Under the NACP Phase V, the key prevention strategy for most-at-risk populations (MARPs) in India involves:
- A Abstinence-only education campaigns
- B Targeted Interventions (TIs) delivered through NGOs providing condoms, STI treatment and behavioural change communication ✓
- C Mandatory HIV testing of all sex workers and truckers every 6 months
- D Universal antiretroviral therapy regardless of CD4 count from Phase III onwards
Explanation
NACP Phase V continues the evidence-based strategy of Targeted Interventions (TIs) for MARPs — Female Sex Workers (FSW), Men who have Sex with Men (MSM), Injecting Drug Users (IDU), and migrants — delivered through Link Workers and NGOs. TIs provide condom promotion and distribution, STI syndromic management, BCC, and peer outreach. 'Test and Treat' (universal ART irrespective of CD4) was adopted in NACP IV. Mandatory testing is unethical and not policy.
Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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