DAPCU Amravati Response to the Theme: World AIDS Day-2013

DAPCC Meeting regarding the WAD

After planning the WAD 2013 we call DAPCC meeting with the permission of Collector (Chair Person of DAPCC) on 26/11/2013 in this meeting near about all the member of the DAPCC including NGO and CBO representative are present. 

Press Conference regarding the WAD 2013 Programs and work of DAPCU

On the occasion of WAD 2013 DAPCU Amravati organize the press conference on 27/11/2013 in Civil Surgeon cabin in the press conference 20 reporter and photographer attend the PC with the member of NGO are attend. The impact of news coverage is 12 news papers in next three days.

Inauguration of Care and Support Center

On the occasion of WAD 2013 the Network launch the Care and Support Center in the district. The opening ceremony is held on the evening of 30^th Nov. 2013. On the ceremony Mr. Rahul Ranjan Mahiwal , Hon’ble Collector of Amravati are present. On that ceremony Dr. Raghunath Bhoye, Civil Surgeon Amravati, Mr. Ajay Sakhare DPO, DAPCU Amravati, Dr. Soni City TB Officer, Dr. Govind Kasat Social Worker, Dr. Prashant Kalpande and the member of NMP+ were present.

Open Talk on HIV/AIDS Stigma and Discrimination

Open Talk on HIV/AIDS Stigma and Discrimination at Kamgar Kalyan Mandal (Labor Welfare Board). On the 01/12/2013 the KKM organize the open talk on HIV/AIDS and Stigma Discrimination at lalit kala Bhavan on that occasion the 150 member of the board was attended the program with DPO, Program Officer KKM are present.

Mass Rally on 03/12/2013 on the occasion of WAD 2013

Mass Rally on 03/12/2013 on the occasion of WAD 2013 the mass rally organizes with the collaboration of District Election Officer and University. On that occasion Shr. Rahul Ranjan Mahiwal Hon’ble Collector, Shri. Ravindra Dhurjad District Election Officer,Dr. Raghunath Bhoye Civil Surgeon, Dr. Shrikant Patil Director of Student Welfare, Amravati University, Shri. Nachane Additional Collector,Shri. Pravin Thakare, Sub-Divisional Officer, Shri Anil Bhatkar Tahsildar, DPO, Nodal officer ART. SMO, DTO, CTO, RMO (Clinical, RMO (Outreach)) and DHO are attending the rally. Near about 1500 students are attend the rally with NGO of TI-(FSW), TI-Migrant, LWS, CSC, MSM (CBO) and PPTCT NGO are present with their Zaki. The Folk Team performs their show in route in prime location.

Candle March on 03/12/2013

On the evening of 03/12/2013 the candle march organize by the DAPCU and the all NGO regarding the WAD. On that occasion the Dr. Raghunath Bhoye Civil Surgeon, Dr. Vilas Jadhav Nodal Officer ART, DPO, Assistant Police Commissioner and NGO,CBO  Representative are attend the march with 200 students.

Sensitization Program for Nursing Student

On the occasion of WAD 2013 the DAPCU organize the Sensitization Program for Nursing Student. On that occasion the all tutor of nursing collage with principle and Matron of civil hospital is attending. The session taken by DPO.

CLHIV Cultural Program and 

Get together

Children Living with HIV are together in cultural event organizing by NMP+ and DAPCU in CSC office on 07/12/2013. The 50 CLHIV are attending the program. On that occasion the children’s perform the activity. In this program the Dr. Govind Kasat and their team distributed the support material to children also DPO also distributed the Chocolates and Pencil to all participants.

