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

Profile of the District: 

Mehsana district is located in North Gujarat, about 75 km from Ahmedabad.The district borders with Banaskantha district in the north, Patan and Surendranagar districts in the west, Gandhinagar and Ahmedabad districts in the south and Sabarkantha district in the east.The major crops of Mehsana are Potato, Cotton, Tobacco, Oilseeds, Castor Seeds, Cumin, Psyllium and Anise .Asia’s second largest dairy ‘Dudhsagar Milk Cooperative Dairy’ and largest market yard ‘Unjha’ is located in Mehsana.‘Sun Temple’ at Modhera is an important tourist destination of Mehsana district. High out-migration to Surat and Mumbai for Diamond work, courier services (Angadiya) and for Transport related work from across the District and abroad also.High in-migration from Rajasthan and other parts of Gujarat.

In Mehsana district generally the positive migrant clients are from Banaskantha, Sabarkantha, Patan & other nearest district and also from Rajasthan state & Maharastra state. Within the District migrant positive clients are linked to ART Center nearer to Patan & nearest district at Govt.District Hospital, Patan, Banaskantha & Sabarkantha for Pre-ART registration, CD4 count.  If CD4 count is less than 350 then efforts are made for registering the positive clients on ART at ART Center.

Whenever any client found positive from other district (Patan, Sabarkantha & Banaskantha), counselor provides option to Client for taking ART treatment according to Client choice. If client is willing to continue the treatment from his own district then Client is transfer out to that particular district ART Center for further treatment, if CD4 count is less than 350 we put him on ART. Counselors note down the permanent, current address & Mobile number of respective client for further follow up.

The MIS/LFU line-list share with the LWS, ICTCs, DSRCs, CSC, Jatan Project for tracking the LFU/MIS patient and revert back them to ART. DAPCU plays a major role for taking the follow-up of such activities.

DAPCU track the migrant ANC delivery as per EDD & also confirm the EID Follow up by tracking PPTCT calendar.

DAPCU & ART Center conduct the Monthly meeting with LWS, ICTCs, DSRCs, CSC, Jatan Project for LFU & Linkages.

Example:

In the month of July-13 one Couple HIV positive Diagnosed (1 is ANC & 1 is General Client) in ICTC Unjha from Banaskantha District, who is ART Registration at ARTC Patan.

            ANCs commonly avail services in two districts viz. at her parents’ home and at her marital home. Tracing and follow up between districts becomes difficult for EID/DBS, 6 weeks, 6 months, 12 months, 18 month.

Example:

In the month of March-13 we had one ANC HIV positive Diagnosed (first test) in FICTC Ambaliyasan from Sabarkantha District, than she go to her parents’ home at Sunsar Ta.Bhiloda Di.Sabarkantha. District Supervisor DAPCU Mehsana informed to ICTC Counselor Bhiloda for Confirmation. She reached to ICTC & Confirmatory test done at ICTC Bhiloda & She found HIV Positive & ICTC Counselor Bhiloda counsel her & she agree for delivery at ICTC Bhiloda.