Bolangir DAPCU's Response to- Familiarizing new District Collectors to the HIV programme in the district

This post is in response to the April theme

Presentation on the following topics is always made when a new District Collector joins in. To appraise the same to the DC we opt for appointment with him or  use DAPCC/DCC meeting (if it is to be held within few days)

1.       Brief introduction of NACP-I,  II,  III.

2.       The objectives and strategy of NACP in various phases.

3.       How it came in top to down approach from National Level to de-centralized / District level.

4.       Organogram of NACP-III (Staff structure).

5.       Strategy for district planning including structure of district level health administration.

6.       Role of DAPCU.

7.       Convergence with NRHM like District level, Block level and in Village level.

8.       Inter Sectoral convergence with line departments for mainstreaming.

9.       Epidemiological status on HIV/AIDS of World, India, State and District.

10.   Block wise Epidemiological status of the district.

11.   Functional Status of Service delivery units such as ICTC, Blood Bank, LWS, TIP etc.

12.   Linkage system between various service delivery units.

13.   Strategy, Goals & Objectives of Targeted Intervention Project and their operational area.

14.   Provision of Care, Support and Treatment system to PLHIVs.

15.   Benefit schemes available in district and beneficiaries under various schemes.

16.   Challenges ahead and support needed from dist. Administration.

Appraisal to D C Bolangir sent for DAPCU SPEAK

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Dewas DAPCU's Response to- Familiarizing new District Collectors to the HIV programme in the district

This post is in response to the April theme

DC Dewas , Mr Mukesh Gupta

Whenever a new DC joins  the district , the DAPCU in Dewas, Madhya Pradesh will orient her/him her through the District Health Society Meeting. The following points will be discussed.

1. Programme Planning and Implementation
2. ICTC Services
3. Scaling up of testing through FICTCs       
4. STI/RTI services
5. Link ART Centre and Coordination with ART centres in the neighbouring districts (Dewas has no ART Centre)
6. Role of NGOs(DIC, DLN, TI etc) and supervision by DAPCUs
7. World AIDS Day
8. Red Ribbon Express
9. International Women’s Day
10. IEC activities
11. Voluntary Blood Donation Camps

DAPCU Dewas had submitted their response in Hindi. Major highlights of their response have been translated and posted here. 

East Delhi DAPCU's Response to - Familiarizing new District Collectors to the HIV programme in the district

This post is in response to the April theme

When a new DC joins the district,  DAPCU takes  following steps to familiarise the DC with the HIV scenario in the district”

The following points are discussed:

1. First of all, Introduction/Welcome meeting will be conduct with help of DACO and DPM (DAPCU-East).
2.  AS in our district DAPCC Chairperson is DC (East District).So at the time of Dash Board submission, DPM & DACO (DAPCU-East) will give a brief presentation of HIV scenario in the District,and In the presentation, the main coverage will be:

• - District Profile

         -District target to achieve in various component.

         -current strategies to cover the target.

Discussion will be made on various issues, especially gaps  like sensitization in Industrial Area and  strengthening  Social Benefit Schemes for PLHIV of East District with the coordination of Social Welfare Department and Health Department of State.

If any district level programme is organized like i.e health mela,campaign on other health & social issues  the  D.C will be the chief guest and DAPCU team can try to show their  performance through  participation in such activities.

Indore DAPCU's Response to - Familiarizing new District Collectors to the HIV programme in the district

This post is in response to the April theme

We can organise a meeting with District Collector and DAPCU officials. In that meeting DAPCU official can explain all the programme related to HIV AIDS which are running in the district to the DC. We can also give the relevant documents like ICTC testing report of HIV testing, DMR, etc.for more information.

Dahod, DAPCU's Response to- Familiarizing new District Collectors to the HIV programme in the district

This post is in response to the April theme

To orient the new District Collector regarding the program following steps will be taken by DAPCU for getting district administration support for the HIV program in district. Information given on 

Former Dist. Collector Lochan Sehra 

• Overall scenario of HIV/AIDS in the district.(Prevalence / Statistics)
• How the HIV programs working under DAPCU/DAPCC / Dist Health Society.
• HIV/AIDS services /facilities available in the district. Objectives of HIV/AIDS services.
• Staffing structure of facilities. / Role & responsibilities of staff.
• Performance of HIV/AIDS programs running in the district (Programmatic indicators).
• Presentation on performance. / Sharing district dashboard.
• Linkage with health programs like RNTCP, RCH and STI (NRHM) etc.
• Support for coordination with other line departments.
• Mainstreaming of all Programs working in HIV/AIDS.
• Government schemes and benefits under the schemes. Beneficiaries of the schemes.
• Support for effective implementation of program in the district.
• Involvement in special programs like world AIDS Day, Interactive district campaign (IEC) etc.

