Thursday 4 July 2013

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

Facility integrated counselling and testing centre is a place where a person is counselled and Tested for HIV, on his/her own free will or as advised by a medical provider. 

The main Objectives of F ICTC includes;

Early detection of HIV, Provision of basic information on modes of transmission and prevention of HIV/AIDS and Link people with other care and treatment services.

Each primary health facility should have one ICTC for all groups of people. The FICTC located in facilities that serve specific categories of people such as pregnant women, Accordingly the FICTC located in the grass route level primary health centres and private maternity hospitals where the majority of clients who access counselling and testing services of pregnant women. The FICTC consisting staff nurse, Lab technician and pharmacist and they performing test for diagnose of HIV and referring the clients to nearest ICTC for confirmatory test and the need for providing prophylaxis to prevent the transmission of HIV from infected pregnant women to their infants.  

The role of DAPCUs in establishing F-ICTCs;

Identify the existing PHCs in the district, enquire about the staffing position like Doctors/Pharmacists/Staff nurses/ANM & lab technician. Ensure the lab-facilities and ANC flow of the facility also ensure the distance from the nearest ICTC
Then the DAPCU is communicated DM&HO regarding establishment of new FICTCs and as per the directions of PD, APSACS the official G.O copy with all FICTC related infrastructure developed with the support of concern facility medical officer.
Capacity building to the F-ICTC staff (Training on maintaining the registers, records and submission of monthly reports etc.)

During capacity building the existing staffs like ANM, Staff Nurse and the Lab-technician were involved and provided training on FICTC functionaries services by DAPCU. Also gave training in the District level for the above staffs on CMIS. According the supply chain management system, DAPCU provided the registers, all types of reporting formats and testing kits also. Finally the DAPCU is co-ordinating with NRHM regarding supply of other equipment for laboratory.

Strengthening of linkages between F-ICTC and ICTCs

DAPCU is strengthening the co-ordination by timely supplying the required logistics and deputing the nearest ICTC Counsellor and LT twice in a month to visit the FICTCs for proper support and guidance. Standalone ICTCs are playing an active role in strengthening of FICTCs. The concerns ICTC Counsellors are participated in cluster level meetings and coordinating with Senior Public Health Officer (SPHO) and concerned FI- ICTC medical officer for strengthening the FICTCs. Also coordinate with RNTCP staff for cross referral.

Monitoring and evaluation of F-ICTCs

The DAPCU team, Addl. DM&HO, DPM, DIS and the nearest ICTC counsellor are regularly visiting the F-ICTCs and monitoring the centre performance and if any gap is identified in the centre, the concern standalone counsellor or concern cluster senior public health officer (SPHO) is immediately suggested by DAPCU to take actions for minimize the gap and also provide proper support and guidance to the F-ICTC. 
Future Plans

1.Planning to conduct training to all FICTCs staff nurses on SIMU package
2.Send the details to APSACS on remaining 8 new FICTCs out of 72 for universal centre official code
3.Planning to conduct meeting with all SPHOs to review the performance of each FICTC and orient on new PPTCT drug regimen program in the district.

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