DAPCU Central Delhi Response to the Theme: World AIDS Day-2013

OBSERVANCE OF WORLD AIDS DAY 2013

The World AIDS Day 2013 is observed in Central Delhi District by DAPCU-Central Delhi under the guidance and with collaboration of Delhi SACS and HIV Unit WHO, SEARO.

On the occasion of the World AIDS Day 2013, a Three Days HIV Counseling & Testing Camp was coordinated & facilitated by DAPCU-Central Delhi for the World Health Organization (WHO) staff and their families in the premises of WHO Regional Office for South East Asia (SEARO), Indraprastha Estate, Mahatma Gandhi Marg, New Delh-110002 from 2^nd December 2013 to 4^th December 2013.

Welcome and Introduction of the activity and Delhi SACS	Dr Rohit Sobti, RSP, SEARO
The work of Delhi SACS	Dr Anil K. Gupta, APD – DSACS
HIV Testing & Counseling – What, Why and How it can benefit you and your love ones	Dr B.B. Rewari, WHO India
High Tea & Offer of voluntary HTC services	HIV unit jointly with Delhi SACS
Free HTC services will be provided (2 to 4 Dec-13	WHO premises

Following Activities were undertaken during the camp:

• Profile of and efforts made by Delhi SACS in the global fight against HIV-AIDS epidemic were briefed.
• Benefits of HIV Testing & Counseling were explained.
• HIV Counseling & Testing were provided to the staff of WHO-SEARO and their Families.
• IEC material was displayed and distributed in the camp.
• Condoms were distributed in the camp.

More than hundred visitors of different countries including India were benefited through the activities performed in the camp as follows:

1. 106 were counseled. (100 Males and 6 Females)
2. 102 were tested for HIV. (97 Males and 5 Females)
3. No client was found HIV Positive.
4. IEC Material was disseminated to 106 visitors.
5. 1200 condoms were also distributed.

All aforesaid activities was coordinated by DPM, DAPCU-Central under the guidance of Delhi SACS. Overall efforts made by DSACS & DAPCU-Central Delhi were appreciated by the visitors & organizers from WHO-SEARO.

DAPCU North Delhi Response to the Theme: World AIDS Day-2013

Mr. Pankaj Ram Sharma, District ICTC Supervisor took session on awareness of HIV-AIDS in Family Planning Association of India on 2^nd December 2013. Around 70 participants were there in the Hall, many of them were Doctors, Nurses & ANMs and other staff. Many queries came from the participants during the session; Mr. Pankaj Ram Sharma gave reply to them. Ms. Archana, DPM, Mr. Hitesh Kumar, M & E Assistant & Mr. Mukesh Vats, Program Assistant, DAPCU North also participated. 

Mr. Pankaj Sharma, District ICTC Supervisor, took session on awareness of HIV-AIDS of FEMC-Pratibha JV workers / staff who are engaged in construction of Delhi Metro Rail Corporation Project (CC-23) at Delhi Metro Rail Co-orporation, Mundka on 2^nd December 2013. Around 100 participants were there to hear the awareness session on HIV-AIDS. Many queries came from the participants during the session; Mr. Pankaj Ram Sharma cleared their queries. Condom Demonstration, information regarding STI/ RTI & TB was extended to the participants during the session by Mr. Pankaj Ram Sharma. Ms. Archana, DPM, Mr. Hitesh Kumar, M & E Assistant & Mr. Mukesh Vats, Program Assistant, DAPCU North also participated.  

DAPCU North Delhi Response to the Theme: Care and Support Services for PLHIVs in the Absence of CCCs

Integrating Care and Support Services to PLHIV in the Existing Government Health Facilities" in the Absence of CCCs in the District.