Orchestra and Pudkar Sanman (Award Ceremony)

On the occasion of WAD 2013 the DAPCU, NGO and CBO of district organize the Pudakar Sanman Program in this program we give honors to 10 Personalities for their outstanding support to HIV/AIDS program. The all ten personalities are from different field are those are not directly connected with HIV Programs. The Personalities are Dr. Pushpa Jungahre Somwanshi for doing the all complicated HIV reactive ANC management and Performing Pepsmere test, Dr. Shrikant Patil DSW of Amravati University for establishing the 139 Red Ribbon Clubs in University with the collaboration of DAPCU, Dr. Govind Kasat Outstanding support to PLHIV with take active participation in Mainstreaming, Dr. Trupti Jawade for give support to ART center as a physician, Dr. Anubhuti Patil for conducting the reactive ANC delivery, Mrs. Rajiya Sultana for their work with FSW&MSM, Dr. Dinesh Thakare for their support to PPP program, Adv. Pravaja Mahajan for support to PLHIV for their legal program and advice with low cost with confidentiality, Shri Kale Maharaj, he give message from the Pravachan (religious lectures), Dr. Pratibha Kale, for doing special work for CLHIV and start one day special OPD in private collage on specific day with free investigation and required testing. In this program the Shri. Rahul Ranjan Mahiwal Hon’ble Collector, DPO, DTO and other officer with all staff of district are present.  DAPCU felicited the Best ICTC staff Anjangaon Surji.

Kamgar Melava

TI-Migrant organizes the Kamgar Melava (Labor Meeting) at the migrant site. On this occasion the staff of India Bulls, Sofiya and their other out sourcing company’s staff with labor attends. The DAPCU also participated.

CME on PPTCT-MDR

On the occasion of WAD 2013 the IMA Amravati and DAPCU Amravati organize the Conitues Medical Education on PPTCT-MDR with the financial assistant of UNICEF and SACS on 22/12/2013 all practitioner are attend the CME. The speakers are Ms. Alaka Deshpande Madam, Dr. Tushar Rane (UNICEF), Dr. Asha Hegade, JD BSD from SACS are attend the CME.  All medico organization are take active participation to this CME.

Blood Donation Camp and Rally at Block and Village level.

The ICTC staff and F-ICTC level organize the rally with blood donation camp on their own level.

Folk Media Campaign

Folk Media Campaign in the month of Dec in all block level in 100 villages.

Blood Donors felicitation

On the occasion of WAD 2013 DAPCU and Blood Bank organize the felicitation of Blood Donors.

News Cutting (only selected few)

In the month of December the press and electronic media gives the support for IEC.

DAPCU Amravati 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? 

• DAPCU Amravati has CCC since beginning.
• CCC Amravati doing excellent Job and the almost all the clients with the funding and monitoring agency are very happy so the after closing CCC the major problem are found in the gap of eligible on ART.
• The client came after pre art he/she should stay there for OI management and the palliated treatment and in this period the CD4 done and client put on ART.

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

• DAPCU doing advocacy with the District Civil Surgeon and Dean of Private medical collage to please give the services of IPD those are in OI Management or Bed ridden clients.
• Also discuss with CSC to if the clients are suffer from some IPD problem communicate to DAPCU and DACO. 

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

• All OPD clients are first entered in to the ART center we have the DSRC (STI/RTI) in the same floor of the ART so the maximum OI and Skin problem are solve in the one place. In other OPD clients they are refer to the general OPD in civil hospital and in medical college.
• In IPD client the case paper and IPD registration form are available with ART center the SMO or MO can direct admit the client.

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

• The DAPCU Amravati are doing advocacy with all the Govt. health facilities and private medical collage for give services to the PLHIV.
• The DAPCU Amravati are giving facility to all the PLHIV who needs the facilities like FNAC which are not available in the Govt. facilities are free in the private medical college.
• The DAPCU Amravati is also give facility to CLHIV in special day with the pediatrics availability in medical college in every Thursday.
• The DAPCU Amravati also gives facility of Pepsmere testing in woman hospital for PLHIV women and HRG without any charge.

DAPCU Amravathy Response -DAPCU: Stigma & Discrimination

Stigma refers to unfavourable attitudes and beliefs directed toward someone or something Discrimination is the treatment of an individual or group with partiality or prejudice Stigmatization reflects an attitudeDiscrimination is an act or behaviour

Stigma into four loosely defined groups: physical, social, verbal and institutional.

1)      Social stigma

Isolated from community

Voyeurism: any interest may be morbid curiosity or mockery rather than genuine concern

Loss of social role/identity: social `death`, loss of standing and respect            

2)      Physical stigma

Isolated, shunned, abandoned

Separate living space, eating utensils

Violence         

3)      Verbal stigma

Gossip, taunting, scolding

Labeling: in Africa: "moving skeleton," "walking corpse," and "keys to the mortuary." In Vietnam: "social evils," and "scum of society."     

