Ganjam Response to Co-ordination among DAPCU

There is 100% need   for DAPCUs to work in coordination with each other.

Areas where DAPCUs Support each other:-
1- Sharing of  Innovative idea  related to leveraging resources from line department/UN Agencies/Corporate/District red cross fund/any  other assisting agencies
2- Sharing and exchange of  new idea/strategies to track MIS cases/LFU of the district as well as outside district.
3- Providing IEC material  during stock out time.
4- Sharing/forwarding communication of OSACS or some time some urgent letter or guidelines of Govt or NACO
Role SACS in enhancing this coordination:-
1- Conducting  periodic Review meeting with all staff of  DAPCUs of all district.
2- Organising  capacity building/training programme of all DAPCUs staff.

Support from other district:-

1- Sharing of   telgu leaflet  help us to distribute in  one telgu dominated  ICTC.
2- Some time any urgent communication from OSACS missed but the same communication forwarded by other DAPCU.
3- DAPCU  Bhadrak  provided the Input to ganjam DAPCU for prepearing the Distritc Annual Work Plan.
4- DAPCU  khorda  shared the PPT of  update of Odisha HIV scenario and it helped for  full site sensitization workshop .

Ahmedabad Response to coordination among DAPCUs

Coordination among DAPCUs

Coordination is indispensable thing among DAPCUs and it goes on regular interval. Obviously coordination is needed to work together for the DAPCUs. We have 10 (ten) DAPCUs in the state, moreover we often coordinate on various matters regarding data sharing, presentation, maps, reporting, LFU etc.

The issues on which DAPCUs support each other 

• LFU/Mis
• EID
• Data sharing
• Mapping
• PLHA line listing

How is this coordination achieved?

• LFU/Mis- Through PLHIV the line listing we coordinate with others DAPCUs and thereafter respective DAPCU with the help of counselor take the home visit of LFU/MIS patients.
• EID- Through ANC the line listing we coordinate with others DAPCUs and thereafter respective DAPCU with the help of counselor and orw take the home visit of ANC patients and make sure that DBS testing will be done in nearest/selected EID center.
• Mapping-Periodically we update Spatial map with the coordination of other DAPCUs.

What role do the SACS play in enhancing this co-ordination?

• SACS should conduct training cum workshop for the coordination among DAPCUS on regular basis to ease the coordination.
• Should conduct meeting with government stakeholders so that more and more PLHA can avail social and government schemes.

Share a few examples in which you have taken the support of other DAPCUs and how it has helped you.

We have very often support DAPCU-Mehasana DAPCU-Surat and DAPCU-surendranager on tracking LFU /MIS patients. Through PLHIV the line listing we coordinate with others DAPCUs and thereafter respective DAPCU with the help of counselor take the home visit of LFU/MIS patients. In this away we track LFU/MIS patients and moreover it works for us and others DAPCUs.

Balasore Response to coordination among DAPCUs

Is there a need for DAPCUs to work in coordination with each other? If so share how are DAPCUs in your state are doing this.

• Yes, as the role & responsibilities of DAPCUs are same, Coordination among the DAPCUs is required for sharing information & strategies to achieve the goal of the DAPCU as well as goal of the NACP. 
• DAPCUs are coordinating with each other through telephone, e-mail & during the review meeting at OSACS level/ State level.

What are the issues on which DAPCUs support each other and how is this coordination achieved?

