In 1987, the newly formed National AIDS Control Programme began limited screening of the blood supply and monitoring of high-risk groups. A national education programme aimed at AIDS prevention and control began in 1990.
The first AIDS prevention television campaign began in 1991. By the mid-1990s, AIDS awareness signs on public streets, condoms for sale near brothels, and media announcements were more in evidence. There was very negative publicity as well. Posters with the names and photographs of known HIV-positive persons have been seen in New Delhi, and there have been reports of HIV patients chained in medical facilities and deprived oftreatment. Fear and ignorance have continued to compound the difficulty of controlling the spread of the virus, and discrimination against AIDS sufferers has surfaced.
For example, in 1990 the All-India Institute of Medical Sciences, New Delhi’s leading medical facility, reportedly turned down two people infected with HIV because its staff were too scared to treat them. A new programme to control the spread of AIDS in India was launched in 1991 by the Indian Council of Medical Research. The council looked to ancient scriptures and religious books for traditional messages that preach moderation in sex and describe prostitution as a sin. The council considered that the great extent to which Indian life-styles are shaped by religion rather than by science would cause many people to be confused by foreign-modelled educational campaigns relying on television and printed booklets. The severity of the growing AIDS crisis in India is clear, according to statistics compiled during the mid-1990s.
In Bombay, a city of 12.6 million inhabitants in 1991, the HIV infection rate among the estimated 80,000 prostitutes jumped from 1 per cent in 1987 to 30 per cent in 1991 to 53 per cent in 1993. Migrant workers engaging in promiscuous and unprotected sexual relations in the big city carry the infection to other sexual partners on the road and then to their homes and families.
India’s blood supply, despite official blood screening efforts continues to become infected. In 1991 donated blood was screened for HIV in only four major cities: New Delhi, Calcutta, Madras, and Bombay. One of the leading factors in the contamination of the blood supply is that 30 per cent of the blood required comes from private, profit- making banks whose practices are difficult to regulate. Furthermore, professional donors are an integral part of the Indian blood supply network, providing about 30 per cent of the annual requirement nationally. These donors are generally poor and tend to engage in high-risk sex and use intravenous drugs more than the general population.
Professional donors also tend to donate frequently at different centres and, in many cases, under different names. Reuse of improperly sterilised needles in health care and blood- collection facilities also is a factor. India’s minister of health and family welfare reported in 1992 that only 138 out of 608 blood banks were equipped for HIV screening. A 1992 study conducted by die Indian Health Organisation revealed that 86 per cent of commercial blood donors surveyed were HIV-positive.