4)      Institutionalized stigma

Barred from jobs, scholarships, visas

Denial of health services

Police harassment (e.g. of sex workers, HIV-positive activists in China, outreach workers in India) 

•         HIV-related stigma is increasingly recognized as the single greatest challenge to slowing the spread of HIV/AIDS

1)      Freedom from discrimination is a fundamental human right

2)      Discrimination on the basis of HIV/AIDS status, actual or presumed, is prohibited by existing human rights standards

3)      Discrimination against persons living with HIV/AIDS (PLWHA), or those thought to be infected, is a clear human rights violation

The basic initiation of District authority is to issues of Infringements or disturbances with respect to stigma & discrimination in accessing and utilizing the rights, services, provisions and benefits available for PLHIVs have been tackled by DAPCU.

Creating awareness in all the related services which are closely related to the PLHIV like Health Services from Government as well as the Private services.

DAPCU received the complaint about the Stigma and Discrimination first of all we discuss with the together and after that the take next stapes.

In the initiation of DAPCU start in Amravati the case of Stigma and Discrimination of School Children from our district at the same time the same event happened in Latur (M.S.). But in Amravati the event closed within 4 days with the solution of (Villagers welcome all the CLHIV with flowers in School)

Events  on Anjangeon Bari Village in Amravati district
 

Introduction:- 

            Amravati district is situated in middle of vidarbha and adjoining to MP border. Anjangaon Bari is the village which is 15 K.M. away from Amravati city .The population of Anjangaon Bari is 15000 where PHC is working from last 5-6 years and recently converted into 24*7 PHC, 4 General practitioners including homeopath and RMP are working there. Most of the patients and maximum ANC has approach to Amravati for health problem.   

            Jeevean Vikas Sanstha is a NGO which is situated at Paratwada of Amravati district and its Navjeevan Care Center is at Nimbhora which is near to Amravati and orphan center for CLHA is run by the NGO.  That center has 21 CLHA for care and education. Eight CLHA boys are linked to Z.P. Marathi primary boy’s school; four CLHA girls are linked to Marathi girl’s school in Anjangaon Bari in this year, remaining is linked to Janata High school in Anjangeon Bari from last two year. The status of the children has disclosed to school teacher for precautionary major, in case the child get injury or get sick in school then school authority would have to contact to care center so the center will take care as early as possible. 

12^th August 2009:- 

            On the occasion of Youth day DAPCU and Civil Hospital organized the rally in the morning, RTM SAP MANDAL; Amravati is running a PPTCT project with the help of MSACS also organized the Youth Melava at Mozari D.Ed. Collage. On 12^th August 2009 when we had completed the rally and were on way (My self and Dr.Raghunathraoji Wadekar RTMSAP Mandal) to address the youth melawa. The PPTCT ex peers who is now working with CHAHA project has given the message at 12.30 PM that in Anjangeon Bari all parents of Z.P.primary school going children is gathered together to protest against school authority that their children will not attend the school if the CLHA are in school, because our children said us that in our school there are AIDS infected children so possibility of infection to us. 

            We (Ajay Sakhare and Dr.Raghunath Wadekar) finished the Youth melawa and proceed for the Navajeevan Care Center. After getting visit to Care Center’s Program Manager Anthony we got all information which has given above, then we both gone to that village to contact the Sarpanch of that village but she was out of station so unable to meet. After visiting some villagers we came back to Amravati. All details share with the Dr. C. L. Sonkusare Sir Civil Surgeon Amravati. 

13^th August 2009:- 

13th August, I shared and briefing to the  Shri Ramesh Deokar Sir (IAS) Project Director MSACS Mumbai, Dr.Basant Bagadi Sir, Addl. Project Director MSACS, Dr. Tayade madam, Joint Director MSACS,  after given  permission by PD Sir, attend the Meeting conduct by  Block Development Officer at Panchayat Samiti office with the education authority, School Head Mistress and the reprehensive of NGO. After meeting all member decided to Visit the Village. School and health authority with all NGO working on HIV/AIDS has visited to Anjangeon Bari and take meeting with school teacher and some parents who were present in the village. There were lot of confusion and myths and misconception of villagers about HIV/AIDS. After getting answer of their question they were satisfied and come on conclusion that on 15^th August evening all villagers with parents will come together and the NGO authority, health and education authority will sensitize to villagers. Hope that sensitization meets converts in positive attitude. 

