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

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

DAPCU role is very critical and very responsible role in the working of the FI-ICTCs. Continuous mobilization and continuous follow-up is required.  Mobilization in terms of the Cluster SPHOs, PHC Medical Officers they should own the programme.

Locating a suitable health facility to establish  F-ICTCs

General Out Patients morethan 30 clients per day 2. Existence of the Lab Technician (for HIV Tests) and Staff Nurse (Counseling and follow-up) 3. Priority should be given to the Designated Microscopic Centre if existed. 4. This facility is far away (more than 20 kms) from the CHC/Area Hospital. 

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

Training of the Staff; Lab Technician should be trained at nearby Area Hospital/District Hospital for TWO Days for HIV Testing and Universal Precautions, Waste management, registers Maintenance, Kit’s maintenance and testing Protocols/charts, registers like lab register, stock register, etc.

Staff Nurse Should be given induction at the nearby Area Hospital/District Hospital (for THREE Days)  by the existing Counselor  on the counseling skills, consent forms, pre-test counseling (individual & group counseling), lab forms,  post-test counseling, referrals to DMC, DSRC, if positive, ART etc., and counseling registers, universal precautions.

Strengthening of linkages between F-ICTC and Designated ICTCs 

If found positive after first test, they should be referred to the nearest designated ICTCs for confirmatory testing, continuous follow-up and counseling.

Monitoring and evaluation of F-ICTCs

Every 15 days, DIS/ADM&HO/DPM should visit the FI-ICTCs and identify the gaps and counsel the staff for gaps identified and overcome them in the presence of the Medical Officer.

Share a few achievements from your districts in this regard 

After continuous mobilization of the LT, we have started the FI-ICTC at PHC, Karepalli.2. After continuous mobilization of the LT, we have started the FI-ICTC at the PHC Kalluru (now doing the tests only for the TB clients) and FI-ICTC Kusumanchi.