National AIDS Control Programme ( NACP )was established in 1986-87 with a focus on diagnosis of cases that came to hospitals, but progressively began to shift towards a community focus. Its objectives are the prevention of HIV transmission, safe blood transfusions, reduction of STD transmission, establishment of surveillance, training of health staff, research and behavioral studies, and development of programme management.
Subsequently, in 1994, the program was brought under the multi-donor financed Social Action Program with a more pragmatic agenda including information education, blood screening and establishing provincial implementation units. The program is now implemented through federal and provincial implementation units. The government’s commitment is reflected by the fact that about 80% of all expenditures on HIV & AIDS has been financed by the Government of Pakistan (GoP).
In 1999 - 2000, GoP with the assistance of UNAIDS and other development partners undertook a strategic planning exercise with input from all stakeholders. The framework envisages multi-sectoral response and development of partnerships and collective action, essential for decreasing the vulnerability of Pakistan’s population. The GoP is committed to expand its response to HIV & AIDS by translating the Strategic framework through this donor-financed enhanced program. The Enhanced HIV & AIDS Control Program is being implemented at Federal Level under Enhanced HIV & AIDS Control Programme (Federal Component).
Following are the major components of the enhanced programme:
Component 1: HIV Prevention and Treatment
• Targeted Interventions for MARPs
• National Truckers Project
• Small Grant projects
• HIV Care and Support
• Blood Safety
• STI Control
Component 2: Advocacy and Communication
• Communication and Stigma Reduction
Component 3: Governance and Institutional Framework
• Capacity Building
• National & Provincial Reference Laboratories
• Programme Management
• Monitoring and Evaluation