DAPCU North Delhi Response to DCC for HIV-TB

Advantages of DCC for HIV-TB:

District Co-ordination Committee for TB-HIV will ensure the implementation of TB-HIV collaborative activities in the District and review the performance of the same. The committee is formed –

To establish mechanisms for collaboration between TB and HIV programs.

To decrease the burden of tuberculosis amongst PLHA 

To decrease the burden of HIV amongst TB patients   

Activity focused during DCC meeting: 

In the meeting of DCC all the issues which could not be solved at DAPCU level can be raised before the committee for the solution.

In the meeting of DCC new strategies could be developed for reduce the gaps in cross-referrals between ICTC, ART and Chest Clinic. 

Following measures have been taken in our district to prevent the spread of TB infection in facilities caring of HIV-AIDS:

DAPCU North encouraged the counselor of ICTC and ART Center to counsel HIV-AIDS clients properly for TB infection during counseling session. 10 point of TB Chart is also provided in all the ICTC / PPTCT Centers.

ICTC / PPTCT counselors are sensitized by DAPCU staff time to time during supportive supervisory field visit at the centers.

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.

Role of ICTCs and CST Services in intensified TB case findings: 

ICTC Counselors are advised to refer all negative symptomatic TB clients to RNTCP and positive clients to ART Center.

There is a Performa of HIV-TB line listing available at all ICTC / PPTCT center in which all data of ICTC Center / ART Center and DOT Center is filled. During the field visit District ICTC Supervisor ensures that all the HIV-TB co-infected clients are registered / reached at ART Center / DMC /DOT Center and getting treatment. 

Staff Nurse and counselor of ART center are advised to ensure that HIV-TB co-infected clients referred to DMC/ Dot Center should reach at DMC/Dot Center and their treatment is in process.

Following are the strategies that our DAPCU has opted for 100% Treatment, Care & Support of HIV-TB Co-infection case:

ICTC Counselor and ART Counselor are advised to maintain the line list of HIV-TB co-infected clients.

A comprehensive line list is maintained at ICTC Centers in which one part for ICTC, 2nd for ART and the 3rd for RNTCP Unit are available to fill. A separate line list is also maintained in ART Center in which cross-referral between ART and RNTCP is recorded.