The India AIDS initiative, Avahan, of the Bill & Melinda Gates Foundation (BMGF) commenced in 2003 with the aim of slowing the HIV epidemic through focused, integrated, large-scale HIV prevention among the high-risk populations in
six high prevalence states of Andhra Pradesh, Karnataka, Maharashtra, Tamil Nadu, Manipur and Nagaland in India and along national highways. The Integrated Behavioral and Biological Assessment (IBBA) is a significant component of the overall evaluation strategy of the Avahan programme.
It is one of the largest behavioral and biological assessments conducted among the high-risk groups.
The first round of IBBA was conducted between 2005 and 2007 and the second round between 2009 and 2010 in the six high prevalence states of India and along the national highways among Female Sex Workers (FSWs) and their clients, Men Who have Sex with Men (MSMs), Injecting Drug Users (IDUs) and Long Distance Truck Drivers (LDTDs).
With the overall technical support by FHI 360, IBBA was implemented by the premier institutes of the Indian Council of Medical Research (ICMR) with the National AIDS Research Institute as the national coordinating institute. The Karnataka Health Promotion Trust (KHPT) was responsible for the IBBA in Karnataka state.
In IBBA, behavioural risk information was collected using structured questionnaires along with biological specimens, which were tested for various STIs, including HIV (prevalence of hepatitis B and C were estimated in the IDU group). Both in round 1 and 2 information on key indicators was gathered including: types of sexual partners; condom use patterns with sexual partners; and knowledge, awareness and prevalence of HIV and STIs among the FSWs and their clients, MSMs, IDUs and LDTDs.
This website is developed by FHI 360 India as part of the Monitoring and Evaluation (M&E) Project funded by the Bill & Melinda Gates Foundation, under Avahan, the India AIDS Initiative.
The website contains tools, guidelines, manuals, reports, publications and other IBBA related documents. The IBBA data for Round 1 and Round 2 is available for access for Scientists and Researchers through the National AIDS Research Institute (NARI) website http://www.nari-icmr.res.in