14^th August 2009:- 

            Dr.Shri Basant Bagadi Sir Addl. Project Director MSACS visited Amravati on 14^th August 09 in relation to discrimination of CLHA in to Z.P. Boys School & Z.P. Girls School Anjangaon Bari Dist. Amrvati.   We visited on way to Community Care Center and orphan hostel at Nimbhora 7 Kms. from Amravati. There we discussed with Project Coordinator and Medical Officer about the problem of Anjangaon Bari School.

There after we visited the school at Anjangaon Bari discussed the issue along with Head Mistress and Teachers and then after conducted group meeting to sensitize then regarding HIV dynamics. We also discussed the issue with Sarpanch Smt. Kamaltai Tayade and Upsarpanch Shri Tingane and about 15 to 20 villagers and got positive response from there side.

 Then we visited the Janata High School in which 8 infected students have already been studying when there was no issue of discrimination. APD congratulate the Principle and the staff of the school for good harmony where by other students were taking keen interest in well being of HIV positive students.

 Lastly we visited Anjangaon PHC and gave necessary directions to laboratory technician for immediately for starting of F.I. ICTC which is 24*7 PHC where the LT is trained in HIV testing. Then we came back to Amravati and meet Block Development Officer, District Health Officer and District Civil Surgeon regarding the issue of Anjangaon Bari. During the meeting with DHO and PPTCT NGO secretary Dr.Raghunath Wadekar we discussed abut the ICTCs in 24*7 PHC of Amravati District. Dr Bagadi sir tried to meet Chief Executive Officer Shri Omprakash Bakuriya. After Dr. Bagadi’s departure I again went to CEO and had given the brief to CEO regarding the issue of Anjangaon Bari.

As per the instruction of Dr. Bagadi APD I meet following officers. The meeting all 4 NGO working in Amravati along with CS, DHO, BDO, & BEO was held on 15/8/09. 

15^th August 2009

On the planning of 13^th August meting the sensitization programmed organized by all the NGO working on HIV/AIDS at Z.P. School Anjangaon Bari. At the time of programmed near about 1000 and more villagers are attend the programmed. Firstly the songs “Hatse Hat Milao” and other songs will play on screen. After that the Mr. Ajay Kulathe Jivan Vikas Sanstha delivered the presentation in Marathi language on LCD. Then Dr. Raghunath Wadekar RTMSAP Mandal Mozari interacts with the villagers and touch to the issue. Mr. Vijay Dange NAP+ (positive speaker) also interacts with villagers. In the session of question and Answer Dr. Shri C.L. Sonkusare Sir, Dr.Shri K.S. Rathod sir, Shri Nikas District Education officer, Dr. Babita Vargia MO Community Care Center, Shri R.M.Bhuyar BDO, Dr. Raghunath Wadekar RTMSAP, Smt Kamaltai Tayade Sarpanh, Dr. Hutake MO PHC Anjangaon Bari, Shri Vilas Tayade NAP+ Aadhar and I answer to villagers’ question.

Conclusion of meeting: - The response is positive and the main thing is that the woman’s and majority of youth in side of CLHA. But few villager against the CLHA and they could not understand so close the meeting. After discussion with CS, DHO, EO, BDO, NGO representative, Sarpanch trap those people and one to one counseling to them.  And next strategy decided after meeting with Collector madam and CEO Sir. In that time we take decision the all CLHA students attend the school from 17^th August 2009.

  

Success story of Mainstreaming with General Population.

—  The DAPCU Amravati introduces the DLN to well known social worker of Amravati District Dr. Govind Kasat. Dr. Govind Kasat attends the get-together, peer convention and other events of DLN and discusses with the PLHIV assessments of their needs. Dr. Govind Kasat discuss with me about needs of PLHIV. Then he decided to collect the donation from different donor (Specialty of Dr. Kasat if he donate 5000 Rs. to  any needy person he collect this amount from 50 person not from single donor, Another specialty is he generate the funds from Raddi (news paper) collect from home to home and generate the funds).

