DAPCU Kodagu Response to Role of DAPCUs to Support TI

1.    Strategies  used in Kodagu  District for

Ø  Coverage of HRGs registration:

HRG Registration is done through the CBO-Ashodaya Samithi which is a Core Composite TI working in the District. The Registration is done through Social Network Basis through Peer Educators, ORW’s & CBO staff.

Ø Strategies to improve ICTC service to the HRG’s (twice a year):                       

By Conducting Special Health Camps & Outreach activities. And also maintaining individual Health Record system and insisting them to undergo HIV Test & STI Check up once in 6 & 3 months respectively.

 Ø  Pre ART Registration and Testing for CD4 Count of HRGs found HIV Positive:

Through Effective Counselling Positive Clients are referred to ART & continuous follow-up is done for CD4 & treatment by TI, ICTC & ART staff.

 Ø  Measures to improve the STI service to the HRG’s and ensure RMCs:   Regular STI Clinic services are held in three Talukas twice a month and HRG’s are motivated by Peer Educators & ORW’s to avail the services.

Ø Distribution of condoms, to all HRGs:

Distribution is done by CBO staff & outlets as per the requirement.

2.    How do DAPCUs and TSUs coordinate to support TIs. Please give examples

Ø  Monthly achievement of ICTC  & STI services by the TI are reviewed in the Monthly meeting

Ø  Outreach camps & Special camps are planned in co-ordination with ICTC, TI & DAPCU. And the same are discussed during the Monthly Review Meeting.

3.    DAPCU support TIs in accessing the district administration

Ø  The District level DAPCC & DCC meeting under the Chairmanship of D.C held every Quarter. The TI issues are discussed in the meeting.

  Ø  A meeting with the HRG’s was held along with WCD Department. The HRG’s opined that they are not willing to identify themselves in the society; therefore, they are not willing to access the social benefit schemes.

    

4.     Challenges

Ø  It is difficult to give continuous service to the HRG’s who are nomadic

Ø Though the many people in the District are involved in High Risk activities, it is difficult to bring them under TI service.

Ø There are many social Benefit schemes available, but the HRG’s are not availing them because of stigma & discrimination.

DAPCU North Delhi Response to Role of DAPCUs to Support TI

 What strategies have you used in your district for coverage of HRGs Registration?

  Strategies used for coverage of HRGs Registration in our district are follows:

1.      Through need assessment of the area which is done by TIs.

2.      Through Area profiling.

3.      Outreach coverage of unreached area.

4.      Need to re-plan for area wise hotspot.

5.      Through conducting review meetings with TIs and Peer educator.

6.      Time to time proper verification and given support to the TIs.

Strategies to improve ICTC service to the HRG’s (twice a year)

1. Through check quarterly dues and overdue and given target to the TIs for completion of due/overdue in weekly and monthly basis.
2. Need to check line listing of peer of each hot spot & area.
3. Through given awareness session to peers and target group during conducting hot spot meeting which are conducted by TIs
4. Verification of ICTC Centre on weekly basis to check the progress of ICTC and TIs and from other resources.
5. Given time line to ICTC Centre to achieve a given target.

Pre ART Registration and Testing for CD4 Count of HRGs found HIV Positive

1.      To ensure month wise report of TIs for HRGs who are found HIV Positive and referred to ART 

       centre and need to cross verification of reports given by TIs.

2.   If no referral of HIV positive is found then we check the reasons behind this issue and gave support 

      to related concern.

Measures to improve the STI service to the HRG’s and ensure RMCs

1.      To ensure that the frequency of positive HRGs in our district & what is the reason behind this.

2.      To ensure Proper condom distribution or not.

3.      To ensure Proper condom promotion or not.

4.      To ensure Proper aware about STI or not, then we gave proper awareness on STIs through the TIs partners and other Govt. services through proper linkages and networking.

5.      To ensure Proper follow-up of positive STI patients.

6.      To ensure regular checkup for STI on regular intervals.

Distribution of condoms, needle & syringes to all HRGs

Condom Distribution, Needle & syringes: 

Whenever any shortage of condoms is noticed in any TI NGO, DAPCU coordinated with other TI NGOs or ICTC Centres for availability of condoms where required. DAPCU also co-ordinated with DSACS for smooth supply of needles and syringes to TI NGO. DAPCU team is also involved in verification of needle and syringes supply to IDUs with Program Officers of TSU.

Does DAPCU support TIs in accessing the district administration? Are there any good practices related to getting social benefit schemes for PLHIV.

 

Accessing District Administration for Social Schemes: 

During the monthly DAPCU Review meeting all the TI issues were addressed at DAPCU level and DAPCU has also provided the information of social welfare benefit schemes available in our district to all TI NGOs in the district. 

