With more than 1 billion people, India accounts for nearly 20 percent of the world’s population. Providing adequate health care in such a populous country poses a two-fold challenge:
- Overcoming barriers to access.
- Changing widespread negative attitudes that have lead to discrimination against those infected with communicable diseases, such HIV/AIDS.
Noncommunicable diseases such as heart disease, diabetes and cancer are also on the rise in India. However communicable diseases, such as AIDS and malaria, kill more people each year.
In 1988, PSI began a small operation in India that has expanded into 22 states and union territories. Current programs focus on:
- HIV/AIDS and other sexually transmitted infections.
- Reproductive health.
- Malaria prevention.
- Child survival.
- Gender-Based violence.
It’s estimated that India has 5.6 million people living with HIV – more than any other country. Success in controlling HIV in India can positively impact the overall world situation just because of the sheer numbers.
PSI/India is involved in several large-scale prevention projects aimed at curbing HIV incidence:
Sponsored by the Bill & Melinda Gates Foundation, this program promotes safer sexual practices in Andhra Pradesh, Karnataka, Maharashtra and Tamil Nadu states. PSI/India also makes condoms accessible along national highways. The core of PSI/India’s contribution to this program is intensive communication, franchising and distribution in 100 locations where HIV prevalence and risky behavior is highest. PSI/India has reached more than 7.6 million clients of sex workers in these areas.
HIV/AIDS Workplace Intervention Program
Under USAID’s Project Connect, PSI/India helps mobilize the private sector to support HIV/AIDS-related interventions. It also establishes prevention of parent-to-child transmission centers through public-private partnerships and advocacy with the insurance and pharmaceutical sectors.
Collieries Outreach Intervention for Limiting HIV/AIDS (COILA)
PSI/India implements this HIV prevention program for the coal mining community, in partnership with Jharkhand State AIDS Control Society. The project studies the norms of people in the coal mining districts of Jharkhand and then launches effective interventions with support from partners.
PSI/India targets high-risk behavior groups of commercial sex workers, their clients, and long-haul truck drivers in Mumbai with HIV-prevention activities. So far, the Mumbai project has touched 6,000 commercial sex workers in “red-light” areas of Mumbai, 600,000 men at risk and 2,500 injecting drug users with:
- Interpersonal and mid-media communication.
- Condom social marketing.
- Voluntary counseling and testing centers.
- Drop-in centers.
Additionally, PSI/Mumbai’s Saadhan Helpline provides counseling and information services to the general population.
PSI/India’s comprehensive family planning messaging and maternal health programs span 17 states. They create informed demand and provide reliable supplies of quality, affordable products, including:
- Oral and injectable contraceptives.
- Intra-uterine devices.
- Emergency contraceptives.
- Vitamin supplements.
- Drugs to prevent post-partum hemorrhage.
In the state of Rajasthan, PSI/India manages a government-sponsored health center that provides antenatal and post-natal care, immunization, treatment of childhood illnesses and other services. With funding from KfW and David and Lucile Packard Foundation, PSI/India uses a variety of communication methods to reach thousands of women in Rajasthan, Madhya Pradesh, Chhatisgarh and Jharkhand with family planning messaging. PSI/India also markets the women’s anemia-prevention nutritional supplements, Vitalet and Vitalet PREG.
PSI/India’s five-year reproductive health initiative in 11 states is building the capacity of private-public health care providers, promoting underutilized products and creating demand for the services of trained, qualified health service providers.
More than 600,000 Indian children die of dehydration from diarrhea each year. Water disinfectants, rehydration salts and zinc supplementation are low-cost solutions that can yield priceless benefits. PSI/India currently works to lower incidence of diarrheal diseases and related child mortality in the states of Uttar Pradesh, Uttaranchal, West Bengal and Orissa.
PSI/India also markets Safewat, a water disinfectant, and various brands of oral rehydration salts and zinc tablets. A pilot program is under way to promote the use of ORS and zinc tablets to reduce morbidity and mortality due to diarrheal disease among children under age 5 in Rajasthan.
- U.S. Agency for International Development
- The Federal Republic of Germany through KfW Entwicklungsbank (the German development bank)
- U.S. Centers for Disease Control and Prevention
- Ministry of Health and Family Welfare
- National AIDS Control Programme
- Bill & Melinda Gates Foundation
- David and Lucille Packard Foundation
- William and Flora Hewlett Foundation
- British Department for International Development
- Central Indian Government
- Commissioners for Health and the State AIDS Control Societies (state and district levels)
- Community-based organizations
- Other NGOs
- Panchayat Raj Institutions (for rural promotion of birth spacing and good maternal/child health practices)
- Local medical providers and retailers that carry and promote PSI products
- Promoting Awareness Around Diabetes and Hypertension in India
Two posters that make part of a communications campaign in India, which aims to increase awareness of diabetes and hypertension among adults.
- Advertisement about Hypertension and Diabetes
This video shows a television commercial that encourages men and women in India to get tested for Diabetes and blood pressure.
- Project UDAY’s Communications Campaign: Increasing Awareness of Diabetes and Hypertension
Posters from India's Project UDAY campaign to increase awareness and access.
- Early HIV Diagnosis Critical to Child Survival
PSI India’s Project Connect, a five-year PMTCT program that ended in 2011, counseled and tested more than 42,400 women, enrolled 945 HIV-positive women in the program and delivered 836 babies, with a transmission rate of 2.9 percent.
- Why do you buy a toilet? Why do you sell a toilet? How to build a market for sanitation.
Ashish Karamchandani, Founder of Monitor Inclusive Markets at Monitor Deloitte, writes about the "Supporting Sustainable Sanitation Improvements” (3SI) project in Bihar, India.
- A market led, evidence based, approach to rural sanitation
White paper prepared by Monitor Inclusive Markets on behalf of the Bill & Melinda Gates Foundation as part of the “Supporting Sustainable Sanitation Improvements” (3SI) project in Bihar.
- A Market-Led, Evidence-Based Approach to Rural Sanitation
In 2012, with funding from the Bill and Melinda Gates Foundation, we launched 3SI: Supporting Sustainable Sanitation Improvements in Bihar, India. Together with our partners, PSI generates both supply and demand by working with toilet producers, service providers, finance organizations, the public sector, the private sector and the government. This white paper was prepared by Monitor Inclusive Markets on behalf of the Gates Foundation.
- 2012 Mid Year Region and Country Dashboards, Asia and Eastern Europe
- Co-morbidities among silicotics at Shakarpur: A follow-up study
Authors: Nayanjeet Chaudhury, Rajiv Paliwal, Ajay Phatak
Context: Studies have revealed high morbidity and mortality among agate stone workers of Shakarpur due to silicosis. Besides the fatal disease, the workers also suffer from debilitating co-morbidities especially tuberculosis and under nutrition.
Aims: The present study describes few co-morbidities and their influence in mortality in cases of silicosis that were followed for 30 months at Shakarpur.
Settings and Design: Shakarpur, Khambhat of Gujarat.
- Psychosocial Correlates of HIV-related Sexual Risk Factors among Male Clients in Southern India
In partnership with Populations Council, we evaluated the psychosocial correlates of HIV-related sexual risk factors among male clients of FSW in Southern India: