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AIDS Programmes
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National Strategic Framework: 2002-2006
The National Strategy emphasises prevention as the mainstay for an effective response. The focus of the response is in main urban centres and in towns and districts along the East-West highway as well as selected hill districts with high levels of out migration, as labour migrants constitute approximately 40 percent of all known HIV infections.
Overview (UNAIDS 2006):
The overarching coordinating mechanism of the national response had been envisioned by the National AIDS Council established in 2001 and placed under the authority of the Prime Minister. Its role was to decide on overall AIDS policies and strategies. However, due to frequent leadership changes and the ensuing gap after His Majesty assumed the role of head of government, it did not function as envisioned. Under the National AIDS Council is the National AIDS Coordinating Committee (NACC), composed of government, external development partners, civil society and the private sector, which oversees the implementation of the programme. Similarly, it was not functional until December 2005.
In practice, the Ministry of Health and Population has primary authority for the national programme. The National Centre for AIDS and STD Control (NCASC) is the technical and coordination focal point. Arising from the development and implementation of the 2005–06 National Action Plan, an informal stakeholders forum composed of government, donors and civil society partners has functioned de facto as a coordinating forum. The national plan, representing the “First One”, now serves as the coordination reference point. A semi-autonomous entity to act as the management mechanism is now under formation.
The ongoing political and security crisis—there is growing evidence that conflict-related displacement, migration and the breakdown of social structures and family systems have increased HIV infections among migrant labour (estimated at 1.5 million) and their female partners. Greater numbers of women are now pressured to augment family income through occasional commercial sex, because of irregular financial support from migrant husbands. Service delivery to conflict-affected and geographically inaccessible rural areas is also seriously constrained.
In regards to organisational and infrastructural systems for a scaled-up response: current health infrastructure and systems are inadequate to address HIV prevention and treatment services. There is extremely low service coverage for most-at-risk populations largely due to lack of service integration and referral systems and service delivery points that are not well located.
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HIV/AIDS Organisations
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 National Centre for AIDS and STD Control (NCASC), Ministry of Health |
| Contact person: |
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Tel: |
4261653, 4258219, 4256890 |
| Location: |
Teku, Kathmandu, Nepal |
Fax: |
+977 1 261406 |
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Email: |
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| What we do: |
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| Blue Diamond Society Agency Hospice/Clinic |
| Contact person: |
Sunil Babu Pant, founder |
Tel: |
+977 1 444 3350
+977 1 444 5147 |
| Location: |
GPO Box: 8975, EPC NO: 5119
Kathmandu, Nepal |
Fax: |
+977 1 443 8600 |
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Email: |
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Web: |
http://www.bds.org.np |
| What we do: |
HIV prevention; condom promotion; counselling; care and support for HIV-positive MSMs; Human Rights violence documentation and reporting. |
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| Action Aid Nepal |
| Contact person: |
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Tel: |
+977 1 441 9115 |
| Location: |
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+977 1 442 1232 |
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| Himalayan Association Against STI-AIDS (HASTI-AIDS) |
| Contact person: |
Ranga R. Dhungana, PhD, executive director |
Tel: |
+977 1 478 0791 |
| Location: |
Baneshwor, GPO Box 10726
Kathmandu, Nepal |
Fax: |
+977 1 478 0431 |
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Email: |
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Web: |
www. hasti-aids.org.np
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| What we do: |
Capacity-building activities, helpline for health care providers, yearly conferences and training seminars on VCT, home-based care etc. |
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| International Nepal Fellowship [INF], Paluwa |
| Contact person: |
Mr Buddhi Bal Ramtel |
Tel: |
+977 (0) 61 527 818 |
| Location: |
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Fax: |
+977 (0) 61 430 940 |
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Mobile: |
+977 984 606 0173 |
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Email:
Web: |
www.inf.org |
| What we do: |
Health services for at risk population and PLWHA, which includes STI, VCT and Care services (OI management, nutritional support, home based care, referral for ART, PMTCT, vocational training etc.) |
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| Nava Kiran Plus |
| Contact person: |
Rajiv Kafle, founder and chief coordinator |
Tel: |
+977 1 215 1500 |
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| What we do: |
Nava Kiran Plus is a community based organization run by people living with AIDS with a mission to improve the quality of lives of those living with HIV and AIDS. NKP provides treatment and care services to over 300 people in a daily basis through its 12 centers across the country. |
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| Nepal Plus |
| Contact person: |
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Tel: |
+977 1 421070 |
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| Family Planning Association of Nepal |
| Contact person: |
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Tel: |
+977 1 524 675 |
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| Family Health International |
| Contact person: |
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Tel: |
+977 1 442 7540 |
| Location: |
GPO Box 8803, Gairidhara 1
Kathmandu, Nepal |
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+977 1 443 7173 |
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Fax: |
+977 1 441 4063 |
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Web: |
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| What we do: |
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| USAID |
| Contact person: |
Sharon Arscott-Mills, senior technical advisor for HIV/AIDS |
Tel: |
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| Location: |
P.O. Box 5653,
Rabi Bhawan, Kalimati
Kathmandu, Nepal |
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| What we do: |
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| UNAIDS Country Coordinator |
| Contact person: |
Aurorita M. Mendoza |
Tel: |
+977 1 552 3200 (Ext. 1044) |
| Location: |
P.O. Box 107
Kathmandu, Nepal |
Fax: |
+977 1 552 8989 |
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| UN Theme Group on HIV/AIDS, Chair |
| Contact person: |
Suomi Sakai (UNICEF) |
Tel: |
+977 1 552 32 00 |
| Location: |
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Fax: |
+977 1 523 985 |
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Treatment Map
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| Adult HIV Prevalence Rate (%): |
0.5 |
| No. Of People living with HIV/AIDS: |
70,253 |
| No. Of HIV Testing & Counselling Sites: |
70 |
| No. Of People in need of ART: |
8,670 |
| No. Of People On ART: |
571 |
| No. Of Sites Reportedly Distributing ARVs: |
14 |
| No. Of People on ART Public Sector: |
430 |
| No. Of People on ART Private Sector: |
98, distributed by Tribhuvan University Teaching Hospital (TUTH)—68 at the teaching hospital, 30 at clinic |
| No. Of People on ART in Non-Government Programmes: |
43 |
| No. Of People Expected to be on ART by end of 2007: |
1,300,473 |
| Front Line Drug Regimen: |
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| *PMTCT Regimen: |
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| HIV/AIDS Fund Disbursements: |
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| Total Funds Disbursed By The Global Fund as of February 2007: |
US$ 7,592,250 |
| Total Funds Disbursed By The World Bank Multi-Country HIV/AIDS Programme (MAP) as of Sept. 2006: |
not applicable |
| Total Funds Planned for Disbursement By PEPFAR During 2006 Fiscal Year: |
none |
Indicators
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| Demographics (United Nations Population Fund): |
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| Population: |
27.7 million |
| Urban population: |
16 percent |
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| Under 5 mortality per 1000 births: |
73 |
| Male life expectancy: |
62.4 years |
| Female life expectancy: |
63.4 years |
| Combined average life expectancy: |
62.9 years |
| Combined average life expectancy 1975-1980: |
approx. 44 years |
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| Education (UNESCO, 2004): |
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| Males with secondary education as percentage of secondary school-age youths: |
n/a |
| Females with secondary education as percentage of secondary school-age youths: |
n/a |
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| Literacy rates (UNESCO, 2004): |
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| Percentage of literate males aged 15 or older: |
62.7 percent |
| Percentage of literate females aged 15 or older: |
34.9 percent |
| Combined literacy rate for aged 15 or older: |
48.8 percent |
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