DAPCU Angul Response to the Theme: Care and Support Services for PLHIVs in the Absence of CCCs

Has DAPCU faced any problems after closing CCC in the District?

CCC is an innovative idea implemented by NACO for providing care support treatment to PLHIV and its also provided psychological support to PLHIV clients. Presently although the PLHIV were admitted in Govt. Hospital and getting all sort of care & treatment but still  they are  in tension condition -- that their status may be disclosed to the community member.

DAPCU Angul was established in Nov-2008 and from the beginning of establishment of DAPCU Angul there is no CCC in Angul. The ART centre was established in Angul district in the year 2010. So from the beginning the PLHIV clients were getting care and treatment service from Govt. Hospital. Two HIV positive networks were working in Angul district i.e. Network of Angul positive people (NAP+) & Angul District Network of Positive People (ADNP+) and they provided  psychological support to PLHIV clients. The CCC was established in Angul in the year 2012 and before starting its work in a proper manner the centre was closed due to legal problems. So DAPCU Angul has not faced any problem after closing of CCC in the District.

What measures have been taken by DAPCU to replace the services given by CCC?

Angul PLHIV client has not received any services from CCC Angul as it is closed before its functioning in a proper manner due to some legal problem.

How did DAPCUs integrate the In Patient & Out Patient services in the existing Govt. Health facilities?

After detection of Positive in ICTCs all clients were referred to ART Centre.  In ART centre the counselor provided proper counseling to all PLHIV clients. The PLHIV clients received all sorts of treatment in ART centre. In case of any complication  the SMO ART Centre refer the clients to concerned specialist and in outdoor timings all sorts of treatment was provided  to PLHIV and in case of any emergency the clients were admitted in the Hospital and without any hesitation all sorts of care, treatment was provided by Para medical staff / Doctors /  etc.

What are the good practices or approaches adopted to provide medical care to PLHIV within the district?

1. All pathological tests were provided to PLHIV in free of cost.
2. Blood was provided to PLHIV in free of cost.
3. In case of referral the Ambulance service was provided to PLHIV in free of cost.
4. In all CHC/SDH/DHH the positive delivery was conducted.
5. Presently it was decided in  the last HIV-TB monthly review cum co-ordination meeting held on 08.11.13 that the PLHIV can utilized the service of 108 Ambulance for coming to ART Centre in case of any financial problem.
6. Again it was also decided in the HIV-TB monthly meeting held on 08.11.13 that the fund from GKS can be utilized for needy PLHIV for referring the PLHIV to ART Centre.
7. In case of any problem to provide medical care to PLHIV within the district the matter was discussed in the DHH monthly review meeting and DAPCC meeting and decision was taken accordingly to provide proper care, support service to PLHIV.