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

The NACP (National AIDS Control Programme) Phase V strategy introduced 'Test and Treat' policy. The primary objective is that all HIV-positive individuals diagnosed should be initiated on ART:

  • A Only when CD4 count falls below 350 cells/mm³
  • B When CD4 count is less than 500 cells/mm³
  • C Regardless of CD4 count, immediately upon diagnosis
  • D After clinical staging shows WHO stage 2 or higher
Correct answer: C. Regardless of CD4 count, immediately upon diagnosis

Explanation

India adopted the 'Test and Treat' policy under NACP Phase V/current guidelines, mandating immediate ART initiation for all HIV-positive individuals regardless of CD4 count or clinical stage. This aligns with global UNAIDS 95-95-95 targets and is supported by evidence from the START trial showing benefit of early treatment even at high CD4 counts.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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