Question : Shortage of Funds and Kits under NACP

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

(a) whether the Government has assessed the stock of essential drugs and AIDS intervention and testing kits including condoms under the National AIDS Control Programme (NACP);

(b) if so, the details thereof indicating their present stock available with various States/UTs in the country, State/UT-wise;

(c) whether shortage of funds, essential drugs and kits for prevention, control and treatment of HIV/AIDS under NACP has been reported from certain States/UTs in the recent past;

(d) if so, the details thereof and the reasons therefor, State/UT-wise; and

(e) the corrective measures taken/ proposed to be taken by the Government in this regard?

Answer given by the minister

THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE
(SHRI SHRIPAD YESSO NAIK)
(a) & ( b): Yes. National AIDS Control Organisation (NACO) is regularly monitoring stocks of ARV drugs and HIV testing kits including condoms used under National AIDS Control Programme:
• The present stock positions of ARV drugs State/UT-wise are enclosed at Annexure I
• The present stock positions of HIV testing kits State/UT-wise are enclosed at Annexure II
• The present stock positions of Condoms State/UT-wise are enclosed at Annexure III
(c) & (d): Presently there is no shortage of essential drugs and HIV testing kits in the country. Funds are released as per budgetary provisions, for the activities essential to the programme.
Contd……
(e): NACO has strengthened supply chain mechanism by appointing 6 Regional Procurement & Logistic Coordinators at regional level & 42 state level logistic coordinators (in Process). In addition to this an inventory management system (IMS) has been initiated which is implemented at all ART centres. This is an online system in which pharmacist at ART centre maintain daily stock and consumption of drugs. The same are then monitored at SACS & NACO level. It is also worthwhile to mention that Project Director SACS have standing instruction to procure the drugs from open market whenever shortage for Antiretroviral drugs occurs.
Regarding Condoms NACO has taken initiatives like inter-state and intra-state transfers of condom stocks and borrowing of condoms from National Health Mission (NHM) to minimize the impact of delayed supply. Now the procurement of condom has been started and supply of condoms to the all States has initiated.
………


