Out in the Cold

How a medicine shortage endangered people living with HIV

About forty people living with HIV sat in protest inside Delhi’s Chanderlok building, which houses the National AIDS Control Organisation. They had a single demand: the government should restore the supply of HIV medicines for one month. Courtsey Jyotsna Singh
31 October, 2022

When everyone was celebrating India’s seventy-sixth Independence Day, there was an unbearable sense of crisis at the Chanderlok Building on Janpath, in the heart of the national capital. About forty people living with HIV were sitting in protest inside the building, which houses the National AIDS Control Organisation. They had a single demand: the government should restore the supply of HIV medicines for one month. The country was facing stockout of key HIV medicines, such as dolutegravir, lopinavir and abacavir.

The protestors told me that on 13 August they were informed that the building would be closed for three days. It meant that all the bathrooms were shut, except a few on the ground floor. Lifts were not working either. To use the bathroom or bring food, the protesters had to go up and down 152 stairs each time. “There is no ventilation, and the only exhaust fan on the stairs does not work,” said Denzel, a member of the Delhi Network of Positive People, or DNP+. He said that they requested the authorities many times to start the exhaust fans, but to no avail. After three or four weeks, many protesters started to fall ill. “We have been eating only outside food for many weeks which is not good for health,” Denzel said. “Lack of ventilation also means more exhaustion for the body.” I saw medical prescriptions for vomiting, headache and diarrhoea for at least three protesters. Many others complained of the same ailments.

The protesters hired four fans for Rs 400 each per day and ten mattresses, each of which cost Rs 120 per day. Adding food expenses, the daily protest costs came up to about ten thousand rupees. “It has not been easy for us,” a 40-year-old woman told me. “It is even more difficult for women to go up and down multiple times. It was worse during menstruation. Women are also primary caretakers of their house and, for many of us, our families had to suffer all this time.”

Reports of the critical situation of medicine stockpiles had started to pour in much earlier. People were desperately reporting a shortage of medicines for adults and children from Assam, Bihar, Uttarakhand, Haryana, Delhi, Punjab, Gujarat, Punjab, Himachal Pradesh, Jharkhand, Uttar Pradesh, Mizoram and Manipur. Patients were being sent home without medicines or being given medicines for a few days to a week, instead of the standard one month.