The issues on which DAPCUs support each other:

1. EID testing of HIV exposed infant of HIV positive mother: there is no EID centre in Balasore district. It is at district Headquarters Hospital, Bhadrak under Bhadrak District. Bhadrak DAPCU is also sharing number of EID testing conducted in EID Centre of HIV exposed infant of HIV positive mother under Balasore District. DAPCU, Balasore can trace out the gap between referral & EID testing of HIV exposed infant of HIV positive mother of Balasore district.
2. Follow up PLHA for Pre ART, CD4 test, LFU & MIS Cases, HIV person detected in ICTC who are in other district: DAPCU Balasore is also sharing information to follow up PLHA for Pre ART, CD4 test, LFU & MIS Cases of Bhadrak district detected in Balasore district.
3. Inclusion of social benefit scheme of PLHA of other district: PLHAs those who are coming to ARTC or detected in Balasore district are being informed on Inclusion of social benefit scheme and it is communicated to DAPCU, Bhadrak for follow up. And DAPCU, Balasore is communicating the name & address of PLHAs of other district detected in Balasore to OSACS for their willingness for Madhu Babu Pension Yojana.
4. Sharing information on strategy of implementation of programme: DAPCU is also an implementing agency of NACP activity in the district level. It is also sharing information on strategy adopted by DAPCU for smooth implementation of programme.

How is this coordination achieved?

1. Data sharing through email & telephonic contact.
2. Organising coordination meeting under ARTC
3. Sometimes visit to other DAPCU

What role do the SACS play in enhancing this co-ordination?

1. During the review meeting coordination among the DAPCUs is being established.
2. Information of other district sent by DAPCU, OSACS is sharing of Data & innovative among DAPCUs.
3. Arrangement of exposure visit.

Share a few examples in which you have taken the support of other DAPCUs and how it has helped you?

1. Implementation of innovative activities in the district and sharing with other DAPCUs
2. EID/DBS test of HIV exposed infant is being done with the Co-ordination of DAPCU, Bhadrak
3. Preparation of District Annual action Plan
4. Issues against action taken in DAPCC Meeting
5. To include the PLHA in different Social Benefit Scheme sharing with other DAPCUs
6. Training of Preferred Provider of TI project on STI/RTI Syndromes Management with the Coordination of DAPCU Bhadrak
7. During the preparation of Spatial Map DAPCUs helped each other

Share a few examples of the results achieved by inter DAPCU coordination. 

1. Implemented the innovative activities
2. EID/DBS test of HIV exposed infant are being done smoothly
3. DAPCU helped each other for preparation of District Annual action Plan
4. Discussion in DAPCC meeting sharing the issues with other DAPCUs
5. PLHA include in different social benefit scheme
6. Training has been given to P.P Doctors of TI project on STI/RTI Syndromes Management under DAPCU Bhadrak
7. DAPCUs share their views and ideas during spatial maps preparation 

Response of Banaskantha, Gujarat on Co-ordination among DAPCUS

DAPCU - BANASKANTHA – GUJARAT

RESPONSE TO THE THEME – JULY – 2013 – CO-ORDINATION AMONG DAPCUS

1. DAPCU team is highly praised and appreciated the stage of DAPCUSPEAK at where a lots of things, expression of thoughts, which are so useful and knew a lots of ideas.
2. We will try our level best to response on every theme from this month.
3. We favor and agree to coordinate the DAPCUs. Coordination among DAPCUs is so useful. From SACS level it is needed to do it strongest.
4. New format of reporting, new innovations of other DAPCUs, issues at field level which are settled by the other DAPCUs at their field are the points on which we will be coordinated.
5. Good achievements, new style of reporting, new presentation methods of DAPCU are being sent by sacs to all DAPCUs.
6. The understanding of spatial map is received from other DAPCUs and as well as the Epidemic Drivers Presentation is being shared by us to other DAPCUs which are useful for others.
7. We are in need of new conclusion and suggestion on the epidemic drivers which sent to you sir.
8. There is no idea about spatial map before one year, but this year nowadays we have made it so innovative.
9. Other DAPCUs had got supports on epidemic drivers from our presentation. 

Mehsana Response to coordination among DAPCUs

Coordination between DAPCUs is very necessary in all the AIDS control activities.

Following are the examples how Mehsana district coordinates with the other districts:

1. As per need we have shared the data of LFU-MIS with the coordinating district Banaskantha, Surendranagar & Ahmedabad.
2. Innovative Intervention ideas sharing.
3. We have coordinated to DAPCU Banaskantha for ART Registration of ANC PLHA & General PLHA.    
4. We have coordinated to DAPCU Ahmedabad for HIV Exposed Child DBS/Rapid Test.    