ZLN (adult) TLE (adult) TL (adult)
SN State Monthly Consumption as per October 2015 ARV Stock Balance as on 26.11.2015 Stock Available for months Monthly Consumption as per October 2015 ARV Stock Balance as on 26.11.2015 Stock Available for months Monthly Consumption as per October 2015 ARV Stock Balance as on 26.11.2015 Stock Available for months
1 Andhra Pradesh 50,24,979 187,59,545 3.73 22,29,615 68,88,859 3.09 88,006 18,51,453 21.04
2 Kerala 3,35,301 10,13,202 3.02 89,734 2,58,665 2.88 10,150 63,885 6.29
3 Tamil Nadu 28,77,398 115,99,375 4.03 9,15,270 40,04,433 4.38 81,972 2,10,487 2.57
4 Karnataka * 30,38,099 123,94,806 4.08 14,63,453 63,46,350 4.34 71,065 5,92,428 8.34
5 Pondicherry 30,810 1,19,440 3.88 12,204 61,146 5.01 323 1,532 4.74
6 Delhi 5,14,661 24,66,562 4.79 2,35,792 11,26,201 4.78 19,561 83,245 4.26
7 Punjab 4,78,427 16,72,330 3.50 1,89,978 5,31,090 2.80 7,669 37,477 4.89
8 Haryana 1,94,895 9,49,578 4.87 58,981 85,656 1.45 1,050 7,075 6.74
9 Chandigarh 1,04,534 2,38,557 2.28 43,737 1,19,194 2.73 9,794 49,330 5.04
10 Uttar Pradesh 8,75,268 27,86,157 3.18 6,37,605 16,27,034 2.55 18,848 1,35,989 7.22
11 Jammu & Kashmir 52,560 2,09,562 3.99 18,089 44,420 2.46 2,640 13,152 4.98
12 Himachal Pradesh 94,699 2,91,349 3.08 35,256 1,66,369 4.72 1,020 7,631 7.48
13 Uttarakhand 70,082 2,30,767 3.29 27,240 83,689 3.07 2,265 29,126 12.86
14 Bihar 6,38,821 15,79,149 2.47 3,78,340 12,12,550 3.20 8,184 1,65,996 20.28
15 Jharkhand 1,67,311 7,21,074 4.31 83,592 2,40,958 2.88 3,299 14,720 4.46
16 Odisha 2,78,824 11,53,259 4.14 1,35,227 4,55,160 3.37 3,219 4,339 1.35
17 West Bengal 3,83,832 19,09,961 4.98 2,84,515 7,26,693 2.55 19,165 61,979 3.23
18 Chattisgarh 5,79,528 6,58,942 1.14 2,43,944 2,92,882 1.20 14,110 25,705 1.82
19 Maharashtra 47,01,730 134,61,550 2.86 17,38,274 58,96,777 3.39 89,388 2,47,407 2.77
20 Mumbai 9,25,592 33,58,889 3.63 3,00,739 11,70,012 3.89 74,630 84,533 1.13
21 Rajasthan 6,16,603 14,50,534 2.35 3,65,232 12,13,417 3.32 13,049 59,603 4.57
22 Goa * 76,258 1,73,970 2.28 16,980 49,005 2.89 3,340 10,772 3.23
23 Madhya Pradesh 3,23,897 5,99,536 1.85 2,14,563 4,05,112 1.89 6,481 1,95,201 30.12
24 Gujarat 13,50,248 48,72,217 3.61 6,11,252 19,44,504 3.18 52,318 3,57,682 6.84
25 Arunachal
Pradesh 1,800 4,380 2.43 210 1,290 6.14 30 210 7.00
26 Assam 78,650 3,71,881 4.73 44,622 2,76,784 6.20 2,377 17,454 7.34
27 Manipur * 2,47,191 9,47,867 3.83 98,675 12,197 0.12 9,324 1,85,222 19.87
28 Meghalaya 18,806 1,06,093 5.64 12,090 53,121 4.39 180 2,408 13.38
29 Mizoram 78,480 2,54,061 3.24 48,380 7,77,601 16.07 2,439 6,202 2.54
30 Tripura 6,000 36,982 6.16 9,285 17,062 1.84 510 6,165 12.09
31 Nagaland 1,32,442 4,75,494 3.59 55,128 1,38,783 2.52 2,460 4,274 1.74
32 Sikkim 3,180 20,689 6.51 1,543 4,127 2.67 195 418 2.14
Total 243,00,906 848,87,758 3.49 105,99,545 362,31,141 3.42 6,19,061 45,33,100 7.32
* for last Month


