PRAYAS has been providing specialized care to people with HIV since many years and has provided antiretroviral treatment at much cheaper rates by directly negotiating with pharmaceutical companies. However, there was substantial number of people, who could not access the treatment mainly because of economic reasons. To overcome this difficulty PRAYAS started the GCR project with support from ARCON under GFATM (Global Fund for AIDS, Tuberculosis and Malaria) since December 2005. The basic concept of the project is that the cost of medicines to the patient is decided as per their economic status. However, all the patients enrolled under the project get medicines at a lower price than in the market. This approach ensures lowest possible cost to the poorest, and the project does not have to bear the cost of medicines. There are 4 categories (tiers) of proportion of concession for ART medicines and people are appropriately categorized based on their economic status. Through counselling happens before initiating ART and people are also provided information availability of free ART at the government ART center.

Start date - 2005

End date – Ongoing

Funding - ARCON under GFATM (Global Fund for AIDS, Tuberculosis and Malaria) (2005-2009); UPS Foundation (2009-2010); Self supported activity of PHG (2010 onwards)