Mehsana'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

1. General Out Patients more than 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; initially Lab Technician should be trained at nearby Area Hospital/District Hospital for one day for HIV Testing and Universal Precautions, Waste management, registers Maintenance, Kit’s maintenance and testing Protocols/charts, registers like lab register, stock register, etc. Initially Staff Nurse/ANM/FHW Should be given induction at the nearby Area Hospital/District Hospital (for one Days)  by the existing Counselor  on the counseling skills, consent forms, pre-test counseling (individual & group counseling), lab forms,  post-test counseling, if 1^st positive refer to Nearest Stand Alone ICTC  etc., and counseling registers, universal precautions. Also Induction Training Provide by GSACS to FICTC LTs & Staff Nurse/ANM/FHW. Intensified TB-HIV Package Training Provide to FICTC MOs & Pharmasists by DAPCU.

Strengthening of linkages between F-ICTC and Designated ICTCs 

Every F-ICTC tested the client with HIV testing Kit-1, if client found positive, F-ICTCs should refer the client for confirmation at nearest ICTCs. So DAPCU must initiate the easy process and better co-ordination between F-ICTC and nearest Designated ICTC. So that client tested easily for confirmation without any problems.

Monitoring and evaluation of F-ICTCs

           

Every Month DPO, DIS & DAPCU Staff & also Concern ICTC Counselor should visit the F-ICTCs and identify the gaps and counsel the staff for gaps identified and overcome them in the presence of the Medical Officer. Also Taluka Health officer attend the every DAPCU monthly meeting & review of FICTC. Discuss about FICTC Work in monthly MO meeting organized by NRHM.

Share a few achievements from your districts in this regard

All PHCs in the district are 53 , 2 CHC and all are equipped with F-ICTCs and all are functioning and reporting  100%  and PPP model 9 F-ICTC made MOU with our programme and all are functioning and reporting 100%. The all F-ICTCs Reporting are through SIMS.

HIV Testing Training by Stand Alone ICTC LT to FICTC LTs

Training on Intensified TB-HIV by DPO to FICTC

Medical officers.

FICTC Staff Nurse/ANM/FHW FICTC Record Keeping Training By

Stand Alone ICTC Counselor.

DIS Visited FICTC Kamli Ta.Unjha District.Mehsana