Thursday 28 February 2013

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.




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