Monday, 22 August 2016

DAPCU Angul (Orissa) Response to the Theme : Views on DAPCU's role in Non-DAPCU Districts

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In Odisha there are 7 high Prevalence (i.e. ‘A’ & ‘B’ category) districts in which DAPCU was established in 2008-09, (out of 30 districts.)
  • Supervision & monitoring is the essential part for achieving the goals & objectives of NACP-IV. But in Non-DAPCU Districts  , it is very difficult to coordinate the HIV activities
  • OSACS allotted one Non-DAPCU District each to the DAPCU districts to manage / coordinate HIV activities in Non-DAPCU District. Dhenkanal district was allotted to DAPCU, Angul.
  •   It is possible to manage & coordinate NACP activities in Non DAPCU District with the support of DAPCU staff
DAPCU district can Support the non-DAPCU districts to manage/ coordinate HIV activities on the following aspects.


S.No.
Component
Role of DAPCU
Remarks
1
Monthly HIV – TB meeting
DAPCU district can help to facilitate conduct monthly HIV – TB meeting in the non DAPCU district.
§     With the effort of DAPCU, Angul the Monthly HIV – TB meeting of Dhenkanal District is being organized every month. DAPCU Angul coordinates with the district health administration and concerned district DACO/DTO and all NACP facilities staff. Discussing on monthly reports, issues faced. Accordingly, decisions are taken by the higher officials.
§  DPM DAPCU is facilitating the preparation of meeting minutes.
2
Supervision
DAPCU district staff may Supervise the work of ICTC/ DSRC/ Blood Bank & TI work
§  During the monitoring and supervision visit to ICTC/ DSRC/ Blood Bank & TI, the DAPCU Staff will cross check the registers/ referral & linkage/ data validation etc & giving suggestions to the staff to improve the quality. After DAPCU Angul supervision the ICTC Dhenkanal Staff are maintaining the details of outreach workers / PLHIV Line list/ HIV-TB Line list data.
§     After filed visits referral and linkages strengthened in the district.
3
Supply Chain Management
DAPCU Staff Should facilitate in Supply Chain Management to the Non-DAPCU Districts
§  DAPCU Angul Providing ART Medicine / STI Kits to the Dhenkanal (Non DAPCU District) on a regular basis.
§      DAPCU also manage the stock out of ICTC Consumables by coordinating among all ICTCs of Dhenkanal District.
4
Capacity Building of TI Staff
DAPCU Should facilitate the Capacity Building of TI Staff.
DPM DAPCU providing hand holding training to TI Projects of Dhenkanal (Non DAPCU District) with PO, TSU.
5
Social Benefit Scheme
Necessary Steps should be taken by DAPCU District to providing the Social Benefit Schemes to PLHIVs/ MARs/ CABAs
§  DAPCU Angul shares all the documents to Dhenkanal District HIV/AIDS Facilities Staff for implementation of Bus Pass to PLHIV.
§   DAPCU Angul facilitated the Linkage of orphan CHLIV of Dhenkanal District with Swadhar home (Orphan Home) by coordinating with concerned ICTC, District Child Protection Office & District Health Administration of Dhenkanal District.
6
Red Ribbon Club
DAPCU Should co-ordinate the RRC (Red Ribbon Club) for sensitization Programme / training/ IEC Campaign etc.
DAPCU Angul Organised Sensitization workshop for the Peer Educators/ Programme Officers of RRCs of Dhenkanal Non DAPCU District).  Total 89 participants attended the Programme.
7
Financial Management
DAPCU Should co-ordinate for submission of SOE & UCs in time.
§     DAPCU Staff of Angul District co-ordinate with the HIV/AIDS facilities and District Health Administration for submission of SOE/UC to OSACS in time.
§  Supervision/coordination/Liasioning with different facilities/departments of non-DAPCU District done from DAPCU Travel Expenses.

