DAPCU Kodagu Response to DCC For TB-HIV

1.      Advantages of DCC in HIV-TB collaboration activity

v  DCC for HIV-TB will help us in understanding the HIV-TB activity in the District Quarterly

v  DCC will  strengthen supervision, monitoring and review of TB/HIV collaborative activities

v  As TB is the commonest co-infection among HIV Patients, by detecting TB at the earliest stage of AIDS , we can treat the person and improve his health & diminish the mortality & morbidity.

v  Co-ordination between two programme, RNCTC & HIV is benefited mutually for the benefit of the client.

v  As DC is the chairmen the District administration will understand the programme & help us in solving the constraints & challenges faced in the implementation of the programme.

v  We can have holistic approach in managing a co-infection patient & implement both the ATT & ART effectively

v  It will help in tracking the MIS & LFU co-infection clients

v  Intensified case finding at the facility will be reviewed

v  Monitoring & supervision by the DC

2.      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)

v  Less cross referral facilities are  focused during the in the meeting

v  To follow the 10 point TB tool at ICTC & to refer all TB suspects to ICTC from RNTCP

v  Details of TB registered clients , HIV test among the them , Co-infection & linkages to ART will be reviewed in the meeting

v  The gaps & the strategies to improve the cross referral has been discussed.

v  Representation & suggestion  from DLN, DIC & NGO for betterment of the HIV-TB programme

3.      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.

           
                      Monthly Facility Review:

·         ICTC centre wise   & ART review of TB-HIV activities

·         Discussion on TB diagnosed cases & co-infection clients

·         ATT & ART treatment for the co-infection clients

                  Monthly ART, ICTC & RNTCP Review:

·     Client wise HIV-TB activities are reviewed at the monthly ICTC,ART & RNTCP meeting at the ART on every 4^th Saturday. Where all the ART staff, ICTC Counsellors, RNTCP staff & DIC Staff will participate & the review done by the DACO, DIS & ART MO

·         PITC activity ( All TB suspects at the DMC  & ICTC are tested for HIV)are reviewed

·    Gaps in the above activity & gaps in treatment (ATT & ART) should be filled by adopting appropriate measures.

·         Follow-up of MIS & LFU co-infection clients by the ICTC, ART RNTCP & DIC staff.

4.    Share examples from your districts - Role of ICTCs, ART, and Care and Support
         Centre’s in intensified TB case findings 

                                     Role of ICTC :

·         Counselling on TB for all the clients attending ICTC  for  early detection

·         Referring symptomatic clients to RNTCP

·         Linking  co-infection clients for ATT & ART at the earliest, in order to reduce HIV-TB deaths 

·          Follow-up of co-infection clients

Role of ART :

·         Intensified case finding by all the ART staff

·         ART & ATT & initiation of CPT  for the co-infection clients

·         Adherence to the treatment

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?

v  Early Detection through cross referral from ICTC , ART & RNTCP

v  Line listing of the clients

v  Client wise review at the ART centre

v  Ensuring Adherence to ATT & ART