A sample of the presentation made to the DC is shared here

Yearly & quarterly performance dapcu dahod 2011 12 dc presentation

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Kohima DAPCU's - Response to- Familiarizing new District Collectors to the HIV programme in the district

This post is in response to the April theme

This is the experience of DAPCU Kohima, Nagaland on the question for the DAPCU blog -

When we approach the DC we present to him the District HIV scenario. We present the spatial map prepared by DAPCU Kohima. The Spatial map provides a crisp and overall view of HIV scenario and facilities in the District. We also submit monthly the District Dashboard indicator to the DC.

We think that the major areas on which the DCs should be informed and oriented firstly is about DAPCU, the staff, DAPCU's roles and responsibilities followed by, the various facilities in the District and thirdly and the HIV scenario

We are pleased to share the presentation we made to our DC in March 2012

Kohima spatial mapping

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East Godavari DAPCU's Response to- Familiarizing new District Collectors to the HIV programme in the district

This post is in response to the April theme

Stepladder to introduce DAPCU to New District Collector East Godavari Mrs. Neetu Kumari Prasad District Collector & Magistrate

Step 1:

The Addl. District Medical & Health Officer took the appointment of Hon.ble collector to present the achievements of DACPU East Godavari.

Step 2:    

Rendezvous with the Hon.ble’ District Collector – East Godavari on 11^th April, 2012.

Presented:   

1. Facilities initiated during 2011-12:
2. Services available for the HIV Infected and Affected community in the    District:
3. Reach of DAPCU
4. Achievements and Impact of CABA till March, 2012
5. Future actions towards getting to “Zero”

Planned	Preparatory	Out come
Rendezvous with  the Honble’ District Collector – East Godavari: to present DAPCU Role in the District activities and achievements.	The Addl. District Medical & Health Officer took the appointment of Hon.ble collector.	Approved and permitted to meet the collector for briefing on the role of DAPCU East Godavari. Given 11th April, 2012 to share about DAPCU-East Godavari
	Prepared a Brief note on DAPCU role and responsibility. Prepared a power point presentation on planned Vs achieved during 2011–12.	Due to sudden change in the schedule all the preparations were handed-over to the Honble’ District Collector in the form of Hard copy on 11th April. 2012.
	Prepared a Brief Note and on the impact of CABA  and a power point presentation on the achievements of CABA (pilot project implemented till March.12)
	After 11th April, 2012, a detailed oral presentation has been given to the Hon.ble’ Collector by A D M & HO and DPM.
Highlights	Explained on the functions of DSRCs in the District.	Appreciated the efforts of DAPCU
	Explained the facilities available for the HIV infected and their families, and steps taken for effective reaching of community through the facilities.	Suggested the DAPCU to keep the transparency right from field level / facility level.
	Quantitative and qualitative data shared with updates. Briefed on the trainings completed: viz.,          ANMS training,          MEPMA trainings:         RRC Trainings: Briefed on the Camps & Workshops conducted  like Blood Donation Camps etc., Also shared with the collector that East Godavari stood first in completing the MEPMA & ANM trainings in the State.	Suggested DPM to keep-up the good work, As a District Collector, will provide the support when ever and where ever necessary without any barriers.
	Submitted a request to see the possibility of continuing the services to the children supported under CABA project.	The District Collector Mrs. Neetu Kumari Prasad appreciated the impact of CABA and given oral consent to allot Rs. 300000 to continue the support to the CABA children.
	Arranged a gathering with 25 CABA children  to greet her and explain their feelings about CABA project	Also given her consent to support the Human Resource to implement the CABA activities through out sourcing.
	Last but not the least, DPM explained the future activities planned and ready for implementation during 2012-13. A glance of District Annual Action Plan has also been shared during the meeting.	The District Collector concluding the meeting with DAPCU East Godavari suggested completing all the given tasks in time with commitment and transparency. As a higher authority, will provide all the necessary supportive supervision to the DAPCU from time to time.

