DAPCU Mehsana (Gujrat) Response to the Theme : Views on DAPCU's role in Non-DAPCU Districts

How can the DAPCUs extend their support to non-DAPCU districts to manage/ coordinate the NACP activities?

In Gujarat there are 10 high Prevalence (i.e. ‘A’ & ‘B’ category) Districts out of 33 Districts. In all the high prevalence districts DAPCUs were established in 2008-09.

• Supervision & monitoring is the essential part for achieving the goals & objectives of NACP-IV.
• The DAPCUs are playing a critical role to achieve the objectives of NACP-IV in the DAPCU districts. However, there is also a need to ensure similar coordination in Non DAPCU districts.
• Currently Gujarat state has evolved unique models to concentrate in Non DAPCU districts by the existing DAPCU team.
• GSACS has allotted one or two non DAPCU districts to each DAPCU. Respective DAPCU team is managing and coordinating HIV activities in Non DAPCU districts. Generally, the DAPCUs allotted neighboring Non DAPCU districts for easy access and efficient coordination.
• GSACS has allotted Sabarkantha as one of Non DAPCU district for extending technical and coordination support.
• DAPCU team has evolved a plan of action for providing specific time and support to the Sabarkantha district. In Sabarkantha district (Non DAPCU) managed and coordinated NACP activities, with the support of existing DAPCU staff.
• Support has also been provided to NACP facilities in the non- DAPCU districts, Poor performing centers in Non-DAPCU district are visited on periodic basis.

Based on our experience DAPCU district can Support the non-DAPCU districts to manage/ coordinate HIV activities on the following aspects:

1. Participation and Conducting Monthly Review Meeting in non-DAPCU districts every month with the NACP facilities (including HIV-TB coordination meeting). 

• DS DAPCU Mehsana is participating and conducting Monthly review meeting for reviewing the performance by referral and linkages between ICTC /PPTCT/DSRC, TI, CSC & ART centers of Non-DAPCU district.
• DS DAPCU Mehsana Coordinates with the concerned Nodal officer (DTO) of NACP activities and all NACP facilities staff in the District.
• The DS also extend support in planning review meetings, evolving agenda by topics for discussion, Etc.

The Minutes of the meeting are being prepared by District level ICTC Counsellor and finalized by DS. The minutes of meetings are shared with the participants / facilities and initiating for follow up action. Basically, the DAPCU extend their support in introducing systems similar to DAPCU districts for achieving the desired objectives as per NACP IV.

2. Support is given through monitoring and Supportive Supervisory Field Visits.

DAPCU district DS will supervise the work of ICTC & Coordination visit to ARTC, DSRC, Blood Bank, CSC & TI NGO. During the monitoring and supervision visit to ICTC, the DS DAPCU will cross check the SIMS Report, registers/referral & linkage/ data validation etc & giving suggestions to the ICTC Counsellor & LT to improve the quality.

3. Ensuring strengthening the referral and linkage between the NACP facilitates ICTC – RNTCP and among HIV/AIDS facilities.

DAPCU Mehsana is emphasizing on strengthening the referral and linkages between the facilitates i.e. ICTC-RNTCP and between HIV/AIDS facilities by validating the data and maintaining line listing data.

• Minimize gap between referral and linkage loss through establishing coordination between the facilities. This can be done through field visits at regular intervals.
• DS DAPCU will visit the facilities for ensuring data validation, cross verification of data from source registers, ensuring correct and timely reporting. Also ensure 100% reporting through SIMS.

4. Supply Chain Management.

• DAPCU DS also manage the stock of ICTC Kits by coordinating with all ICTCs in Sabarkantha District.

5. Replication of good practices of DAPCU.

Experiences will include:

• Opportunity to replicate the best practices in Non DAPCU districts.
• Opportunity to learn newer initiatives to overcome the existing gaps in the DAPCU districts.
• The team felt it is an opportunity to guide and learn than consider it to be an additional responsibility.
• The team at Non DAPCU districts feel happy to receive additional support/hand holding.

6. Financial Management.

• DAPCU will need to co-ordinate with facilities in the Non-DAPCU districts for submission of SOE & UCs in time.

DAPCU Angul (Orissa) Response to the Theme : Views on DAPCU's role in Non-DAPCU Districts

In Odisha there are 7 high Prevalence (i.e. ‘A’ & ‘B’ category) districts in which DAPCU was established in 2008-09, (out of 30 districts.)

