What strategies are currently being
adopted to ensure linkages between ICTC and ART centre in your District?
DAPCU is making an effort to integrate the CST services within the health system. Accessing of free Health Check-up , free treatment under government, giving of Transportation charges to all PLHIV who are taking drugs from ART centre under the NACO guideline, intercommunication or sharing of information in between the ART and ICTCs. ART Visit by ICTC Counselor, utilization of Outreach worker of TI –NGOs to link all the Positive Clients to ART, co-ordination with RNTCP Staffs and DOTs providers, ASHA are the main current strategies which are adopted by DAPCU Thoubal.
The delivery of Care and treatment services to the people living with HIV/AIDS need three –tier service structure, a part from the maintenance of reconciliation sheet of ICTC- ART linkages data because these three-tier systems will help a lot to strengthen the ICTC and ART linkages. So, we need various level of service accessibility.
They are: -
DAPCU is making an effort to integrate the CST services within the health system. Accessing of free Health Check-up , free treatment under government, giving of Transportation charges to all PLHIV who are taking drugs from ART centre under the NACO guideline, intercommunication or sharing of information in between the ART and ICTCs. ART Visit by ICTC Counselor, utilization of Outreach worker of TI –NGOs to link all the Positive Clients to ART, co-ordination with RNTCP Staffs and DOTs providers, ASHA are the main current strategies which are adopted by DAPCU Thoubal.
The delivery of Care and treatment services to the people living with HIV/AIDS need three –tier service structure, a part from the maintenance of reconciliation sheet of ICTC- ART linkages data because these three-tier systems will help a lot to strengthen the ICTC and ART linkages. So, we need various level of service accessibility.
They are: -
1. Centre of Excellence and link
ART.
2. ART Centre.
3.
Decentralized Link- ART centre& link ART plus centre.
ART centres are also linked with community
support centre run by NGOS for a comprehensive packages of services. Detection
of HIV positive is the normal duty of the ICTC and accessing of treatment and care
activity is for ART centre, both are the two sides of a coin. There are many challenges for PLHIV and care
givers for taking of Drugs and for giving drugs, in terms of
transportation, cost to access ART and
Stock availability, late entry of PLHIV into ART and also the poor ownership of ART centres by
Health system etc. so, the understanding these problem of Staffs and PLHIV help
to strengthen the linkages of ICTCs
/ART. Proper pre –ART counseling , regular follow –up of every 6 months, strengthening coordination
and flow of information between the various services starting from
Pre-ART enrollment to continuum
care will also support to strengthen the
linkages of ICTC/ART centres.
What
steps can DAPCU take to link all the patients who are detected positives for
HIV at the ICTCs to ART?
DAPCU is the monitoring and supervision
unit. DAPCU has taken some steps to link all the positive clients to the ART
centre:
They are: - - Maintenance of proper reconciliation sheet.
- Regular field visit.
- Organized monthly ICTC/ART Review meeting and sharing of all the information between the ICTC/ ART center.
- To Link to the Line department for the entitlement of Social benefits scheme & nutritional support to PLHIV.
- Reduction of Stigma and Discrimination at the health facilities and community link to the Line department for the entitlement of Social benefit scheme & nutritional support to PLHIVs are also the main activities of DAPCU.
- Organizing District coordination meeting of CSC/ART and TI-NGO etc.
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