North Delhi DAPCU's Response to- Familiarizing new District Collectors to the HIV programme in the district

This post is in response to the April theme

According to Training Module of DAPCU (NACO) Page 4 of 38 “DAPCU is operating within District HIV / AIDS Prevention and Control Committee. It is envisaged that it is part of the District Health Society eventually, sharing the administrative and financial structures of NRHM. The unit reports to and work through the District Collector and the Chief Medical Officer of the District for medical interventions, it will also be responsible for non-health related activities such as Adolescent Education Program, District campaigns, advocacy and mainstreaming and, M & E. These activities are carried out through the office of the District Collector or Zilla Panchayat”, so it the moral responsibility of DAPCU to inform the new District Collector about HIV/ AIDS Program in the District.

The District Collector is not transferred. So, DAPCU has not faced any problem regarding this.  If new District Collector joins the District, the District Program Manager with the help of DACO and CDMO will personally meet the District Collector (with prior appointment) and use the spacial map and District Dash Board prepared by DAPCU to explain following:

• Brief about the DAPCU structure and roles / responsibilities of DAPCU.
• Brief about different health facilities working on HIV / AIDS program in the district.
• Brief about District AIDS Prevention Control Committee and District Collector’s role in the Committee.
• Brief about DAPCU’s involvement in HIV / AIDS program with regard to District Health Society Programmes e.g. School Health Melas, Mega Health Camp, RCH Camp etc., since DAPCU came into existence in District.
• Request for his support and guidance for the better implementation of the program in the district.

International AIDS Candlelight Memorial - Message from National Coordinator India

Dear Friends and Colleagues,

The 29th International AIDS Candlelight Memorial will take place on 20 May 2012 at several locations worldwide. I am writing to you because of your association with DAPCU, which I see as one of the best initiatives in making a difference where it is most required in India.

It would be great to have your involvement through DAPCU and partner organizations in this global event - one of the world's oldest and largest grassroots mobilization campaigns for HIV awareness. Please organize a commemoration and register your DAPCU/organization’s name at http://bit.ly/IACM-2012. Please also forward this message to other organizations who may be interested. For your convenience, some of the basic information about this program is given below as Frequently Asked Questions (FAQ).

With 33 million people living with HIV today, the International AIDS Candlelight Memorial serves as an important intervention for global solidarity, breaking down barriers of stigma and discrimination, and giving hope to new generations. More than just a memorial, it serves as a community mobilization campaign to raise social consciousness. It is coordinated internationally by the Global Network of People living with HIV (GNP+).

I hope to have your support and involvement in "Promoting Health and Dignity Together".

Thanking you and with best wishes,

Nabeel

-- -- --

Dr. Nabeel M. K.,

National Coordinator for India,

International AIDS Candlelight Memorial

Coordinator.IACM.India@gmail.com

FAQs:  http://candlelightmemorial.blogspot.in/2012/03/invitation-promoting-health-and-dignity.html  

Website : http://www.candlelightmemorial.org/

North East Delhi DAPCU's Response to- Familiarizing new District Collectors to the HIV programme in the district

We will get appointment to meet new DC 

• for the introduction of DAPCU and DAPCU staff with role and responsibilities.
•  will brief about program, district dash board and the present scenario of program in the district.
•  will brief about DAPCC, members of DAPCC and role of DAPCC in the district.
•  will discuss the action plan for the year/quarter.
•  will ask for the suggestions, support and guidance for the better implementation of program in the district.
• will request DC to give time at-least once in a month so that we can discuss any issue arising in the district. 

Kodagu DAPCU's Response to- Familiarizing new District Collectors to the HIV programme in the district

This post was in response to the April 2012 theme

When a DC joins the District we have done the following procedures

• The DPO & DIS will personally meet the D.C with prior appointment
• Brief the activities of  DAPCU in the District
• HIV/AIDS services available in the District
• Brief about the statistics in the District
• Current issues in the District & Co-operation from the D.C
• About the DCC & DAPCC meeting
• All these details are given in a file & briefing by the DPO

In future we have decided to meet the D.C with power point presentation with all the above details, dedpending the time given to us for discussion.