SN State Monthly Consumption as per October 2015 ARV Stock Balance as on 26.11.2015 Stock Available for months Monthly Consumption as per October 2015 ARV Stock Balance as on 26.11.2015 Stock Available for months Monthly Consumption as per October 2015 ARV Stock Balance as on 26.11.2015 Stock Available for months Monthly Consumption as per October 2015 ARV Stock
1 Andhra Pradesh 73,741 17,86,068 24.22 2,31,742 15,97,336 6.89 4,79,443 28,45,265 5.93 73,742
2 Kerala 4,899 96,458 19.69 25,261 1,09,641 4.34 55,018 1,62,577 2.95 9,563
3 Tamil Nadu 62,116 6,67,701 10.75 1,32,479 9,02,219 6.81 2,77,739 13,94,108 5.02 39,099
4 Karnataka * 1,29,976 6,72,360 5.17 1,67,567 9,78,799 5.84 4,35,743 27,69,366 6.36 23,877
5 Pondicherry 660 1,69,658 257.06 2,284 16,170 7.08 5,220 6,967 1.33 440
6 Delhi 5,218 1,07,467 20.60 26,626 1,38,935 5.22 57,311 3,74,024 6.53 5,338
7 Punjab 5,499 95,829 17.43 17,810 1,05,016 5.90 36,281 40,292 1.11 2,858
8 Haryana 1,725 9,149 5.30 7,590 40,540 5.34 14,955 1,49,016 9.96 120
9 Chandigarh 1,560 40,865 26.20 8,475 35,313 4.17 17,960 79,307 4.42 7,052
10 Uttar Pradesh 41,969 4,69,190 11.18 43,630 1,54,296 3.54 1,09,473 4,70,234 4.30 4,779
11 Jammu & Kashmir 1,380 7,550 5.47 1,930 17,235 8.93 4,550 19,430 4.27 360
12 Himachal Pradesh 1,725 6,900 4.00 3,365 19,683 5.85 7,600 37,117 4.88 240
13 Uttarakhand 2,880 14,155 4.91 2,205 34,268 15.54 4,765 23,992 5.04 360
14 Bihar 6,220 4,86,428 78.20 27,407 1,46,810 5.36 59,950 4,07,503 6.80 3,000
15 Jharkhand 4,487 44,346 9.88 3,496 32,266 9.23 6,478 38,653 5.97 360
16 Odisha 8,733 3,55,105 40.66 15,442 90,089 5.83 37,505 66,281 1.77 2,160
17 West Bengal 71,886 2,57,621 3.58 34,820 1,26,213 3.62 1,35,418 1,72,269 1.27 11,400
18 Chattisgarh 6,110 20,375 3.33 31,571 57,526 1.82 92,698 96,968 1.05 9,000
19 Maharashtra 88,342 12,70,620 14.38 2,73,308 4,75,879 1.74 5,72,195 13,47,827 2.36 63,499
20 Mumbai 26,669 1,62,701 6.10 70,361 3,05,806 4.35 1,44,117 7,61,461 5.28 70,321
21 Rajasthan 5,961 1,08,206 18.15 24,861 1,11,033 4.47 55,189 4,17,804 7.57 3,340
22 Goa * 2,640 15,326 5.81 4,557 11,544 2.53 8,864 10,763 1.21 240
23 Madhya Pradesh 3,846 9,21,012 239.47 12,850 33,649 2.62 26,045 93,835 3.60 1,680
24 Gujarat 22,732 6,25,946 27.54 76,314 3,14,992 4.13 1,60,081 7,96,848 4.98 23,778
25 Arunachal
Pradesh 60 3,340 55.67 0 390 0 2,880 0
26 Assam 1,205 42,115 34.95 3,882 18,645 4.80 8,808 23,960 2.72 455
27 Manipur * 20,957 31,794 1.52 15,922 61,540 3.87 44,862 8,97,167 20.00 6,870
28 Meghalaya 180 28,328 157.38 420 8,790 20.93 794 16,638 20.95 360
29 Mizoram 1,484 6,14,785 414.28 2,115 19,384 9.17 5,126 1,09,040 21.27 180
30 Tripura 7,440 65,479 8.80 300 627 2.09 7,230 8,535 1.18 0
31 Nagaland 2,460 1,15,075 46.78 6,580 28,016 4.26 14,672 1,23,452 8.41 360
32 Sikkim 120 5,077 42.31 300 1,200 4.00 660 3,089 4.68
Total 6,14,880 93,17,029 15.15 12,75,470 59,93,850 4.70 28,86,750 137,66,668 4.77 3,64,831








