1.
What
are the advantages of DCC in HIV-TB collaboration activity?
a)
As the District
Collector is the Chairman of DCC it is easier to convincing regarding the
urgency of HIV-TB collaboration throughout the district to effect the required
mainstreaming and convergence both inside the health and other line
departments.
b)
The DCC meeting comprises not only HIV testing service provider unit but
all the facilities providing services related to HIV are involved for their
performance / achievement review such as ICTC, F-ICTC, TU, DMC, ART, TI, CCC,
DIC, DSRC, BB & NGO/CBO under one umbrella i.e. District Collector.
c)
Helps to take in time decision and in other hand helps to save the time.
d)
Builds a close coordination between all platforms.
e) All the stakeholders from different wings perceive their roles and
responsibilities in the HIV-TB collaboration activity.
f) Appropriate and strategic plans are taken into decision at the time of
gap analysis of target vrs achievement.
2.
Share examples from your districts - How can DCC for TB – HIV strengthen
the cross referrals between the ICTC and RNTCP (diagnostic and treatment
services, and ART and DOTS services, and overall implementation of the National
framework for TB – HIV Collaborative activities).
a) Counseled clients where HIV testing facility is not available. Clients
are followed up by concerned counselors for their HIV test at nearest ICTC.
b) Even clients are accompanied by ASHA / LW or counselor for the betterment
of the client.
c) Where the DMCs are not co located with ICTC clients are being referred to
nearest ICTC and they are looked after by concerned STS.
d) However through the convening of DCC in every quarter, our performance in
the field of cross referral, co-infection detection and CPT administration has
remarkably increased.
Year
|
From RNTCP to ICTC
|
From ICTC to RNTCP
|
Co-Infection
|
2009
|
65
|
189
|
0
|
2010
|
243
|
697
|
6
|
2011
|
567
|
1057
|
11
|
2012
|
898
|
1269
|
10
|
3.
Share examples from your districts - Appropriate measures are taken
to prevent the spread of TB infection in facilities caring for HIV – AIDS and
spread of HIV infection through safe injection practices in the facilities
providing RNTCP treatment services.
a)
ASHAs are sensitized by ICTC counselor in their ASHA sector meeting
regularly.
b) All ASHAs are referring and accompanying the suspected TB cases to DMC.
c) At regular intervals ANM, staff nurses are sensitized regarding HIV-AIDS
specifically on safe injection practices.
d) Universal precaution guidelines are always being adhered to for ensuring
non transmission through the processes of health care provision at any of the
service delivery units of HIV, TB and its CST.
4.
Share examples from your districts - Role of ICTCs, ART, and
Care and Support Centres in intensified TB case findings.
a) All co-infected cases are being followed by STS, Counselor and ART Centre
regularly.
b) They are also given medicines at their door steps.
c) STS and counselors are making joint visit to the co-infected clients.
d) Gradual improvement
in HIV-TB collaborative activity is shown in the above table.
5. Share examples
from your districts - What are the strategies DAPCU should opt for 100% treatment, care and support for TB – HIV co- infection cases?
a) Client specific / personified co-infected cases are reviewed (Date of detection,
CPT administration, ART adherence etc.) in monthly HIV-TB co-ordination cum
review meeting.
e) Counselors of ICTC are attending the ASHA sector meeting for more no. of
referrals to ICTC for service uptake.
b) Responsibility is given to ICTC-Counselor and STS/STLS of respective
areas.
c)
Feed back is taken jointly by DPM and DTO for each client.
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