—  Then we discuss with Mrs. Tayade president of DLN and discuss about their need she said they need sewing machines and 1 Bicycle for CLHIV.  Dr. Kasat collects the donation from donor and date fix by DPO, DLN president and Dr. Govind Kasat, also fix the guest of the programme.

—  The DLN take whole responsibility to organize the programmed. The near about all the guest are attend the programme.

—  The all donor attend the programme.

—  Programme start on time.

—  At the tea time the all delegates take the food made by the DLN member without any hesitation.

It is our main motto to mainstreaming of the white color people of the society to mix with the PLHIV.

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

Amravati district is having Border of Madhya Pradesh and all the district of Amravati division like, Akola, Yavatmal, Washim and Buldhana also a border of Nagpur and Wardha District. In Amravati the PLHIV migrants from adjoining district are more because the divisional head quarter are in Amravati.

1. For the prevention and early detection the regular medical checkup camp in the migrant area.
2. At the time of medical checkup camp the two addresses of migrant with permanent contact no. should collect.
3. The reactive client link ART center immediately if the client found in medical camp or the PLHIV migrant from other district.
4. The choice available to client where he/she are convenient to take the treatment.
5. In within district the follow-up of LFU/MIS client take through the ORW of NGO/Network and the ICTC staff.
6. In other district the details of the client mail to the concert DAPCU and the Network.
7. In other State the details of the client mail to DAPCU SACS and the concert DAPCU and Network.
8. In PPTCT services the problem of PLHIV migrant are common because the lady are came for delivery in her mother’s home and if found reactive she return her husband’s home after delivery. On this cases we collect the both the address of reactive ANC and transfer the information to concert DAPCU for remaining services.
9. The responsibility of migrant PLHIV should give to concert program NGO like if the client is ANC the responsibility gives to PPTCT NGO, For FSW it gives to TI-FSW.
10. But after all it is very crucial to cover PLHIV migrant.

The coordination of the DAPCU with other NGO, Network, CBO and other DAPCU are playing important role to cover migrant PLHIVs.

Amravati- Response to coordination among DAPCUs

DAPCUs are doing coordination through……

1) Sharing of list of other center clients registered in Amravati ART center.
2) List of other district ANC who are take services in Amravati District. 
3) Coordination for training load of PHC staff training to other district. 
4) Transfer in and out of Pre and on ART clients.
5) Coordination for Consumables.
6) Coordination for KITS.
7) Coordination for new events and ideas.
8) Sharing of LFU/MIS list.
9) Coordination for EID follow-up.
10) Coordination for M&E and Accounting tools or guidelines.

In the HIV/AIDS program there is chance of duplication of clients in ART centers and this duplication the number shows the big figures for stop this duplication DAPCU Amravati send the details of the client registered here from other district to their home district immediately.

• Same thing should follow in ANC clients also for giving the services to her.

• Amravati has a divisional training center so DAPCU coordinate with other district for training. In wardha also have the INC training center then we coordinate for ANM training. Same thing follow in Akola (SRL) and Yavatmal (SRL) district for the training of LT.

• In the time of shortage of consumable we coordinate to SACS and other DAPCUs and solve the problem.
• Same thing follow in HIV testing kits and STI/RTI kits in addition to this we five district from Amravati district are collect the money for transportation and arrange the vehicles for receiving the kit from SACS many times.
• Regular coordination for events like, RRE, WAD or establishing RRC.
• We can also coordinate for LFU/MIS follow up of ART center.
• In EID program there is restriction of EID center and for the convenience of Clients we coordinate to district where they want.
• All M&E and Accountant are regularly contact for any query if all have same query then contact with SACS.

Role of SACS in Coordination of DAPCUs

• In Maharashtra SACS provide the single window for DAPCU.
• SACS designates  parental officer for every district.
• Nodal officer of DAPCU take review of each and every district time to time and also coordinate nearby DAPCU to help them for specific issue.
• Each and every mail which is important for DAPCU sends to all.

