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 1st 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.
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