DAPCU Performance Tool

Dear DAPCU Teams,

You are aware, since June 2010, efforts have been made to uniformly train all DAPCUs across the country with the focus being on strengthening their role in monitoring and coordinating the HIV/AIDS program at the district level. After the training, various strategies for mentoring of DAPCUs have been undertaken by NACO. Initially, mentoring was carried out through feedbacks based on DAPCU Monthly Reports (DMRs); subsequently many SACS took over the mentoring part and review meetings were conducted in few of those states. Mentoring has been continuing through phone calls, video conferencing as well as onsite mentoring through field visits. Cross learning and sharing of information is also being facilitated through documentation and dissemination of select DAPCU teams.

After more than two years of mentoring the DAPCUs, based on the review of data from DMRs and field level interaction with the DAPCU staff and DAPCU Nodal person at SACS, grading of DAPCUs was proposed through a self-assessment tool. This will help to customize and focus mentoring efforts to DAPCUs as per their assessment.

This tool has been attached along with this mail. It has three different work sheets - one is the scoring sheet, second one is the definition and directions on how to score and third one is the description of all indicators.  This tool helps the DAPCUs to understand and assess their own levels of achievements and areas where they need support to take them to the next level. SACS can use this tool to prepare district specific capacity building/mentoring plan to help DAPCUs to perform better.

We request you to do self-performance assessment using this tool and send across filled score sheet by 31^st October. Remember, this assessment has to be done by DAPCU Team and not by an individual, every quarter.

PS: I would request DAPCU Nodal Officer at SACS to take cognizance of this performance tool and may assess DAPCU’s performance during DAPCU review meeting. 

 Click here to download the DAPCU  tool 

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Best wishes,

Dr Govind Bansal

DAPCU Coordinator

NTSU, NACO

6th Floor, 36, Chandralok Building, 

Janpath, New Delhi-11

Mb: 09910070977

Theme of the Month-Voluntary Blood Donation Day-Mysore

                    VOLUNTARY BLOOD DONATION DAY

DAPCU MYSORE KARNATAKA

         1)     Significance of Voluntary Blood Donation :

Voluntary blood donation day is very important activity to motivate more donors, especially youths, because we use to do Jatha (Procession) programme with play cards, it gives awareness to the public.

2)The Voluntary Blood Donation was observed on  1/10/12 with the help of District administration, ZP, DHO, KSAPS, DAPCU, NSS, University evening college, Red cross, RRC and NGOs.

   

•              We have conducted Jatha programme from DHO office Nazarbad through main roads of Mysore City and ended at DHO office Mysore. More number of youths, college students, Nursing college students and NGO people attended this program me9.30 AM.
•         After the Jatha programme, we have done stage programme. In this programme DHO Dr.S.M.Malegowda, NSS co-coordinator-Dr.Rudraiah, Blood bank officer Dr.Manjunath, all programme officers attended. And conducted Lecture programme by Dr.Seetharam, BSU officer SVYM Saragur.All officials also spoke about importance of Blood donation. Programme was very successful.

3) Challenges:

We have 11 blood banks in our District, but only 2 blood banks are permitted   to do blood donation camps. If we get permission to other blood banks, it will be easy to do more camps in our District.

ANC Tracking : An Innovation-DAPCU Amravati

Using ANC Tracking Calendar

Providing the complete package of services to positive ANCs is an important mandate of the HIV programme at the district level. It is a widely acknowledged experience that tracking and following up on ANCs after post-test counseling is a challenge.

In order to meet this challenge DAPCU Amravati developed the ANC tracking calendar under the guidance of Dr. Asha Hegade (Ex PPTCT Consultant and current Joint Director Basic Services as well as DAPCU Nodal Officer.)

Click here to download the calendar

The services given to the ANC in PPTCT programme

• Counseling on HIV,
• HIV test
• Post-test counseling,
• ART registration
• Counseling for MTP
• Breast feeding Counseling
• Institutional delivery
• MB pair NVP,
• DBS at 6 week
  Follow-up on 6 month, 12 month and 18 month

Missing any of these can hinder efforts in stopping new infections. The ANC tracking calendar was developed to support the above.

Contents of the ANC tracking calendar

• First row there is year and the Month.
• 1^st Column there are parameters of the PPTCT programme.

At the DAPCU level a specific code to the every facility is given like A for ICTC Sub District Hospital Achalpur or BC for Kothara Hospital Achalpur (PPP ICTC) or OD for other district ANC. Based on this the facilities enter data as required from testing through all phases of follow up. In the second week of the month DAPCU takes stock of the expected services to be provided to ANCs and holds discussions with the concerned facilities. The facilities update this tracker at month and end this is further reviewed and discussed during their meeting.

Outcome

We used this calendar from June 2012 and the results are below

1. The effect is found in ART registration, only 59% of ANC registered before using the ANC calendar.
2. In the first year of using of ANC calendar starts from July the result increases up to 64%.
3. In the next year the ANC registration touches to 84%.
4. And in last year the ANC registration touches 94.44%.
   