Examples of support taken from other DAPCU and Result achieved by coordination

• Work shop of media person with the coordination of Akola DAPCU at Amravati and result is Media give marvelous exposures of DAPCU news in positive way.
• Before ART established in Amravati we take ideas from Akola and Yavatmal DAPCUs for ART setup and ART center of Amravati are good one.
• DAPCU Amravati prepared the DAPCU Directory.
• Reallocation of ICTC consumables. A delay in purchase and distribution of consumables was anticipated at the state level. Guided by SACS DAPCUs of Maharashtra took stock of availability in their district and planned for support to other districts in need. The image below provides a snapshot of the consumables distribution plan upto Sep 2013. This plan was prepsred through the coordination of 30 DAPCUs in the state and SACS facilitation

Amravati's Response to Theme- DAPCUs and F-ICTCs

Role of DAPCUs in locating a suitable health facility to establish F-ICTCs:

The role of DAPCU is to need of the place where the any type of health facility is available. First if you identified the health facility then find out that the facility is fulfill our criteria like number of ANC registration and delivery or the number of HIV testing done. It is also depend upon the geographical area like, Hilly area, long distance area, core area, Tribal area etc. Also in trust, medical collages, Homeopathic Collages, Aayurvedic Collages and few societies.

Capacity building of the F-ICTC (i. e. training of staff, providing registers/ formats, providing guidance, supervision etc.):

The DAPCU can organize the training with the help of SACS and the training institution. Make sure that the all trainee are attending the training.  Availability of stationary, testing material, IEC material, condom and the other drugs like, PEP, NVP (Syp and Tablets) in the F-ICTC. Also organized the onsite sensitization training in F-ICTC for other staff. The F-ICTC also involve in our IEC activity like Mid Media Campaign, Special Days and Routine Activity.

Strengthening linkage between F-ICTC & Stand Alone ICTCs:

The strengthening linkage between F-ICTC and Stand Alone ICTC is depending upon the how you the responsibility are given to Stand Alone ICTC? If the DAPCU divide the area wise responsibility to the staff of Stand Alone ICTC then they are concentrate. If the achievement of the F-ICTC is included in the Stand Alone ICTC staff then they are take more interest. DAPCU can make schedule of visit to F-ICTC with the stand alone ICTC staff it also beneficial to the strengthening. The F-ICTC is only screening center and the final report is given by Stand Alone ICTC is put on mind to Stand Alone ICTC staff and you are the whole responsible for reactive client linkages. 

Monitoring & Evaluation of F-ICTCs:

The regular visit to the F-ICTC by DIS or DAPCU staff and also the visit by Stand Alone ICTC staff in the time of their meeting and regular visit in outreach activity. Call the F-ICTC staff in the monthly review meeting and give letter of appreciation as well as the suggestions to improve the work, if the work is poor. Regular evaluation through the NRHM DHIS-2 software in this software the how many ANC register and their detail are available and submit this report to their higher authority. Also it will be indirectly monitor by our LWS program link worker. 

District Achievements:

DAPCU Amravati organized the one day workshop with the help of SAATHI for OBGSY member where we put the idea of F-ICTC and the result of that the out of 35 participants the 21 have the F-ICTC. In District Amravati have the 64 facility where the HIV screening is done out of that the 16 have stand alone ICTC, 26 have F-ICTC in PHC and the 22 have F-ICTC in PPP center. This all F-ICTC covers the near about 25% of testing from total testing of ANC and General Client. DAPCU organized the onsite sensitization in training in 11 sites. In Amravati district conducting the reactive ANC deliveries in 5 F-ICTC without any Stigma and discrimination or extra money.

The all F-ICTC reporting is through SIMS and CMIS software.

 

 

DAPCU Amravati Response to the Theme Supervision

Supervision: - A developmental process designed to support and enhance an individual’s acquisition of the motivation, autonomy, self-awareness, and skills necessary to effectively accomplish the job at hand.

How do you plan and implement your visits for supportive supervision?

Plan:-

• Plan of visits is ready but most of the time it could be change on our own convince and emergency but it gets good result because it is surprise visit.
• Before visit to any facility please check the entire previous performance sheet (DAPCU Amravati Prepared the 10 pages performance report for ICTC) of this center and check where need of support is and where is need of supervision.
• The preference given to supportive supervision on result basis those facilities have low performance first plan visit there.