The learning from coordinating with DAPCUs is beneficial and it reflects in the overall reporting and results. 

Amravati- Response to coordination among DAPCUs

DAPCUs are doing coordination through……

1) Sharing of list of other center clients registered in Amravati ART center.
2) List of other district ANC who are take services in Amravati District. 
3) Coordination for training load of PHC staff training to other district. 
4) Transfer in and out of Pre and on ART clients.
5) Coordination for Consumables.
6) Coordination for KITS.
7) Coordination for new events and ideas.
8) Sharing of LFU/MIS list.
9) Coordination for EID follow-up.
10) Coordination for M&E and Accounting tools or guidelines.

In the HIV/AIDS program there is chance of duplication of clients in ART centers and this duplication the number shows the big figures for stop this duplication DAPCU Amravati send the details of the client registered here from other district to their home district immediately.

• Same thing should follow in ANC clients also for giving the services to her.

• Amravati has a divisional training center so DAPCU coordinate with other district for training. In wardha also have the INC training center then we coordinate for ANM training. Same thing follow in Akola (SRL) and Yavatmal (SRL) district for the training of LT.

• In the time of shortage of consumable we coordinate to SACS and other DAPCUs and solve the problem.
• Same thing follow in HIV testing kits and STI/RTI kits in addition to this we five district from Amravati district are collect the money for transportation and arrange the vehicles for receiving the kit from SACS many times.
• Regular coordination for events like, RRE, WAD or establishing RRC.
• We can also coordinate for LFU/MIS follow up of ART center.
• In EID program there is restriction of EID center and for the convenience of Clients we coordinate to district where they want.
• All M&E and Accountant are regularly contact for any query if all have same query then contact with SACS.

Role of SACS in Coordination of DAPCUs

• In Maharashtra SACS provide the single window for DAPCU.
• SACS designates  parental officer for every district.
• Nodal officer of DAPCU take review of each and every district time to time and also coordinate nearby DAPCU to help them for specific issue.
• Each and every mail which is important for DAPCU sends to all.

Examples of support taken from other DAPCU and Result achieved by coordination

• Work shop of media person with the coordination of Akola DAPCU at Amravati and result is Media give marvelous exposures of DAPCU news in positive way.
• Before ART established in Amravati we take ideas from Akola and Yavatmal DAPCUs for ART setup and ART center of Amravati are good one.
• DAPCU Amravati prepared the DAPCU Directory.
• Reallocation of ICTC consumables. A delay in purchase and distribution of consumables was anticipated at the state level. Guided by SACS DAPCUs of Maharashtra took stock of availability in their district and planned for support to other districts in need. The image below provides a snapshot of the consumables distribution plan upto Sep 2013. This plan was prepsred through the coordination of 30 DAPCUs in the state and SACS facilitation

Koraput Response to coordination among DAPCUs

YES ! Its very important to establish and develop the co-ordination and co-operation among DAPCUS in the state.

There are 7 nos.of DAPCUs in Orissa who are highly responsible for overall activities related to HIV/AIDS in the district. There is a strong inter-coordination among these DAPCU’s. The major coordination areas are as follows like:-

A. Data sharing.
Relating to data sharing, if there is a good co-ordination among DAPCUs then we can  easily share our achievements and work  strategies with other DAPCUs which make others to do better and follow the right direction to achieve our  goal i.e Prevention and control the HIV epidemic in the District.Datas like, 

• Target Vs Achievement of all SDPS in the District.:-Sharing the district achievements to other DAPCUs.
• LFU/MIS case. :- If the PLHIVs are  from other district, it will help to trace the case by the help of other district staffs  and reentering them on ART .
• Social Benefit schemes & providing TA to PLHIVs:-In case of providing SBPs to PLHIVs, it is very essential to take the help of others ,b’ coz the district work plans  are different from  one to another. if one district workout one kind of SBP ,then it will be a example to other district’s  authority to follow the same for approving the scheme for PLHIVs
• Sharing District Action Plans:-If there is a good co-ordination ,it will  help to make success of design and work out own district plans.
• This co-ordination helps to solve the stock out condition in the districts.
• It helps to create innovative Intervention ideas to develop the district mission.
• It helps in case of identifying the HRGs  in the district by the NGO.

