DAPCU Amaravati Response to DCC for HIV-TB

District Coordination Committee for TB – HIV ensures the implementation of TB – HIV collaboration activities in the Amravati District and review the performance of the coordination Activities.

    1. In this meeting review of activities were carried out and pointed out the issues  related to the co-ordination at the service provider level. Hurdles were sorted out by  the DTO, CTO and DPO (DPM) in the   presence of Civil Surgeon (DACO). The meeting helps to understand new strategies/changes in both National Control Programs.

  

   2. The regular DCC meetings gave the continuous improvement in performance in HIV-TB work. District was facing major problem of HIV testing of TB patients in the TB hospital, the issue has sorted out in the DCC meeting by starting F-ICTC in the TB hospital.

  

      Referral from ICTC to RNTCP & vice-versa before DCC  Meeting has conducted by the DAPCU. 

Sr. No.	Year	Total ICTC Clients	ICTC to RNTCP	% of Referral.	RNTCP to ICTC	HIV-TB Co infected	-    DOTS Initiated
1	2008-09	24083	1260	5.23%	868	66	111
2	2009-10	33963	2706	7.96%	1994	87	151

      Cross Referral performance of ICTC to RNTCP and RNTCP to ICTC after DCC meeting held under the DAPCU’s supervision.

Sr. No.	Year	Total ICTC Clients	ICTC to RNTCP	% of Referral	RNTCP to ICTC	HIV-TB Co-infected	DOTS initiated
1	2010-11	40595	4187	10.3%	1705	73	270
2	2011-12	49250	5053	10.3%	1574	69	359
3	2012-13 (Up to Nov.12)	23902	2428	10.2%	972	28	157

   3. Various measures have taken by the DAPCU, ART center & Govt. TB Hospital to control Air Borne Infection. IEC material has prepared   to control Air Borne infection prepared an  IEC material on MDR TB. N-95 mask provided to all ART staff and TB staff. Also provided disposable mask to all TB Clients. 

4. In Govt. TB hospital, F-ICTC doing HIV testing from last 2 years (after establishment of DAPCU) and it is very easier for screening of TB clients as well as regular OPD of TB hospital (TB suspect patient). All TB patients reactive in HIV test immediately link to ART Center.  

  5. DAPCU has taken efforts to start FNAC of PLHIV clients (Not only TB but for any complications) in free of cost at private medical Collage. DAPCU coordinate in preparing the MDR TB IEC material in local language to the TB department. Also DAPCU has regular follow-up to CBNET (MDR TB Screening machine) center of Municipal Corporation.