Buldana DAPCU response on the WAD 2013 Theme.

Buldana district came in the central part of Maharashtra. DAPCU Buldana has celebrated the WAD in a very innovative way. District administration with all political leaders involved in the WAD Ceremony. On the Occasion of WAD DAPCU has started "AAI" Yojana. Under this scheme special attaintion will be given to the PLHIV ANC. This scheme is appreciated by the District Administration and all political leaders. This is the first scheme launched by the DAPCU which is bared and run by the working staff of MSACS in the district. All the participants and delegates has given the oath on this grant occassion. 

     DPO Shri Pramod Tale and DS Shri. Gajanan Deshmukh has taken the extraordinary efforts for launching this scheme on the eve of WAD 2013.

Buldhana DAPCU Response: DAPCU and Stigma & Discrimination.

BULDHANA DISTRICT AIDS CONTROL AND PREVENTION UNIT ARRANGES MANY ACTIVITIES IN THE DISTRICT TO PREVENT STIGMA AND DISCRIMINATION ISSUE.

WHAT IS STIGMA-
STIGMA IS DEFINED AS SOMETHING THAT BRANDS A PERSON WITH A NEGATIVE REPUTATION, MARK OF DISGRACE OR SHAME.STIGMA CAN TAKE THE FORM OF FEELINGS OR THOUGHTS, COUNSCIOUS OF SUB CONSCIOUS.
STIGMA IS ASSOCIATED WITH DISFIGURING OR INCURABLE DISEASES, IN PERTICULAR DISEASES THAT SOCIETY PERCIVES TO BE CAUSED BY THE VIOLATION OF SOCIAL NORMS, INCLUDING NORMS ABOUT SEXUAL BEHAVIOUR.HIV AIDS IS GOOD EXAMPLE OF THIS TYPE OF DISEASE.

WHAT THERE IS A STIGMA IN HIV-AIDS.
1) HIV AIDS IS A LIFE –THREATENING DISEASE
2)  PEOPLE ARE SCARED OF CONTRACTING HIV 
3) THE DISEASE HAS BEEN ASSOCIATED WITH BEHAVIOURS (SUCH AS SEX BETWEEN MEN AND INJECTION DRUG-USER THAT ARE ALREADY STIGMATISED IN MANY SOCIETIES) 
4) PEOPLE LIVING WITH HIV/AIDS ARE OFTEN THOUGHT OF AS BEING RESPOSIBLE FOR BECOMING INFECTED.
5) RELIGIOUS OR MORAL BELIEFS LEAD SOME PEOPLE SOME TO BELIEVE THAT HAVING HIV AIDS IS THE RESULT OF MORAL FAULT AND DESERVES TO BEPUNISHED.

DOSCRINATION –IS DEFINED AS THE ACT OF MAKING A DIFFERENCE IN TREATMENT FAVIOURING OR PUNISHING ON A BASIS OTHER THAN INDIVIDUAL MERIT.STIGMA CAN LEAD TO PREJUDICE AND ACTIVE DISCRIMINATION DIRECTED TOWARDS PERSONS WHO ARE PERCEIVED TO BE OR WHO ARE ACTUALLY INFECTED WITH HIV,AND THE SOCIAL GROUPS AND PERSONS WITH WHOM THEY ARE ASSOCIATED.

INTERLINKAGES BETWEEN STGMA, DISCRIMINATION AND DENIAL.
1 ) STIGMA AND DISRIMINATION USED INTERCHANGEABLY.
2 ) STIGMA FEELING OF INFERIORITY OR NON ACCEPTANCE
3) DISCRIMINATION ACT OF NON ACCAPTANCE AND EXCLUSION.
4) STIGMA NAD DISCRIMINATION AND SELF-PERPETUATING.
5) DISCRINATION LEADS TO DENIAL AND VIOLATION OF HUMAN RIGHTS.

DAPCU BULDHANA RUNS FOLLOWING ACTIVITIES TO AVOID STIGMA AND DISCRIMINATION CASES.