• Supervision & monitoring is the essential part for achieving the goals & objectives of NACP-IV. But in Non-DAPCU Districts  , it is very difficult to coordinate the HIV activities
• OSACS allotted one Non-DAPCU District each to the DAPCU districts to manage / coordinate HIV activities in Non-DAPCU District. Dhenkanal district was allotted to DAPCU, Angul.
•   It is possible to manage & coordinate NACP activities in Non DAPCU District with the support of DAPCU staff

DAPCU district can Support the non-DAPCU districts to manage/ coordinate HIV activities on the following aspects.

S.No.	Component	Role of DAPCU	Remarks
1	Monthly HIV – TB meeting	DAPCU district can help to facilitate conduct monthly HIV – TB meeting in the non DAPCU district.	§     With the effort of DAPCU, Angul the Monthly HIV – TB meeting of Dhenkanal District is being organized every month. DAPCU Angul coordinates with the district health administration and concerned district DACO/DTO and all NACP facilities staff. Discussing on monthly reports, issues faced. Accordingly, decisions are taken by the higher officials. §  DPM DAPCU is facilitating the preparation of meeting minutes.
2	Supervision	DAPCU district staff may Supervise the work of ICTC/ DSRC/ Blood Bank & TI work	§  During the monitoring and supervision visit to ICTC/ DSRC/ Blood Bank & TI, the DAPCU Staff will cross check the registers/ referral & linkage/ data validation etc & giving suggestions to the staff to improve the quality. After DAPCU Angul supervision the ICTC Dhenkanal Staff are maintaining the details of outreach workers / PLHIV Line list/ HIV-TB Line list data. §     After filed visits referral and linkages strengthened in the district.
3	Supply Chain Management	DAPCU Staff Should facilitate in Supply Chain Management to the Non-DAPCU Districts	§  DAPCU Angul Providing ART Medicine / STI Kits to the Dhenkanal (Non DAPCU District) on a regular basis. §      DAPCU also manage the stock out of ICTC Consumables by coordinating among all ICTCs of Dhenkanal District.
4	Capacity Building of TI Staff	DAPCU Should facilitate the Capacity Building of TI Staff.	DPM DAPCU providing hand holding training to TI Projects of Dhenkanal (Non DAPCU District) with PO, TSU.
5	Social Benefit Scheme	Necessary Steps should be taken by DAPCU District to providing the Social Benefit Schemes to PLHIVs/ MARs/ CABAs	§  DAPCU Angul shares all the documents to Dhenkanal District HIV/AIDS Facilities Staff for implementation of Bus Pass to PLHIV. §   DAPCU Angul facilitated the Linkage of orphan CHLIV of Dhenkanal District with Swadhar home (Orphan Home) by coordinating with concerned ICTC, District Child Protection Office & District Health Administration of Dhenkanal District.
6	Red Ribbon Club	DAPCU Should co-ordinate the RRC (Red Ribbon Club) for sensitization Programme / training/ IEC Campaign etc.	DAPCU Angul Organised Sensitization workshop for the Peer Educators/ Programme Officers of RRCs of Dhenkanal Non DAPCU District).  Total 89 participants attended the Programme.
7	Financial Management	DAPCU Should co-ordinate for submission of SOE & UCs in time.	§     DAPCU Staff of Angul District co-ordinate with the HIV/AIDS facilities and District Health Administration for submission of SOE/UC to OSACS in time. §  Supervision/coordination/Liasioning with different facilities/departments of non-DAPCU District done from DAPCU Travel Expenses.

ADMO(PH) , Dhenkanal/DTO,  Dhenkanal & DPM DAPCU, Angul Conducting the HIV-TB Monthly meeting of Dhenkanal District (Non-DAPCU District)

DAPCU NorthDelhi (Delhi) Response to the Theme : Views on DAPCU's role in Non-DAPCU Districts

DAPCU North is extending support to two non DAPCU districts i.e. South West and West Delhi districts, to facilitate NACP activities. In Delhi there are four DAPCU districts  ‘B’ category, out of 11 districts. 

How can the DAPCUs extend their support to non-DAPCU districts to manage/coordinate the NACP activities in the non-DAPCU district?

DAPCU North team is providing support to the facilities in both DAPCU and non-DAPCU districts. Following are some of the activities where DAPCU is supporting non DAPCU district.

