁄UflÊ⁄U ∑§ √ÿfl„UÊ⁄U ∑§Ê Œπ∑§⁄U ’È⁄UË Ã⁄U„U
œP§Ê ‹ªÊ– ◊Ò¥Ÿ ‚’ ∑ȧ¿U ÷ªflÊŸ ¬⁄U ¿UÊ«∏U ÁŒÿÊ •ÊÒ⁄U ÁŒÀÀÊË flʬ‚ •Ê ªÿÊ •ÊÒ⁄U ∞∑§
¬Ê∑¸§ ◊¥ ⁄U„UŸ ‹ªÊ–
““¬ÊÚÁ$¡Á≈Ufl flÊÚÿ‚”” «UÊ. ‚ÈŸË‹ ◊„U⁄UÊ •ÊÒ⁄U ‚È’Ë⁄U ∑§Ê‹ ‚ ©UhÃ, wÆÆx
■ ∞ø •Ê߸ flË Áfl·ÊáÊÈ flÊÿÈ ∑§ ‚ÊÕ Ÿ„UË¥ »Ò§‹ÃÊ
Ÿ „UË ÿ„U ◊ë¿U⁄U ÿÊ ∑§Ë«∏U ∑§ ∑§Ê≈UŸ ‚ „UÊÃÊ
„ÒU– •Ã— ◊ÊòÊ Á∑§‚Ë ∞ø •Ê߸ flË ‚¢∑˝§Á◊Ã
√ÿÁQ§ ∑§ ªÊ¢fl ÿÊ ∑§Êÿ¸ˇÊòÊ ◊¥ „UÊŸ ‚
∞ø •Ê߸ flË/∞«˜U‚ ‚¢∑˝§◊áÊ ∑§Ê ∑§Ê߸ ¡ÊÁπ◊
Ÿ„UË¥ „UÊÃÊ–
■ ‚¢∑˝§Á◊à √ÿÁQ§ ∑§ ‚ÊÕ πÊŸÊ πÊŸ, „UÊÕ
Á◊‹ÊŸ ÿÊ ’‹ª◊ •ÕflÊ ©U‚∑§ ¿UË¥∑§Ÿ ‚
÷Ë ÿ„U Ÿ„UË¥ »Ò§‹ÃÊ–
■ ∞ø •Êß flË ‚¢∑˝§Á◊à √ÿÁQ§ ÷Ë ÕÊ«∏U ‚
ÁŸÿÁ◊à ©U¬øÊ⁄U ÃÕÊ ¬ıÁCÔU∑§ •Ê„UÊ⁄U ∑§ ‚ÊÕ
‚Ê◊Êãÿ fl ‚∑§Ê⁄UÊà◊∑§ ¡ËflŸ ¡Ë ‚∑§Ã „Ò¥U–
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2.8 Page 18 |
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PARENT TO CHILD TRANSMISSION
◊ÊÃÊ-Á¬ÃÊ ‚ ’ëøÊ¥ ◊¥ ‚¢∑˝§◊áÊ
Knowledge of Parent to Child Transmission, Delhi, 2001
◊ÊÃÊ-Á¬ÃÊ ‚ Á‡Ê‡ÊÈ ◊¥ ‚¢∑˝§◊áÊ ∑§Ë ¡ÊŸ∑§Ê⁄UË, ÁŒÀ‹Ë, wÆÆv
HIV transmission in the
antenatal period & delivery:
¬˝‚fl¬Íáʸ •ÊÒ⁄U ¬˝‚ÍÁà ∑§
‚◊ÿ ∞ø •Ê߸ flË ‚¢∑˝§◊áÊ—
Female
76
◊Á„U‹Ê
HIV can be passed to an infant
during pregnancy, labour, delivery,
and breastfeeding. Knowledge of
the risk in the antenatal period and
during delivery is high in Delhi, with
76 percent of women aware of the
possibility of passing HIV to their
children. A much smaller
proportion, only 39 percent, know
that the disease can also be
passed while breastfeeding.
The risk of parent to child
transmission can be greatly
reduced during pregnancy and
delivery through antiretroviral
treatment (ART). Three of the 25
ART centres* in India are in Delhi.
.or preventing transmission of HIV
through breast milk, various other
options are available. Lactating
mothers need to be counseled to
make a decision based on
acceptability, feasibility, affordability,
safety, and sustainability of the
chosen options such as
replacement feeding with formula.
*A list can be found on page 19.