B. Sharing the knowledge and experience of successful works.

C. Provide  guidance to the newcomer.And help him/her to make every work/programme under NACP ,successful.

The  role of the SACS in enhancing this co-ordination:-

SACS has a great role in enhancing this coordination. Because some time it is not possible to communicate  messages to all and some times there is  mis-communication. So SACS has to build the co-ordination between DAPCUs to share the detail programme with one another and work as a group to achieve the state goal.

Share a few examples in which you have taken the support of other DAPCUs and how it has helped you. 
1-Incase of preparing District Action Plans.
2-Conducting DAPCC with DCC meeting
3-Conducting different innovative programme with line departments.
4- To involving the PLHIV in different Social Beneficiary plans.
5-In case of stock out of Kits and other consumables

Few examples of the results achieved by inter DAPCU coordination. :-

The above things are carried out after due sharing the knowledge and experience relating the programmes  with each other. 

Finally, Its very important to have a good relation and co-ordination with each other among DAPCUs.

Bijapur Response to coordination among DAPCUs

Yes, there is a need for DAPCUs to work in Co-Ordination with each other especially in these areas

• Follow – up of the ART Clients (FLU / MIS Cases) 
• HIV / STD / ART CD4 Testing Kits Requirement. 
• Data sharing.(LFU/MIS, Transfer out, Social Benefit scheme  etc.) 
• When one patient from some other district is identified in our district we usually contact the concerned DAPCU and share the address of  the patient with them if the patient is not registered in our ART Centre or not coming for regular follow up.Thus we are able to update the details of the patient .
• Implementation of the new PPTCT Regimen Guidelines (ARV/ART, ANC data sharing for the migrant clients and their deliveries and follow-up of the babies up to 18 months and tailing)
• HIV testing Kits given to Bagalkot District. Only One Warehouse in Bijapur District.
• ART Centre, Bijapur CD4 kits are taken to Gulbarga, Chikkodi and Bangalore Districts.  
• ANC positive client 6 months baby follow-up in Karawar. 18 months follow-up in Bijapur District. As clients move between districts such coordination is very important
• Follow-up of the ANC Cases (Migrant) for the ARV Prophylaxis and Delivery in the other districts.
• Follow-up of the Co-infected clients in the Other Districts.

Co-ordination between DAPCUs not only with in the state but with all DAPCUs in the country is very essential for following up the patient.

Shimoga Response to coordination among DAPCUs

Coordination Among DAPCUS 

Need for Coordination
Yes, there is a used for DAPCU’s work in Co-ordination with each other.  We are after exchanging our thoughts and Programme Achievements, barricades while assenting targets, and how to go through these barricades.

Issues on which DAPCU’s  support each other and how coordination is achieved 

Regarding Capacity building of our staff, full site orientation of stake holders, Conducting trainings ,   we DAPCU’s  support each other and share  experiences when handling these programmes. This is usually done through email of telephone 

What role do the SACS play in enhancing this Coordination ?

By giving suitable directions, providing infrastructure facilities, training of staff, with monetary benefits SACS play the role in enhancing this Co-ordination.

Share a few examples in which you have taken the support of other DAPCU’s and how it has helped you ?

Linkage of HIV+Ve cases of neighboring districts  who after  becomes for check up to our district centers referral & follow up of cases LFUs.  Whenever we have shortage of test kits of HIV  or stock full we give/take the kits with neighboring & other districts with the instruction of KSAPS. This helped us in many way to outcome the constraints and for smooth achievements of our Goal.

