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India
**New Program in India: On April 16th, the CCGHE hosted the first India HIV Case Discussion co-sponsored by Byramji Jeejeebhoy Medical College (BJMC) and National AIDS Research Institute (NARI). Two cases were presented and discussed. Please visit India HIV Case Discussions page to view these and other cases from this ongoing, monthly program.**
With a population of over one billion, India is the second largest country in the world. While India represents just 16% of the world’s population, it accounts for 21% of the world’s global burden of disease. UNAIDS India reports that India now holds the second largest absolute number of HIV infections in the world, following South Africa. Despite substantial gains in increased life expectancy over the past 50 years, communicable diseases such as malaria, kala-azar, filariasis, dengue, tuberculosis, leprocy, and HIV/AIDS are not controlled. In 2005 the World Health Organization reports that India's average life expectancy is still low at 62. In November 2006, the National AIDS Control Organization (NACO) released the Technical Report: India HIV Estimates 2006. Under the US President's Emergency Plan Emergence Plan for AIDS Relief (PEPFAR) India receives funding to support HIV/AIDS prevention, treatment and care programs. (read 2007 India report ).
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The Johns Hopkins CCGHE has a successful history of implementing projects in India. On May 17, 2007, Dr. Robert Bollinger met with The Honorable Dr. APJ Kalam, President of India in a Telemedicine Case Discussion Program between the CCGHE and the IIT Kharagpur (read more).
Other activities range from an in-country "train-the-trainer" nursing program entitled, "Nursing Training Curriculum: HIV Practice and Reducing Stigma" for HIV/AIDS care, to live clinical education webcasts. In November 2004 - January 2005, Johns Hopkins faculty presented a telemedicine training program, "Principles of Antiretroviral Therapy in HIV-Infected Patients ," with a series of clinical case-based lectures and interactive discussions. The CCGHE has also completed a series of HIV/AIDS clinical training lectures videocast to BJ Medical College in Pune, India. This 8-week program, "HIV/AIDS Practice in Resource Limited Settings" allowed Johns Hopkins University faculty to provide an overview of clinical care of the HIV-infected to front-line physicians in India.
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Prior courses included "Management of Adult HIV/AIDS in Resource-Limited Countries". From April-June, 2006, physicians in Maharastra, India began viewing lectures online over a ten-week period. They periodically participated in scheduled live question & answer sessions with experts from Johns Hopkins University. Topics included epidemiology, clinical assessment, opportunistic infections, antiretroviral therapy and managing complications.
On October 3, 2006, using the advanced network of Internet2, Hopkins doctors engaged in an interactive HIV/AIDS clinic with doctors in three different Indian facilities. All told, the program connected eight U.S. institutions with three in India. ( read more )
Currently Johns Hopkins Division of Infectious Diseases Grand Rounds are live webcast to centers in India, and are recorded and archived for later viewing. We plan to develop and deploy many more timely and relevant distance education courses in the future, including the development of an HIV POC-IT guide for India.
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