Male
¬ÈL ·
HIV transmission during
breastfeeding:
S߬ʟ mÊ⁄UÊ ∞ø •Ê߸ flË ‚¢∑˝§◊áÊ—
Female
◊Á„U‹Ê
78
39
Male
51
¬ÈL ·
2001 Behavioural Surveillance Survey
√ÿfl„UÊ⁄U ÁŸ⁄UˡÊáÊ ‚fl¸, wÆÆv
Preventing Parent to Child Transmission Centre Attendees,
Delhi, 2003-2004
◊ÊÃÊ-Á¬ÃÊ ‚ Á‡Ê‡ÊÈ ‚¢∑˝§◊áÊ ⁄UÙ∑§ÕÊ◊ ∑§ãº˝Ù¥ ◊¥ ©U¬ÁSÕÃË, ÁŒÀ‹Ë, wÆÆx-wÆÆy
84,215
69,576
2003
2004
27,805
25,045
16,152
14,267
Total
attendees
∑ȧ‹ ©U¬ÁSÕÁÃ
With pretest
counseling
¡Ê¢ø ¬Ífl¸ ¬⁄UÊ◊‡Ê¸
Delhi State AIDS Control Society
ÁŒÀ‹Ë S≈U≈U ∞«˜U‚ ∑¢§≈˛UÊ‹ ‚Ê‚Êß≈UË
Tested for
HIV
∑ȧ‹ ¡Ê¥ø ‚¢ÅÿÊ
38 44
Number
positive
¬ÊÁ¡Á≈Ufl
9,671 9,891
With posttest
counseling
©U¬⁄Uʢà ¡Ê¢ø ¬⁄UÊ◊‡Ê¸
ª÷ʸflSÕÊ, ¬˝‚ÍÁà ÿÊ S߬ʟ ∑§ mÊ⁄UÊ ÷Ë
Á‡Ê‡ÊÈ•Ù¥ ◊¥ ∞ø •Ê߸ flË ‚¢∑˝§◊áÊ „UÙ ‚∑§ÃÊ „ÒU–
¬˝‚fl¬Ífl¸ •flÁœ ÿÊ ª÷ʸflSÕÊ ◊¥ Á‡Ê‡ÊÈ ∑§ ∞ø
•Ê߸ flË ‚ ‚¢∑˝§Á◊à „UÊŸ ∑§ ¡ÊÁπ◊ ∑§ ¬˝‚¢ª ◊¥
¡ÊŸ∑§Ê⁄UË Œ⁄U ÁŒÀ‹Ë ◊¥ ∑§Ê»§Ë ©Uëø „ÒU– |{
¬˝ÁÇÊà ◊Á„U‹Ê∞¢ ß‚ Ãâÿ ‚ ¬Á⁄UÁøà „Ò¥U– ∑§Ê»§Ë
∑§◊ •ŸÈ¬Êà ◊¥ •Õʸà ‹ª÷ª x~ ¬˝ÁÇÊÃ
◊Á„U‹Ê•Ê¥ ∑§Ê ¬ÃÊ „ÒU Á∑§, ∞ø •Ê߸ flË S߬ʟ
∑§ mÊ⁄UÊ ÷Ë Á‡Ê‡ÊÈ ∑§Ê ‚¢∑˝§Á◊à ∑§⁄U ‚∑§ÃÊ „ÒU–
◊ÊÃÊ-Á¬ÃÊ ‚ Á‡Ê‡ÊÈ•Ù¥ ◊¥ SÕÊŸÊ¢Ã⁄UáÊ ∑§Ê ¡ÙÁπ◊
ª÷ʸflSÕÊ •ı⁄U ¬˝‚ÍÁà ∑§ Œı⁄UÊŸ ∞ •Ê⁄U ≈UË mÊ⁄UÊ
√ÿʬ∑§ SÃ⁄U ¬⁄U ∑§◊ Á∑§ÿÊ ¡Ê ‚∑§ÃÊ „ÒU– ÷Ê⁄UÃ
∑§ wz ∞¢Á≈U-⁄UË≈˛UÙflÊÿ⁄U‹ ∑§ãº˝Ù¥ ◊¥ ‚ ÃËŸ ∑§ãº˝*
ÁŒÀ‹Ë ◊¥ ÁSÕà „Ò¥U– „UÊ‹Ê¢Á∑§ Sߌ͜ ∑§ ‚ÊÕ-
‚ÊÕ •ãÿ ∑§ß¸U Áfl∑§À¬ ©U¬‹éœ „Ò¥U ¡Ù ∞«˜U‚ ∑§
SÕÊŸÊ¢Ã⁄UáÊ ∑§Ù ⁄UÙ∑§ ‚∑§Ã „Ò¥U– S߬ʟ ∑§⁄UflÊŸ
flÊ‹Ë ◊ÊÃÊ•Ù¥ ∑§Ù øÿÁŸÃ Áfl∑§À¬, ¡Ò‚ ÷Ù¡Ÿ
∑§Ê ŸÈ‚π ‚ ¬˝ÁÃSÕʬŸ ∑§Ë SflË∑§Êÿ¸ÃÊ,
©U¬àÿÈQ§ÃÊ, fl„UŸ ∑§⁄UŸ ∑§Ë ÿÙÇÿÃÊ •ı⁄U
ÁŸÿÁ◊ÃÃÊ ∑§ •ÊœÊ⁄U ¬⁄U ÁŸáʸÿ ‹Ÿ ∑§ Á‹∞
¬⁄UÊ◊‡Ê¸ ÁŒÿÊ ¡ÊŸÊ øÊÁ„U∞–
* ‚ÍøË ¬Îc∆U v~ ¬⁄U ©U¬‹éœ „ÒU–
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2.9 Page 19 |
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A SA.E AND SECURE BLOOD SUPPLY
‚È⁄UÁˇÊà fl ÁŸ⁄UʬŒ ⁄UQ§ •Ê¬ÍÁø
Without a totally safe blood supply,
no one is free from the risk of HIV
infection. Securing an uninfected
blood supply is one of DSACS
major challenges and one of its
major efforts. In the early 1990s, a
sharp, rising trend in HIV-positive
blood donations was observed.
