Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 150
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 151
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Warning (512): Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853 [CORE/src/Http/ResponseEmitter.php, line 48]
Warning (2): Cannot modify header information - headers already sent by (output started at /home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php:853) [CORE/src/Http/ResponseEmitter.php, line 148]
Warning (2): Cannot modify header information - headers already sent by (output started at /home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php:853) [CORE/src/Http/ResponseEmitter.php, line 181]
LATEST NEWS UPDATES | Stock-out hits HIV treatment across India -Rupali Mukherjee

Stock-out hits HIV treatment across India -Rupali Mukherjee

Share this article Share this article
published Published on Aug 26, 2014   modified Modified on Aug 26, 2014
-The Times of India

MUMBAI: Treatment for HIV patients across India has taken a hit, especially in Delhi and Mumbai, due to severe stock-outs of life-saving medicines reported at government-owned centres.

Shortage of first-line (initial), second-line (advanced) and paediatric HIV drugs, besides crucial diagnostic kits, has prompted patient groups to send a legal notice to the government, pointing to the scarcity, gaps in procurement and supply of these drugs.

The treatment and control of HIV, including dispensing drugs and testing, is handled by the government-run public health programme through its 355-odd centres.

Of the over two million HIV-infected people in India, four states - Andhra Pradesh, Karnataka, Maharashtra and Tamil Nadu - account for 53%. More than one-third of them, or 7.5 lakh patients, are on the public health programme this year. While the medicines are available in the retail market at a cost, the ones dispensed at government-owned centres come free.

At certain centres in Mumbai and Delhi, partial doses of treatment are being provided to patients for a few days, forcing them to return frequently. Alternatively, drugs are being substituted.

Hospitals such as AIIMS, Safdarjung and LNJP in Delhi, and Nair, KEM, Siddharth and Sion in Mumbai have been grappling with shortage of these drugs.

Prices of first-line HIV drugs in the retail market has come down now substantially due to affordable generic medicines. The treatment costs lakhs of rupees for advanced therapies for certain patients. While, retail first-line drugs cost Rs 5,500 a year, the advanced and complex therapies come at around Rs 20,000 to Rs 2 lakh a year.

In a legal notice to the health ministry sent on August 22, the Delhi Network of Positive People (DNP+), representing HIV patients, has sought emergency procurement and relocation of stocks to government-owned centres experiencing stock-outs of ARVS, particularly in Mumbai. They have also sought strengthening and streamlining drug forecasting, procurement and supply chain mechanism to prevent future shortages.

Stock-outs have hit centres in Delhi, Maharashtra, Gujarat, Karnataka and Manipur the worst, Vikas Ahuja of International Treatment Preparedness Coalition, South Asia, told TOI. Drug supply has been erratic over the past few months, Ahuja said.

Bureaucratic delay in tendering, procurement and supply has been cited as the reason, besides the mechanism not being planned proactively and in a streamlined way.

As per NACO guidelines, patients adhering to the treatment should get the medicines for at least a month.

Industry experts say shortage of second-line therapy has existed in certain centres since 2012, and that of diagnostic kits since last year.

 


The Times of India, 26 August, 2014, http://timesofindia.indiatimes.com/india/Stock-out-hits-HIV-treatment-across-India/articleshow/40886596.cms


Related Articles

 

Write Comments

Your email address will not be published. Required fields are marked *

*

Video Archives

Archives

share on Facebook
Twitter
RSS
Feedback
Read Later

Contact Form

Please enter security code
      Close