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

DAPCUs and F-ICTCs

What is the role of DAPCUs in establishing F-ICTCs? How do you help in

Locating a suitable health facility to establish F-ICTCs

1. Clint load per day at the facility.
2. Availability of human resources such as Staff Nurse & Lab. Tech.
3. Communication facility to the health centre.
4. Registered TB cases per month.
5. In & out migration factors.

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

1. Propose the name of the staffs to OSACS for training.
2. OSACS provides the registers and reporting formats.
3. DAPCU to supervise and provide hand holding support.

Strengthening of linkages between F-ICTC and Designated ICTCs

1. Both the counselors of F-ICTC & designated ICTC shall be    jointly reviewed in each month.
2. They will coordinate with each other regarding referral and reach of the client.
3. Motivation to ASHA by in time payment of incentives for accompanying ANCs for HIV test & subsequently institutional delivery.

Monitoring and evaluation of F-ICTCs

1. The difference between total ANC + TB positive cases of the facility and the number of HIV testing should not be lower on the part of the later.
2. A considerable number of HRG and general clients getting tested or not is also a fact of consideration.
3. Gap analysis should be done between referral and reach of the client.

Share a few achievements from your districts in this regard

In our district Balangir which comes under KBK + categorization by Central Govt. for being backward economically and socially, essential health care related human resources like Staff Nurse & Lab. Techs. are not adequately available and for this the only three F-ICTCs attributed to the district are in the process of fictionalization with HIV testing being started on 28-06-2013 in 2 F-ICTCs out of 3. This is also being possible only due to deputation of some ICTC’s counselors and LTs to the F-ICTCs thrice / twice a week.