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Findstone.com - Marlet Place for Building Stones
Pune's Taal presents a profitable model
Sudha Menon, sudha.m@livemint.com

Three years ago, Seema's life collapsed around her. She was 24, pregnant,
and her doctor had just discovered that she was HIV positive. Her husband
also tested positive. The Pune couple's life changed overnight: unaffordable
medication, social ostracism, and the consequent depression wreaked havoc on
them.

Then, a voluntary organization referred her to Taal, a Pune-based year-old
initiative that is partly low-cost pharmacy, partly HIV/AIDS-patient-support
group. "My meetings at Taal taught me that testing positive is not the end
of the world," said Seema, whose husband died in December.

Taal is the result of a partnership between HIV and Human Development
Resource Network (HDRN), a non-governmental organization that works in the
area of HIV/AIDS and human trafficking, and Emcure, a city-based
pharmaceutical company. It began as a pharmacy run by HIV-positive people
for fellow sufferers. Taal has now grown into a support group that has
generated a profitable business model. Emcure provides the anti-retroviral
(ARV) medication to Taal at subsidized rates. Drugs for a month's treatment
cost between Rs1,200 and Rs5,000 at pharmacies. Emcure provides them to Taal
for around Rs360, as part of its corporate social responsibility (CSR).

"It has been a huge learning experience for us at Emcure to see patients
progress from severe physical and emotional problems arising out of the
stigma of testing positive, to becoming self-confident people who can take
on the challenges of everyday living," says A.K. Khanna, executive director
of Emcure.

Taal sells the medicines to customers at a marginal markup, for between
Rs500 and Rs1,500 for ARV drugs needed for a month; the profits go towards
providing other services, such as counselling, and investing in setting up
of pharmacies. Last year, Taal bought ARVs for Rs25 lakh from Emcure and
made a profit of Rs3-4 lakh selling it.

Today, Taal centres function in Nagpur and Kalyan, both in Maharashtra, and
in Namakkal, a major poultry hub in Tamil Nadu. More centres will open this
year in Kolkata, Rajkot in Gujarat, Delhi, Nanded in Maharashtra, and
several other cities and towns. And it has been successful enough for
HIV-positive people in other parts of the world to seek something similar in
their own countries, according to Afsana Cherian, CSR and partnership
specialist, HDRN.

According to a 2006 fact-sheet put out by UNAIDS, the United Nations
programme on HIV/AIDS, India had 57 lakh people living with HIV in 2005. The
agency also says that in 2005, "well below 10% of the people needing ARV
treatment in India were receiving it." The country does have a public ARV
disbursement system underwritten by the government, but the process is slow,
and waiting lists long. Those patients who can afford it buy the medication
from private pharmacies. Those who cannot, and this comprises the majority,
simply give up.

Apart from medicines and counselling, Taal helps people living with HIV find
jobs-not an easy thing to do in a country where few organizations are
willing to hire people living with the infection.

Seema works with a local hospital where she talks to expectant mothers from
poorer sections of the population about HIV, and how they can prevent being
infected. She has two children to raise and there is the uncertainty
associated with the infection, but she says she values every day she spends
with her children.


Also see : HIV / AIDS, Public Health, Public Health : News Articles, Dementia & Alzheimer's