1)“ AAI YOJNA”  FOR HIV POSITIVE ANC AND HER BABY, TO VISIT EID CENTERS.UNDER THIS SCHEME BABY HAS TESTED FOR DBS/EID AND FOLLOW UP ACTIVITIES. ALLS EMPLOYEES OF MSACS IN THE BULDHANA DISTRICT COLLECTS 30 RUPEES PER MONTH TO PAY  TA TO MOTHER AND BABY.
2) TO AVOID ANY STIGMA AND DISCRIMINATION CASE BULDHANA DAPCU ARRANGES I.E.C ACTIVITIES WITH THE HELP OF DAPCU AND POSITIVE NETWORK.
3) DAPCU ARRANGES SCHOOL BAGS,REGISTER AND OTHER NECESSITIES FOR SCHOOL TO  HIV INFCTED ORPHAN CHILD.
4) TO SORT OUT ANY STIGMA AND DISCRIMINATION ISSUE DAPCU ESTABLISHES GIPA COMMITTEE AT THE DISTRICT LEVEL.
5) BULDHANA DAPCU RUNS A SPECIAL DRIVE TO PROVIDE SOCIAL BENEFIT SCHEME TO THE PLHIV.
6) DAPCU AND PLHIV NETWORK ESTABLISHES THE SELF HELP GROUP OF PLHIV FOR THIER SELF EMPLOYMENT AND STRENGTHENING.

IN BULDHANA DISTRICT THE HEALTHCARE STAFF, ICTC STAFF, RNTCP STAFF, NGO STAFF, OTHER LINE DEPARTMENTS HELPS PLHIV WITHOUT ANY HESITATION, THIS COULD BE ABLE WITH CONSTANT EFFORTS OF SACS STAFF AND INVOLVEMENT OF PLHIVE NETWORK WITH THE LINE DEPARTMENTS.

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

Profile of the District: 

     Buldhana District is situated in border of Marathwada and Vidarbha region of Maharashtra.  Buldhana district facing a very high migration rate of PLHIV from Jalna, Aurangabad, Akola, Jalgao and Washim. The major source of income of the district is agriculture and district constructed by very small villages. The migration pattern is basically due to migration of agricultural workers. 

Services to the Migrant Client:

      If any migrated client found positive ART counselor provide him all the services i.e. counseling, Pre-ART registration, CD4 testing etc. and if the patient is eligible for the ART we put him On ART. If the patient is found co-infected then we specially mention the TB treatment and CPT treatment because clients history is important for further follow-up. If the migrant client wishes to take treatment at his parent town then we transfer out migrant client to his town for further treatment.

Tracking of LFU/MIS Migrant client:

DAPCU track the LFU/MIS migrant by tracking the address of the migrant and with the coordination of concern DAPCU. Many a times DAPCU Buldhana need to contact the other state also for tracking LFU/MIS migrant. In the case of ANC, DAPCU Buldhana coordinates with the other DAPCU for Migrant ANC delivery, EID/DBS follow-up.

To provide NACP services to the migrants, coordination among DAPCU is very important. To trace MIS/LFU migrant, to link them to the services, to provide them social benefit schemes etc.  

Buldana response to DAPCU Coordination

Coordination among DAPCU’s: Buldhana Response.
 Buldhana district located in the end part of Vidarbha,Maharashtra. District has a 80% population from the rural part. District has a 17 stand-alone ICTC’s and 56 PHC’s where the HIV testing has facilitated.
Challenges in the district 

 i)  Migration of HRG.
ii)  FSW trafficking.
iii)  Linking positive client to ART due to geographically difficulty.
iv) Transportation and storage of Kits as facilities located in a very rural part.

To overcome  these challenges  Buldhana DAPCU always takes the help of Coordinating DAPCU, which are follows.
1) FSW from the Buldana district was tested in the Akola  and now is linked  in the Buldhana district for further follow-up.
2) District has a limitation in storage of Kits, so  kits store in the walk in cooler at Akola.
3) For technical expertise we  always take the help of SRL situated at Aurangabad.
4) To coordinate services especially LFU/MIS, ART linkages and ANC follow-up we work with -Aurangabad, Jalna, Akola and Washim
5) For IEC activities and conducting workshop we coordinate  with Aurangabad and Akola.

These coordination activities give the better result to provide best services to the PLHIV and HRG. The linkages and HRG coverage of the district is increasing day by day.