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Role of decentralised governance in implementing the National AIDS Control Programme in Kerala
R Kamala1,2, R M Ravindran1,3, R A Krishnan3
1Health Action by People, Thiruvananthapuram, India.
Public Health Action
|March 23, 2023
Summary
Local governments in Kerala effectively support the National AIDS Control Programme (NACP) by improving awareness and providing care. Overcoming stigma is crucial for ending the HIV/AIDS epidemic.
Area of Science:
- Public Health
- Health Policy
- Governance
Background:
- Kerala, India, aligns with UN Sustainable Development Goals (SDGs) to combat the HIV/AIDS epidemic.
- Leverages strong local governance for implementing the National AIDS Control Programme (NACP).
Purpose of the Study:
- Examine the role of local governments in NACP implementation.
- Assess alignment with Sustainable Development Goals (SDGs).
Main Methods:
- State-wide exploratory study.
- Document reviews and key informant interviews.
- Thematic analysis of qualitative data.
Main Results:
- Local governments demonstrated commitment through policy adoption, interdepartmental coordination, and local innovations.
- Positive impacts include improved disease awareness, treatment access, and social support, even during COVID-19.
- Barriers identified include funding shortages and challenges in beneficiary identification due to anonymity preferences.
Conclusions:
- Local governments effectively support NACP interventions in prevention, treatment, and care.
- Addressing stigma is essential for potential beneficiaries to access services.
- Overcoming stigma is key to achieving the goal of ending the AIDS epidemic.
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