More recently, the percentage of
HIV-positive blood donations has
stabilized and begun a slow
decline.
Percent of Blood Donations Found to Be HIV-positive
Delhi, 1992-2004
⁄UQ§ •ŸÈŒÊŸ ◊¥ ∞ø •Ê߸ flË ‚¢∑˝§◊áÊ ∑§Ê ¬˝ÁÇÊÃ
ÁŒÀ‹Ë, v~~w-wÆÆy
0.65
0.60
0.58
0.56
0.55
0.52
0.51
0.48
0.44
0.45
0.47
0.38
.eatures of the DSACS Blood
Safety Campaign
❏ 41 blood banks city-wide
❏ 10 zonal blood testing centres
❏ 7 regional blood transfusion
centres
❏ 2 blood component separation
units
❏ Blood bank modernization with
equipment and HIV testing kits
❏ Promotion of voluntary blood
donations
❏ Effective quality control through
licensing
0.20
1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Delhi State AIDS Control Society
ÁŒÀ‹Ë S≈U≈U ∞«˜U‚ ∑¢§≈˛UÊ‹ ‚Ê‚Êß≈UË
‚È⁄UÁˇÊà fl ÁŸ⁄UʬŒ ⁄UQ§ •Ê¬ÍÁø ∑§ Á’ŸÊ ∑§Ê߸ ÷Ë
∞ø •Ê߸ flË ‚¢∑˝§◊áÊ ∑§ ¡ÊÁπ◊ ‚ ’Ê„U⁄U Ÿ„UË¥
„ÒU– ÁŸ⁄UʬŒ ⁄UQ§ •Ê¬ÍÁø «UË ∞‚ ∞ ‚Ë ∞‚ ∑§
‚◊ˇÊ ’«∏UË øÈŸÊÒÃË „ÒU •ÊÒ⁄U ß‚ ‚È⁄UÁˇÊà ⁄UπŸÊ
ß‚∑§Ë ‚’‚ ’«∏UË ∑§ÊÁ‡Ê‡Ê „ÒU– v~~Æ ∑§ ‡ÊÈL§•ÊÃ
◊¥ ∞ø •Ê߸ flË ⁄UQ§ •ŸÈŒÊŸ ◊¥ ∞∑§ ’…∏UÃÊ „ÈU•Ê
¬˝ø‹Ÿ ŒπÊ ªÿÊ ÕÊ– •÷Ë „UÊ‹ ◊¥ ∞ø •Ê߸
flË ‚¢∑˝§Á◊à ⁄UQ§ ŒÊŸ ¬⁄U ÁŸÿ¢òÊáÊ ∑§⁄U Á‹ÿÊ ªÿÊ
„ÒU •ÊÒ⁄U ß‚∑§ Œ⁄U ◊¥ ∑§◊Ë •Ê ⁄U„UË „ÒU–
⁄UQ§ ‚È⁄UˇÊÊ ◊ÈÁ„U◊ ∑§Ë
Áfl‡Ê·ÃÊ∞¢
❏ ‡Ê„U⁄U ◊¥ yv ⁄UQ§ ’Ò¥∑§
❏ vÆ ˇÊòÊËÿ ⁄UQ§ ¡Ê¢ø ∑§ãº˝
❏ | •Ê¢øÁ‹∑§ ⁄UQ§ ¬Á⁄UfløŸ ∑§ãº˝
❏ w ⁄UQ§ Ãàfl ¬ÎÕP§⁄UáÊ ß∑§ÊßÿÊ¢
❏ ©U¬∑§⁄UáÊ fl ∞ø •Ê߸ flË ¡Ê¢ø ∑§Ê
•ÊœÈÁŸ∑§Ë∑§⁄UáÊ
❏ SflÒÁë¿U∑§ ⁄UQ§ ŒÊŸ ∑§Ê ¬˝Êà‚Ê„UŸ
❏ ‹Êß‚¥Á‚¢ª ∑§ mÊ⁄UÊ ¬˝÷Êfl‡ÊÊ‹Ë ªÈáÊflûÊÊ
ÁŸÿ¢òÊáÊ
17
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2.10 Page 20 |
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DSACS: COMBATTING HIV/AIDS
Delhi State AIDS Control Society
has been implementing AIDS
prevention and control programmes
since 1998. Its activities and
programmes include:
❏ Mapping of risk groups
❏ Sentinel surveillance
❏ Monitoring and Evaluation
❏ Voluntary Counseling &
