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 Angul (Odisha) Response to the Theme : DAPCU Led Single Window Model

Describe efforts taken or Planned by DAPCU to increase the number of people availing Social  Benefit Schemes in your district in FY 2016-17.

DAPCU Led Single Window Model (DLSWM) is an innovative approach to facilitate access to social protection schemes for People Living with HIV (PLHIV), Children Affected by HIV/AIDS (CABA) and Most at Risk Populations (MARPs) at district level.

In Angul district, DAPCU has set up 16 Help Desks at ICTCs, TIs and CSCs for providing information about social benefit schemes and increasing the number of beneficiaries availing the schemes. The Help Desks serve as nodal points for submission of applications by beneficiaries, which are collected by DAPCU staff, verified and then forwarded to the concerned line department for processing. DAPCU makes follow-ups on pending applications and meets the concerned officers to expedite the approval process.

To address problems faced by PLHIVs in accessing social benefit schemes and ensure that a greater number of PLHIVs are able to avail the schemes, DAPCU Angul has held meetings with concerned officers of key line departments such as: Transport, Civil Supplies, Women and Child Development (WCD) and District Rural Development Agency (DRDA). In the last District AIDS Prevent and Control Committee Meeting (DAPCC) chaired by the District Collector, the problems faced by PLHIVs, CABA and MARPs in availing social benefit schemes were raised by DAPCU Angul. The Collector has assured that a separate meeting will be convened to take up the issue. During a regional review meeting, the Additional District Magistrate (ADM) instructed Block Development Officers (BDOs) to process applications received from PLHIVs on priority basis.

The steps taken by DAPCU Angul have contributed to faster processing of applications and an increase in the number of PLHIVs, CABA and MARPs availing social benefit schemes. For example, the applications for bus pass to travel to ART centers are being issued faster by the transport department. Eligible beneficiaries are able to get take home ration and some of the PLHIVs have been granted housing through Mo Kudiya Yojana.

Since the roll out of DLSWM, 890 applications were received through the Help Desks, of which 597 have received scheme benefits.

DPM (DAPCU) & DSWO discussing with Collector & D.M. regarding Social Protection Scheme for PLHIV in DAPCC meeting in Collector & District Magistrate chamber

DAPCU Angul Response to the theme WAD 2013

World AIDS Day was observed by Zilla Swasthya Samithi, Angul in collaboration with DAPCU, Corporate Sect/ Private sector  like, JSPL, Monnet, Adani,  MCL and TI Partners such as The Medics, SARC & USS and HIV Positive People Networks i.e. ADNP + and NAP +. On the occasion of observance of World AIDS Day-2013  one Public Meeting was organized at Sabhaghar, Angul on 01.12.2013 at 10.30 Am by Zilla Swasthya Samiti Angul in Collaboration with DAPCU, TI Partners, Corporate Sector, PLHIV Network. At the outset of the meeting DPM DAPCU, Angul welcomed the Guests & also spelt out the objectives of Observation of World AIDS  Day. The meeting was presided by the ADMO (PH), Angul & inaugurated by the Sub collector Angul
Debate Competition & Essay Competition  :
For the observation of World AIDS DAY  on dt 28 11 13  among the Red Ribbon Club members of Angul Govt Autonomous college on the topic “ HIV/AIDS and Human Rights”. And one  Essay competition was conducted among the Red Ribbon Club members of  Angul Women’s  college on dt 29.11.13. The successful competitors were awarded prize with certificate by the Sub Collector at  Sabhaghar, Angul. On dt 01.12.13
Sensitization Programme at Angul Jail :
One the eve of World AIDS Day2013 a sensitization programme was organized at Angul Jail on 1st Dec.-20123  under the Chairmanship of ADMO (P.H) In the same sensitization Workshop  DPM (DAPCU), ICTC Supervisor, & Counselor of JSPL )  joined as resource person. DPM (DAPCU) discussed about the basics of HIV/AIDS, ICTC Supervisor discussed on Stigma & discrimination and JSPL counselor discussed on HIV/AIDS & Human Rights)   At the end of the programme . IEC materials was distributed among the prisoners. The sensitization programme was highly appreciated by the Jail authority.
Auto Rickshaw Branding :

30 Nos. of Colorful stickers with HIV/AIDS message was branded in the backside of Auto Rickshaws at DHH, Angul, . The   Sub collector    Angul first inaugurated the same by Branding the same on AUTO Rickshaw at DHH, Angul on 01.12.2013. These Auto Rickshaws also participated in the Mass Awareness Rally.