Results 

• While discharging our duties with our mother department District Health & Family Welfare authorities as a Nodal Officer of  Taluka,  we  their thoughts and those of neighboring  districts DAPCU’s to carry out National Health Programmes and assistance to NRHM.  
• DAPCUs also helped each other in developing  spatial maps .
• Follow-up of the ANC Cases (Migrant) for the ARV Prophylaxis and Delivery in the other districts.
• Follow up of  the DBS test who are transferred out.
• Follow-up of the LFU/MIS Cases in the other Districts.
• Distribution of Execs  Kits & Drugs.   
• Follow-up of the Co-infected clients in the Other Districts.
• Co-ordination Among DAPUS                                                                             

Bhandara Response to coordination among DAPCUs

Issues on which DAPCUs support to each other;
1) Reallocation of consumable
2) EID follow up
3) Transferring out of Pre ART Patients
4) Tracking of LFU/MISS patients
5) Provision of training to Health staff

Whenever there is scarcity of any consumable at DAPCU level, the same is informed to MSACS .In return we receive the consumable stock position of other DAPCUs so that we can contact them and ensure transportation of that particular commodity to our DAPCU.   

In a few instances the positive delivery conducted at our hospital but as the particular woman originally resides at other district, the EID follow-up has to be done at that particular district. So this specific information is shared between two the DAPCU and the required follow up is done.

Suppose a positive patient gets Pre ART regd. At our ART centre but due to his willingness to continue the treatment at ART centre of other DAPCU, he is transferred out and the same thing is communicated to that DAPCU so that that Particular patient receives the treatment as per his willingness and convenience.

Similarly when an on ART patient comes under the category of LFU/Miss, the status of that patient is communicated to the DAPCU, to which he belongs, so that he can be tracked and brought back to on ART status.

On many occasion the HIV/STI training is arranged at some specific nodal centers, at that time the DAPCU which comes under that nodal center plays the role of coordinating centre with other DAPCUs so that their participation can be ensured.

Role of SACS in coordination
SACS play the vital role to continue this coordination among DAPCUS by issuing required instructions to all DAPCUs time to time.

Examples of support taken from other DAPCU and Result achieved by coordination
During last month we had shortage of vacuum tubes at our DAPCU .so we communicated the same to SACS, they have given us the status of excess vacuum tubes in DAPCU Pune . We communicated to Pune DPO and ensured and planed the transportation of the same, as a result of this we are likely to get it very shortly.

Similarly the ANM training was scheduled at Sewagram Wardha; the DPO has communicated the details of the training to all nearby DAPCUs so that we could send the ANM for training on time.
In this way the inter coordination among DAPCU is the BEDROCK of the program so far as the effective implementation of various program components are concerned.

Imphal West Response to coordination among DAPCUs

COORDINATION WITH DAPCUs

There is co-ordination among the DAPCU Staff of Imphal West District of Manipur State because it is Team-Work as well as Group Work activities so we share information,  knowledge and helping each others .We are also sharing information among 9 different DAPCUS of other District of Manipur State.We are learning many things from other DAPCUs too. Without Team Work Spirit, DAPCUs cannot progress.

Example : If we Imphal West DAPCU could not do the responsible or duty of DAPCU, we are taking help from DAPCU Staffs of Imphal East as well as Churachandpur District. 


COORDINATION WITH SACS
DAPCU Imphal West have co-ordination with SACS (MACS) too by sharing our reports to SACS regarding District Dashboard, District Monthly Report, Spatial Mapping of our District every month to MACS  as well as to NERO-NACO and NACO.

MACS  with the support of NACO and NERO-NACO also provide different trainings to the staffs of DAPCU for development.


