In HIV and AIDS, LEPRA Society gained experience of over 20 years in HIV and AIDS in care, support, prevention and treatment and working with the key populations at higher risk. LEPRA works through capacity building, knowledge sharing, technical support and advocacy to support the delivery of effective, innovative, community-based HIV and other health programs. Currently, covering 69 districts of Madhya Pradesh, Odisha, Chhattisgarh, Andhra Pradesh and Telangana states of India.
LEPRA started its journey in HIV/AIDS in the year 1995, with a pilot project to improve treatment-seeking Behaviour for sexually-transmitted infections (STIs) among truckers and reduce the prevalence of HIV. In the year 2001, it became Lead Partner with International HIV/AIDS Alliance for implementing the Frontiers’ Prevention Project (FPP) in Andhra Pradesh (2001-2005) and linking organisation. Our binding factors for implementing HIV programmes are stigma and discrimination, Health and rights of the people with whom we work, Learning/sharing good practices in delivering quality programmes and strengthening and enhancing HIV services to the marginalized communities.
LEPRA Society is having strong experience (13 years, since 2005) in implementing Global Fund projects as Sub Recipient to various projects in TB, HIV, TB-HIV and Malaria domains. The following are the details of HIV, HIV TB Global fund projects concluded
LEPRA identified as state-level nodal NGO by Andhra Pradesh State AIDS Control Society to implement and coordinate the Prevention of Parent to Child Transmission project (2005-11) covering eight HIV prevalent districts in Andhra Pradesh
- The HIV-TB Coordination outreach project (2006-10) in nine districts in Andhra Pradesh under the GFATM (round 2, 3 & 4) with Andhra Pradesh State AIDS Control Society
- CHAHA Project (2007-2011,(Principal Recipient (PR) is India HIV/AIDS Alliance), GFATM R6 is a community-based child-centred care and support programme for children and families affected by AIDS implemented in Andhra Pradesh.
- The Hifazat project (2013-16, PR- Emmanuel Health Association), GFATM R9, Strengthened the capacity, reach and quality of harm reduction services of six Injecting Drug User’s Targeted Intervention projects in Odisha;
- Prevention of Mother to Child Transmission project (2010-14, PR- ILFS), RCC 2 through and implemented in four districts of Madhya Pradesh.
- Implemented Indore Community Care Centre (2009-13), Gwalior CCC (2012-13) by HLFPPT [SR] and Population Foundation India (PR).
- Link workers Scheme (2013) is supported by Madhya Pradesh State AIDS Control Society, Bhopal (M.P.), GFATM R4 project The objective is to reach out to HRGs and vulnerable men and women in rural areas with information, knowledge, skills on STI/HIV prevention and risk reduction covering 12 districts of Madhya Pradesh
- Vihaan project (2013-17, PR- Alliance India) focussed on care support and treatment for PLHIV as SR implemented with 8 CBOs.
Other concluded projects in HIV, HIV-TB
- Frontiers Prevention Project (2002-05), implemented in 14 sites for scale up effective responses by Female Sex Workers, Men having Sex with Men, IDU groups to HIV and AIDS in Rayalaseema and Telanga regions of Andhra Pradesh. Funded by BMGF
- Avahan Projects [2004-10] implemented in five sites covering FSWS/MSMs of Hyderabad, Kamareddy, Medak and Adilabad districts. Funded by BMGF
- Sexual Reproductive Health Project [2006-07] – Community driven approaches to address the feminization of HIV/AIDS and implemented in Kamareddy, Nalgonda, Hyderabad and Bhubaneswar districts. Funded by DFID under challenge fund
- The Andhra Pradesh counsellors project (2003-11) supported by Andhra Pradesh State AIDS Control Society The aim of this project is to ensure quality counselling services and to develop a safe space for the in physical, psychological, and knowledge parameters. The purpose is to support Andhra Pradesh AIDS Control Society in scaling up of Integrated Counselling and Testing services by recruiting, training and mentoring the counsellors and lab technicians in Andhra Pradesh state
- Jyoti Project (2005-11) funded by Centres for Disease Control and Prevention, Atlanta, USA, Andhra Pradesh State covering 23 districts of India: In the first phase of the project a comprehensive HIV/AIDS programme is being implemented in the six identified districts (Prakasam, Guntur, Cuddapah, East Godavari, Nellore and Nizamabad) by Catholic Health Association of India (CHAI). The purpose of this programme is the establishment of a community-led approach to prevention of HIV, and care and support to PLHA. In Second phase, it implemented three Interventions namely Mainstreaming HIV/AIDS Prevention with the Society for Elimination of Rural Poverty (SERP), (an initiative by the Government of Andhra Pradesh; Mobile Counselling and Testing and Positive Prevention tool kit training. The mainstreaming project is implemented in 62 Health & Nutrition pilot mandals of 22 districts of Andhra Pradesh.
