Community Medicine (PSM) · National Health Programmes (NTEP, NVBDCP, NACP, NIS, RMNCH+A)

Under NACP Phase V (2021–2026), targeted interventions (TI) for key populations prioritise which combination strategy for HIV prevention among female sex workers?

  • A Condom promotion alone as the cornerstone intervention
  • B Combination prevention: condom promotion + STI treatment + periodic testing + peer outreach
  • C Pre-exposure prophylaxis (PrEP) as the sole biological intervention
  • D Antiretroviral therapy for all irrespective of CD4 count
Correct answer: B. Combination prevention: condom promotion + STI treatment + periodic testing + peer outreach

Explanation

NACP TI projects under the combination prevention model integrate condom distribution and promotion, STI screening and syndromic management, HIV counselling and testing (through Integrated Counselling and Testing Centres), and community outreach led by peer educators drawn from key populations themselves. PrEP is an additional tool introduced in recent guidelines but does not replace the combination approach. ART-for-all (TasP) addresses treatment, not prevention TIs.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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