SN State Balance as on 26.11.2015 Stock Available for months Monthly Consumption as per October 2015 ARV Stock Balance as on 26.11.2015 Stock Available for months Monthly Consumption as per October 2015 ARV Stock Balance as on 26.11.2015 Stock Available for months Monthly Consumption as per October 2015 ARV Stock Balance as on 26.11.2015 Stock Available for months
1 Andhra Pradesh 3,47,258 4.71 2,74,558 23,97,343 8.73 1,09,320 13,41,502 12.27 2,41,425 10,00,100 4.14
2 Kerala 39,486 4.13 5,351 44,142 8.25 690 48,039 69.62 14,588 74,422 5.10
3 Tamil Nadu 2,30,362 5.89 1,23,241 8,58,288 6.96 54,094 10,30,844 19.06 82,683 11,83,099 14.31
4 Karnataka * 84,571 3.54 2,27,392 16,57,500 7.29 99,893 10,60,832 10.62 2,52,934 25,37,841 10.03
5 Pondicherry 4,020 9.14 2,160 14,190 6.57 120 23,190 193.25 2,400 35,340 14.73
6 Delhi 42,934 8.04 35,976 4,00,595 11.14 19,246 1,17,495 6.10 36,335 1,93,516 5.33
7 Punjab 2,40,229 84.05 24,264 2,35,905 9.72 7,752 1,21,182 15.63 22,420 2,06,491 9.21
8 Haryana 16,921 141.01 9,035 70,157 7.77 4,678 12,285 2.63 9,430 24,623 2.61
9 Chandigarh 48,352 6.86 9,910 59,074 5.96 1,575 51,041 32.41 15,490 23,385 1.51
10 Uttar Pradesh 26,788 5.61 1,35,773 4,32,612 3.19 66,680 3,39,922 5.10 79,655 3,99,600 5.02
11 Jammu & Kashmir 7,080 19.67 3,115 30,780 9.88 960 11,805 12.30 4,110 36,960 8.99
12 Himachal Pradesh 7,920 33.00 7,920 41,886 5.29 5,520 31,398 5.69 8,100 75,744 9.35
13 Uttarakhand 2,867 7.96 5,850 48,920 8.36 2,310 42,846 18.55 4,350 44,745 10.29
14 Bihar 26,792 8.93 74,986 4,87,694 6.50 37,070 1,31,740 3.55 69,575 81,752 1.18
15 Jharkhand 1,088 3.02 29,107 2,20,006 7.56 13,440 2,60,336 19.37 8,835 54,760 6.20
16 Odisha 7,080 3.28 34,565 2,36,570 6.84 15,232 1,07,529 7.06 20,660 30,126 1.46
17 West Bengal 15,322 1.34 64,445 2,82,780 4.39 29,230 2,67,230 9.14 43,178 2,14,076 4.96
18 Chattisgarh 23,040 2.56 75,732 94,101 1.24 63,968 1,63,248 2.55 23,880 52,690 2.21
19 Maharashtra 92,615 1.46 3,49,880 24,63,852 7.04 1,10,704 2,24,246 2.03 3,44,423 27,85,190 8.09
20 Mumbai 72,208 1.03 36,986 8,00,821 21.65 10,528 3,92,485 37.28 43,254 1,34,793 3.12
21 Rajasthan 8,885 2.66 93,010 4,98,860 5.36 49,836 1,56,055 3.13 50,552 2,52,571 5.00
22 Goa * 4,680 19.50 2,715 30,820 11.35 96 19,601 204.18 3,836 57,535 15.00
23 Madhya Pradesh 28,950 17.23 68,485 8,41,823 12.29 33,496 3,51,830 10.50 23,910 1,11,877 4.68
24 Gujarat 68,593 2.88 1,27,622 10,95,621 8.58 74,165 3,34,561 4.51 71,935 5,47,944 7.62
25 Arunachal
Pradesh 360 0 17,760 0 9,660 0 7,740
26 Assam 14,980 32.92 6,308 34,923 5.54 2,250 35,956 15.98 8,033 54,187 6.75
27 Manipur * 8,000 1.16 4,760 82,002 17.23 2,295 3,19,128 139.05 18,559 2,89,232 15.58
28 Meghalaya 68,762 191.01 890 10,230 11.49 270 4,550 16.85 1,440 18,217 12.65
29 Mizoram 39,660 220.33 6,540 19,654 3.01 4,016 97,874 24.37 11,870 48,332 4.07
30 Tripura 2,400 300 12,350 41.17 0 19,860 960 1,540 1.60
31 Nagaland 41,400 115.00 4,140 24,668 5.96 2,910 53,355 18.34 13,289 73,685 5.54
32 Sikkim 0 12,720 0 8,100 660 4,175 6.33
Total 16,23,603 4.45 18,45,016 135,58,647 7.35 8,22,344 71,89,725 8.74 15,32,769 106,56,288 6.95