Silence Road Show :
Silence Road Show was organized in front of Sabhaghar, Angul on 01.12.2013 . 30 Nos. of  Red Ribbon Club  member  of different college with HIV/AIDS Message stand in front of the Sabhaghar and disseminated the message on HIV/AIDS.
Banner with Colour full Gate :    
Colour full gate and Banner with World AIDS Day message has been arranged in Stategic places like Shabhaghar, Traffic Chhak, PTC Chhak, Harimohiri Chhak &  Rail Way Station .
Condom Distribution Stall :
 Three TI partner in collaboration with DAPCU, Angul organized one condom distribution stall at DHH, Angul and distributed condom to General Public. 
EXHIBITION Stall
HIV/AIDS Exhibition Stall was arranged at DHH, Angul from 01.12.13 to 07.12.2013. by three TI partner in collaboration with DAPCU Angul to  disseminate the message of HIV/AIDS

Voluntary Blood Donation Camp :
On the occasion of World AIDS Day-2013 one Voluntary Blood Donation Camp was organized at Pedipathar, Athamallik and 44 Blood units were collected. Before starting of the Blood Donation Camp a HIV/AIDS awareness Rally was organized in the same village.
To boost up the World AIDS Day Campaign, a mass awareness rally was organized by Zilla Swasthya Samiti Angul in Collaboration with DAPCU, TI Partners, Corporate Sector, PLHIV Network. The Rally was inaugurated by the Sub Collector, Angul. More than 700 participants like Red Ribbon Club Members, NSS, NCC volunteers, ASHA, Anganwadi workers, NGO personnel, PLHIVs, FSW, MSM, Migrant labour, Truckers and Auto drivers, College students, Govt. Officials etc. joined in the Rally by using Red Ribbon, Caps, with message on HIV/AIDs.  The rally was lead by Central School students with biting Drums Again three TI partner also lead the rally with HIV/ AIDS related slogan by using Microphone The rally went round the major road of Angul with placard and Banner as well as with slogans on HIV/AIDS. The most attractive features of the Rally were MSM participants with colorful dress with slogans on HIV/AIDS lead the rally which attracts the Public. The press & electronic media personnel taken the photograph of the Rally and the same news was published and telecasted. Finally the rally reached at Sabhaghar at 10.30 Am.
 Auto rickshaw rally  Rally
 30 numbers of AUTO Rickshaw rally with HIV /AIDS message branding at the left & Right side of Auto Rickshaw started from DHH Angul  & cover PTC Chak, Turanga & reach at Sabha ghar at 10.30 A.M.
 Motor Cycle Rally 
 100 numbers of Yuba Sakti member joined in the Motor Cyale Rally by using Red Ribbon , Caps, placard with message on HIV/AIDs. The rally went round the major road of Angul with placard as well as with slogans on HIV/AIDS.
Felicitation to JSPL.

 At the end of the meeting Chief Guest ( Sub Collector )  felicitated the representatives of JSPL  Mr Soroj Mohapatra  by offering  bouquet with one special  prizes & certificate           Mass HIV  screening test was started at JSPL on 18th January  &  within 30th November 2013 70000 clients tested their Blood                                                                                                          Again In JSPL  PPP mode ICTC  52 clients were detected as HIV positive & all sorts of support was provided to positive detected clients for ART registration/ CD4 test/  Sputum testing & for getting social securely  scheme  . For the same chief guest also felicitated the counselor / LT of PPP ICTC JSPL & also the CSSR staff Mr Satya Mishra & Mrs  Reeta  Barala by offering  Bouquet
Awareness Programme at Block Level :
For the observation of World AIDS Day-2013 rally and public meetings were organized in all CHC and the ICTC  Counselors of concerned CHC take the lead for the same Programme & joined as a chief speaker in their concerned Block level meeting.
What are few challenges faced by you and how did you overcome it?
The  awareness rally lead by central school students with DRUM BITs was highly appreciated by public
The drama staged by the MSM CBO and the Rally lead by them was highly appreciated by the public.
Due to some problem at MCL   Collector & District Magistrate/ Additional district Magistrate not able to attend the programme
Due to problem at MCL the HIV/ AIDS Nodal officer of MCL was not able to provide blanket to PLHIV on the occasion of observation of World AIDS Day 2013. (Although he commuted in the preparatory meeting of World AIDS Day 2013 held at collector office chamber on 20.11.13 to provide the100 number of Blanket to PLHIV  on the occasion of observation of World  AIDS  Day 2013 )
This year the World AIDs Day-2013 was not only observed by ZSS, Angul but maximum colleges where Red Ribbon Clubs  is functioning were observed the same day. Besides colleges, various organizations like Rotary Club, Pollution Control Board, Hero Motors different NGOs also observed the same day Even all the corporate  & Private sector observe the same Day with high enthusiasm.
The Programme was highly appreciated by the public.