1. In our North district there is no ART Center and CCC from the beginning and now also. So, we did not face any problem or difficulty after closing the CCC in the districts.
2. As there is no ART Center and CCC from the beginning and now also, we did not take any measures to replace the services given by CCC.
3. If any problem is occurred to get in Patient & out Patient services in the existing Govt. Health facilities by PLHIV, DAPCU staff take appropriate action by coordinating with ICTC Counselor, ART Counselor, Doctors in the hospital so that the PLHIV would get in Patient & out Patient services in the existing Govt. Health facilities.
4. Discussed with CDMO, DACO and other medical officers about the OIs infection when the PLHAs need admission in the hospital. We have sent a Circular through Deputy Commissioner, North District to all the Medical Superintendent of Hospitals and Medical Officer In-chage of Maternity Home of North District for:  (a) providing all available health services in the facility to people infected and affected by HIV / AIDS, (b) ANC who is detected to be HIV positive in the district should be delivered within district hospital, sub hospital and maternity homes. (c) Prophylaxis should be provided to both mother and baby. 

DAPCU Central Delhi Response to the Theme: Care and Support Services for PLHIVs in the Absence of CCCs

Problems faced after closing of CCCs

• No exclusive In-patient care is now available for PLHIVs.
• Difficulties in verification of addresses of clients to be registered in ARTCs and addresses of those couldn’t be verified by the ARTCs.
• Scarcity in Couple Counseling, Nutritional Counseling etc. those were provided by CCCs.
• Lack in Psychological, Social & Legal support necessary after community rejection.
• Non-availability of Home Based Care for PLHIVs.

Measures have been taken to replace the services given by CCCs

• Necessary in-patient care is being provided through Government Health Facilities those having staff sensitized on HIV-AIDS.
• Staff of ARTCs is supported by TI-NGOs, ICTCs and DAPCU in the verification of addresses of PLHIVs.
• All type of necessary counseling is provided by the staff of ARTCs and ICTCs to PLHIVs.
•  Psychological, Social & Legal supports are provided DLN of PLHIVs, TI-NGOs and coordinated by DAPCU.

Integration of In-Patient and Out-Patient Services in the existing Government Health Facilities

• Authorities and Medical Officers of the Existing Government Health Facilities are requested with the support of IDHS-Central & District Administration to provide all necessary In-Patient and Out-Patient Services to PLHIVs with extra care.

Practices & Approaches adopted to provide medical care to PHIV within the district

• Medical, Para-Medical & Non-Medical Staff of the Government Health Facilities are being regularly sensitized on HIV-AIDS and PLHIV’s related issues.
• Stigma & Discrimination towards PLHIVs are being diminished in the Society through Advocacy Meetings, Mainstreaming Workshops, IEC activities in Mega Camps, Health Camps & School Health Melas.
• PLHIVs are being educated about Social & Financial Benefit Schemes available for them. Details of the schemes are collected & compiled by DAPCU from different departments & institutions and shared with ARTCs and TI-NGOs for further sharing with PLHIVs.

DAPCU EAST Delhi Response : DAPCU- Stigma & Discrimination

Roles and responsibilities of DAPCUs with respect to Stigma and Discrimination relating to HIV.

The District AIDS Prevention & Control Unit plays a important role to reduce stigma and discrimination related to HIV in the district. DAPCU is conducting various activities to reducing stigma & Discrimination with the Coordination of District Administration & other Government Department.

v  Provide better services to HIV-AIDS positive clients.

v  Monitoring and supervision of HIV/AIDS facilities in the district.

v  Sensitization Program for M.Os, Hospital staffs, ANM & ASHAs, also trying to do sensitization program for  Private Practioners & Nursing Homes.

v  Awareness program in Schools, I.T.Is & Coaching Institutes.

v  Sensitization of Police personals.

v  Condom Promotion activities & Nukkad Natak.

v  Sensitize youth & students through Awareness campaigning.

v  Planning to sensitize Industrial Area.

Measures initiated to facilitate reduction of stigma and Discrimination in

      Access to services: Involvement of   counselor, ASHA and anganwadi worker is necessary to provide better service with out any discrimination and stigma at any stage.

                   Health Care Setting: DAPCU has organized full site sensitization workshop in the Health Facilities of ‘B’ & ‘C’ Category.

        District Administration and it Departments: DAPCU has organized a quarterly Meeting of DAPCC & DCC of TB-HIV and in the meeting, Issues related to stigma and discrimination is discussed with District Administration and is resolved with the support from them.

      PLHIVs are facilitated to obtaining the benefits of Welfare Schemes with the help of District Administration.