SN State Monthly Consumption as per October 2015 ARV Stock Balance as on 26.11.2015 Stock Available for months Monthly Consumption as per October 2015 ARV Stock Balance as on 26.11.2015 Stock Available for months Monthly Consumption as per October 2015 ARV Stock Balance as on 26.11.2015 Stock Available for months Monthly Consumption as per October 2015 ARV Stock Balance as on 26.11.2015 Stock Available for months
1 Andhra Pradesh 27,405 2,20,647 8.05 43,273 4,35,001 10.05 11,595 6,91,403 59.63 57 2,119 37.18
2 Kerala 1,621 13,506 8.33 3,391 36,545 10.78 420 21,590 51.40 5 69 13.80
3 Tamil Nadu 23,707 1,99,041 8.40 36,342 3,00,810 8.28 19,291 5,93,234 30.75 41 829 20.22
4 Karnataka * 31,618 3,25,928 10.31 20,018 1,48,170 7.40 11,481 5,22,625 45.52 131 3,080 23.51
5 Pondicherry 226 3,180 14.07 540 10,440 19.33 240 9,000 37.50 1 4 4.00
6 Delhi 9,822 24,649 2.51 12,644 83,221 6.58 6,881 50,821 7.39 14 512 36.57
7 Punjab 4,211 14,333 3.40 3,990 23,577 5.91 2,881 77,034 26.74 0 55
8 Haryana 165 5,960 36.12 420 8,254 19.65 0 6,840 0 39
9 Chandigarh 2,310 12,053 5.22 4,380 21,970 5.02 2,260 23,975 10.61 9 87 9.67
10 Uttar Pradesh 16,635 1,35,466 8.14 16,092 1,54,575 9.61 7,590 1,55,992 20.55 21 470 22.38
11 Jammu & Kashmir 1,014 3,210 3.17 1,800 13,400 7.44 398 16,432 41.29 0 27
12 Himachal Pradesh 886 13,562 15.31 1,509 4,642 3.08 180 26,640 148.00 2 60 30.00
13 Uttarakhand 1,435 12,942 9.02 1,566 761 0.49 1,230 23,931 19.46 1 4 4.00
14 Bihar 17,488 1,34,733 7.70 20,061 1,57,443 7.85 9,224 2,34,749 25.45 2 778 389.00
15 Jharkhand 2,421 8,291 3.42 724 17,741 24.50 345 41,045 118.97 15 258 17.20
16 Odisha 3,081 54,359 17.64 10,355 87,535 8.45 1,860 81,670 43.91 13 132 10.15
17 West Bengal 10,890 1,72,655 15.85 22,584 2,47,956 10.98 9,313 1,61,131 17.30 11 1,536 139.64
18 Chattisgarh 28,854 35,705 1.24 49,040 41,085 0.84 6,451 37,351 5.79 109 506 4.64
19 Maharashtra 64,869 2,24,354 3.46 99,041 12,18,234 12.30 20,034 4,16,429 20.79 950 5,749 6.05
20 Mumbai 6,906 9,24,169 133.82 19,892 1,96,274 9.87 13,725 16,63,808 121.22 24 711 29.63
21 Rajasthan 12,527 14,580 1.16 11,701 83,181 7.11 3,949 1,15,040 29.13 40 223 5.58
22 Goa * 680 5,705 8.39 405 12,390 30.59 0 10,920 0 11
23 Madhya Pradesh 7,701 44,984 5.84 5,640 49,026 8.69 1,365 92,453 67.73 19 416 21.89
24 Gujarat 15,069 1,16,283 7.72 23,803 2,76,913 11.63 10,983 2,68,170 24.42 67 1,623 24.22
25 Arunachal
Pradesh 0 8,040 0 360 0 9,120 0 0
26 Assam 1,557 11,226 7.21 1,215 11,856 9.76 750 27,224 36.30 2 51 25.50
27 Manipur * 1,890 8,338 4.41 3,267 68,132 20.85 770 31,580 41.01 1 24 24.00
28 Meghalaya 595 4,736 7.96 2,046 6,347 3.10 185 10,687 57.77 3 78 26.00
29 Mizoram 1,255 23,653 18.85 360 6,399 17.78 1,110 6,998 6.30 0 0
30 Tripura 210 165 0.79 480 1,380 2.88 240 1,770 7.38 0 0
31 Nagaland 2,911 31,085 10.68 3,636 24,335 6.69 570 46,780 82.07 0 3
32 Sikkim 98 2,922 29.82 330 5,040 15.27 60 4,140 69.00 0 0
Total 3,00,057 28,10,460 9.37 4,20,545 37,52,993 8.92 1,45,381 54,80,582 37.70 1,538 19,454 12.65