Confidential Testing
Centres
❏ Medicines for AIDS patients
❏ Medicines for opportunistic
infections and post
exposure prophylaxis
❏ Targeted interventions
(e.g., truck drivers, sex
workers)
❏ STD control programme
❏ Care and support centres
❏ Blood safety
❏ Prevention of parent to child
transmission (PPTCT)
❏ Condom promotion
❏ .amily Health Awareness
Campaign (.HAC)
❏ Stree Shakti Camps
❏ School AIDS Education
Programme
❏ Training programme for
doctors, nurses, NGO
staff and paramedical
workers
❏ Intersectoral collaboration
❏ Enabling environment
project
18
«UË ∞‚ ∞ ‚Ë ∞‚ - ∞ø •Ê߸ flË/∞«U˜‚ ∑§ ÁflM§h ÿhÈ
ÁŒÀ‹Ë S≈U≈U ∞«˜U‚ ∑¢§«˛UÙ‹ ‚Ù‚Êß≈UË v~~} ‚ „UË
∞ø •Ê߸ flË/∞«˜U‚ ∑§Ê ÁŸÿ¢ÁòÊà ∑§⁄UŸ ∑§ Á‹∞
ÁflÁ÷ÛÊ ∑§Êÿ¸∑˝§◊Ê¥ ∑§Ê Á∑˝§ÿÊÁãflà ∑§⁄UÃË ⁄U„UË „ÒU–
ß‚∑§Ë ªÁÃÁflÁœÿÊ¥ fl ∑§Êÿ¸∑˝§◊Ê¥ ◊¥ ‡ÊÊÁ◊‹ „ÒU—
❏ ¡ÊÁπ◊¬Íáʸ ‚◊Í„UÊ¥ ∑§Ê ◊ÊŸÁøòÊáÊ
❏ ÁŸª⁄UÊŸË
❏ ÁŸ⁄UˡÊáÊ ∞fl¢ ◊ÍÀÿÊ¢∑§Ÿ
❏ SflÁë¿U∑§ ¬⁄UÊ◊‡Ê¸ ÃÕÊ ªÙ¬ŸËÿ ¡Ê¢ø
∑§ãº˝
❏ ∞«U˜‚ ∑§ ⁄UÊÁªÿÊ¥ ∑§ Á‹∞ ŒflÊßÿÊ¢
❏ •fl‚⁄UflÊŒË ‚¢∑˝§◊áÊ fl ‚¢÷ÊÁflÃ
¡ÙÁπ◊ ÁŸ⁄UÙœË ÁøÁ∑§à‚Ê ∑§Ë ŒflÊßÿÊ¢
❏ ‹ÁˇÊà „USÃˇÊ¬ (¡Ò‚ ≈˛U∑§ «˛UÊßfl⁄U,
ÿÊÒŸ ∑§Êÿ¸∑§ûÊʸ •ÊÁŒ)
❏ ÿÊÒŸ ‚¢øÊÁ⁄Uà ⁄Uʪ ÁŸÿ¢òÊáÊ ∑§Êÿ¸∑˝§◊
❏ Œπ⁄Uπ •ÊÒ⁄U ‚„Uÿʪ ∑§ãº˝
❏ ⁄UQ§ ‚È⁄UˇÊÊ
❏ ◊ÊÃÊ-Á¬ÃÊ ‚ ’ëø ∑§Ê ‚¢∑˝§◊áÊ ∑§Ë
⁄UÊ∑§ÕÊ◊
❏ ∑¢§«UÊ◊ ∑§ ©U¬ÿʪ ∑§Ê ¬˝Êà‚Ê„UŸ
❏ ¬ÊÁ⁄UflÊÁ⁄U∑§ SflÊSâÿ ¡ÊªM§∑§ÃÊ
•Á÷ÿÊŸ
❏ SòÊË ‡ÊÁQ§ Á‡ÊÁfl⁄U
❏ S∑ͧ‹ ∞«˜U‚ Á‡ÊˇÊÊ ∑§Êÿ¸∑˝§◊
❏ «UÊÚÄ≈U⁄UÊ¥, Ÿ‚ÊZ •ÊÒ⁄U ∞Ÿ ¡Ë •Ê ∑§
∑§Êÿ¸∑§ûÊʸ•Ê¥ ∑§ Á‹∞ ¬˝Á‡ÊˇÊáÊ
∑§Êÿ¸∑˝§◊
❏ •ãÃ⁄U ¬˝÷ʪËÿ ‚„Uÿʪ
❏ •ŸÈ∑ͧ‹ flÊÃÊfl⁄UáÊ ÁŸ◊ʸáÊ ¬Á⁄UÿÊ¡ŸÊ
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3 Pages 21-30 |
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3.1 Page 21 |
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HIV/AIDS - RELATED SERVICES IN DELHI
ÁŒÀ‹Ë ◊¥ ∞ø •Ê߸U flË/∞«˜U‚ ‚¢’¢ÁœÃ ‚flÊ∞¢
All India Institute of Medical Sciences, Ansari Nagar, Ring Road ■ ▲ ◆ ● •Áπ‹ ÷Ê⁄UÃËÿ •ÊÿÈÁfl¸ôÊÊŸ ‚¢SÕÊŸ, •¢‚Ê⁄UË Ÿª⁄U, Á⁄¢Uª ⁄UÙ«∏U