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.

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

Angul a centrally located District in the state of Odisha with 12.70 lakhs  population and is a most advanced district due to vast coal mines located in abode and also big industries like NALCO, NTPC, JSPL, MCL, ADANI Monnet, UCL is working in the same district.  Due to vast coal mines and big industries number of migrant population is increasing day by day.

        HIV/AIDS and migration are two of the crucial social issues increasing today’s changing world.  In Angul two TI NGO namely U.S.S. and SARC is working for migrant population since 2008 to till date. SARC working area is Talcher, NTPC, South Balanda, Bhusan site, CPP, Nalco and working  for 12000 target population and presently it covers 16216 migrant population & with the referral of  SARC to ICTC 23  numbers of migrant labourer were detected as HIV positive and their details status are given below:

Pre ART	On ART	Death	Out of State / Migrant
16	09	02	05

           USS working areas is inside the JSPL Plant and working for 10000 target population and presently covered 15176 migrant populations & with the referral of U.S.S. to ICTC 25 numbers of migrant laborer were detected as HIV Positive and their details status are given below:

Pre ART	On ART	Death	Out of State / Migrant
14	08	01	10

            Every month, DAPCU Angul staff closely supervise the work of TI, verified their record, visited the Hotspot, DIC and collected various information from the clients regarding the TI work, attended the meeting/ awareness meeting / Health check up camp organised by TI and both ICTC supervisor and DPM attended the PMC meeting and discuss their problem and their problem was also highlighted in the DAPCC meeting and action was taken accordingly.

           

           It was observed by. DAPCU Angul that generally the HIV/AIDs intervention strategy in Angul district is focussed on following stages of migration.

-          Pre departure

-          Migration

-          Adaptation

-          Settle period

-          Remigration

           
         For providing comprehensive HIV/AIDS service to the HIV positive migrants and for prevention and control of HIV/ AIDS within the district the two TI NGO working for migrants are given emphasis on following points    

-          Group meeting

-          One to one contact

-          Mid media activity / IEC campaign

-          Health Camp

-          Hot spot level  meeting

-          DIC level meeting

-          Condom promotion

-          STI/RTI  Treatment

-          Referral / linkage  to ART centre/ DIC/CCC/DSRC’/ RNTCP

-          Advocating meeting

-          Legal support

-          Linkage with various social benefit scheme  etc

After detection of HIV positive the migrant workers / clients were refer to ART centre for pre ART regd. /CD₄ test / on PRT registration/DMC etc. During follow up of the client,  the TI partner /  DAPCU staff  /ICTC counsellor gave stress on  inadequate adherence to ART treatment is associated with detectable viral land, decreasing CD₄ count , disease progression, episode of OIS and poorer health out come.

           

           Again MIS case and LFU case of Angul ART Centre was divided into ICTC wise and in the monthly HIV-TB.  Meeting the same MIS case / LFU case was distributed to concerned ICTC counsellor for follow up of the same client.

For providing comprehensive PPTCT Services to HIV positive migrant women emphasis was given by TI/ DAPCU/ ICTC counsellor on following point: 

·  Institutionalisation of delivery  of positive women

·  Prevention of unintended pregnancies among the HIV   infected migrant women.

·  Prevention of HIV transmission from HIV infected migrant women to their infants

·  Care and support to HIV infected migrant women, their children, 

     Again in Angul district during Dasahara, Laxmipuja and Kalipuja festival time, most of the outside migrants clients were return back to their native place of Angul District.  So to provide HIV/AIDS services  to their doorstep, health check up- camp/ STI/RII treatment/ HIV / AIDS  counselling  and testing/condom distribution / Exhibition  was  organised by DAPCU Angul  with the  support of NRHM MHU van & with team of doctors/ paramedical staff/ counsellor/ LT of ICTC  in different villages during the same time.