ADMO(PH) , Dhenkanal/DTO,  Dhenkanal & DPM DAPCU, Angul Conducting the HIV-TB Monthly meeting of Dhenkanal District (Non-DAPCU District)

Friday, 19 August 2016

DAPCU NorthDelhi (Delhi) Response to the Theme : Views on DAPCU's role in Non-DAPCU Districts

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DAPCU North is extending support to two non DAPCU districts i.e. South West and West Delhi districts, to facilitate NACP activities. In Delhi there are four DAPCU districts  ‘B’ category, out of 11 districts. 

How can the DAPCUs extend their support to non-DAPCU districts to manage/coordinate the NACP activities in the non-DAPCU district?


DAPCU North team is providing support to the facilities in both DAPCU and non-DAPCU districts. Following are some of the activities where DAPCU is supporting non DAPCU district.

Components
Strategy opted
Conducting Monthly Review Meeting of non-DAPCU districts every month
DAPCU North is conducting Monthly review meeting for reviewing the performance of ICTC /PPTCT/DSRC & ART centers of non-DAPCU districts
Participation in monthly review meetings with the NACP facilitates (HIV-TB coordination meeting) 
DAPCU North is participating in the monthly review meetings organized by Chest Clinics in non DAPCU districts in which ICTC Center counselor is also a member
Support is given through monitoring and Supportive Supervisory Field Visits
DAPCU North is doing Supportive Supervisory field visits for monitoring and providing support as required by the Counselor.
Ensuring strengthening the referral and linkage between the NACP facilitates ICTC – RNTCP and among HIV /AIDS facilities
DAPCU North is emphasizing on strengthening the referral and linkage between the NACP facilitates i.e. ICTC-RNTCP and between HIV/AIDS facilities by validating the data and maintaining line listing data.
Organizing Sensitization Program  / training program and Health camps
DAPCU North is doing sensitization programs / trainings in non DAPCU districts and recently trained Asha workers of South West and West Districts and coordinated health camps in South West districts with support of DSACS 

DAPCU North has played an active and important role to support the non DAPCU districts. DAPCU was established in our district in 2009 and since then DAPCU was looking after one additional ‘C’ category district i.e. South West district. In June 2014, DSACS has requesting to support the West district too. Support has been provided to facilities in the non- DAPCU districts since then, Poor performing centers in non-DAPCU district are visited on periodic basis.  
Requirement of finance for the visit to the non DAPCU District is met from DAPCU travel fund.


Wednesday, 10 August 2016

DAPCU Khordha (Odisha) Response to the Theme : Views on DAPCU's role in Non-DAPCU Districts

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I am representing DAPCU Khordha of Odisha state where there are only seven DAPCU districts out of 30 Districts. Khordha is falling in Category B. However, the service expanding to nearest District concept has also been implemented at our state as the district has been assigned the neighboring Puri District. Yes, the DAPCU district can extend service to the nearest non DAPCU district for better support and facilitation in the NACP activities.


How can the DAPCUs extend their support to non-DAPCU districts to manage/coordinate the NACP activities in the non-DAPCU district? 


It is possible to manage and coordinate HIV activities in the non DAPCU district by collective efforts of DAPCU staff especially M&E, DA (Program) and DPM. The three staffs are required in different spheres. The technical group separately or jointly can provide support to the facilities in different activities. However, following are some of the activities where DAPCU can support non DAPCU district.



Components
Strategy
Remarks
Facilitating conduction of regular monthly review meetings with the NACP facilitates   
(HIV-TB coordination meeting , DCC meeting)
Coordination with the district health Administration and concerned Nodal officer of NACP activities in the District and with DTO.

Topics and components to be discussed in the meetings.
Minutes is to be prepared and to be shared with the participants / facilities which will be again followed up.
Sharing of information and contacts can be done at the home DAPCU level through e-mail and over phone.
Hand holding support to be given through monitoring and Supervision visits
DPM and M&E will visit to the facilities for ensuring data validation, cross verification of data from source registers, ensuring correct and timely reporting. Also ensure 100% reporting through SIMS.


SACS may give permission to view data in SIMS, of non DAPCU district facilities data, feedback and reset the SIMS. 
There may be visit with the Program Assistant for necessary support on social protection linkages of PLHA
Viewing the facilities data in SIMS of non DAPCU District can be done by the M&E Asst at DAPCU. For this no need of separate budget.