Lok Nayak Jai Prakash Hospital/MAMC, Jawahar Lal Nehru Marg ■ ▲ ◆ ● ‹Ù∑§ ŸÊÿ∑§ ¡ÿ¬˝∑§Ê‡Ê •S¬ÃÊ‹/∞◊ ∞ ∞◊ ‚Ë, ¡flÊ„U⁄U ‹Ê‹ Ÿ„UM§ ◊ʪ¸
Dr. Ram Manohar Lohia Hospital, Baba Khadak Singh Marg ■ ▲ ◆ ● «UÊÚ ⁄UÊ◊ ◊ŸÙ„U⁄U ‹ÙÁ„UÿÊ •S¬ÃÊ‹, ’Ê’Ê π«∏Uª Á‚¢„U ◊ʪ¸
Safdarjung Hospital, Ring Road ▲ ◆ ● ‚»§Œ⁄U¡¢ª •S¬ÃÊ‹, Á⁄¢Uª ⁄UÙ«∏U
Deen Dayal Upadhayay Hospital, Hari Nagar ▲ ◆ ● ŒËŸ ŒÿÊ‹ ©U¬ÊäÿÊÿ •S¬ÃÊ‹, „UÁ⁄U Ÿª⁄U
Guru Teg Bahadur Hospital & UCMS, Shahdara ▲ ◆ ● ªÈM§ ê ’„UÊŒÈ⁄U •S¬ÃÊ‹ •ı⁄U ÿÍ ‚Ë ∞◊ ∞‚, ‡ÊÊ„UŒ⁄UÊ
Hindu Rao Hospital, Bara Hindu Rao ▲ ◆ ● Á„UãŒÈ⁄UÊfl •S¬ÃÊ‹, ’Ê«U∏Ê Á„UãŒÈ⁄UÊfl
Sucheta Kriplani Hospital & LHMC, Panchkuian Road ▲ ◆ ● ‚ÈøÃÊ Á∑˝§¬‹ÊŸË •S¬ÃÊ‹ •ı⁄U ∞‹ ∞ø ∞◊ ‚Ë, ¬¢ø∑ȧßÿÊ¢ ⁄UÙ«∏U
Mrs. Girdhar Lal Maternity Hospital, Ajmeri Gate ▲ ◆ ● üÊË◊Áà Áª⁄Uœ⁄U ‹Ê‹ ◊≈U⁄UÁŸ≈UË •S¬ÃÊ‹, •¡◊⁄UË ª≈U
Kasturba Gandhi Hospital, Jama Masjid ▲ ● ∑§SÃÍ⁄U’Ê ªÊ¢œË •S¬ÃÊ‹, ¡Ê◊Ê ◊ÁS¡Œ
Armed .orces Transfusion Centre, Delhi Cantonment ▲ ● •Ê꫸U »§Ù⁄U‚ Ê ≈˛UÊ¢‚çÿÍ ÊŸ ‚¥≈U⁄U, ÁŒÀ‹Ë ∑§Ÿ≈UÙŸ◊¥≈U
Dr. Baba Saheb Ambedkar Hospital, Sector 6, Rohini ▲ ● «UÊÚ ’Ê’Ê ‚Ê„Ufl •ê’«U∑§⁄U •S¬ÃÊ‹, ‚ÒÄ≈U⁄U {, ⁄UÙÁ„UáÊË
Guru Gobind Singh Government Hospital, Raghubir Nagar ▲ ● ªÈM§ ªÙÁ’¢Œ Á‚¢„U ‚⁄U∑§Ê⁄UË •S¬ÃÊ‹, ⁄UÉÊÈflË⁄U Ÿª⁄U
Lal Bahadur Shastri Hospital, Khichripur ▲ ● ‹Ê‹ ’„UÊŒÈ⁄U ‡ÊÊSòÊË •S¬ÃÊ‹, Áπø«UË∏¬È⁄U
Dr. Hegdewar Arogya Sansthan, Karkardooma ▲ ● «UÊ. „U«UªflÊ⁄U •Ê⁄UÙÇÿ ‚¢SÕÊŸ, ∑§«∏U∑§«∏U«ÍU◊Ê
Babu Jagjivan Ram Memorial Hospital, Jahangirpuri ▲ ● ’Ê’Í ¡ª¡ËflŸ ⁄UÊ◊ ◊◊ÙÁ⁄Uÿ‹ •S¬ÃÊ‹, ¡„UÊ°ªË⁄U¬È⁄UË
Rao Tula Ram Memorial Hospital, Jaffarpur ▲ ● ⁄UÊfl ÃÈ‹Ê ⁄UÊ◊ ◊◊ÙÁ⁄Uÿ‹ •S¬ÃÊ‹, ¡»§⁄U¬È⁄U
Sanjay Gandhi Memorial Hospital, Mangolpuri ▲ ● ‚¢¡ÿ ªÊ¢œË ◊◊ÙÁ⁄Uÿ‹ •S¬ÃÊ‹, ◊¢ªÙ‹¬È⁄UË
Lala Ram Swaroop Institute of TB and Respiratory Diseases, Mehrauli
● ‹Ê‹Ê ⁄UÊ◊ SflM§¬ ≈UË’Ë fl ‡flÊ‚Ÿ ⁄UÙª ‚¢SÕÊŸ, ◊„U⁄Uı‹Ë