Components	Strategy opted
Conducting Monthly Review Meeting of non-DAPCU districts every month	DAPCU North is conducting Monthly review meeting for reviewing the performance of ICTC /PPTCT/DSRC & ART centers of non-DAPCU districts
Participation in monthly review meetings with the NACP facilitates (HIV-TB coordination meeting)	DAPCU North is participating in the monthly review meetings organized by Chest Clinics in non DAPCU districts in which ICTC Center counselor is also a member
Support is given through monitoring and Supportive Supervisory Field Visits	DAPCU North is doing Supportive Supervisory field visits for monitoring and providing support as required by the Counselor.
Ensuring strengthening the referral and linkage between the NACP facilitates ICTC – RNTCP and among HIV /AIDS facilities	DAPCU North is emphasizing on strengthening the referral and linkage between the NACP facilitates i.e. ICTC-RNTCP and between HIV/AIDS facilities by validating the data and maintaining line listing data.
Organizing Sensitization Program  / training program and Health camps	DAPCU North is doing sensitization programs / trainings in non DAPCU districts and recently trained Asha workers of South West and West Districts and coordinated health camps in South West districts with support of DSACS

DAPCU North has played an active and important role to support the non DAPCU districts. DAPCU was established in our district in 2009 and since then DAPCU was looking after one additional ‘C’ category district i.e. South West district. In June 2014, DSACS has requesting to support the West district too. Support has been provided to facilities in the non- DAPCU districts since then, Poor performing centers in non-DAPCU district are visited on periodic basis.  

Requirement of finance for the visit to the non DAPCU District is met from DAPCU travel fund.

DAPCU Khordha (Odisha) Response to the Theme : Views on DAPCU's role in Non-DAPCU Districts

I am representing DAPCU Khordha of Odisha state where there are only seven DAPCU districts out of 30 Districts. Khordha is falling in Category B. However, the service expanding to nearest District concept has also been implemented at our state as the district has been assigned the neighboring Puri District. Yes, the DAPCU district can extend service to the nearest non DAPCU district for better support and facilitation in the NACP activities.

How can the DAPCUs extend their support to non-DAPCU districts to manage/coordinate the NACP activities in the non-DAPCU district? 

It is possible to manage and coordinate HIV activities in the non DAPCU district by collective efforts of DAPCU staff especially M&E, DA (Program) and DPM. The three staffs are required in different spheres. The technical group separately or jointly can provide support to the facilities in different activities. However, following are some of the activities where DAPCU can support non DAPCU district.

Components	Strategy	Remarks
Facilitating conduction of regular monthly review meetings with the NACP facilitates    (HIV-TB coordination meeting , DCC meeting)	Coordination with the district health Administration and concerned Nodal officer of NACP activities in the District and with DTO. Topics and components to be discussed in the meetings. Minutes is to be prepared and to be shared with the participants / facilities which will be again followed up.	Sharing of information and contacts can be done at the home DAPCU level through e-mail and over phone.
Hand holding support to be given through monitoring and Supervision visits	DPM and M&E will visit to the facilities for ensuring data validation, cross verification of data from source registers, ensuring correct and timely reporting. Also ensure 100% reporting through SIMS. SACS may give permission to view data in SIMS, of non DAPCU district facilities data, feedback and reset the SIMS.  There may be visit with the Program Assistant for necessary support on social protection linkages of PLHA	Viewing the facilities data in SIMS of non DAPCU District can be done by the M&E Asst at DAPCU. For this no need of separate budget. Coordinate and follow up with District Social Welfare Officer, Social security Officer over phone and through visits. Field visits travel cost can be booked at DAPCU.
Ensuring referral and linkages	Minimize gap between referral and linkages through establishing coordination between the facilities.	This can be done through field visits.
Organizing trainings and health camps	DAPCU can facilitate to conduct training programs, advocacy and letter correspondence can be done by the Program Assistant at DAPCU.	The role of DAPCU is to facilitate the process.
Replication of good practices of DAPCU	The good practices can be replicated in non DAPCU districts through discussions sharing of documents, etc.

DAPCU can play an active role to support the non DAPCU district. DAPCU was established in our district in 2008.Support has been provided to facilities in the district since then, now the facilities can function with minimal support. Poor performing centers in non-DAPCU district can be visited on periodic basis. 

Requirement of finance for the visit to the non DAPCU District which can be meet from DAPCU travel fund but certain guidelines are to be issued by SACS.

As this type of support is being conducted but no financial guidelines are being issued to DAPCU.

Liasioning and coordination can be done at DAPCU level, for that no funds are required.