DAPCU Amravati Response to Role of DAPCUs to Support TI

In Amravati District here is no Brothel Base area of FSW in 13 blocks out of 14 blocks and it is varying crucial to work with non-brothel based FSW, in one block where brothel there is only 20-25 FSWs.  There are 3 TI-NGOs working with FSW, Migrant & MSM (with support of AIDS Allianz). Out of 3 NGOs one are CBO of MSM and young team are work there.

DAPCU Amravati play very important role to help NGOs for any component.

      1)      DAPCU Amravati supports MSM CBO for registration in Charity Commissioner.

      2)      DAPCU Amravati help to FSW NGO for collecting the High Risk Area of FSW from the various 

            departments like, Police, Media (Print and Electronic) and Auto Rickshaw Union.

      3)      DAPCU Amravati Supports Migrant NGO to organize IEC activities in various factories, Construction site 

            and Highway work.  

      4)      In every DAPCC the DAPCU Amravati raise the issue of NGO’s some issues and solution from DAPCC

            are:

Sr.No.	Issues of NGO’s	Solution/Action taken in DAPCC	Effect of Action taken/solution.	In within period.
1	One of the Oil refinery not permitted Migrant NGO to organize any type of IEC or Condom Depot.	In DAPCC, D.C. Call labor officer immediately.	The all refinery and industries permit to organize all type of activity.	Within 3 days.
2	Police department not permit to FSW NGO for free condom depot in few high risk area.	Deputy Police Commissioner who attend meeting immediately call concern police station.	In this High Risk Area today have more than 12 condom depot.	Within 2 days.
3	Migrant NGO are trouble in organize the health camp in Power Project area.	DC calls to GM of Power Project company.	From last two years NGO organize more than 100 health camps.	Within 1 month.
4	Migrant are not interested to test in ICTC because the distance from there site is so long.	GIANTS Club President personally calls to nearest PPP ICTC and request to free testing.	The PPP ICTC not taken single rupees from them also provide the some other services in low cost.	Within weak.

In the District like Amravati where Brothel area of FSW are not available and chess them and test them It is always challenging to work for the TIs. The estimated  number of HRG’s in the district are as FSW- 1789 contract is around 1000 FSW & MSM– 77 contract is around 400 MSM. Today the registration of FSW in TI is 980 and 257 of MSM. Strategies used for registration are:

1)      Take help of Police (Local Crime Branch-LCB) of their site, Auto Union leaders and Media persons. 

2)      Coordination of all NGO’s those work on health issues they refer to TI-NGO’s.

3)      Coordination of TI-NGO’s and staff of Standalone and F-ICTC.

4)      Coordination of DAPCU with Highway Police.

           

DAPCU provide the all support for ICTC testing, RMC’s and Condoms time to time. Take review in every CMIS meeting regarding the HIV testing, VDRL, STI services and supply of condom. Also take review of pre-ART registration and MIS/LFU in special meeting which conduct in last week of every month.

DAPCU and TSU P.O. calculate the exact target of testing and Condom distribution. Attend health camp with jointly and suggest some changes.

Challenges in work with TI are more, which not in our hand is.

1)      Turnover of Staff in every two or three months.

2)      Testing of HRG in stock out period.

3)      Identification of HRG’s.

4)      Registration of HRG’s from remote area.

5)      Registration of HRG’s from other district those come for only high risk activity.

DAPCU Chikamagalur Response-role of DAPCU's to support TI

In Chikmagalur District there are 3 TI-NGOs working with FSW & MSM. We have good relation with the TI-NGOs which are working, even though they are not of local NGOs of Chikmagalur District. Both NGOs started to work in the District after getting the program from SACS.

It is always challenging to work with the TIs. The number of HRG’s in the contract is around 2000 including FSW & MSM in the district. 

           

DAPCU always involves the TI-NGO in   the meetings (DAPCCC & DCC) which are held at district level & also DAPCU attends their meetings. The NGO co-ordinates with all the programmes held in the District from DAPCU, events like World AIDS Day, Folk campaign, etc.

 I would like share some challenges in working with the TI-NGOs of our district, new NGOs to our district, inexperienced Staffs, regular non community staffs turn over, most of the communities still unable to open up at-least with the ICTC cousnellors, poor attendees to ICTC, and good numbers for the clinic.

Akola District administration’s initiative Makes PLHIV self sufficient.

