DAPCU Koraput Response to Role of DAPCUs to Support TI

Strategies utilized in Koraput district for coverage of HRGs registration and improve ICTC service to the HRGs (twice a year)

• DAPCU, Koraput has been conducting Review meeting of all facility of service providing agencies like CCC, DIC, ICTCs, and RNTCP including TIs. So, in these review-cum-Co-ordination meeting issues related to HRGs like how would they involved in various schemes as well as how the cent percent of the cases reach to ICTC for HIV screening and to fulfill the target of the TIs i.e. screening of HRGs twice in a year are being discussed and try to solve the problem in presence of CDMO & ADMO (PH) & DNO (AIDS), Koraput.
• While visiting to TIs, DAPCU staffs discussed with PEs of TIs and discuss what are the problems involved while referring of HRGs to ICTCs and we also made a suggesting action to mitigate these problems.
• DAPCU also involved with TIs during programme at hotspot level and motivating these clients to be tested at the ICTCs.
• Pre-ART registration and testing for CD4 count of HRGs found HIV +ve measures to improve the STI services to the HRGs and ensure RMC distribution of condoms, needle & syringes to all the HRGs.
• When a case referred from TIs among HRGs to ICTCs and found HIV +ve them the case referred to ART centre and ensured by the counsellor of ICTC whether the case reached at the ART centre or not. Then, the blood specimen utilized to count the CD4 cell. If the CD4 status is below 350 then ART medication being started for the case with the direct observance of the case.
• All such types of cases reviewed during the monthly review-cum-co-ordination meeting and all type of assistance has been given to TIs for including these cases in various schemes. Sometime DAPCU staffs also appraising District Collector & DM, Koraput for the same.

How do DAPCUs and TSUs coordinate to support TIs?

• DAPCU staffs and staffs of TSU visited the TIs (FSWs) in every month and discussed with all the staffs of TIs like Project Manager, Counsellor, ORWs & Peer Educators and try to solve the issues related to them.
• DAPCU also involved PM or other representative in Co-ordination-cum-Review meeting as well as DAPCC meeting and place their issues before other Service Delivery Units as well as District level line department to provide them different type of assistance and to solve the base level issues.

Does DAPCU support TIs in accessing the district administration? Are there in good practices related to getting Social benefits schemes for PLHIVs?

• DAPCU always invited the TIs to include them in the monthly Co-ordination-cum-Review meeting on TB-HIV and there the issues related to health, which need to be addressed before CDMO or ADMO (PH) & DNO (AIDS) for the sake of providing various support related to HRGs, are being discussed and necessary step has been taken by CDMO as the head of the District Health Administration. As like same, when required we also drag the attention of District Collector and DM, Koraput relating to some issues what will not be solved by the CDMO, Koraput.
• Few among the HIV identified cases among HRG cases are involved in livelihood schemes by providing them loan. Some also involved in BPL schemes. DAPCU staffs also consulted with Co-ordinator, Mission Shakti to involve the HRGs (FSWs) in various livelihood supports, so that they will be motivated to involve with such livelihood programme and earn some good price out of it. Very soon we will include them in these schemes. 
• All the HRGs are involved in Self Help Groups and their accounts has already been opened at the banks and some among them also took loan from the banks to initiate some income generating activities.