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Mainstreaming HIV - A Shared Responsibility
 
 
 The HIV /AIDS situation in India is serious with the epidemic no longerconfined to high-risk groups alone. It has penetrated into the generalpopulation & it is fast spreading to rural areas, placing women and youthat much greater risk.
The increasing vulnerability of the generalpopulation calls for a well-coordinated national effort.
HIV/AIDS in India: Statistics
 
An estimated 5.206 million people were living with HIV/AIDS at theend of 2005
Close to 40% of those living with HIV, are women. 22% HIV cases were amongst housewives with a single partner (2004).
35 % of reported cases are among young people in the 15-24 yr. agegroups.
HIV has been reported from every state and is moving from groupsat high- risks to the general population and from urban to ruralareas. The HIV epidemic in India is complex and heterogeneous, impacted byintricate and varied social structures. As a result there is not one HIVepidemic but 'many ' concurrent and interrelated HIV epidemics each of  which needs a localized and sensitive response. HIV has an importantimpact on development. For example,
HIV largely affects the most  productive age group (15-49 yrs.) as 89% of HIV infections are in this age group 
.
It also has an impact on vulnerable and marginalizedsections of the population -the poor, women, migrants, sex workers andmen who have sex with men. Factors such as poverty and genderinequality fuel the spread of HIV. It is therefore not possible to target HIV without addressing the deeper and underlying causes and impacts relatedto other socio -economic factors. Mainstreaming HIV in non-HIV and non-health sectors is therefore an effective strategy to ensure that both directand indirect causes are addressed.
HIV/AIDS in Rajasthan
First case of HIV was detected in Pushkar in mid eighties and the stateimplemented HIV programme as part of NACP-I and than NACP-II with1284 AIDS cases till March 2005. While 2664 AIDS cases have beenreported upto Aug.07.
There are strong Indications that Rajasthan is indeed a highlyvulnerable state: These include
:
One Nation, One Resolve, We will defeat HIV/AIDS Together 
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HIV already exists in the state, especially among vulnerable sub-populations.
Given the large population of Rajasthan (56.4 million), even a smallincrease in HIV would translate into a large number of cases.
Emerging Rajasthan data indicates HIV and AIDS is equally a ruralas an urban epidemic.
Rajasthan has thousands of people annually out-migrating tohigher prevalence states such as Maharashtra, Gujarat, etc., and inturn, thousands in-migrate making it net out migration state.Migration, though seems a temporary phenomena, has become ageneration trap for migrant people.
Rajasthan accounts for 19 percent of all mines in India, employingover 500,000 workers, many of them in-migrants.
An estimated 25,000 trucks travel daily through Rajasthan onNational Highway 8 alone.
Rajasthan is the site for many religious fairs and festivals, andattracts 25 percent of all Indian tourism (both domestic andforeign).
Rajasthan is implementing National AIDS control program III (2007-2012) in the state “
To halt and reverse the HIV epidemic in India” 
through a four-pronged strategy of:
Preventing new infections in high risk groups and generalPopulation through:
I.
Saturation of coverage of high-risk groups with targetedintervention (TIs)II. Scaled up interventions in the general population
Providing greater care, support and treatment to larger number of PLHA (People Living With HIV/AIDS)
Strengthening the infrastructure, systems and human resources forScaling -up prevention, care support and treatment programmes atthe district and state level.
Strengthening the Statewide strategic information system
Mainstreaming: An Effective Strategy
Mainstreaming HIV/AIDS into the programmes /agendas of everystakeholder will be the most effective strategy to build multisectoralpartnership and to enthuse the highest level of communication neededto defeat HIV/AIDS. Mainstreaming HIV/AIDS is a process, whichallows ministries, government departments, private sectororganisations, media and civil society organizations to integrateHIV/AIDS awareness, education and training into their agendas,
One Nation, One Resolve, We will defeat HIV/AIDS Together 
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