Out of District:

           Out of Angul district migrant clients also tested their blood in Angul CTC and regd. their name in ART centre. In case of LFU and MIS case   of out of district migrant client   their details name / address was given to the concerned counsellor of other District and the concerned counsellor of the same district flow up of the same client.

Outside State:

All sorts of support / linkage / referral services are also provided to migrant clients of outside state. If the client leave the district then their name and address was given to OSAS/ BBSR for further   follow up. 

Over all sort of social / medical / psychological / moral / legal support was provided to HIV positive migrant workers/ clients. 

Angul Response to theme - Coordination between DAPCUs

Co-ordination among staff of a DAPCU and among DAPCUs is essential to achieve the desired goals i.e.  Getting to zero (Zero HIV transmission, Zero Stigma –discrimination & Zero AIDS related death).

There are 7  DAPCU functioning in Odisha. Coordination among DAPCUs of different district is carried out from the beginning of the establishment of DAPCU i.e. from- November 2008 onward. In the  beginning each staff of one  DAPCU  District  co-ordinates with counterparts of other  District DAPCU Staff for the establishment DAPCU, Specially regarding number of files, maintenance/ organizing DAPCC meeting/ DCC meeting/ Data compilation etc.

What are the issues on which DAPCUs support each other and how is the co-ordination achieved?

• In case of one DAPCU district misses any letter/ or communication from OSACS/NACO etc., the other DAPCU districts forwards/ informs the same letter/ communication through Email/Phone etc.
• In case of any form provided by OSACS BBSR to DAPCU district is missed the other DAPCU district forwards the scan copy of the same to the concerned DAPCU district.

What role do the SACS play in enhancing this coordination?

In time intervals the OSACS, organizes DAPCU review meetings/ trainings etc in which all DAPCUs staffs share their feeling/ achievements problems etc by which we get a lesson and accordingly we prepare/ modify our plans/ activities etc.

Recently OSACS, had organized one exposure visit to Bangalore and DPM Ganjam and Angul visited Bangalore on 28th to 29th January 2013. In _ Mysore they met the DAPCU Staff of Mysore and collected various information about their activities.

 Share a few examples on which you have taken the support of other DAPCU and how it has helped you?

• DAPCU Bhadrak mobilized one ILR (Ice Line Refrigerator) from FAKKOR Company. DPM DAPCU Bhadrak was able to mobilize the same ILR, as he discussed the “HIV  Kits”  preservation problems in DAPCC meeting and Collector and District Magistrate  of Bhadrak instructed  FAKKER Company to provide the same to DAPCU Bhadrak.  Accordingly DPM DAPCU Angul also discussed the same kits preservation problem in DAPCC meeting and Collector and District Magistrate instructed to  Executive Director of JSPL to provide the same to DAPCU, Angul and it is under process. 

Show a few examples of the results achieved by inter DAPCU Co-ordination?

• Recently OSACS BBSR organized one inter DAPCU District co ordination   visit and experience sharing among   DAPCU District staff in Angul District.  DPM and M&E Assistant of Khurda and Bhadrak visited the DAPCU, Angul on 3rd July, 2013.  In the same day one meeting was held under the Chairmanship of Joint Director Basic services OSACS BBSR.   In the same meeting DNRT member  was also present & in their presence   each District briefly presented their two major achievements report The DAPCU staff of Khurda and Bhadrak also verified the various files / records of DAPCU Angul and also gave a feedback to Angul DAPCU for better management of work.

Example:
In letter received register the staff of DAPCU Angul are not writing any comments in remark column.  But DAPCU Khurda emphasize to mention “what are the action taken against each letter” received by OSACS /  NACO / various line Deptt and after that , DAPCU Angul is also writing the action taken  issues against  each   received   letter in remark column.

The DAPCU staff of Khurda and Bhadrak also visited the ICTC  II of Angul district and verified their  record. DAPCU, Angul staff also learned many lesson from their supervision style and were able to know that- what are the various issues on which one can minutely observe the activities of the counselor and LT of different ICTC.

In the afternoon session of the same day DNRT member  gave direction to three  DAPCU district staff i.e. Bhadrak, Angul, Khurda for preparation of District Annual  work plan and accordingly the three DAPCU district prepare the AWP and submitted the same to OSACS, BBSR.  Again on 5th July these three DAPCU district staffs guide the other four DAPCU district staff for preparation of District AWP.