Coordinate and follow up with District Social Welfare Officer, Social security Officer over phone and through visits. Field visits travel cost can be booked at DAPCU.
 
Ensuring referral and linkages
Minimize gap between referral and linkages through establishing coordination between the facilities.
This can be done through field visits.
Organizing trainings and health camps
DAPCU can facilitate to conduct training programs, advocacy and letter correspondence can be done by the Program Assistant at DAPCU.
The role of DAPCU is to facilitate the process.
Replication of good practices of DAPCU
The good practices can be replicated in non DAPCU districts through discussions sharing of documents, etc.



DAPCU can play an active role to support the non DAPCU district. DAPCU was established in our district in 2008.Support has been provided to facilities in the district since then, now the facilities can function with minimal support. Poor performing centers in non-DAPCU district can be visited on periodic basis. 

Requirement of finance for the visit to the non DAPCU District which can be meet from DAPCU travel fund but certain guidelines are to be issued by SACS.

As this type of support is being conducted but no financial guidelines are being issued to DAPCU.

Liasioning and coordination can be done at DAPCU level, for that no funds are required.


Wednesday, 27 July 2016

DAPCU West Godavari (Andhra Pradesh) Response to the Theme : DAPCU Led Single Window Model

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Describe efforts taken or Planned by DAPCU to increase the number of people availing Social  Benefit Schemes in your district in FY 2016-17.

DAPCU led single window service aims to deliver specific benefits to the PLHA / CABA / MARPS communities in the district

The main Purpose for having a single window in NACO led Facilities in the District is to increase the efficiency through time and cost savings for beneficiaries in their dealings with government authorities for obtaining the relevant clearance. In a traditional pre-single-window environment, Beneficiaries had to visit and deal with multiple government agencies in multiple locations to obtain the necessary papers, forms, and clearances.

The beneficiaries of entitlement programs are normally individual citizens but in our case they are marginalized communities who find it difficult to apply for and avail Social Benefit Schemes, and the DAPCU Led Single Window Model is a one-point access for PLHIVs, CABA and MARPs for availing benefits from existing government social benefit schemes.

In West Godavari district, 39 out of 40 NACP facilities have been oriented on the single window model. DAPCU has set up Help Desks at 39 NACP facilities. A nodal officer has been designated at each Help Desk for providing information about social benefit schemes and assisting clients to avail the schemes.

The list of Social Benefit schemes had been listed below in the given table and which was routed through all the facilities in the district.
The following data shows Schemes and Entitlements are applied and sanctioned from April 2016 onward.

S.No
Particulars of Schemes
Applied
Sanctioned
1
Housing Loans
32
0
2
Toilets
76
14
3
Pension (Old Age, ART, Disabled, Widow)
24
0
4
Aam Admi Bima Yojana 
6
6
5
PM Bima Suraksha Yojana
50
50
6
PM Jeevan Jyoti bima yojana
57
57
7
Sukanya Samriddhi Yojana
3
3
8
SC Corporation Loans
6
0
9
Nutrition
20
20
10
Legal Services
1
0
11
Education Support
54
0

Total
329
150


S.No
Particulars of Entitlements
Applied
Sanctioned
1
Ration card
227
8
2
Aadhar Card
141
46
3
Voter's Identity Card
230
0
4
Ration card
7
1
5
Caste Certificate
14
10
6
Income certificate
9
6
7
Birth Certificate
4
4
8
Death certificate
6
6

Total
638
81
The impact of Social Benefit Scheme was continuously Monitored by the Addl. District Medical and Health Officer (AIDS & Leprosy) Dr.P.Uma Devi MBBS, DPH and Reviewed by the District Medical and Health Officer every month in Medical and Health Review Meets.
Last but not the least the efforts of DAPCU led single widow model will not be successful if we fail to mentioned the Line Department Officers who put their continuous efforts in sanctioning these benefits to the needy and deprived and our sincere gratitude to all the district level officers for making this as a successful model in the district.