Dakshin Kannada DAPCU's Response to- Familiarizing new District Collectors to the HIV programme in the district

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Yes! We have faced this situation. In the last 4years, 3 DCs took charge of our district. Usually every month we have NRHM  review meeting where all health programmes including HIV/AIDS programme will be reviwed by DC. Hence in this meeting when new DC joins we introduce about our programmes and its functioning in the district.  During the DAPCC meeting we make a power point presentation of district profile in which the following components will be included in brief and the same thing will be informed to him in detail

1. Services available in the district under DAPCU
2. Service objectives and existing centres
3. IEC activities in the district
4. HIV counselling and testing  statistics from last 3-4 years(yearwise) in general and ANC clients and present  prevalence in the district
5. Graphical presentation of the programme indicators
6. He is also informed about the NRHM and NACP convergence strategies adapted in the district.

Alwar DAPCU's Response to- Familiarizing new District Collectors to the HIV programme in the district

In response to the April Theme 

We will follow these steps when a new DC joins a district.

1. First we will prepare an overall scenario of Alwar District on HIV through Slide/Presentation.
2. We will take an appointment to meet DC.  
3. Then we go with CM&HO or Dy CM&HO (H) to DC Office and present Alwar District senerio on HIV through Slide/Presentation. We will give a hard copy of the Slide/Presentation to the DC.

How do DAPCUs facilitate Pre ART registration of all found positive)? A few emerging themes based on DAPCU responses on this blog (please click on the name of the district to view their detailed response)

Coordination between ICTC and ART Centres

• Through monthly coordination meetings - Ganjam shares that they collate the information available with them prior to the meeting and review gaps during their meetings.
• Through tools like ICTC -ART coordination sheet (Rajkot)
• Exchange phone numbers and stay in touch is what some DAPCUs have to say.  Phone calls and SMSs are sent between counsellors of ICTC and ART to inform that a client might be visiting or to inform that referred clients have reached. (Surat). This supports daily tracking between facilities.
•  Through email - In Coimbatore the ICTC informs DAPCU and ART centres via email about the found positives and referrals. ART Centre sends a similar communication to them when the clients register for Pre ART. For pregnant women (ANC) the PPTCT NGOs are informed via email. This is a weekly process in Coimbatore.

Accompanied referrals

• In Central Delhi counsellors often accompany positive clients for Pre Art registration. (They have also provided the trend of Pre ART registration in their district from April 11-Dec 11, please visit Central Delhi’s post for details.)
• For East Delhi accompanied referral is especially useful if as they share that the ART centre is distant and not in their district
• Outreach teams of the PPTCT and DLN accompany positive clients to the ART centre – share Satara, Surat

Field Follow Up

• In Bangalore Urban , the team first mapped the outreach teams available in the district and then deputed them to follow up on positive individuals for Pre Art registration. They have also shared the ANC trends CD4 and ART please visit Bangalore Urban’s post for details.
• In Amravati the grassroots team is provided a list of identified positive individuals who have not undergone Pre ART registration and home visits and follow up is ensured by them. Similar processes are followed at Balangir and additionally they share that there are block wise point persons from the DLN who support this activity. (They have share data for the period of 2010-2011 on Found Positive vs. Pre ART registrations please visit Balangir’s post for details.)
• Coordination with other programmes like RNTCP. In Central Delhi , RNTCP counsellors help TB clients who are HIV positive get registered at ART
• In Tirupur Counsellor Outreach is a special focus and they have tracked and shared examples of their success. Tirupur has provided specific examples on counsellor outreach visit resulting in pre ART registration please visit Tirupur’s post for details.
• TI counsellors maintain positive line list in North Delhi and ensure follow up through PEs
• In Churachandpur , NGO partners are informed regarding the clients in their region testing positive and they are expected to follow up
• In Nanded the DAPCU shares that they meet with PHC MO and Sub-center ANM, ASHA to encourage follow up and also brief them on confidentiality. They have shared cumulative achievements for 2011-12 please visit Nanded’s post for details.

Inter District Coordination

• Dahod recommends that informing other districts about clients from their districts testing positive or registering for ART centre is equally important. Erode and Coimbatore  also share that they send this information to other districts.

A few other strategies 

• No user charges – free tests prior to ART registration (Balangir)
• Provision of transport facilities through the Rogi Kalyan Samiti in Dahod . They have provided details from April 2011-Dec 2011 on Pre ART registration along with the reasons found for individuals who have not undergone Pre ART registration. Please visit Dahod’s posts for details.

