TI – Suraksha

Targeted Intervention (Suraksha) Programme

Targeted Intervention (TI) is one of the main components under NACP III. The Program is designed to reduce the rate of HIV transmission among the Core Group viz. Female Sex Workers (FSWs), Men having Sex with Men (MSMs) and Injecting Drug Users (IDUs) & Bridge populations like migrants and truckers. Kerala TI programme is branded as 'SURAKSHA'. The Malayalam word 'Suraksha means 'Safety'.

The Suraksha programme is being implemented through the Community Based Organizations (CBO) and Non Governmental Organizations (NGO).

Rationale of implementing Targeted Intervention
Targeted Intervention focuses on Sexual Minorities who practice risky sexual behavior, to prevent and control the spread of HIV/AIDS among them and preventing the spread of HIV/AIDS through high risk groups to bridge population and general community. As the society does not approve multi-partner sexual behaviour, any programme among the above group, is viewed with suspicion by the society. Co-operation of the wider society is inevitable for effective implementation of the Targeted Intervention projects designed to address the social issue of HIV/AIDS. Co-operation of different strata of society can be realized only if we clear their suspicions, and convince them of the relevance of intervention to tackle the problem.

Most of the TI projects conduct activities to overcome social stigma. This is not an easy task. Organizations, which have strong roots and appreciably good local support, are selected for the task. Otherwise, implementation of TI projects will be impossible. To make the society aware of HIV/AIDS which has developed into a social problem more than a mere state of illness; convincing the society of its responsibility to control HIV/AIDS and promote sexual health instead of pushing the responsibility to the Government and voluntary organizations. Moreover, the society has to realize that the future responsibility of tackling the problem and implementation of sexual health programmes and its sustainability rest with the society and social systems.

To an extent many of the activities are succeeded in effectively implementing AIDS prevention programme by creating models, which can better say best practices to withstand even after the successful withdrawal of the projects. The contributory factor to this is the willingness of the NGOs, CBOs and the stake holders to internalize the component and make sincere effort for its implementation. The success is indicated by the fact that there is a cardinal shift in environment, i.e., from that of resistance, apathy and indifference to that of sharing and owning up project responsibility.

Targeted Intervention (TI) Division of KSACS
KSACS is managing 52 TI projects implemented by NGO/CBO across the State and one Link Worker Scheme in Kozhikode (B category district). TI division KSACS provides administrative and managerial support to the projects in terms of programme management and finance management. Other administrative functions include NGO selection and appraisal, proposal development and contracting, reviews and evaluations. TI division coordinates the activities of TSU, STRC, TCIF and DESH by giving support as and when it requires.

Targeted Intervention team in KSACS

  • Joint Director- TI
  • Asst. Director- TI
  • One Divisional Assistant

Technical Support Unit (TSU) of KSACS.

  • Providing technical Support to TI Projects
  • Supportive supervision and monitoring
  • Assessing capacity Building needs of the projects
  • Conducting research studies

Technical Support Unit Team

  • Team Head
  • Team leader, Capacity Building
  • Team Leader, Targeted Interventions.
  • Programme Officers -- five regions (Trivandrum, Ernakulam, Thrissur, Malappuram and Kozhikode)

State Training and Resource Centre (STRC)

  • Training agency for the capacity building of TI projects
  • Training needs assessment of TIs
  • Conducting training programmes based on AAP as per NACO guideline
  • Conducting exposure visits

State Training and Resource Centre Team

  • Training Manager
  • Training Officers- 2
  • Asst. Training Officer

Technical Support Group (TSG) of NACO/SACS

  • Providing technical Support to Trucker TI Projects
  • Supportive supervision and monitoring
  • Assessing capacity Building needs of Trucker projects

Technical Support Group Team for Kerala

  • Programme Officer - 1

Details of Suraksha projects
As on June 2012, the State is implementing 52 Suraksha Projects. Among them, Malappuram District Panchayath is implementing two Suraksha Projects and Nehru Yuva Kendra is implementing a Project at Kazaragod. The Organizations formed by the target communities themselves (Community Based Organization) are implementing fifteen Suraksha Projects. The remaining 34 Projects are being implemented by 29 reputed Non-Governmental Organizations in the State. The Suraksha programme focuses on behaviour change of vulnerable groups such as female sex workers (FSWs), injecting drug users (IDUs), men having sex with men (MSMs), Migrants and Truckers towards safe sex practices in the context of STIs/HIV/AIDS.

Following table depicts the distribution of Suraksha (Targeted Intervention) Programme among various stakeholder groups:


Target Community

No. of Projects in the State


Female Sex Workers



Men having Sex with Men



Injecting Drug Users








Objectives of Suraksha

Targeted intervention (TI) focuses in containing the spread of HIV among marginalized and vulnerable high risk populations has been an essential part of the National AIDS Control Programme (NACP). The Suraksha Projects are aimed at behavioural modification among target communities, from unsafe sexual or injecting practices to safe sex practices and injecting practices.

Packages and Components of Suraksha

1. Outreach and Communication

Peer-led, NGO supported outreach and behaviour change communication.

  • Differentiated outreach based on risk and typology
  • Interpersonal behaviour change communication (IPC)

2. Services
Promotion of condoms, linkages to STI (sexually transmitted infection) services and health services with a strong referral and follow-up system.

  • Promotion/distribution of free condoms and other commodities (e.g. lubricants for MSM, needles/syringes for IDUs)
  • Provision of basic STI and health services (including abscess management and oral substitution therapy for IDUs and also oral/anal STI services for MSM/TGs)
  • Linkages to other health services (e.g. for TB) and integrated counselling and testing centres (ICTC)
  • Provision of safe spaces (drop-in-centres or DICs)

3. Creating an Enabling Environment

  • Advocacy with key stakeholders/power structures
  • Crisis management systems
  • Legal/rights education

4. Community Mobilization
Building community ownership of the TI's objectives ("community" refers here to the HRGs: FSWs, high risk MSM and IDUs).

  • Collectivization
  • Creation of a space for community events
  • Building capacity of FSW, MSM and IDU groups to assume ownership of the programme

Inauguration of Income Generation Programme - Chola Suraksha Project, Kannur
Detailed list of Suraksha projects in Kerala
Best Practices related to Suraksha