DAPCU Bhadrak 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?

It is mentioned here that there is no CCC established in the district, rather previously there is a CCC in nearby district Balasore. The PLHIVs of Bhadrak district depends upon the Balasore CCC and same centre takes all sorts of care, support and treatment to the clients. Though the CCC has the provision of Outreach Worker and the workers are very much committed to their work and follow-up the clients at the time of field work. No doubt, the DAPCU, Bhadrak has faced problem due to there is neither CCC nor a DIC for looking after the PLHIV.

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

The District has no CCC, DIC and ART centre, but there is a LAC+ in the district. The MOI/C of the LAC+ has provided time for the PLHIV for all sorts of Care, Support and treatment.  The CDMO of this district takes all sorts provisions of care to the PLHIV.

• How did DAPCU integrate the Inpatient and Outpatient services in the existing Govt. health Facility?

Most of the Outpatient are cared by the MOI/C, LAC+ and MOI/C of STD Clinic. In case of any difficulty the concerned doctor refer the clients to the concerned head/specialist of the departments for better treatment. If necessary the client may admitted in the hospital for better care and treatment or any difficulty the clients refer to the higher institution for treatment.

• What are the good Practices or approaches adopted to Provide Medical care to PLHIV within the district?

1. At the time of need the Blood bank provided blood to the PLHIV in free of cost and the RKS provide the cost for the blood sample.
2. Travel expenses  of the PLHIV met from the Red-Cross fund and it was manage by the DAPCU ( till date Rs-30,000/ has already been sanctioned from the red-cross)
3. The RKS also provided free Ambulance services to the PLHIV at the time of need.
4. All Pathological tests for the PLHIV are conducted free of cost.
5. All ANC Positive delivery was conducted in the DHH as well as the CHC level. The labour room in charge provides necessary delivery kits and Nevirapine tablet and syrup to the client which was supplied by NACO/OSACS.
6. Any types of operations need for PLHIV are conducted in the district.
7. At the time of treatments all necessary medicines are provided to the PLHIV from available fund.