Research Article
Volume 10 Issue 10 - 2021
Journey of 09 Years of Financial Assistance Scheme of Delhi Government for Orphan Vulnerable Children Affected by HIV/AIDSImplementation Challenges and Strengthening Initiatives
Bipin Chandra Joshi1, Anil Kumar Gupta2*, Parveen Kumar3 and Sandeep Mishra4
1Deputy Director (Social Protection, Mainstreaming, IEC), Delhi State AIDS Control Society, Government of NCT of Delhi, Dharamshala Complex, Dr. BSA Hospital, Sector VI, Rohini, New Delhi, India
2Senior Pediatrician (SAG), Department of Pediatrics, SRHC Hospital, Narela, Government of NCT of Delhi and Formerly Additional Project Director, Delhi State AIDS Control Society, Government of NCT of Delhi, New Delhi, India
3Additional Project Director, Delhi State AIDS Control Society, Government of NCT of Delhi, Dharamshala Complex, Dr. BSA Hospital, Sector VI, Rohini, New Delhi and Special Secretary Health and Family Welfare Department, Government of NCT of Delhi, New Delhi, India
4Project Director, Delhi State AIDS Control Society, Government of NCT of Delhi, Dharamshala Complex, Dr. BSA Hospital, Sector VI, Rohini, New Delhi and Special Secretary Health and Family Welfare Department, Government of NCT of Delhi, New Delhi, India
*Corresponding Author: Anil Kumar Gupta, Senior Pediatrician (SAG), Department of Pediatrics, SRHC Hospital, Narela, Government of NCT of Delhi and Formerly Additional Project Director, Delhi State AIDS Control Society, Government of NCT of Delhi, New Delhi, India.
Received: July 28, 2021; Published: September 09, 2021




Abstract

Delhi State AIDS Control Society (DSACS) has been implementing the first Government supported cash transfer scheme of the country for people living with HIV/AIDS (PLHIV) and orphan vulnerable children (OVC) infected or affected by HIV/AIDS in Delhi for a last 9 years to support access to health services, nutrition, and improve adherence to anti-retroviral treatment (ART). The scheme is based on certain eligibility conditions which the beneficiary must satisfy for enrollment and subsequent continuance of the scheme. Accordingly, beneficiaries were classified into four categories, namely, 1, PLHIV including children on ART; 2, double orphan children infected with HIV/AIDS (double OCI); 3, destitute children infected with HIV/AIDS (DCI) in institutional care; and 4, double orphan children affected by HIV/AIDS (CABA) in community-based care in Delhi. During 1st April 2012 to 31st March 2021, cumulative 5257 beneficiaries were prospectively enrolled for cash transfers, including 5150 PLHIV, 32 double OCI, 49 DCI, and 26 double orphan CABA. There is five-fold growth in number of beneficiaries during 9 years of its implementation from baseline 1110 (PLHIV-1083, AIDS orphan-27) enrolled during 2012-13. During follow-up, 291 (5.53%) beneficiaries expired, including 270 (5.6%) adult PLHIV, 12 (3.62%) CLHIV, 8 (25%) double OCI, and 1 (2.04%) DCI. Further, 253 (4.8%) beneficiaries became non eligible for cash transfers on account of migration (n = 102), opted out ART/or lost to follow-up (n = 119), 11 double orphan CABA attained age of 18 years, and 21 PLHIV became non eligible on income criteria. Also, 29 double OCI/DCI who accomplished age of 18 years were switched to category I for lifelong financial assistance. Though identification and enrollment of beneficiaries has been slow, adherence to ART is good (> 95%) in majority. DSACS has taken several initiatives to strengthen scheme including relaxing eligibility criteria and enhancing quantum of financial assistance due to rise in inflation index. However, monitoring of the scheme is a challenge and impact assessment need to be carried out.

Keywords: Cash Transfers; Orphan Vulnerable Children (OVC); People Living with HIV/AIDS (PLHIV); Children Affected by AIDS (CABA); Social Protection

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Citation: Anil Kumar Gupta., et al. “Journey of 09 Years of Financial Assistance Scheme of Delhi Government for Orphan Vulnerable Children Affected by HIV/AIDS- Implementation Challenges and Strengthening Initiatives”. EC Paediatrics 10.10 (2021): 27-35.

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