Mai nstr eaming HI V

Ashok Raisinghani
Project officer
State Mainstreaming Unit
 Mainstreaming is

“the concept of addressing HIV &

AIDS both internally and
externally in all sectors, at all
levels, particularly where the
pandemic might not ordinarily be
addressed.”
 Contents…

 Vulnerability factors in
Rajasthan

 Role of Govt. Sector in

Mainstreaming HIV
Rajasthan has a low prevalence but
high vulnerability in terms of HIV
HIV already exists

large population of Rajasthan (56.4 million)

HIV and AIDS is equally as rural as an urban epidemic

Out-migration

Rajasthan accounts for 19 percent of all mines in India

25,000 trucks travel daily on NH 8 alone

Tourist Destination
 Case Study

 Background: Mr. Gupta is a District

Level Govt. Officer and has been
working in same Dept at various
levels and in different Districts for
last 12 years.
Today he is the Head of Dept in his
District and is really busy with waves
of monthly meetings and further
reports and official visits. He has no
time to think or plan of some new
 Issue at hand
 There has been lot of talk going on
about HIV awareness, education etc.
He came to know of a term recently
in this respect i.e. ‘Mainstreaming’,
whatever it means. Every other
departmental head in his District is
coming up with some new plans to
include HIV in Departmental issues.
 Cont..
He is quite surprised with the efforts
taken by his colleagues as he can not
find a single HIV affected person or
dependent family in his office. On top
of all, now the Govt is asking again
and again from all Dept Heads to
take an initiative and participate in
National efforts to mainstream, halt
and reverse the epidemic of HIV /
AIDS.
 Problem:
Now with all the above mentioned pressure to act
against HIV what should Mr. Gupta do? What can
he do to mainstream?

Also consider there is no separate budget for this,

lots of regular work pressure, non cooperation or
disinterest or cold shoulders or simple ignorance
from subordinates, lack of time, challenge of
complicated Govt. policies and a delicate subject
matter of HIV / AIDS in Indian context.
 Response
 I am sure every one has been in
shoes of Mr. Gupta at one point or
other in our lives, so everyone can
relate to this case study. We need to
find a solution from the list of good,
bad and most appropriate one as it is
our responsibility to be proactive and
decision maker. Let’s discuss……
 THE BIG DECISION:

 Decide if Mr. Gupta needs to and

want to Incorporate Mainstreaming in
Dept…

 YES: Contribution in national Efforts,

Proactive Image, Act as per
State/National Govt. frame of mind,
Sooner or later it needs to act upon.
 NO: Easy way out, It is not time yet
 YES > HOW?

 Can plan some activities without budget or

can collaborate in on going activities.
Examples…
 Sensitization of Subordinates/Employees.
 Identification and then Sensitization of
key. stakeholders with special attention to
vulnerable stakeholders.
 Set up a Nodal Person / Anti Stigma
Counselor in the Dept.
 Condom vending Machine.
 Cont..
 Stigma and discrimination free environment with
equal or more opportunities to HIV +ives.
 Support and Motivate for Counseling and testing
facilities with providing for Anti retroviral
treatment to HIV positive employees.
 TOT
 Request Budget from the Department to
effectively plan and implement the
abovementioned.
 Provide Financial support to the national response
against HIV.
 Programmatic Entry
Points…
Workplace
HIV/AIDS
Policy &
Programme Integrated
Prevention Traditional
Vulnerable
Groups

BCC ICTC

ARV/OI
Treatment
STI Prevention
treatments
Thank -You