           Community Settings:

·         Creating awareness of community towards PLHIVs IEC (Information, Education & communication) through participation and activities in Health Camps, Mega Camps.

·         Awareness through Community Event organized by Tis with the coordination of DAPCUs.

Complaints from PLHIVs regarding Stigma and discrimination

One lady went to hospital in labour pain and some part of child has been come out at the out side the hospital gate , her husband carry her in hands due to non availability of stretcher. When he entered the labour room then sister on duty address him in a bed manner. Client husband phoned to DPM about the incident and due to out of station, DPM instruct to the concerned counselor to solve the issue. In mid night counselor try to solve the problem and next day DPM also meet to HOD & Sister on duty in charge. She apologizes about her behavior. 

Achievements of our district in fighting stigma and discrimination:

·   Attend Advocacy Meeting.

· Organized awareness meeting with various stakeholders& departments and sensitized   about HIV-AIDS and Stigma & Discrimination present in Society about the epidemic and PLHIVs.

·    Mainstreaming of line departments

·    Attend community meeting of TI’s.

Central Delhi DAPCU Response to the Theme- DAPCUs & Stigma and Discrimination

Roles & responsibilities of DAPCUs with respect to Stigma & Discrimination relating to HIV:

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 DAPCUs.

Measures those have been initiated to facilitate reduction of stigma and discrimination in:

               ·   Access to services:

o   It has been ensured that all necessary services are being provided to PLHIVs without any discrimination and stigma at all HIV-AIDS related services.

o   PLHIVs are educated with the help from Staff of ICTCs/ ART Centers and TI-NGOs about their rights, services, provisions and benefits granted by Government & Societies.

               ·    Health Care settings:

o   Suggestion/ complaint boxes have been installed at HIV-AIDS related facilities of the districts.

o   Revision of suggestions and complaints and addressing of the same with the support from Officers In-charge of the Health Facilities.

o   Regular sensitization of the Medical & Non-Medical Staff of the Health Facilities with respect to Stigma & Discrimination relating to HIV.

               ·     District Administration and it’s departments:

o   Issues related to stigma and discrimination is discussed in the meetings with District Administration and is resolved with the support from them.

o   PLHIVs are facilitated & supported in obtaining the benefits of Welfare Schemes with the help of District Administration.

               ·      Community Settings:

o   Creating awareness of community towards PLHIVs IEC (Information, Education & communication) through participation and activities in Health Camps, Mega Camps, and School Health Melas etc.

Achievements of our district in fighting stigma and discrimination:

• Advocacy cum awareness meeting with the Staff of Kamla Market, Police Station. Over 50 police personnel were sensitized about HIV-AIDS and Stigma & Discrimination present in Society about the epidemic and PLHIVs.
• Mainstreaming of Police Officers/ Officials at Police Bhawan, Daryaganj.

North Delhi DAPCU Response to the Theme- DAPCUs and Stigma and Discrimination

AIDS-related stigma and discrimination is a pervasive problem worldwide. People living with HIV/AIDS (PLHA) in India, as elsewhere, face stigma and discrimination in a variety of contexts, including the household, community, workplace, and health care setting. Research in India has shown that stigma and discrimination against HIV-positive people and those perceived to be infected are common in hospitals and act as barriers to seeking and receiving critical treatment and care services.

Roles and Responsibility of DAPCU with respect to Stigma and discrimination relating to HIV:

The main role and responsibility of DAPCU is to prevent and control HIV-AIDS in the district. DAPCU plays a significant role in reducing Stigma and Discrimination relating to HIV-AIDS in the District in the way of:

1. Co-ordination among HIV-AIDS facilities of the district to provide better services to HIV-AIDS positive clients.
2. Monitoring and supervision in the district by doing field visits at the HIV-AIDS facilities. 

DAPCU North is fully active in reducing Stigma and Discrimination relating to HIV-AIDS in North District. For this following activities are done at DAPCU level:

• Actively participation in Mega Health Camps organized by Mission Convergence under the chairmanship of Deputy Commissioner in the District:

DAPCU North has actively participated in Mega Health Camps organized by Mission Convergence under the chairmanship of Deputy Commissioner in the District. Counseling services, distribution of condoms, distribution of IEC material services were provided in the Mega Camp. DAPCU arranged MITWA van and Nukkad Natak Team from DSACS to participate in Mega Health Camp.

