Sujatha Rao: The women with India's toughest job

[Guest guest]

The woman with India's toughest job

The Rediff Special/ Archana Masih in Mumbai

March 28, 2006

" Sujatha Rao has the toughest job in India after the prime

minister, " Asia Society Chairman C Holbrooke had said while

introducing the additional secretary and Director General, National

AIDS Control Association at a discussion on HIV/AIDS in India last

week. The National AIDS Control Association or NACO is the

government's nodal organiation to combat the spread of AIDS.

Rao, an IAS officer with a long association with the health

ministry, was disappointed that the discussion could not be fitted

in the plenary session and was instead slotted into a breakout

session at the Asia Society Conference.

She had hoped to reach out to corporates attending the conference

but those in attendance before her were a handful of journalists,

representatives of Non Governmental Organisations and interested

individuals.

" We lost 500,000 people to AIDS last year. There are 5.2 million HIV

infected people in India, " she said.

" 12,000 to 15,000 people in the world will be infected today --

around a thousand in India -- and 95 per cent will not know it till

eight years later when it become a full blown AIDS case and they

would have infected others, " said Holbrooke, who runs the Global

Business Coalition on HIV/AIDS.

If that doesn't hit you hard enough, think about this -- 35 per cent

of all reported HIV infections in India occur among young people

between 15 and 29.

It is estimated by 2010, 22 to 25 million people will be affected

with HIV in India and considering the number of youngsters in the

high risk group, AIDS will have a big impact on the economy.

And at a conference buoyant about India as growing business market,

the talk on AIDS was a reminder that economic rationale made it

mandatory to focus on its prevention and spread. For this to happen,

a public and private involvement is necessary with corporates

pitching in and initiating awareness programmes in companies and

offices.

Holbrooke, a former United States ambassador to the United Nations,

stressed the importance of testing and breaking social taboos about

sexual health that existed in India. " Respecting the cultural taboos

will kill the culture of India, you have got to test for prevention. "

'Sex is not a cultural taboo in Bollywood films'

Giving the example of the president of Botswana who tested publicly

for HIV, Holbrooke said Indian leaders should take the initiative

and take the AIDS test so that people are encouraged to take the

test.

" If you don't know your status, you can't stop it, " he added.

In response, Rao said Indian society was most influenced by

cricketers, actors and politicians and if they came out and joined

the battle against AIDS it would go a long way in spreading

awareness.

Holbrooke felt that testing should be done when it could affect

another person -- like during marriage, pregnancy and for

tuberculosis patients who are at a high risk of carrying the

infection.

The discussion became impassioned when a member of the audience

justified mandatory testing -- just as the Goa government has done

for couples at the time of marriage.

Rao vehemently opposed mandatory testing and stood up for the need

to respect Indian cultural sensitivities.

" Mandatory testing is stupid, " Rao said with considerable

vehemence. " What if you are tested today and contract the infection

soon after you are married? And what happens if a girl is detected

with HIV at the time of marriage, do you think she will be able to

get married after that! "

She explained to the audience, which had a large component of

foreigners including The Wall Street Journal Asia Managing Director

Brindle, that in an India where female foeticide was a big

problem, a young girl's life could be made miserable if such were to

be detected with HIV at the time of marriage.

While she encouraged testing, she certainly did not believe that I

billion Indian people should be mandatory tested.

India is a very complex country, you don't know the realty in the

village level, you have to work within the existing cultural taboos,

she said.

The Manmohan Singh government, she revealed, is very serious in

tackling the problem and the prime minister discussed the problem at

a three-hour meeting with National AIDS Control Association

officials and other activists recently. " So we are moving in the

right direction and hope the private sector will do more than words

of compassion. "

http://www.rediff.com/news/2006/mar/28aids.htm?q=tp