ACT is a HIV/AIDS Project of Duncan Hospital Raxaul. It was started in 1997, with SIMAID/AUSAID support, having an overall aim of decreasing the impact of the HIV/AIDS epidemic in Raxaul, adjoining regions in Bihar, and the cross border provinces of Nepal. ACT has gone through three phases. Phase 1 (1997-99) focused on awareness, harm reduction, setting up an IEC Centre/Clinic at the Hospital, care and support for people with AIDS and waste management protocols and facilities. Phase 2 (2000 to 2003) focused on better integration with hospital medical services, and the establishment of a government-accredited VCT centre, capacity-building of training of trainers, and an expanded home based care program. Phase 3 is from 2004 to present.

HIV/AIDS is not just a medical problem but also a social, economical and psychological disease. People with HIV/AIDS are perhaps the most marginalized in the area. They are often rejected by their families and wider communities, and as they are unable to work, they live a meagre existence. The project offers free medicines for syndromic treatment, and charity to cover medical expenses at the hospital. The project also facilitated access for three children to a school Duncan Academy and hostel.