Prakasam's Response to Theme- DAPCUs and F-ICTCs

DAPCUs and F-ICTCs:

DAPCU Play impartment role in establishing of FI ICTCs in Prakasam District Since July 2009 we are trying to functioning FI-ICTCs in these processes we approached District Medical & Health Officer. With help of District Medical & Health Officer we started Two FI-ICTCs at FI-ICTC PHC Cherukur, FI-ICTC PHC Marripudi were Stand alone ICTCs very far. Slowly we are trying to enhance all PHCs converted to FI-ICTCs now we are functioning 79 FI-ICTCs in PHCs and 10 FI-ICTCs PPP model in Hospitals where ANC load is high. 

Locating a suitable health facility to establish  F-ICTCs

Prakasma District having 56 Mandals and 85 PHCs. We have 15 Stand alone ICTCs. These Stand alone ICTCs are not covered entire district.  Some Costal areas are high prone areas; there was risk due to high mobility and Fishing. For this we coordinated with NRHM Officials and focused PHCs where facilities are available like Medical Officer, Staff Nurse and Lab technician. 

Capacity building of the F-ICTC (i. e. training of staff, providing registers/ formats, providing guidance, supervision etc.)

As per guideline given by APSACS we collected monthly reports from concern PHCs. APSACS given code number, supplied registers and report formats to the PHCs. We conducted capacity building trainings to all PHCs Staff nurses and LTs on Counselling and testing. We linked some of the PHCs to Standalone ICTC’s Counsellors for collecting the reports and conducting the testing. Our Standalone ICTC counsellors were participated in PHC level ASHA day meetings for demand generation.

Strengthening of linkages between F-ICTC and Designated ICTCs

Standalone ICTCs are taken an active role in strengthening of FI- ICTCs. Counsellors are participated in cluster level meetings. They coordinated with Senior Public Health Officer (SPHO) and concerned FI- ICTC medical officer for strengthening FI-ICTCs. They visited FI-ICTCs and onsite training to the PHC staff. FI-ICTCs are conducting single test, if they found positive referred to nearest Standalone ICTCs. They conduct conformation test (Three tests) and further follow-up of client.

Monitoring and evaluation of F-ICTCs

DAPCU team is monitoring all F-ICTCs. Due to effective monitoring system we achieved 100% reporting from F-ICTCs. We involved FI-ICTCs staff in monthly review meeting also we evaluate the F-ICTCs functioning and we focus where low performance centre. We are also participating in NRHM meetings and discussed the performance indicator in presence of NRHM officials.

Achievements:

F-ICTC conducted outreach and collected samples from ANCs

1.79 PHCs are functioning as F- ICTCs out of 85 PHCs
2.10 PPP model F- ICTCs in private Nursing homes
3.89 F- ICTCs are reporting (100%)
4.F- ICTCs are increasing testing and conducting testing of HRGs and general also.
5.All Designated Microscope centre are conducting HIV testing