existence of HIV/AIDS/STD poses a serious challenge to human
kind. To date, there is neither a vaccine nor a cure for AIDS.
It is now well known that the presence of STDs predisposes the
individual to HIV infection. Unfortunately, many STD cases go
undiagnosed and untreated.
is a human development problem fueled by poverty, the inequality
of certain sectors of society, and the presence of other STDs.
As a result, the socio-cultural, economic as well as health
determinants of the transmission of HIV/AIDS/STD must be
addressed. In formulating a national policy for HIV/AIDS and STD
related issued, the need arises to incorporate the above as
policy concerns as part of an action strategy for future
National Policy Document on HIV/AIDS and STD, under the auspices
of the Bangladesh STD Prevention and Control Project, was
compiled by a ‘Task Force’ in early 1995 with the Chairman
of the Technical Committee of the National AIDS Committee as its
convener. Its limitation lay in the fact that it could not delve
into all the issues with purported authority. This led to the
formation of a ‘Core Group’ drawn from all disciplines of
the social health strata. The group held a ‘Multi-Sectoral
Consensus’ Workshop using Visualization in Participatory
Planning (VIPP) method on 8 & 9 October 1996 in which
various stakeholder groups participated. The participants
reviewed and recommended necessary amendments and additions to
the National Policy Document which are reflected in this final
Cross-cutting and priority issues were given emphasis in the
document. These were human rights, gender, behaviour and
information, education and communication (IEC). The modern human
rights movement envisaged in the Universal Declaration of Human
Rights (UDHR) offers public health a previously unavailable
instrument and approach for analyzing and responding to the
societal dimensions of the vulnerability to HIV/AIDS/STDs.
Gender receives an increasingly important dimension as women
will account for almost half of all the HIV infections by the
year 2000. One cannot proceed with a HIV/AIDS/STD policy by
delinking women’s and men’s reproductive and behaviural
the last few years, there has been as attempt to differentiate
between ‘high risk group’ and ‘high risk behaviour’.
Focusing attention on behaviour has proven more effective,
because it targets all who are vulnerable. AIDS information,
education and communication is an important strategy for
HIV/AIDS prevention. The use of powerful media –both
electronic and print –must be augmented to present balanced,
informative and well judged news. Media must shun prejudices and
value judgments in line with fundamental human rights and shape
educative efforts to produce its impact on behavioural changes.
policy statement endorses the Universal Declaration of Human
Rights (UDHR) as a standard for policy making and action at all
levels in the response to HIV/AIDS and STDs in Bangladesh. All
the fundamental principles enshrined in the text of UDHR are to
be followed in pursuance of policy making.
regards the HIV/AIDS/STD Prevention and Control Programme,
certain objectives and strategies have been delineated. Among
the objectives are to:
a) prevent HIV transmission;
reduce the impact of HIV/AIDS on the individual and the
prevent transmission of STDs; and
provide STD management.
the strategies are:
prevention of sexual transmission;
prevention of transmission through blood and blood products;
prevention of parenteral transmission;
prevention of vertical transmission from mother to child; and
reduction of the impact of HIV infection on individuals,
communities and the societ
carry out these specific objectives and strategies, the national
programme has been assigned to several task formulating bodies
with individual membership make-up and terms of references. The
multi-sectoral body with a strong political commitment. It is an
advisory body to the Government of Bangladesh which oversees all
the aspects related to HIV/AIDS and STDs.
Committee of the National AIDS Committee
Technical Committee is a body of experts supervising technical
aspects of HIV/AIDS/STD prevention and control and is the
technical arm of the National AIDS Committee. In addition the
Technical Committee provides technical support to the
group or body performs as the link to the tripartite coalition
of NAC, MOH&FW and DGHS for smooth functioning in policy
formulation and implementation. It consists of coordinators of
surveillance, counselling, health education, blood transfusion,
sterilization, nursing, case management, laboratories, primary
health care and reproductive health services.