Lastly for the first time in Odisha DAPCU history the inter DAPCU coordination visit was organized under the leadership of Joint Director, Basic services OSACS, and DNRT member .  The same programme was highly appreciated by the Collector and District Magistrate of Angul / CDMO Angul/ ADMO (PH)/ DPM, NRHM, Angul and by the DAPCC, Members.  

Angul Response to Theme- DAPCUs and F-ICTCs

What is the role of DAPCUs in establishing F-ICTCs? How do you help in locating a suitable health facility to establish F-ICTCs
Angul is centrally located district in the state of Odisha.  In Angul district there are only 9. of ICTCs to provide HIV/AIDS counseling & testing facility. 5. FICTC   was    established at following places:

• CHC, Kosala– July’2011
• Banarpal – Feb.’2012
• Bantala – Feb.’2012
• Godibandah – Aug.’2012
• Boinda - - Aug.’2012

 DAPCU played a vital role in establishment of FICTC in Angul district.  Before  the establishment of  FICTC the DAPCU staff visited the different PHC/private Hospital, where ICTC  was   not  established and collected information.-like daily average patient load, monthly average patient load, No. of ANC client load and No. of delivery   conducted in the concerned /PHC ,  infrastructure facility available, human resource facilities   available   etc. DAPCU discussed this with ADMO (PH) & CDMO and with their approval DAPCU submitted a proposal to OSACS for opening of FICTC at concerned PHC.

After establishment of FICTC the Medical Officer of selected the Counselor & LT from the existing staff such as usually ANM/Staff Nurse for Counselor and for LT from RNTCP/General Pathology.
In FICTC the staff provides counseling and testing along with other services and OSACS through DAPCU provides rapid HIV testing kit, quality assurance, PEP drugs & supply IEC Material, Flip Chart & Posters etc.

Capacity building of the F-ICTC (i. e. training of staff, providing registers/ formats, providing guidance, supervision etc.)
DAPCU recommended the   name of FICTC staff for training to OSACS in consultation with 
Medical Officer of concerned CHC/PHC and occasionally DAPCU provided handholding    training/support to the FICTC staff for quality of service. Besides training DAPCU also provided register format, consent form, reporting form    IEC material; Condom   demonstration model etc. to FICTC.

DAPCU supervise the activity of FICTC and provide supportive supervision for quality counseling.  DAPCU staff also guided the FICTC staff    during     preparation of CMIS report in the   initial stages

Strengthening of linkages between F-ICTC and Designated ICTCs

Only 1st system testing kit was provided to FICTC. After detection of HIV +ve in 1st system the FICTC counselor are expected to refer the client to the nearest standalone ICTC for confirmatory test. After confirmatory test the ICTC counselor provides the report to the concerned client and shares the status of concerned client with FICTC counselor and refers the client to ART Centre & DMC. Again during outreach work the ICTC Counselor follows the client for Pre-ART/`On-Art & institutional delivery.

Monitoring and evaluation of F-ICTCs
During field visit the DAPCU Staff verify the counseling register/ Lab Register, Stock register/ Kit expiry date,  kit stock, condom stock , Refrigerator temperature,. consent form Maintain or not, IEC Material properly displayed or not, Flip chart /leaflet etc in the counselor table or not,, Condom & condom demonstration model , PEP chart is with counselor or not. Cross check the    DMC referral with the referral of FICTC and vice versa. consumables provided by the concerned CHC/PHC or not. HIV-TB 10 point     scale   is     with counselor or not. Etc.The problem of FICTC was discussed in DHS review meeting. 

Share a few achievements from your districts in this regard
In Angul district all clients referred from FICTC have reached the nearest ICTC for confirmatory test. During recent visit of NACO & OSACS official on 03.07.2013 it was observed that they verify the record of FICTC, Bantala and cross check with the record of ICTC, DHH, Angul. and found  that all the 5 clients referred by Counselor of Bantala after detection of +v e  in screening test., tested in ICTC-I and all the 5 Nos of  clients   registered their name in ART Centre, DHH, Angul   Again  one +ve delivery was conducted on 08.05.13 at DHH Angul and both  the Mother & baby pair received Nevirapine. Again     all   the FICTC staff submitting    CMIS   report in time.