Angul DAPCU Response to the Theme- Comprehensive HIV/AIDS Services to the HIV Positive Migrants

Angul a centrally located District in the state of Odisha with 12.70 lakhs  population and is a most advanced district due to vast coal mines located in abode and also big industries like NALCO, NTPC, JSPL, MCL, ADANI Monnet, UCL is working in the same district.  Due to vast coal mines and big industries number of migrant population is increasing day by day.

        HIV/AIDS and migration are two of the crucial social issues increasing today’s changing world.  In Angul two TI NGO namely U.S.S. and SARC is working for migrant population since 2008 to till date. SARC working area is Talcher, NTPC, South Balanda, Bhusan site, CPP, Nalco and working  for 12000 target population and presently it covers 16216 migrant population & with the referral of  SARC to ICTC 23  numbers of migrant labourer were detected as HIV positive and their details status are given below:

Pre ART	On ART	Death	Out of State / Migrant
16	09	02	05

           USS working areas is inside the JSPL Plant and working for 10000 target population and presently covered 15176 migrant populations & with the referral of U.S.S. to ICTC 25 numbers of migrant laborer were detected as HIV Positive and their details status are given below:

Pre ART	On ART	Death	Out of State / Migrant
14	08	01	10

            Every month, DAPCU Angul staff closely supervise the work of TI, verified their record, visited the Hotspot, DIC and collected various information from the clients regarding the TI work, attended the meeting/ awareness meeting / Health check up camp organised by TI and both ICTC supervisor and DPM attended the PMC meeting and discuss their problem and their problem was also highlighted in the DAPCC meeting and action was taken accordingly.

           

           It was observed by. DAPCU Angul that generally the HIV/AIDs intervention strategy in Angul district is focussed on following stages of migration.

-          Pre departure

-          Migration

-          Adaptation

-          Settle period

-          Remigration

           
         For providing comprehensive HIV/AIDS service to the HIV positive migrants and for prevention and control of HIV/ AIDS within the district the two TI NGO working for migrants are given emphasis on following points    

-          Group meeting

-          One to one contact

-          Mid media activity / IEC campaign

-          Health Camp

-          Hot spot level  meeting

-          DIC level meeting

-          Condom promotion

-          STI/RTI  Treatment

-          Referral / linkage  to ART centre/ DIC/CCC/DSRC’/ RNTCP

-          Advocating meeting

-          Legal support

-          Linkage with various social benefit scheme  etc

After detection of HIV positive the migrant workers / clients were refer to ART centre for pre ART regd. /CD₄ test / on PRT registration/DMC etc. During follow up of the client,  the TI partner /  DAPCU staff  /ICTC counsellor gave stress on  inadequate adherence to ART treatment is associated with detectable viral land, decreasing CD₄ count , disease progression, episode of OIS and poorer health out come.

           

           Again MIS case and LFU case of Angul ART Centre was divided into ICTC wise and in the monthly HIV-TB.  Meeting the same MIS case / LFU case was distributed to concerned ICTC counsellor for follow up of the same client.

For providing comprehensive PPTCT Services to HIV positive migrant women emphasis was given by TI/ DAPCU/ ICTC counsellor on following point: 

·  Institutionalisation of delivery  of positive women

·  Prevention of unintended pregnancies among the HIV   infected migrant women.

·  Prevention of HIV transmission from HIV infected migrant women to their infants

·  Care and support to HIV infected migrant women, their children, 

     Again in Angul district during Dasahara, Laxmipuja and Kalipuja festival time, most of the outside migrants clients were return back to their native place of Angul District.  So to provide HIV/AIDS services  to their doorstep, health check up- camp/ STI/RII treatment/ HIV / AIDS  counselling  and testing/condom distribution / Exhibition  was  organised by DAPCU Angul  with the  support of NRHM MHU van & with team of doctors/ paramedical staff/ counsellor/ LT of ICTC  in different villages during the same time.

Out of District:

           Out of Angul district migrant clients also tested their blood in Angul CTC and regd. their name in ART centre. In case of LFU and MIS case   of out of district migrant client   their details name / address was given to the concerned counsellor of other District and the concerned counsellor of the same district flow up of the same client.

Outside State:

All sorts of support / linkage / referral services are also provided to migrant clients of outside state. If the client leave the district then their name and address was given to OSAS/ BBSR for further   follow up. 

Over all sort of social / medical / psychological / moral / legal support was provided to HIV positive migrant workers/ clients.