 Example : 

• SACS give training of SIMS and District Action Plan to DAPCU Staffs.
• With the support of SACS, DAPCU Imphal West is organising 2 Voluntary Blood Donation Camps, celebrating  INTERNATIONAL DRUGS DAY,
  
  observing WORLD AIDS DAY, opening RED RIBBON CLUB to different Colleges within our District, opening 2 Stalls for  HIV-AIDS(1 for Awareness and 1 for counselling by ICTC) at Health Mela organised by NRHM. 
• Every month  conducting co-ordination meeting of HIVAIDS and TB with DAPCU staff with  Chief Medical Officer(I/W), ICTC Counsellors and Staffs of District TB Centre.
• Every month we are collecting CMIS reports and feedback  of 18 TI-NGOs,  14 ICTCs, 1 ART Centre, 2 STI Clinics, 2 DICs,  1 PPTCT, and 1 DTC within our District and send report to MACS as well as to NERO-NACO(Guwahati) and NACO(New Delhi).

Akola Response to Theme - Coordination between DAPCUs

In Maharashtra 30 DAPCUs are responsible for overall activities related to HIV/AIDS in the district. There is a strong inter-coordination among these DAPCU’s. The major coordination areas are as follows.

 I) Data sharing.(LFU/MIS, Social Benefit scheme, Transfer out etc.)
II) In emergency at stock out position of Kits and Consumables
III) Innovative Intervention ideas sharing
IV) NGO’s analysis
V) Jointly conducting Workshops through coordination.
VI) JAT and NGO selection etc

Following are the examples how Akola district coordinates with the other districts

1. Akola conducted Media workshop in the coordination with the Amravati DAPCU.

2. For kit transportation Akola DAPCU collects the kits for all the DAPCUs in the Akola Circle (i.e. Amravati, Yavatmal, Buldhana and Washim).
3. Every month share the data of ANC/LFU-MIS with the coordinating district Buldhana, Amravati and Washim.
4. In stock out condition Akola DAPCU took the HIV kits from the Amravati and Yavatmal DAPCU.
5. For greater learning of FSW-TI DPO Akola visited  Amravati DAPCU and implemented the learnings in Akola.
6. For conducting the Mega event like RRE, we take the help of Amravati DAPCU.
       
The learning from coordinating with DAPCUs is beneficial and it reflects in the overall reporting and results.

Kanyakumari Response to Theme - Coordination between DAPCUs

Coordination between DAPCUs is very necessary in all the AIDS control activities.

When one patient from some other district is identified in our district we usually contact the concerned DAPCU and share the address of  the patient with them if the patient is not registered in our ART Centre or not coming for regular follow up.Thus we are able to update the details of the patient .

More important thing is if an ANC Positive case is identified the DAPCUs help in following up the clients.We have one ANC positive client who was identified in Nagapattinam District and delivered in Kanyakumari district .We shared the data with Nagapattinam DAPCU .So coordination between DAPCUs not only with in the state but with all DAPCUs in the country is very essential for following up the patient

Also when some other district is doing some good work and sharing the same it can be applied for our DAPCUalso .

Khammam Response to Theme - Coordination between DAPCUs

YES ! there is  a need for DAPCUs to work in coordination with each other.

• HIV Testing Kits Requirement
• DSRC Services-requirement of the kits
• Sharing of the consumables, etc
• Taking the suggestions from the role model districts to improve the performance in own  district.
• Implementation of the new PPTCT Regimen Guidelines (ARV/ART, ANC data sharing for the migrant clients and their deliveries and follow-up of the babies upto 18 months and tailing)
• Follow-up of the ART clients (LFU/MIS Cases)

What role do the SACS play in enhancing this co-ordination?

• At present, SACS regularly every forth night conducting the video conference to identify the issues and enhance the programme.
• Review and identity the needs of the DAPCUs
• Supportive supervision to reach the given targets

Share a few examples in which you have taken the support of other DAPCUs and how it has helped you.

• When the HIV Testing kits were shortage in the district, we have spoken with the neighbouring districts and got HIV Testing kits. And over come the problem of the shortage of the HIV testing Kits with theintimation to the APSACS.
• DSRC kits: we got the short expiry kits from neighbouring districts and  utilized in the district (optimum utilized) with the intimation to the APSACS.