Rajan Babu TB Hospital, Kingsway Camp
● ⁄UÊ¡Ÿ ’Ê’Í ≈UË’Ë •S¬ÃÊ‹, Á∑¢§ª Êfl ∑Ò§ê¬
Northern Railway Divisional Hospital, S.P. Mukherjee Marg
● ©UûÊ⁄U ⁄U‹fl Á«UflË¡Ÿ‹ •S¬ÃÊ‹, ∞‚ ¬Ë ◊Èπ¡Ë¸ ◊ʪ¸
National Institute of Communicable Diseases, Shamnath Marg
● ⁄UÊc≈˛UËÿ ‚¢øÊÁ⁄Uà ⁄UÙª ‚¢SÕÊŸ, ‡ÊÊ◊ŸÊÕ ◊ʪ¸
NDMC Polyclinic, Shaheed Bhagat Singh Marg
● ∞Ÿ«UË∞◊‚Ë ¬Ù‹ËÄ‹ËÁŸ∑§, ‡Ê„UËŒ ÷ªÃ Á‚¢„U ◊ʪ¸
Satyawadi Raja Harish Chandra Hospital, Sector A-7, Narela
● ‚àÿflÊŒË ⁄UÊ¡Ê „U⁄UË‡Ê øãº˝ •S¬ÃÊ‹, ‚Ä≈U⁄U ∞-|, Ÿ⁄U‹Ê
Maharishi Balmiki Hospital, Poothkhurd
● ◊„UÊ´§Á· ’Ê‹Á◊∑§Ë •S¬ÃÊ‹, ¬Í∆UπÈŒ¸
Chest Clinic, Karawalnagar
● øS≈U Ä‹ËÁŸ∑§, ∑§⁄UÊfl‹Ÿª⁄U
Kalkajee MCD Colony Hospital, Kalkajee
● ∑§Ê‹∑§Ê¡Ë ∞◊‚Ë«UË ∑§Ê‹ÙŸË •S¬ÃÊ‹, ∑§Ê‹∑§Ê¡Ë
NDMC Maternity Hospital, R.K. Puram
● ∞Ÿ«UË∞◊‚Ë ◊≈U⁄UÁŸ≈UË •S¬ÃÊ‹, •Ê⁄U ∑§ ¬È⁄U◊
CGHS Maternity Hospital, Lodhi Colony ▲
‚Ë¡Ë∞ø∞‚ ◊≈U⁄UÁŸ≈UÁ •S¬ÃÊ‹, ‹ÙœË ∑§Ê‹ÙŸË
NDMC Hospital, Moti Nagar ▲
∞Ÿ«UË∞◊‚Ë •S¬ÃÊ‹, ◊ÙÃË Ÿª⁄U
Northern Railway Main Hospital, Basant Lane ▲
ŸÊŒ¸Ÿ ⁄U‹fl ◊Ÿ •S¬ÃÊ‹, ’‚¢Ã ‹Ÿ
Swami Dayanand Hospital, Shahadra ▲
SflÊ◊Ë Œÿʟ㌠•S¬ÃÊ‹, ‡ÊÊ„UŒ⁄UÊ
Skin and VD Clinic, MCD Dispensary, Roshanara Road
◆ ÁS∑§Ÿ ∞á«U flË «UË Ä‹ËÁŸ∑§, ∞◊ ‚Ë «UË Á«US¬¥‚⁄UË, ⁄Uهʟ•Ê⁄UÊ ⁄UÙ«∏U
Skin and VD Clinic, MCD Dispensary, Lal Kuan
◆ ÁS∑§Ÿ ∞á«U flË «UË Ä‹ËÁŸ∑§, ∞◊ ‚Ë «UË Á«US¬¥‚⁄UË, ‹Ê‹ ∑ȧ•Ê¢
AKANKSHA, B 17/4, West Jyoti Nagar, Shahdara
✣ •Ê∑§Ê¢ˇÊÊ, ’Ë v|/y, flS≈U ÖÿÙÁà Ÿª⁄U, ‡ÊÊ„UŒ⁄UÊ
ASHRAYA, Multi-purpose Community Centre Building, Rajokari Gaon
✣ •ÊüÊÿ, ◊À≈Uˬ⁄U¬ Ê ∑§ÊÚêÿÈÁŸ≈UË ‚¥≈U⁄ Á’ÁÀ«¢UªU, ⁄UÊ¡ı∑§⁄UË ªÊ°fl
SAHARAs Michel Care Home A-48, .reedom .ighters Cly, Neb Sarai
✣ ‚„UÊ⁄UÊ, ◊Êß∑§‹ ∑§ÿ⁄U „UÙ◊, ∞-y}, »˝§Ë«U◊ »§Êß≈U‚¸ ∑§Ê‹ÙŸË, Ÿ’ ‚⁄UÊÿ
■ Antiretroviral Therapy Clinic
▲ Prevention of Parent to Child Transmission Centre
◆ Sexually Transmitted Diseases Clinic
● Voluntary Counseling & Confidential Testing Centre
