District
Coordination Committee for TB – HIV ensures the implementation of TB – HIV
collaboration activities in the District and review the performance of the
same.
In
Solapur district the HIV-TB DCC meeting held regularly under the chairmanship
of DACO. All the ground level staff, DTO, CTO, DPM NRHM, DHO, DPO, DS, ART SMO
invited for sharing their views and sort out the complications came while
working. District experienced the various advantages of HIV-TB DCC meeting.
1.
Advantages of DCC in HIV-TB Collaboration activity –
·
Data Sharing / Exchange
·
Line List HIV-TB Update
·
Experience Sharing
·
ICTC – RNTCP referral improvement & Vice-versa.
·
Initiation of F-ICTC at DMC level.
· Conducted hands on training of ICTC LT for ZN strain
& sputum examination while scheduled the training of DMC – LT for HIV
testing preferably SD screening Test.
· To enhance the HIV testing of TB patients used the
NRHM machinery. Provided to & fro charges to TB clients with one of his
relative up to Rs. 400.
·
Notification of each TB patient could possible with
proper format.
·
Implemented the TB screening of Close family members
of TB patients as TB is a communicable disease.
· Allied with School Health Activity (NRHM) Program.
Medical Officer Look for Pediatrics TB Suspect’s and Co-ordinate with DMC and
then these Children referred to the nearest DMC for TB Screening. If Pediatric
TB cases diagnosed ( Mainly Lymphadonopaty ) family screening for TB conducted.
· DAPCU has taken the line-list of LFU/MIS patients
from ART and segregate it geographically to each NGO. The review of this
activity conducted in each month.
2.
DAPCU has analyzed the fact that there should be
100% coordination from both the national program. In the first Quarter meeting
the basic fact has identified by verifying the line-list from DMC and concern
ICTC.
3.
Also a DAPCU raised a serious concern about the
entry in HIV-TB ART White Card, details about the TB treatment should enter
correctly on white card. After testing
of TB patient, the HIV status should include in the TB register.
4.
To Prevent Spread of TB in Care- Facility level
DAPCU puts IEC material with the help of TB department. Provided mask to the ICTC
staff.
5. DAPCU stressed the qualitative referral from OPD. In Intensified TB care finding every facility
should develop good repo with each OPD. Maximum referrals from OPD (Acute
respiratory tract infection) Cough with expectation referred for TB Screening.
There should be close watch Over Pediatric TB as well as sputum Negative and extra
pulmonary TB suspicion should be screened. DAPCU instructed ART Facility for
close watch on Borderline CD4 Pt. In due cause development of TB should be
diagnosed promptly and further management should be done very promptly.
6.
To avoid TB Death cases in Co-infection (TB
Meningitis look carefully).
7.
MDR TB Should be properly Managed.
8.
The performance of the Solapur district can be
analyzed in 2012 against 2011.
|
Sr.
No.
|
Quarterly
|
Total
ICTC Clients
|
ICTC
to RNTCP
|
% of Referral
|
RNTCP
to ICTC
|
HIV-TB
Co- infected
|
DOTS Initiated
|
|
1
|
Jan11 to March-11
|
7919
|
851
|
10.74%
|
457
|
84
|
81
|
|
2
|
April
11 to June 11
|
9374
|
906
|
9.66%
|
437
|
66
|
64
|
|
3
|
July11to
Sept 11
|
9707
|
932
|
9.60%
|
346
|
55
|
54
|
|
4
|
Oct
11 to
Dec 11
|
11690
|
1048
|
8.96%
|
385
|
57
|
57
|
|
Total
|
38690
|
3737
|
9.65%
|
1625
|
262
|
256
|
|
Sr.
No.
|
Quarterly
|
Total
ICTC Clients
|
ICTC
to RNTCP
|
% of Referral.
|
RNTCP
to ICTC
|
HIV-TB
Co- infected
|
DOTS Initiated
|
|
1
|
Jan12 to March-12
|
11810
|
1195
|
10.11%
|
367
|
61
|
60
|
|
2
|
April 12 to June 12
|
6865
|
858
|
12.49%
|
306
|
70
|
64
|
|
3
|
July 12 to Sept 12
|
12868
|
1190
|
9.24%
|
411
|
63
|
59
|
|
4
|
Oct 12 to
Nov 12
|
6596
|
637
|
9.65%
|
192
|
28
|
28
|
|
Total
|
38139
|
3880
|
10.17%
|
1276
|
222
|
211
|
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