Orissa is identified by NACO as one of the five highly vulnerable states in country. In Orissa the first case of AIDS was identified in 1993 in Nayagarh district. As per the Human Sentinel Surveillance (HSS) the HIV AIDS infection in the high-risk population in Orissa has risen from 1.314% during 2001 to 7.3% in 2007.
During 2002, there were 312 People Living with HIV. The number increased to 16733 at the end of 2009-10. Out of the 14 districts of the country most affected with the AIDS/HIV, the Ganjam district is being placed eighth and has been graded 'A' status as more than one percent people of the total population are infected with HIV. Whereas districts like Anugul, Balangir and Bhadrak have shown >1% HIV prevalence among ANC clinic attendees therefore they are in group ‘B’. Prevalence is rising also in some tribal districts like those in the undivided Koraput. The NFHS-3 (2006) for Orissa revealed variations in knowledge of HIV/AIDS between urban and rural populations. While 87.5% of urban population had heard of HIV/AIDS, the figure was 61.4% for rural area. As per Situation Mapping conducted by ORG MARG in 2004–05, 10 districts are highly vulnerable, 11 districts are medium vulnerable and 9 districts are low vulnerable to HIV/AIDS. So far 1166 death cases have been registered in the State and 721 children are found to be living with HIV till March 2010. 1739 patients are availing Ante Retro viral Treatment (ART) in the State. 184 Integrated Counseling and Testing Centers (ICTCs) are operating in the State. Orissa has 34 STD Clinics as of early 2008.
It has also been found that new-born children without treatment usually have about 33% chance of acquiring HIV infection from their HIV positive mothers. Although Prevention of Parent to child transmission (PPTCT) or Prevention of Mother to child transfer (PMTCT) has been taken as a key action to reach HIV/AIDS goals of the MDG, but in India and especially in Orissa records on HIV-infected mother-child pair are often scanty. Majority of the HIV surveys cover adults; merely includes the infected/affected infants and children. This leaves the HIV studies incomplete without children.
As per the Economic Survey 2010-11, out of total HIV-positive persons at the end of 2009-10, 3.28% are affected due to mother-to-child-transmission (MTCT), which is obviously a rise over 2.68% in 2008-09.
National Aids Control Organisation (NACO) with the support of Indian Academy of Pediatrics, Clinton Foundation, UNICEF and WHO have formulated the policy and guidelines which form the basis of the “National Pediatric initiative” for children living with HIV. NACO under this initiative has set a target for providing Anti Retroviral Therapy (ART) to 10,000 children in 2006-07.Download
Statistical Profile of HIV/AIDS in Orissa