• Sensitization Programme of Hospital staffs:

DAPCU had organized full site ICTC Sensitization Program in North and South West Districts. The Medical Officers, Staff Nurses and other supportive staff were sensitized in the Program. 

Objectives of Full Site ICTC sensitization Programme were:

1. AWARENESS ON NACP

2. IMPROVE UTILIZATION OF RESOURCES

3. STRENTHENING LINKAGES & REFERRALS

• Session on the topic of HIV-AIDS to various Line Department like - Delhi Jal Board staff, CRPF Camp, Delhi Police etc.:

DAPCU staff took session on the topic of HIV/AIDS at various line departments like Delhi Jal Board staff, CRPF Camp and Delhi Police in North and South West District.

• Through DAPCC Meeting at district level:

With the help of District Administration we have sent a Circular to Medical Superintendent of Hospitals and Medical Officer In-chage of Maternity Home of North District for:

1. Providing all available health services in the facility to people infected and affected by HIV / AIDS
2. ANC who is detected to be HIV positive in the district should be delivered within district hospital, sub hospital and maternity homes.
3. Prophylaxis should be provided to both mother and baby. 

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

Comprehensive HIV/AIDS Service are provided to the HIV Positive Migrants:

East District Delhi is situated in border of Uttar Pardesh (Ghaziabad & Noida).  Patparganj & Jhil Mil industrial areas are also situated in East District, Delhi. The migration pattern is basically due to migration of Industrial workers. 

Services to Migrants Client: 

If any migrated client found positive ART counselor provide him all the services i.e. counseling, Pre-ART registration, CD4 testing etc.

Other District:

If client from other district found positive, that client is linked to ART center for pre ART registration CD4 count and if found eligible then on ART, if client is willing to continue the treatment from his own district then he can be transferred and informed to concerned ART.

Other State:

If positive client from other state found positive, the client is linked to ART center for Pre ART registration CD4 count and if found eligible then on ART, if client is willing to continue the treatment from his own state then he can be transferred and informed to concerned ART. Counselors note the permanent address of the client and provide the same to Concerned SACS.

Prevention and Early Detection:

DAPCU– East arrange IEC activity like Full Site Sensitization Programme, Mega Health Camps, Poster, Nukkad Natak etc. with co-ordination of DSACS, Youth Awareness by Nukkad Natak, Session regarding HIV-AIDS in Delhi Police, lectures on HIV-AIDS in schools, I.T.Is, awareness campaigning at Metro Station, Railway Station & I.S.B.T, Condom promotion activities in Industrial Areas & also maintain the line list of discordant couple and ensure their testing every 3 months.

Linking to ART center, Treatment adherence, follow-up of LFU/MIS and PPTCT Services:

We try our level best to ensure linkages. In ART center the patient is counseled for drug adherence, side effects of the ART medicine are explained to the client, family counseling is given to the positive client so that he / she should not face any discrimination.

Follow-up of LFU/MIS:

Collecting line list of Clients from ART center and trace out the same through Outreach workers and TI NGOs and after that share with respective ART centre.

 

 

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

DAPCUs ensure comprehensive HIV/ AIDS services that are provided to the HIV Positive Migrants by following means:

1. Within district:

Comprehensive HIV/AIDS services are being provided to the HIV Positive Migrants within the district by DAPCU with the assistance of TI-NGOs, especially those are being working on the Migrants. IEC & HIV/AIDS Service Demand Generation camps are regularly organized by TI-NGOs on the Migrant’s hot spots within the district. HIV-AIDS services like counseling, HIV Testing, providing condoms, referrals and linkages to the other linked facilities are being provided to the migrants through activities performed by TI-NGOs with the co-operation and co-ordination from DAPCU side. Regular follow-up of clients residing in the district are being done by Counselors of ICTCs and ART Centers to minimize the numbers of LFUs and MIS’. If any HIV Positive client is faced problem in the registration at the HIV-AIDS health facilities due to non-availability of Id-Proof then DAPCU with the help of TI-NGOs and District Administration takes efforts to make sure that concern HIV Positive migrant client can availed the Id-Proof.