Akola district has more than 7400 PLHIV.  Most of the PLHIV population came from below poverty line (BPL). Maintaining the livelihood is difficult for these BPL families. It was very important not only to maintain the health of On-ART patients but also to provide the quality of life to all PLHIV. DAPCU identified this and discussed the matter with Honorable District Collector Shri Parimal Singh. DAPCU run the intervention to provide social benefit scheme (Financial Assistance) under the guidance of Hon. DC. Under this intervention DAPCU could able to provide benefit to more than 1200 PLHIVwith the help of PLHIV network through which they received Rs 700 per month from the Collector office. 

Hon. DC’s involvement in the program was admirable. DC has called the meeting of General Manager District Industrial Center (DIC) Shri. Uday Puri,  DPO,  DACO, Residential Deputy Collector and MCED officials to analyze the way to strengthen PLHIV. The outcome of the meeting was positive. It has been decided that DIC will train more than 300 PLHIV for different training programs (garment manufacturing, leather bag manufacturing, seed processing, mashroom manufacturing, mobile repairing, electrical maintenance, etc) and funding for the said training will be provided by DC under DPDC. DAPCU, in coordination with DIC and VNP+ started the first batch of female PLHIV for garment and leather bag manufacturing. During this training it has been taken care that PLHIV not only received the technical knowledge but also get income through small scale industry.

At the end of the training session, DAPCU had arranged the industrial visit for these ladies at garment manufacturing industry at Amravati MIDC. The owner of the industry was so impressed with the concept that he offered the jobs to the interested ladies. Seven of the ladies were found to be interested to join the company.

It was a great challenge in front of DAPCU to continue the enthusiasm of these ladies as they had no sewing machines to continue with this work. DAPCU had arranged the sewing machine for this group with the help of some donors.

Out of these 30 ladies, seven have decided to join the garment industry at Amravati, eight has started their own work and three has started the shop at Akola.

Sangli case study shared in Inter-Ministerial Conference for Mainstreaming HIV

Sl. No.	Heads	Detail information
1	Background	The Health condition of PLHIV is deteriorating day by day; therefore, it is difficult for them to do hard work for their livelihood. This effects the family of PLHIV. They & their children (infected & affected) need Financial support, Educational support, Nutritional Support, etc. There are many Government  schemes for the poor people. But it is difficult for the  PLHIVs  access   these govt. schemes (Due to self stigma & lack of knowledge regarding these schemes)
2	Objective	To give knowledge about govt. scheme           To give all documents at one roof relates to govt. scheme           Sensitize govt. officials about PLHIVs problems
3	Process	District level meeting with District Officials & NGOs working in HIV/AIDS is held under the chairmanship of Hon. Mr. Shyam Vardhane, District Collector Sangli.          During the meeting debriefed about the promotional camp organized by Avert Society at Nagpur District,  to provide the Govt benefit  schemes for  PLHIVs & their children (infected & affected) under one roof. In this meeting following decisions were taken ·         All the  concerned officers should be  present, for this camp ·         NGOs will mobilize needy PLHIVs to this camp ·         Health Staff will issue disability certificate
4	Name of the Schemes	Sanjay Gandhi Niradhar Yojana            Balsangopan Yojana          BPL & Antyoday Ration Card           New Ration Card
5	Activities	ZP DHO Office will display the information board about Camp & required documents at PHC level.           Civil Surgeon Office will display the information board about Camp & required documents at SDH & RH Level.           Aamhich Aamce (DIC) will display the information board about Camp & required documents at ART center.                    Date of Camp & Area Covering 1.       24.11.2010 - SMK Corporation 2.       29.11.2010 - Miraj Tahasil 3.       06.12.2010 - Khanapur & Kadegaon Tahasil 4.       14.12.2010 - K. Mahankal Tahasil 5.       20.12.2010 - Shirala & Walawa Tahasil 6.       27.12.2010 - Tasgaon & Palus Tahasil
6	Target Audience	PLHIV affected & infected Children/Men & Women
7	Reach	Sanjay Gandhi Niradhar Yojana - 397            BPL  Ration Card                       - 296           Antyoday Ration Card                -  82            New Ration Card                        -  11            Balsangopan Yojana                   -  80
8	Monitoring	DAPCU has the close monitoring over the process and has close contacts with the revenue department and women & child welfare department.
9	Action taken	Wherever the problem arises DAPCU streamline the situation.
10	Output	linking more than 200 CLHIV to “Bal sangopan” Scheme, of which 154 received the benefits (Rs.5,000 per child per year),            Linking 346 PLHIV to “Sanjay Gandhi Niradhar Yojana”, of which 329 received the benefits.            Linked 296 for “BPL RATION CARD”, out of them 38 received.           After this camp activity these dept. start to sanction PLHIVs proposals on priority basis.
11	Plan of action	The Beneficiaries from Sangli district got the benefit of Social Benefit Scheme. The revenue department  and Women & Child welfare department coordinating strongly with the DAPCU.