- Samastha Project (2006-2011), funded by Karnataka Health promotion Trust, India/University of Manitoba/USAID under cooperative agreement) to ensure comprehensive, competent, compassionate care in all Community Care Centers and the purpose is to operationalize national guidelines for comprehensive care, treatment and support interventions in community care centres of 5 coastal districts (Krishna, Guntur, Prakasam, and East & West Godavari) of Andhra Pradesh,
- Nurse Mentors programme (2010-11) initiated with the support of Clinton Foundation and implemented by LEPRA Society is being implemented under the health domain of ‘Balasahayoga project’ to provide quality care to patients in 21 Community Care Centres in 11 districts of Andhra Pradesh. The objective is to introduce the concept of quality care and to strengthen the capacities of the nurse mentees in the CCCs. The major achievements are improved documentation, infection prevention and control measures, universal safety precautions and consistent nursing care procedures
- Sakhyam- (2008-12, funded by European Union) to improve health seeking Behaviour and health equity of slum dwellers and key vulnerable communities thereby reducing vulnerability to poor sexual and reproductive health outcomes and mitigating the impact of HIV/AIDS.
- Arogya project (2009-13) funded by European Union contributed in linking up the work of public, private and CBOs to respond more effectively and reached high risk and out of reach population to HIV /AIDS and TB in Dewas, Harda, Indore and Bhopal districts.
- The Buniyad project (2008-12) funded by Big Lottery Fund was was successfully implemented in 3 districts namely Jhabua, Burhanpur and Khargone to reduce the burden of poverty upon them by increasing prevention of and mitigating the health and socio-economic impact of TB, TB/HIV co infection and leprosy on tribal communities. In the above two projects it developed and implemented the concept of sputum collection centres, involvement of local private care providers and strengthened the capacities of peripherial health staff and volunteers in responding to the needs of the people affected by TB, HIV and TB-HIV.
The following are the publications in HIV research
- Benjamin R, Banerjee A, Sunder SR, Gaddam S, Valluri VL, et al. (2013) Discordancein CD4+T-Cell Levels and Viral Loads with Co-Occurrence of Elevated PeripheralTNF-a and IL- 4 in Newly Diagnosed HIV-TB Co-Infected Cases. Accepted –PloSONE 8(8): e70250.
- Ramaseri Sunder Sharada1, HanumanthSurekha Rani2, SatyaSudheer Pydi1,Jonnalagada Subbanna1, Vijayalakshmi Valluri1* CD38 expression on CD8+ cells—Its influence on development of tuberculosis in HIV positive individuals Vol.2, No.2,65-71 (2012) Open Journal of Immunology doi:10.4236/oji.2012.22008
- Sharada RS, Surekha RH, Sumanlatha G, Subbanna J, Vijaya LV. Association of TAP 1 and 2 Gene polymorphisms with HIV-TB co-infection. Human Immunology 2011. doi:10.1016/j.humimm.2011.07.304
The current projects of LEPRA Society under Global Fund portfolio and other donors
- Vihaan Project (2018-21, India HIV/AIDS Alliance PR) for enhancing treatment adherence and retention in HIV care through Care and Support services for People Living with HIV/AIDS in Odisha and Chhattisgarh states covering 15 districts
- Ahana Project (2018-21, PR – PLAN India) for Improving Access to PPTCT Services in the Public and Private sector in Madhya Pradesh covering 52 districts
- Implementing Targeted Interventions for IDUs and FSWs in Odisha with Odisha AIDS Control Society support
- Supporting three CBOs of People Living with HIV for sustainability with IHAA support