Share a few examples of the results achieved by inter DAPCU coordination.

• Follow-up of the ANC Cases (Migrant) for the ARV Prophylaxis and Delivery in the other districts.
• Follow-up of the LFU/MIS Cases in the other Districts.
• Follow-up of the Co-infected clients in the Other Districts.

Department of AIDS Control Mass Media Campaign - Promoting Counselling and Testing - 17th July -17th August 2013

Department of AIDS Control  undertakes campaigns on different themes following the mass media campaign calendar. 

As scheduled,the campaign  promoting counselling and testing services at ICTC is going to be on air from 17th July,2013 for a period of one month. During the campaign following two spots 'Student" (first 15 days)and 'Salesman' (next 15 days)   (both 40 sec) will be used. 

The campaign has been planned on Cable &Satellite channels, DD(National as well as Regional networks, AIR and Pvt FM. 

Do watch out for this and write to us with your feedback.

MSACS -No-cost tracking system for follow-up of HIV positive pregnant women and their babies

We are happy to share a presentation from Maharashtra State AIDS Control Society made at the - 7th IAS Conference HIV Pathogenesis , Treatment and Prevention. 

No-cost tracking system for follow-up of HIV positive pregnant women and their babies till 18 months in Chandrapur district, Maharashtra, India- – A pilot by Maharashtra State AIDS Control Society (MSACS).

IAS 2013 Malaysia MSACS from DAPCUSPEAK

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

District AIDs Prevention and Control Units (DAPCU) have a major role in identifying and establishing the F-ICTCs in districts. In basing upon   some of the important   data, the F-ICTCs will be established. They are as follows:

1. Identifying the area basing upon HRG population/ANC load/TB cases/Positivity/In & out migrated population.
2. After identifying the area, co-ordinate with CDMO/ADMO (PH) in district level and apprise them for establishing the F-ICTC. And also to the SACS level for providing of further training of Staffs (One Staff-Nurse or head quarter ANM for In-charge Counselor and LT from pathology/Malaria/RNTCP).
3. Consult & Co-ordinate with the concerned M.O I/C to take the list of staffs for training and discuss the strategy of opening and running a new F-ICTC at their end.
4. Discuss with the M.O. I/c about the procurement the ICTC items for  Laboratory  use from RKS fund (NRHM) and Testing Kits/Registers/Formats /IEC materials  from SACS though DAPCU level.
5. After procurement of items and training of staffs F-ICTC will be fictionalized.

These above things are carried out by DAPCU. So DAPCU has a major role in establishing the F-ICTC.

After establishing the F-ICTCs in district, DAPCU has to monitor once or twice in case of need to the F-ICTCs and provide hand hold support to the both (Counseller/LT) for maintaining the registers and preparing CMIS reports for month wise. In each stage, they must be followed up by the DAPCU staff.

In Koraput district, 7 F-ICTCs had been proposed to establish. Out of them, 4 F-ICTCs are already functioning and reporting to DAPCU/SACS in the district. One F-ICTC is going to be functionalized from 10th July, 2013 onward (at Bandhugaon) and rest two F-ICTCs (at Kunduli & Narayanpatna) will be functionalized during next month (i. e. August 2013) after completion of training of Counselors/LTs at SACS, all other necessary arrangements have been done. DAPCU, Koraput is also showing interest to establish the F-ICTCs in other near districts like Malkangiri & Nabarangpur. 

Purba Medinipur's Response to Theme- DAPCUs and F-ICTCs

 Role of DAPCUs in establishing F-ICTCs:

Facility Integrated Counselling & Testing Centre for HIV screening is relatively new concept introduced in NACP-III by NACO under intradepartmental convergence strategy. The basic idea of establishing FICTC is to cover more people of a district by utilizing existing human resource & infrastructure of health department. The Counsellor of Anwesha (Adolescent) clinic and LT of DMCs are being trained and deployed to perform screening of HIV at BPHC/CHCs/PHCs. To these counsellors and LTs this HIV test seems to be an additional task to perform, and hence they resist. Here comes the role of DAPCU to explain the importance of the test and motivate the team and the authority of the respective institutions to incorporate the service along with other running programmes.

