1. Advantages of District Co-ordination Committee (DCC)
in HIV-TB collaboration activities:
- DCC can co-ordinate, strengthen & review the HIV-TB collaboration activities in the district.
- DCC can facilitate the participations of NGOs, institutions providing CST services & other stakeholders to implement NACP & RNTCP and to strengthening their linkages at district level.
- DCC can identify the constraints in smooth and effective implementation of NACP & RNTCP and sort them out at district level itself resulting saving of time and efforts.
2. Activity
focused on by DCC for HIV-TB
- ICTCs, ART Clinics and Chest Clinics have been linked appropriately.
- Participation of key staff from ICTCs, ART Clinics & Chest Clinics in the regular meetings of NACP & RNTCP at District level has been ensured.
- Concern Staff of ICTC, ART Clinics & Chest Clinics in the district have been motivated and supported to increase cross referrals.
3. Following measures have been
taken in our district to prevent the spread of TB infection in facilities
caring of HIV-AIDS:
- Staff from facilities caring HIV-AIDS (i. e. ICTCs, ART Clinics etc) is being oriented during district level meetings and supportive supervisory visits regarding precautions has to be taken during counseling & Testing of Clients having TB Symptoms.
- They are also being oriented during visits and meetings regarding what actions should be taken when any client or staff find suspected for TB.
4. Following measures have been
taken in our district to prevent the spread of HIV infection in facilities
providing RNTCP Services:
- Concern Staff of RNTCP have been sensitized for safe injection practices during district level meetings, workshops etc.
- They are also sensitized for actions that should be taken (including PEP) during occupational exposure through workshops and meetings.
5. Role of ICTCs and CST Services
in intensified TB case findings:
- Counseling for TB is ensured during HIV counseling. (With the help of 10 points of TB which are displayed in all ICTCs in the district.
- ICTC Counselor and District ICTC Supervisor to ensure that all HIV-TB co-infected clients referred to ART center have actually reached the ART Center.
- Staff Nurse and counselor of ART center to ensure that HIV-TB co-infected clients referred to chest clinic have actually reached the chest clinic.
- Implantation and compliance of revised HIV-TB cross referral strategy in ICTCs and ART Clinic is ensured. In this guideline all HIV negative Clients with suspected or confirmed TB to be referred to RNTCP but all HIV positive clients suspected to TB directly referred to ART center. This strategy playas very significant role in the timely initiation of ART treatment among HIV-TB co-infected clients and also reduce lost of HIV-Co-infected cases. (This strategy is initiated by Delhi SACS)
- Concern staff of ICTC & ART Clinics motivated and supported to maintain the accurate and updated data and line list of the HIV-TB Co-infection cases.
- Proper follow-up and complete registration of HIV-TB co-infection cases is made sure through outreach activities performed by the counselors.
- A comprehensive line list are maintaining at ICTC by counselor in which there are three parts for ICTC, for ART and for RNTCP with the help of this we can trace all HIV-TB co-infected case and insure about their treatment.
- Every effort is being made to bring back the lost & missed HIV-TB co-infected cases with the help of outreach activities performed by the counselors.
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