   

Courtesy: DAPCU Amravati

Theme of the month: NATIONAL VOLUNTARY BLOOD DONATION DAY

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The Role of Akola DAPCU in Voluntary Blood Donation

1^st October is celebrated as a Voluntary Blood Donation Day. NACO has taken this step to celebrate VBD to sensitize the society regarding voluntary Blood Donation. DAPCU is playing a major role to awake the society and trying for uninterrupted blood supply to the Blood Banks.

Akola DAPCU is also playing a major role in building up the donors through coordination with the Non-government organization, various Government department, and private firms and RRC in colleges. The major role is playing by the Blood Bank counselor with the help of DAPCU. DAPCU identify the opportunity or department and convey to the Blood Bank Counselor. Blood bank counselor takes all the efforts and personally takes the follow-up of all the activity. DAPCU motivate all the RRC in colleges to arrange the VBD camps, sensitization program on VBD and also participate in IEC activities. Blood Bank Counselor has made the directory of all the NGO’s, Voluntary blood donors, govt. organizations and RRC members who could help out in the critical situation of blood bank. DAPCU has made the network of NGO’s, Govt. departments those contributing continuously in blood donation programs.

Regional Police Training School (RPTS) is functioning in the Akola where more than 1000 trainer could get training at a time. From last 3 years DAPCU conducting a VBD sensitization program and Voluntary Blood Donation camp in this Regional center. On the 1^st Oct DAPCU arrange the sensitization program and immediate on the second day morning DAPCU arrange the VBD camp with the help of District level Blood Banks. 

There is a strong coordination of DAPCU with the police department, education department, revenue department and efficient NGO’s as far as the VBD is concerned. With this intervention DAPCU could equalize the graph of demand of blood against its supply. The day will be no longer when Blood Bank will have the continuous and uninterrupted blood supply.

Celebrating Doctors Day – with a difference in Kolhapur Maharashtra

 We have observed a very high referral for deliveries of positive pregnant women. A major portion of the HIV positive delivery has been conducted in the district hospital. Our assessment through review of cases and interactions with facility staff revealed that the reason to referral was fear of the HIV among doctors.While many other efforts failed to make a major difference we tried a different strategy. and want to share that with all of you.

The Doctor Day is celebrated on 1^st July all over the world. DAPCU team decided with the co-ordination with Sexual Reproductive Health Rights of PLHA (NGO) to make use of this day to spread the message.

The concept was to appreciate the doctors those who have contributed very well for NACP i.e. – the doctors along with the team which conducted HIV positive delivery in their hospital from the beginning of the program. At the initial stage we concentrated on the Government practitioners, ‘working in the PHCs, RH, SDH & Medical College hospitals.  We communicated to the doctors for this event.  The reply from them was encouraging.

We invited to the district key authorities e.g. Civil Surgeon Dr.L.S.Patil, DHO Dr. Vedak, DDHS Dr. Sonawane and Medical Superintends to attend & appreciate to the team by rewarding them with a trophy & certificate as a token of this program. The main object of this event was enhancing to the hospital team & to be great contribution for in the NACP, a kind of positive reinforcement!

On that day, almost 150 person including Doctors, Nurses, Sweepers were there attended the event. Those who received the award were motivated and the others recognized and appreciated their efforts.

Now days we observe that positive deliveries are being conducted in institutions, where this was never done before. Even though only 3-4 deliveries have taken place in set ups previously only referring positive deliveries , it is a big achievement- as this means a change in attitude.

A little appreciation for good practices will help others in adopting the same.

We were very glad that this strategy is showing an impact and we thank the district administration and SRHR for their support.

“SURAKSHA JEEVANA AANDOLANA” Campaign by Dakshin Kannada/Mangalore DAPCU

We (Dakshin Kannada/Mangalore DAPCU) have been involved in the planning of district level sustained campaign on HIV. As a part of this process we studied the programme data and decided to focus on two taluks i.e. Mangalore and Bantwal for STI Service Uptake and ICTC demand Generation. Mangalore and Bantwal have an industries and port belt that attracts migrants from not just across the state , but also the country. The campaign plans to reach migrants as well as residents in select identified villages.

Pre-launch:As a part of planning process we had a consultation meeting with the DC, CEO and other department heads and they have whole heartedly supported this campaign. Pre-launch   publicity was done by printing pamphlets about campaign and distributing it to the households   by local ANMs, ASHAs,Anganwadi workers, Link workers and NGOs . Publicity was also given during the folk programme one week prior to the campaign. A press release about the campaign was given in the local newspapers.