✣ Community Care Centre
■ ∞ •Ê⁄ U≈UË Ä‹ËÁŸ∑§
▲ ◊ÊÃÊ-Á¬ÃÊ ‚ Á‡Ê‡ÊÈ ‚¢∑˝§◊áÊ ⁄UÙ∑§ÕÊ◊ ∑§ãº˝
◆ ÿÊÒŸ ⁄UÙª ÁŸŒÊŸ Ä‹ËÁŸ∑§
● SflÒÁë¿U∑§ ¬⁄UÊ◊‡Ê¸ ∞fl¢ ªÙ¬ŸËÿ ¡Ê¢ø ∑¥§º˝
✣ ‚Ê◊ÈŒÊÁÿ∑§ ‚flÊ ∑§ãº˝
19
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3.2 Page 22 |
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STATISTICAL APPENDIX
‚ÊÁ¢ Å∑§Ëÿ ¬Á⁄UÁ‡Êc≈U
HIV Prevalence at Sentinel Sites, Delhi, 1999 - 2004
(percent testing positive for HIV)
•Ê∑§‹Ÿ ⁄UˇÊÊ ∑§ãº˝Ù¥ ◊¥ ∞ø •Ê߸ flË ∑§Ê •ŸÈ¬ÊÃ, ÁŒÀ‹Ë v~~~-wÆÆy
(¬˝ÁÇÊà ¡Ù ¡Ê¢ø ◊¥ ∞ø •Ê߸ flË ∑§ Á‹∞ ¬ÊÁ¡Á≈Ufl ¬Ê∞ ª∞)
STD
ANC
ÿıŸ ‚¢øÊÁ⁄Uà ⁄UÙª ¬˝‚fl ¬Ífl¸ Ä‹ËÁŸ∑§
1999
0.8
0.25
2000
3.2
0.16
2001
5.2
0.12
2002
3.4
0.25
2003
5.7
0.12
2004
7.4
0.31
1999
2000
2001
2002
2003
2004
ESI
Hospital
߸∞‚•Ê߸
•S¬ÃÊ‹
-
-
7.4
7.3
7.8
8.5
STD/ÿıŸ ‚¢øÊÁ⁄Uà ⁄UÙª
GTB
Hospital
¡Ë≈UË’Ë
•S¬ÃÊ‹
LNJP
Hospital
∞‹∞Ÿ¡¬Ë
•S¬ÃÊ‹
-
-
3.3
4.4
5.8
2.8
2.9
3.6
5.8
7.2
7.5
9.2
Safdarjung
Hospital
‚»§Œ⁄U¡¢ª
•S¬ÃÊ‹
0.8
2.0
6.4
0.8
2.4
4.8
ANC/¬˝‚fl ¬Ífl¸ Ä‹ËÁŸ∑§
GTB
Hospital
¡Ë≈UË’Ë
•S¬ÃÊ‹
Kasturba Gandhi
Hospital
∑§SÃÍ⁄U’Ê ªÊ¢œË
•S¬ÃÊ‹
Safdarjung
Hospital
‚»§Œ⁄U¡¢ª
•S¬ÃÊ‹
0.0
-
0.3
0.0
-
0.3
0.0
0.3
0.0
0.3
0.3
0.0
0.0
0.3
0.0
0.0
0.5
0.5
SGM
Hospital
∞‚¡Ë∞◊
•S¬ÃÊ‹
0.3
0.3
0.3
0.5
0.3
0.3
STD/ÿıŸ ‚¢øÊÁ⁄Uà ⁄UÙª
ANC/¬˝‚fl ¬Ífl¸ Ä‹ËÁŸ∑§
Delhi State AIDS Control Society
ÁŒÀ‹Ë S≈U≈U ∞«˜U‚ ∑¢§≈˛UÊ‹ ‚Ê‚Êß≈UË
20
Total
ÿÙª
7.4
0.3
HIV Prevalence at Selected Sentinel Sites, Delhi, 2004
øÿÁŸÃ •Ê∑§‹Ÿ ⁄UˇÊÊ ∑§ãº˝Ù¥ ◊¥ ∞ø •Ê߸ flË ∑§Ê •ŸÈ¬ÊÃ, ÁŒÀ‹Ë, wÆÆy
Age/•ÊÿÈ
Migrant Status/¬‹ÊÿŸ ∑§Ë ÁSÕÁÃ
< 20
8.2
0.3
20-29 30-44 45+
6.8
8.6
5.4
0.3
0.8
0.0
Migrant
¬˝flÊ‚Ë
8.3
0.0
Non-migrant
•¬˝flÊ‚Ë
7.2
0.4
Literacy Status/‚ÊˇÊ⁄UÃÊ
Illiterate
ÁŸ⁄UˇÊ⁄U
8.0
0.0
Literate
‚ÊˇÊ⁄U
7.2
0.5
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3.3 Page 23 |
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ß‚ øÊ≈¸U ’È∑§ ∑§Ë •ÁÃÁ⁄UQ§ ¬˝ÁÃÿÊ¥ ∑§ Á‹∞ ∑Χ¬ÿÊ ÁŸêŸÁ‹Áπà ◊¥ ‚ Á∑§‚Ë ∞∑§ ¬Ã ¬⁄U ‚¢¬∑¸§ ∑§⁄¥U—
