What is the role of DAPCUs in establishing F-ICTCs? How do you help in locating a suitable health facility to establish F-ICTCs
Angul is centrally located district in the state of Odisha. In Angul district there are only 9. of ICTCs to provide HIV/AIDS counseling & testing facility. 5. FICTC was established at following places:
DAPCU played a vital role in establishment of FICTC in Angul district. Before the establishment of FICTC the DAPCU staff visited the different PHC/private Hospital, where ICTC was not established and collected information.-like daily average patient load, monthly average patient load, No. of ANC client load and No. of delivery conducted in the concerned /PHC , infrastructure facility available, human resource facilities available etc. DAPCU discussed this with ADMO (PH) & CDMO and with their approval DAPCU submitted a proposal to OSACS for opening of FICTC at concerned PHC.
After establishment of FICTC the Medical Officer of selected the Counselor & LT from the existing staff such as usually ANM/Staff Nurse for Counselor and for LT from RNTCP/General Pathology.
In FICTC the staff provides counseling and testing along with other services and OSACS through DAPCU provides rapid HIV testing kit, quality assurance, PEP drugs & supply IEC Material, Flip Chart & Posters etc.
Capacity building of the F-ICTC (i. e. training of staff, providing registers/ formats, providing guidance, supervision etc.)
DAPCU recommended the name of FICTC staff for training to OSACS in consultation with
Medical Officer of concerned CHC/PHC and occasionally DAPCU provided handholding training/support to the FICTC staff for quality of service. Besides training DAPCU also provided register format, consent form, reporting form IEC material; Condom demonstration model etc. to FICTC.
DAPCU supervise the activity of FICTC and provide supportive supervision for quality counseling. DAPCU staff also guided the FICTC staff during preparation of CMIS report in the initial stages
Strengthening of linkages between F-ICTC and Designated ICTCs
Only 1st system testing kit was provided to FICTC. After detection of HIV +ve in 1st system the FICTC counselor are expected to refer the client to the nearest standalone ICTC for confirmatory test. After confirmatory test the ICTC counselor provides the report to the concerned client and shares the status of concerned client with FICTC counselor and refers the client to ART Centre & DMC. Again during outreach work the ICTC Counselor follows the client for Pre-ART/`On-Art & institutional delivery.
Monitoring and evaluation of F-ICTCs
During field visit the DAPCU Staff verify the counseling register/ Lab Register, Stock register/ Kit expiry date, kit stock, condom stock , Refrigerator temperature,. consent form Maintain or not, IEC Material properly displayed or not, Flip chart /leaflet etc in the counselor table or not,, Condom & condom demonstration model , PEP chart is with counselor or not. Cross check the DMC referral with the referral of FICTC and vice versa. consumables provided by the concerned CHC/PHC or not. HIV-TB 10 point scale is with counselor or not. Etc.The problem of FICTC was discussed in DHS review meeting.
Share a few achievements from your districts in this regard
In Angul district all clients referred from FICTC have reached the nearest ICTC for confirmatory test. During recent visit of NACO & OSACS official on 03.07.2013 it was observed that they verify the record of FICTC, Bantala and cross check with the record of ICTC, DHH, Angul. and found that all the 5 clients referred by Counselor of Bantala after detection of +v e in screening test., tested in ICTC-I and all the 5 Nos of clients registered their name in ART Centre, DHH, Angul Again one +ve delivery was conducted on 08.05.13 at DHH Angul and both the Mother & baby pair received Nevirapine. Again all the FICTC staff submitting CMIS report in time.
Angul is centrally located district in the state of Odisha. In Angul district there are only 9. of ICTCs to provide HIV/AIDS counseling & testing facility. 5. FICTC was established at following places:
- CHC, Kosala– July’2011
- Banarpal – Feb.’2012
- Bantala – Feb.’2012
- Godibandah – Aug.’2012
- Boinda - - Aug.’2012
DAPCU played a vital role in establishment of FICTC in Angul district. Before the establishment of FICTC the DAPCU staff visited the different PHC/private Hospital, where ICTC was not established and collected information.-like daily average patient load, monthly average patient load, No. of ANC client load and No. of delivery conducted in the concerned /PHC , infrastructure facility available, human resource facilities available etc. DAPCU discussed this with ADMO (PH) & CDMO and with their approval DAPCU submitted a proposal to OSACS for opening of FICTC at concerned PHC.
After establishment of FICTC the Medical Officer of selected the Counselor & LT from the existing staff such as usually ANM/Staff Nurse for Counselor and for LT from RNTCP/General Pathology.
In FICTC the staff provides counseling and testing along with other services and OSACS through DAPCU provides rapid HIV testing kit, quality assurance, PEP drugs & supply IEC Material, Flip Chart & Posters etc.
Capacity building of the F-ICTC (i. e. training of staff, providing registers/ formats, providing guidance, supervision etc.)
DAPCU recommended the name of FICTC staff for training to OSACS in consultation with
Medical Officer of concerned CHC/PHC and occasionally DAPCU provided handholding training/support to the FICTC staff for quality of service. Besides training DAPCU also provided register format, consent form, reporting form IEC material; Condom demonstration model etc. to FICTC.
DAPCU supervise the activity of FICTC and provide supportive supervision for quality counseling. DAPCU staff also guided the FICTC staff during preparation of CMIS report in the initial stages
Strengthening of linkages between F-ICTC and Designated ICTCs
Only 1st system testing kit was provided to FICTC. After detection of HIV +ve in 1st system the FICTC counselor are expected to refer the client to the nearest standalone ICTC for confirmatory test. After confirmatory test the ICTC counselor provides the report to the concerned client and shares the status of concerned client with FICTC counselor and refers the client to ART Centre & DMC. Again during outreach work the ICTC Counselor follows the client for Pre-ART/`On-Art & institutional delivery.
Monitoring and evaluation of F-ICTCs
During field visit the DAPCU Staff verify the counseling register/ Lab Register, Stock register/ Kit expiry date, kit stock, condom stock , Refrigerator temperature,. consent form Maintain or not, IEC Material properly displayed or not, Flip chart /leaflet etc in the counselor table or not,, Condom & condom demonstration model , PEP chart is with counselor or not. Cross check the DMC referral with the referral of FICTC and vice versa. consumables provided by the concerned CHC/PHC or not. HIV-TB 10 point scale is with counselor or not. Etc.The problem of FICTC was discussed in DHS review meeting.
Share a few achievements from your districts in this regard
In Angul district all clients referred from FICTC have reached the nearest ICTC for confirmatory test. During recent visit of NACO & OSACS official on 03.07.2013 it was observed that they verify the record of FICTC, Bantala and cross check with the record of ICTC, DHH, Angul. and found that all the 5 clients referred by Counselor of Bantala after detection of +v e in screening test., tested in ICTC-I and all the 5 Nos of clients registered their name in ART Centre, DHH, Angul Again one +ve delivery was conducted on 08.05.13 at DHH Angul and both the Mother & baby pair received Nevirapine. Again all the FICTC staff submitting CMIS report in time.
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