DAPCU Bhavnagar 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?

• Yes, we have the faced the problem when PLHIV pt. come from interfere villages for taken a health services. We have no any places where there pt. is stay for night.

• Also problem occurs for minor OI treatment.

• Sometime pt. receives the treatment but not get a psycho-socio support from health facility.

• Major problem in outreach activity specially tracking of MISS & LFU cases.

• Not specific system for tracking of MISS & LFU cases by staff.

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

• There is a one option for provide medical care to PLHIV sensitize the all health worker about care and support to PLHIV. 

• Give the training about care and support ( ART regimen, OI treatment, eligibility criteria for ART, CD4 importance)to PHC and CHC medical officer. Also training give to private practitioner for ARTC. And inform them for what type of services given from ARTC to PLHIV. 

• Establish the LINK ART CENTER   at the  each and every ICTC and PPTCT. Because all medical and paramedical staff will involve the CST Programme. And also PLHIV will taken a ART for long time regularly. Therefore reduce the work burden from Nodal  ARTC.  Also benefit for partner testing. 

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

Prevention & Early Detection

• In the migration group, it is difficult to detect early because of mobility. But we can try to prevent and detect early e. g. identifying the migrant’s area in the city; district and state then we can start an intervention.
• We try to contact with community leaders and connect and involve them in the programme.
• Develop the IEC and BCC material in their own languages.
• Establish the facility either in or near to their areas.
• We also try to meet owner of their work places, industries; shads to obtain the permission to organize a programme. Also request them to provide the leaves to migrant workers for taking services.
• We also plan our service schedules as per their availability, holiday etc. 

Linking  to ART, Treatment Adherence, Follow-up of MIS & LFU

• Arrange the meeting with president of association of industries, owner of work place for giving permission and leave for taking treatment.
• Setting ARTC’s time schedule according to migrant’s time & availability.
• Prepare IEC,BCC material in their own languages and as per their social aspects.
• In the cases of MIS’ & LFUs we have tried to contact with their state’s sacs and also particular district’s ARTC; where the first visit of MIS was done.
• Sharing a line list of migrant MIS & LFUs among ARTCs.
• Contact with leaders of communities to track migrants, because many time leader has more authentic information about place of migrations.
• Establish on-line system for transfer out patients.  

PPTCT services

• Develop the peer educator system, specially for migrant ANCs. Because non-awareness of migrant females about services provide by PHCs, CHCs and other healthcare centers.
• She doesn’t know the name and address of ASHA Workers of their areas.
• She feels loneliness in these types of situations.

Bhavanagar response to theme - Coordination between DAPCUs

• In LFU tracking DAPCU co ordinate with other DAPCU through SACS. E.G. We are sending LFU tracking list district wise to SACS, SACS send tracking the data other DAPCU and others send reply  to us .
• ART Linkages with other district ART through DAPCU. We are sharing ART linkage data to other ART center AND mark c.c DAPCU. So, DAPCU Monitor the ART linkages activity.
• We teach about spaital map, different type of presentation to other DAPCU when they ask to us.
• Sharing the strategies to achieve the goal and target of HIV testing each other.
• Sharing the success story to each other during quarterly DAPCU review meeting at the SACS.