DAPCU Davangere Response to Role of DAPCU and F-ICTC

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

DAPCUs play crucial role in establishing F-ICTCs at health facility depending on:

·         OPD load of health facility accessing service

·         Total no of deliveries

·         Total no of HIV+ves, STI/RTI, HIV/TB, HRGs & Migrants

·         Based on geography: hilly, mountain, region, tribal population, roads liked with National/State highways

    2.     Capacity building of FICTCs:

·         DAPCUs can help in enhancing the capacity of FICTCs by providing Induction training & Refresher training on HIV/AIDS counseling & testing services, training in documentation of client details, providing printed register/forms, training manuals updated

·         Training guidance  in reporting of correctly on all relevant indicators & make supervisory &  monitoring  progress of FICTCs

    3.     Strengthening linkage b/n FICTC & designated ICTCs:                                      

• Strengthening F-ICTC by monitoring ICTC activity through designated ICTCs, issue of HIV test KITS through  ICTCs, monthly supervisory visits by ICTC staff during Thursday ANC camp/Saturday out- reach visits.
•  Conducting quarterly Review meeting for MOs:F-ICTCs
• Involving F-ICTC staff [LT/SN] in DAPCU monthly meeting on rotation basis randomly
• Regular vehicle provision for DAPCU staff to make supervisory visits toF-ICTCs linked with mother ICTC  
• To ensure consistent supply of SPOT TEST to F-ICTCs, printed registers, forms, consumables[if required] thro’ designated ICTCs

    4.     Monitoring  & Evaluation  of F-ICTCs:

•    Monitoring throgh supervisory visits, activity  & reporting of the same indicator –wise correctly
•    Quarterly Review meeting for MOs:F-ICTCs to evaluate progress & identify gaps
•     Evaluation through  100% screening of registered ANCs, confirmation of +ves at designated ICTCs & 100% linkage to ART, screening of STI cases,100% screening of TB & TB suspects, linking of eligible PLHIVs/family members to social entitlements
•      Check case of Stigma & discrimination,
•      IEC promotion & condom supply
•       Monitoring & Evaluation by DHO, THOs, POs of F-ICTC activity
•         To ensure daily testing & ensure the same is well documented

5.Achievements to share:

  Total 24x7 PHCs in the dist are 41 & F-ICTCs functioning are 36.Few not started regular as LT not available.  We are planning to start three F-ICTCs  in urban PHCs shortly & staff have been trained recently [Feb/Mar.13]. In our dist F-ICTCs Thyavangi & Gundagathi are performing well & activity documented.  

Davanagere DAPCU, Karnataka Response-September 2012 Theme:

1. Why is positive prevention important?

• To control & prevent new infections
• To reduce burden on family, community, health & economy of the country
• To reduce stigma, discrimination & protect health care providers
• Positive prevention important to mainstream HIV

2. Strategies for positive prevention at your dist level:

• Awareness to all, specially for high risk groups
• Sensitization programmes for Govt & Private bus operators, Railways staff, Hotel staff, Street vendors, Private/Public sector organizations
• Trainings to all line department stake holders, ZP, TP members.
• IECs, Media[print & electronic],Folk, IPC
• ARSH programmes at school & College level
• Integration with health system: NRHM for PPTCT, STI services & HIV/TB Collaborative activity.
• Counseling & prevention through ICTCs, ART, FICTCs, and PPP model ICTC, Mobile ICTCs, DLN, DIC, TI & CCC.
• Sharing of experiences by Positive speakers
• Short slide shows in public gathering: Railway platforms, bus-stand, waiting areas[Hospitals], Cinemas, Market places
• Discussing strategies/case studies adopted in other districts & states with District administrator 

3. Role of DAPCUs: 

• To monitor, supervise & ensure effective implementation of HIV/AIDS activity at district level for Positive prevention in coordination with Line Departments, NGOs, & District administration 

Lastly, positive prevention is very important to get to ZERO infections, reduce stigma discrimination instances to ZERO.