Within District:
In North Delhi district generally the positive migrant clients are from other district and outside state. In Delhi there are nine ART Centers but there is no ART Center in North Delhi District. Within District migrant positive clients are linked to ART Center near to North District which are lies in other districts such as North West, Central and North East District i.e. Dr. B.S.A. Hospital, LNJP Hospital and G.T.B. Hospital for Pre-ART registration, CD4 count and if CD4 count is less than 350 then efforts are made for registering the positive clients in ART Center.
Other District:
Whenever any client found positive from other district, counselor provides option to him / her for taking ART treatment according to his / her choice. If client is willing to continue the treatment from his own district then he / she is referred to that particular district ART Center for Pre-Art Registration, CD4 Count if eligible he is taken on ART.
Other State:
If any client found positive we have suggested our district counselors to note down permanent address as well as current address so that if they become migrants we provide their permanent address to SACS so that they can be traced and ART treatment could be provided to them.
Prevention and Early Detection:
For prevention and early detection we arrange IEC activity like Full Site Sensitization Programme, Mega Health Camps, Poster, Nukkad Natak etc. with co-ordination of DSACS, Youth Awareness by Nukkad Natak in University, Session regarding HIV-AIDS in CRPF and Delhi Police, lectures on HIV-AIDS in schools, maintain the line list of discordant couple and ensure their testing every 3 months.
Linking to ART center, Treatment adherence, follow-up of LFU/MIS and PPTCT Services:
Linking the positive clients to ART center is key indicator of the program and we try our level best to ensure linkages by taking special efforts with the help of counselor. If any problem persists then DIS and DPM took action for registering the positive clients in ART Center. At ART center the patient is counseled for drug adherence, side effects of the ART medicine are explained to the client, family counseling is given to the positive client so that he / she should not face any discrimination within his / her family and also society.
Follow-up of LFU/MIS is ensured by collecting line list of such patients from ART center and then the same is handed over to Outreach workers and TI NGOs so that they can trace out the positive clients detail and then inform the ART centre.
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