Red Ribbon Express- In Vadodara - An update from the DAPCU Team

This is Vadodara DAPCU's Update on the RRE. If you would like to share your experience plase write dapcuspeak@gmail.com

RRE Reaches Vadodara - 17^th-18^th February 2012

A multi-sectoral and multi-activity social mobilization campaign on HIV/AIDS through Red Ribbon Express train was developed by Rajiv Gandhi Foundation (RGF), National AIDS Control Organization (NACO) and Nehru Yuva Sangthan (NYKS).  The first phase was launched in Dec 2007. The broad objectives of the RRE are to sensitise rural population to adopt preventive measures and follow healthy life style. The RRE is a comprehensive multi-sectoral, multi-media, multi-theme, unique and the largest campaign ever in the area of HIV/AIDS communication.

DAPCU Vadodara has been working hard towards the RRE and a few specific roles performed were:

Coordination with District Administration: The DAPCU was an integral part of the planning and coordination of RRE activities in Vadodara. Along with the district administration, the DAPCU organized and participated in the District Level Organizing Committee meeting and subsequent press conferences.

IEC: The DAPCU also mobilized NACP facility teams for publicising the RRE and conducting the Pre Arrival activities. For proper publicity of the RRE, they ensured that banners and hoardings were displayed in important rural and urban centres. Mass media advocacy and publicity through radio mirchi, and radio city as well as Doordarshan, local newspaper, local TV channels was also coordinated by the team. DAPCU gave strip messages for  telecast on cable.

Inaugural function was a DAPCU responsibility and it was ensured that prominent personalities of the district and celebrities attended it.

Mobilization: In coordination with the NYKS, NSS, NCC, Bharat Scouts & Guides as well as other NGOs, DAPCU mobilized people for participation at the halt stations. DAPCU prepared documentation on the RRE program. Invitations were sent to schools and colleges inviting their participation.

Pre Arrival  Activity  in Vadodara

1. District Level Organization Co-Ordination Committee for RRE was constituted under the Hon. Collector and DRM -No. of members -45
2. Press Conference by Collector, CDHO and DPO- Number of participants - 30
3. Advertisement and announcements in the newspaper
4. Information of HIV in Youth festival of different colleges- No.  of participating students: 5000
5. Orientation of RRE in 35 group meetings at Youth Information Centres (YIC)  and Link worker scheme through DAPCUs  - No. of Participants present 5000
6. 50 Village group meetings at YIC Link worker scheme through DAPCU. No of participants 3200
7. Total No. Of  Volunteers Trained:  45
8. Five Orientation meetings with NGOs:-No. of Participants -80

The RRE was welcomed by the State Health Minister Shri Parbatbhai Patel, District Development Officer, and District Health Officer. In their welcome addresses they spoke about the objectives of RRE, the status of HIV facilities and services in the district, previous years RRE activities in Vadodara as well as the on-going mainstreaming efforts in the district. The RRE attracted people an broadly the achievements and details of the core teams are provided below:

RRE - Achievement

Total Population Reach	19,125
Total Training Batch	14
Total participants in Training	750
Total Counselling	460
Total HIV Testing	121
STD Treatment	6
General Treatment	89
Blood Donation	25
PSB	14

Nanded DAPCU's Response to Question of the Month February 2012 - Facilitating Pre ART Registration

This post was in response to the February 2012 theme

	Total Found Positive (2011-12)		Total ART Linkages (2011-12)
	Gen	ANC	Gen	%	ANC	%
Total	1248	70	1036	83%	59	84%

1. For the last 6 months client wise ICTC wise  review in monthly meeting
2. Weekly Review From August-11 - cross checking the ART line list with ICTC +ve line list
3. Meeting with ART SMO for tracking missed clients
4. Line List is given to NGOs for tracking clients and  meeting them
5. Meetings with MS of RH for availability of RH vehicle for +ve client to Reach ART Center Nanded
6. Outreach by counsellor to meet missed clients
7. Meeting with PHC MO and Sub center ANM, ASHA to track missed clients while ensuring confidentiality
8. Co-Ordination meeting with ICTC Counsellor , ART Counsellor, NGO Workers and ASHA
9. E-mails to other districts for tracking migrant clients