Launch: Finally, the “SURAKSHA  JEEVANA  AANDOLANA” (safe life campaign)  was launched under the Dakshina Kannada District Administration, District Health and Family Welfare Department, District AIDS Prevention and Control Unit (DAPCU) with guidance from NACO and SACS. The launch took place at Primary health centre Surathkal ,Mangalore taluk

 

• Participants of the launch were also provided STI check ups and HIV testing services
• Sessions for adolescents took place at the ARSH clinic and later in a nearby school.
• Nursing college students helped in distributing pamphlets at Surathkal market, Auto and tempo stand at Surathkal. More than 100 shops were visited by the students and they gave given information about the campaign and its intention.

A few salient features:

1. A unique feature of our campaign is that the resources for the campaign have been generated within the district.
2. Medical colleges have been mobilised and their team will be deputed for support at the PHC level.
3. STI and HIV testing services at the PHCs are being publicised.
4. Industries have sanctioned inclusion of HIV in the training of their workers.
5. Discussions are in progress with the port and industries to establish PPP ICTCs

We will update you through this blog on the progress of the campaign in the next two months.

DAPCU Amaravati response to theme of the month

Why is positive prevention important?

Since February 2009 DAPCU Amravati experiences the coordination and monitoring of HIV Prevention, Control, Care & Support Programmes in the District. DAPCU Amravati has catch the complete idea of the prevention of HIV which is totally depend upon the knowledge level and understanding of PLHIV regarding the HIV/AIDS and their impact. In the society there are all type of groups which are facing the problem of poverty, illiteracy and other social problems.   In addition to that there is new problem arise in this group is lack of knowledge regarding health and hygiene.  

So our motto is to “Positive Prevention” and it could be possible only if we succeed in increase the level of knowledge and Understanding of PLHIV regarding HIV/AIDS because HIV prevention program not only gives information but also build skills for healthy living and provides access to essential HRG such as supply of condoms or distributing sterile injecting equipments.

What are the Strategies for Positive Prevention underway in your District?

1. Effective Linkages between the facilities like ICTC, STD and ART.
2. ICTC is hub for HIV program and if the ICTC play a vital role for positive prevention.
3. Regular, Upgraded knowledge and Proper Counseling to each and PLHIV regarding HIV/AIDS and OI for better understanding. And this counseling is throughout of life of PLHIV.
4. If the ART center have more than one counselor they divide the work on rotation basis like, registration, social counseling, adherence of ART, linkages, OI and other issues.
5. Regular follow up for the client come to ART on follow up date.
6. The percentage of LFU and MIS is low and if it increases find out the reason of LFU and MIS.
7. Each and Every PLHIV link with the program like DIC, CCC, DLN+ & PACT for their social development.
8. To focus on the Discordant couple, alone clients (Widow, Unmarried, Adolescents and Husband who’s wife are death.)  Also focus on HRG’s.
9. Each and Every client is undergone in RMC regarding the STI/RTI on regular basis.
10. One of the most think is observe the availability of Condom and the demo of condom to every client for correct and consistent use in every sex activity.
11. Also assure that the counselor is not hesitating in the discussion or counseling of condom. The penis model is put in front of the table of every counselor (ICTC, ART, DSRC, DIC and CCC.)
12. Coordination between DAPCU and other implementing agency.
13. Ensured PPTCT program and time administration of Nevirapine infants and ANC & CPT coverage of all infant.
14. Advocacy and IEC activities with different line departments and civil society organization.
15. Provision of Social Benefit Schemes to all needy PLHIVs for their livelihood development preventing high risk behavior.

What role does the DAPCU play in this regard?

Role of DAPCU Amravati for “Positive Prevention” are:

1.  DAPCU Amravati develop the check line list of ICTC to ART on weekly basis and the follow up of taking by both of the side on daily basis. This activity is also check in the CMIS meeting of every month by DPO and Nodal Officer of ART center.
2. Divide the area to every Implementing agency (DIC, CCC, PACT, TI (FSW), TI (Migrant), PPTCT and MSM CBO for follow up of LFU and MIS clients.
3. DAPCU Amravati take efforts for the all facility related to HIV in single floor in the institute where the number of PLHIV found greater than other. The ICTC, DSRC, ART and DAPCU in one floor and DMC and Central pathology laboratory in next to another floor.
4. The clients from other district and state the name and the details sent through DAPCU to concern district.
5. Prepare the line list of PLHA in Excel sheet from the beginning of the program for avoiding the duplication of the clients.
6. Developing the free condom depot in all facility in front of the waiting area, registration area and table of the counselor.
7. Also develop the free condom depot in HRG and area where the PLHIV number is more in figure.
8. Take follow up of clients who are MIS or LFU and the feedback from Implementing Agency is not satisfactory by DIS or DAPCU team members.
9. Ensuring adequate, affordable supplies of male and female condoms and lubricants, and promoting their use. For that activity coordination between SMO works in district.
10. DAPCU also play important role in PLHIV are in mainstreaming.
11. Organizing training for capacity building of the service providers in every CMIS meeting and invite the resource person from outside and department.
12. DASPCU Amravati Preparing action plan & Spatial Map for Mapping of vulnerability.