DACO delivering speech in a sensitization programme 

 In Purba Medinipur District, DAPCU supports the district authority as well as unit authority to carry out the SWOT analysis before launching the programme in a unit. Through this analysis authority of respective units realize the infrastructural strength, client load at OPD & Pathology unit, workload of respective staffs and benefits of community people as well as medical staffs. DAPCU also follows, informs & coordinates with FICTCs & WBSAP&CS regarding the geographical gaps, migration pattern, occupational trends, vulnerability issue and the need aroused from Spatial Map analysis. Moreover, DAPCU play a proactive role to comply with the administrative order of WBSAP&CS regarding the opening of FICTC. 

Capacity building of FICTC

• In West Bengal WBSAP&CS organizes training programmes for Counsellors (Anwesha Clinic) & LTs as per their plan, DAPCU supports them by providing release order from the end of CMOH to concern FICTCs. 

  

  District level orientation session on FICTC

• DAPCU organizes sensitization programmes on HIV/AIDS, orientation on NACP deliverables, status & information of other NACP facilities of the district, ART information, orientation on PEP etc for MO, ANMs, Indoor staffs, Supervisors, ASHA and all other working staffs of BPHCs (Block Primary Health Centre).
• DAPCU also organizes on-spot orientation of LTs by involving MT Labs of Standalone ICTCs.
• Moreover, DAPCU provides orientation & handholding support in documentation and reporting.
• DAPCU also guides the team regarding the linkage of FICTC with other NACP facilities.
• DAPCU also arrange to provide logistic support like centrifuge machine, micro-pipette, HIV testing kit, syringe, needle, scheduled registers, consent forms, reporting pad etc.

Strengthening of linkages between F-ICTC and ICTCs

           

As per the standard testing protocol all clients screened as HIV reactive at FICTC are to be referred to the nearest ICTC for conducting confirmatory test. So, FICTCs are informed about the contact details of all ICTCs of the districts, even at the initial stage DAPCU plays a vital role to link clients of FICTC to ICTC. In due course FICTCs are linked with DLN, TI NGOs & LWS for better linkage.    

Monitoring and evaluation of F-ICTCs

DPM is trying to resolve conflict of Erashal FICTC

  DAPCU provides supportive supervision to FICTCs in each month by utilizing the monitoring format of ICTC provided by NACO. During on-site visit DAPCU religiously verify stock position, referral linkage and documentation. DAPCU also organizes monthly review meetings at district level where analysis are done on achievements, gaps and problems faced etc.

Few achievements

            Currently there are seven numbers of FICTC are functional (03 in 2011-12 and 04 in 2013-14) along with 10 ICTCs and notably some FICTCs are performing equally like an ICTC. Till date FICTCs have catered 5311 clients in the districts. A comparative achievement is presented hereunder. Though the time frame is different and in between a good numbers of sensitization and IEC programmes were conducted in the district by DAPCU. The figure shows that the concept of FICTC is an effective strategy to cover more numbers of people of a district. If close monitoring not ensured the public interest may be hampered and also mishandling of kit and other logistics may occur. 

                

	New ICTCs				FICTCs
Month wise Performance starting from inception	Reapara	Mugberia	Paikpari		Khejurberia	Bhagwanpur	Moyna
	July'10	March'10	June'10		August'11	August' 11	January'12
	Testing				Testing
1st	35	11	27		39	24	21
2nd	38	24	85		66	98	257
3rd	69	72	71		58	55	238
4th	32	63	46		116	0	107
5th	52	84	59		154	0	137
6th	32	66	74		103	0	122
Total	258	320	362		536	177	882