Annexure – II
The Present Stock Positions of HIV 1st testing Kits State/UT-wise as of 26.11.2015

S. no. State / UT HIV test kit
1 A & N Islands 8,256
2 Andhra Pradesh 7,58,291
3 Arunachal Pradesh 33,189
4 Assam 1,75,873
5 Bihar 2,15,040
6 Chandigarh 28,397
7 Chhattisgarh 55,438
8 D & N Haveli 3,482
9 Daman & Diu 3,983
10 Delhi 63,980
11 Goa 36,672
12 Gujarat+ AMACS 2,88,634
13 Haryana 87,160
14 Himachal Pradesh 43,100
15 Jammu & Kashmir 92,608
16 Jharkhand 1,11,102
17 Karnataka 6,16,761
18 Kerala 3,52,769
19 Lakshadweep 5,472
20 Madhya Pradesh 4,37,540
21 Maharashtra 5,52,262
22 Manipur 1,08,433
23 Meghalaya 21,564
24 Mizoram 1,34,171
25 Mumbai 1,93,807
26 Nagaland 44,055
27 Orissa 2,33,250
28 Pondicherry 25,505
29 Punjab 1,48,302
30 Rajasthan 4,04,881
31 Sikkim 26,180
32 Tamil Nadu 14,56,117
33 Tripura 26,033
34 Uttar Pradesh 5,64,577
35 Uttarakhand 20,707
36 West Bengal 82,140





Annexure III
Stock Status of Free Condom at States/UT SACS as on 31st October, 2015
S.No States/UT Closing Stock as of 31st Oct, 2015
1 Andaman & Nicobar Islands 5,967
2 Assam 13,981
3 Andhra Pradesh 63,70,000
4 Arunachal Pradesh 3,92,884
5 Ahmedabad MACS -
6 Bihar 15,015
7 Chandigarh 22,848
8 Chhatisgarh 2,520
9 Delhi 35,640
10 Daman & Diu -
11 Dadra & Nagar Haveli 68,386
12 Goa -
13 Gujarat 20,60,400
14 Haryana 3,72,000
15 Himachal Pradesh 5,46,000
16 Jammu & Kashmir 1,28,000
17 Jharkhand 45,260
18 Karnataka 6,94,231
19 Kerala 6,000
20 Madhya Pradesh -
21 Maharashtra 20,36,654
22 Manipur 2,08,500
23 Meghalaya 1,15,800
24 Mizoram -
25 Mumbai MACS 78,499
26 Nagaland -
27 Orissa -
28 Puducherry 82,682
29 Punjab 12,000
30 Rajasthan 17,000
31 Sikkim 19,500
32 Tamil Nadu 3,86,400
33 Tripura 8,21,500
34 Uttar Pradesh 22,14,260
35 Uttarakhand -
36 West Bengal 3,19,600

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