With 2.1 million people currently living with HIV, India is making an urgent effort to tackle the world's third largest HIV epidemic and meet the 90-90-90 goals.
Prevalence of HIV among adults in India was estimated to be 0.22% in 2017. While this figure has shown a steady decline from a peak of 0.38% in 2001-03, the country still has 2.1 million people living with HIV at present, with 88,000 new infections and 69,000 deaths each year. In 2017, 79% of people living with HIV were aware of their status, of whom 71% were on antiretroviral treatment (ART). However, a number of issues including HIV-related stigma, relatively low levels of status awareness among people living with HIV and weak links between diagnosis and treatment continues to limit progress on these indicators. There is also a need for more data on key populations as well as on certain key indicators such as viral suppression rates to improve program design and effectiveness for those most affected.
USAID supports the national program to address gaps in current programming. It provides technical assistance through its partners to national, state, and district HIV/AIDS programs to deliver comprehensive HIV prevention and treatment services to vulnerable populations, including ‘key populations’ and their partners, spouses, and children. In the area of prevention, the program currently supports pre-exposure prophylaxis (PrEP) delivery, differentiated targeted interventions, the expansion of models for non-targeted interventions, and a range of testing approaches.
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