ÁŒÀ‹Ë S≈U≈U ∞«˜U‚ ∑¢§≈˛UÊ‹ ‚Ê‚Êß≈UË
«UÊÚ. ’Ê’Ê ‚ÊÁ„U’ •ê’«U∑§⁄U •S¬ÃÊ‹, œ◊¸‡ÊÊ‹Ê πá«U, ‚ÒÄ≈U⁄U {, ⁄UÊÁ„UáÊË, ÁŒÀ‹Ë-vvÆ Æ}z
Tel.: 91-11-2705 5660, 2705 5650 e-mail: sacs_delhi@nacoindia.org website: dsacs.delhigovt.nic.in
¬Êڬȋ‡ÊŸ »§Ê©¢U«U‡ÊŸ •ÊÚ»§ ßÁá«UÿÊ
’Ë-w}, ∑ȧÒ ßãS≈UË≈K͇ʟ‹ ∞Á⁄UÿÊ, ÃÊ⁄UÊ ∑˝Ò§‚ã≈U, Ÿß¸ ÁŒÀ‹Ë-vvÆ Æv{
Tel.: 91-11-5289 9770 .ax: 91-11-5289 9795 e-mail: popfound@sify.com website: popfound.org
¬Êڬȋ‡ÊŸ ⁄U»§⁄Uã‚ éÿÍ⁄UÊ
v}|z ∑§ŸÒÄ≈UË∑§≈U ∞flãÿÍ, ŸÊÕ¸flÒS≈U, ‚Í≈U zwÆ, flÊÁ‡Ê¢ÇÊ≈UŸ-«UË ‚Ë wÆÆÆ~
Tel.: (202) 483-1100 .ax: (202) 328-3937 e-mail: popref@prb.org website: prb.org
ÁflûÊËÿ ‚„UÿÙª Á’‹ ∞á«U ◊Á‹ã«UÊ ª≈˜U‚ »§ÊÚ©¢U«U‡ÊŸ ∑§ ‚ÊÒ¡ãÿ ‚ ¬˝Ê# „ÈU•Ê–
÷Ê⁄Uà ◊¥ •¡ãÃÊ •ÊÚ»§‚≈U ∞á«U ¬Ò∑§Á¡¢Ç‚ Á‹Á◊≈U«U, ÁŒÀÀÊË mÊ⁄UÊ ◊ÈÁº˝Ã– ÁŒ‚ê’⁄U wÆÆz
.or additional copies of this chartbook, please contact one of the following organisations:
Delhi State AIDS Control Society (DSACS)
Dr. Baba Saheb Ambedkar Hospital, Dharamsala Block, Sector-6, Rohini, Delhi-110 085
Tel.: 91-11-2705 5660, 2705 5650 e-mail: sacs_delhi@nacoindia.org website: dsacs.delhigovt.nic.in
Population .oundation of India
B-28, Qutab Institutional Area, Tara Crescent, New Delhi 110 016
Tel.: 91-11-5289 9770 .ax: 91-11-5289 9795 e-mail: popfound@sify.com website: popfound.org
Population Reference Bureau
1875 Connecticut Ave., NW, Suite 520, Washington, DC 20009
Tel.: (202) 483-1100 .ax: (202) 328-3937 e-mail: popref@prb.org website: prb.org
.unding was provided through the generosity of the Bill & Melinda Gates .oundation
Printed in India by Ajanta Offset & Packagings Ltd., Delhi. December 2005
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3.4 Page 24 |
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HIV/AIDS
in
DELHI
Meeting the Challenge
ÁŒÀ‹Ë
∞ø •Êß◊¸ ¥flË/∞«˜U‚
øÈŸıÃË ∑§Ê ‚Ê◊ŸÊ