Implementation:-

• In the visits first encourage the person who is there for their good result in any component.
• Take those register for checking where chances of mistake is more.(Counseling Register)
• Find out the mistake and number of mistake if it is less number only guide for avoid the mistake or false data, but it is in more number go for the information which are link to this mistake. (Ex. In counseling register few of the counselor are fill only primary information of the client like, Name, Address, Age etc,. But other information fill after the OPD timing or his own convince and mistake is there the age of client is 5 years and in condom column there is right teak or the age is 20 years and qualification is post graduate.)
• Read last visit remark to this facility visit and the persons are going through are not check firstly.
• In other facility like TI NGO or other agency first read remark book of this organization and then in TI-NGO first check daily diary of ORW or Supervisors.
• Check referrals to Govt. facility for testing and it could cross match with our available data.
• In ART center first visit to store and check the stock book and then check other documents like client card, registers etc.
• In the planning of our visit few planning of visits to Outreach Activity visit of the facility (ICTC, TI-NGO,LWS)

What should DAPCUs keep in mind while undertaking supervision? 

• DAPCU keep in mind we are taking supervision not an inspection or enquiry officer.
• Priority to give supportive inputs to the persons where you go not a problem creates to them to work in organization.
• Positive approach being the facility before visit.
• Before asking for any question to the persons who is there you should have sufficient knowledge about that.
• Please keep in mind the Burdon of the facility and the availability of the logistic and information.
• Updates of the program and change in guidelines are also keeping in mind.
• Explores common problems with supervision of facility.
• Explains how to use existing checklists for four levels of program review and how to adapt existing supervision checklists to meet specific conditions in a country, region, district and facility.
• Briefly examines approaches to supervision.
• Identifies the critical elements of a policy to underpin a sustainable system of support to improve the quality of facility as well as the competence and satisfaction of staff.

· 

 List a few Dos and Don’ts.

Dos	Don’ts
Give positive Inputs through supervision.	Not treat as an examiner.
Cool while visit.	Not an Aggressive.
In the front of facility in charge take side of our staff.	Do not take part of others.
Guide the proper things.	Not Misguide.
Treat as a part of the system.	No treat as a person.
Positive discussion on their issues.	Not to personal problem other than work.
First listen there question and problem	Not to attack of question.
Compare with our program other facility.	Don’t compare with other program.
Minimize the Burden.	Don’t give extra burden if not essential.
Use his/her ideas regarding program in own level.	Don’t bother for doing such things which is out of control.

With this developmental perspective in mind, we recommend the following 10 keys to effective supervision:

The 10 Keys to Effective Supervision.

1. Support Growth - Provide support for employees development through:
• Professional Development Plans 
• Strength Based Performance Appraisal Systems

2. Unite Your Team - Building a culture of care and concern by maintaining: 
• Open door policy 
• Regular one-on-one supervisory meetings

3. Praise Others - Provide praise and encouragement through:
• Formal recognition systems
• Informal compliments - Catching them doing things right

4. Expect Excellence - Set high expectations for employees through:
• Clear position descriptions
• Regular feedback sessions with staff

5. Require Accountability - Uphold individual responsibility by: 
• Creating a culture where staff holds each other accountable
• Creating a culture where staff holds themselves accountable

6. Value What You Believe – Linking actions and behaviors to values by:
• Ensuring understanding and buy-in to a shared mission and vision 
• Continuously reminding team of goals and desired outcomes

7. Instill Independence - Allow autonomy of employee through:
• Appropriate delegation
• Encouraging risk taking

8. Share Continuously - Establish two-way communication through:
• Active listening
• Being transparent

9. Optimize Ownership - Create opportunities for employees to contribute by:
• Participatory strategic planning sessions
• Encouraging risk taking

10. Realign Your Efforts – Evaluate personal strengths and weaknesses by: 
• Evaluating yourself as a supervisor on a daily basis
• Asking for Input – Reflect on areas of growth that would help staff.

CMIS Meeting of DAPCU Amravati