Response on Coordination between DAPCUs - MEHABUBNAGAR District - AP

Is there a need for DAPCUs to work in coordination with each other?

• Yes there is a need for DAPCUs to work in co-ordination with each other, which gives platform for Experiences sharing & review among them to become strengthened and in turn pave a way to effective implementation HIV/AIDS Program
• Regarding DAPCU – Mahabubnagar, Andhra Pradesh, highly Backward District, falls between Hyderabad, Kurnool Districts and surrounded by  Range Reddy District.
• Since Highly draught prone are, General and seasonal  migration  to Hyderabad, Other parts of Andra Pradesh and even parts of  India is very high
• Since non availability of specialized Medical Services at District, people are referred to Hyderabad and Kurnool districts 

If so share how are DAPCUs in your state are doing this.

• Coordination meetings at every quarter between DAPCU Hyderabad, DAPCU Rangareddy, DAPCU Medak, DAPCU Mahabubnagar Districts held at conference hall, APSACS, Hyderabad.

What are the issues on which DAPCUs support each other and how is this coordination achieved?

Tracing LFUs, MIS cases and evidence of Death cases

• Reduce the Gap at cases found Positive at ICTCs  & Registered  at ART centre and  LFUs, MIS cases among  Pre  and On ART Registrations
• It is found in context of DAPCU - Mahabubnagar, the district near to Capital City and general & as well seasonal migration is high. Most of the people getting tested at ICTCS centres Mahabubnagar but they are getting registered at ART Centres,  Hyderabad and some cases they are getting both, tested at ICTC Centres Hyderabad  and Registered at ART Centres Hyderabad. And now most of them become MIS/LFUs, they need to be followed up, traced effectively with evidence by DAPCUs – Mahabubnagar, Hyderabad & Rangareddy Districts.

Strengthen Effective Referrals &Linkages mechanisms between above Districts

• Strengthen Effective Referrals &Linkages mechanisms between ART Centres and DAPCUs above said Districts to Tracing LFUs, MIS cases and evidence of Death cases

Sharing & Strengthening of Outreach Activities by data sharing between DAPCUs

• Sharing & Strengthening of Outreach Activities at far way Mandals from Mahbaubnagar ART center, which close to          Rangareddy & Hyderabad Districts. Utilize the Outreach Mechanism to trace LFUs/ MIS & Death cases
• Prepare & sharing the list of cases referred for specialised medical services for follow ups

Stock & Materials Management

• Stock outs situations, Proper & acceptable mechanisms to share stock & material  between DAPCU

What role do the SACS play in enhancing this co-ordination?

• Already regional wise review initiated by APSACS, and instructed all DAPCUs  to have zonal wise reviews ( 4 to 5 DAPCUs fall under each Zonal)  

Examples in which you have taken the support of other DAPCUs

• DAPCUs, Hyderabad & Rangareddy helped us in a follow-up & tracking of LFU, MIS and Death cases.

Examples of the results achieved by inter DAPCU coordination.

• Able to trace 27 LFUs and 3 critical Positive deliveries at Nay pool Hospital, Hyderabad