2. Out of district:

Since, some of biggest and renowned hospitals are situated in the Central District of Delhi, therefore, huge number of clients, not only from other district of Delhi but also from other state of India are came over here and obtained the facilities concerning to the HIV-AIDS from the HIV-AIDS related facilities in the District. Also HIV Positive Clients are given options to choose ART facility as per their convenience either situated in the district or other districts of Delhi for treatment. According to their choice, they are linked with ART Center chosen by them.  Line lists of HIV Positive clients found at the ICTCs/ PPTCTCs in the district are maintained and shared with SACS and other concern DAPCUs for proper follow-up of LFUs and MIS and ensuring comprehensive services coverage of Migrant Clients of other districts of Delhi. All DAPCUs in Delhi co-ordinate and help one another for the same.

3. Out of State:

Central Delhi is a gateway of migrants from & to Union Territory of Delhi due to presence of two busiest railway stations of the Country i. e. Delhi and New Delhi Railway Stations and also biggest wholesale markets of India i.e. Sadar Bazar, Paharganj, Chandni Chowk, Karol Bagh etc. There is huge number of migrants come in and gone out every day from Central Delhi to another parts of the country. In addition of the above presence of National Level Big Hospital, the numbers of clients are very huge which are obtaining facilities from HIV-AIDS facilities present in the District. As per cited above Line lists of HIV Positive clients found at the ICTCs/ PPTCTCs in the district are maintained and shared with SACS for proper follow-up and ensuring comprehensive services coverage of Migrant Clients of other states of India. Follow-up of LFUs and MIS of other states are done with the help of DSACS and concern SACS. Also permanent address of the clients’ native place is obtained & recorded during his/her visit at the ICTCs so that follow-up of the same can become trouble-free.

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

Within District: 

In North Delhi district generally the positive migrant clients are from other district and outside state. In Delhi there are nine ART Centers but there is no ART Center in North Delhi District. Within District migrant positive clients are linked to ART Center near to North District which are lies in other districts such as North West, Central and North East District i.e. Dr. B.S.A. Hospital, LNJP Hospital and G.T.B. Hospital for Pre-ART registration, CD4 count and if CD4 count is less than 350 then efforts are made for registering the positive clients in ART Center.

Other District: 

Whenever any client found positive from other district, counselor provides option to him / her for taking ART treatment according to his / her choice. If client is willing to continue the treatment from his own district then he / she is referred to that particular district ART Center for Pre-Art Registration, CD4 Count if eligible he is taken on ART.

Other State: 

If any client found positive we have suggested our district counselors to note down permanent address as well as current address so that if they become migrants we provide their permanent address to SACS so that they can be traced and ART treatment could be provided to them.

Prevention and Early Detection:

For prevention and early detection we arrange IEC activity like Full Site Sensitization Programme, Mega Health Camps, Poster, Nukkad Natak etc. with co-ordination of DSACS, Youth Awareness by Nukkad Natak in University, Session regarding HIV-AIDS in CRPF and Delhi Police, lectures on HIV-AIDS in schools, maintain the line list of discordant couple and ensure their testing every 3 months.

Linking to ART center, Treatment adherence, follow-up of LFU/MIS and PPTCT Services:

Linking the positive clients to ART center is key indicator of the program and we try our level best to ensure linkages by taking special efforts with the help of counselor. If any problem persists then DIS and DPM took action for registering the positive clients in ART Center.  At ART center the patient is counseled for drug adherence, side effects of the ART medicine are explained to the client, family counseling is given to the positive client so that he / she should not face any discrimination within his / her family and also society.

Follow-up of LFU/MIS is ensured by collecting line list of such patients from ART center and then the same is handed over to Outreach workers and TI NGOs so that they can trace out the positive clients detail and then inform the ART centre.

DAPCU Central Delhi Response to the Theme Co-ordination among DAPCU's

Co-ordination among DAPCUs

• Need of co-ordination among DAPCUs:

DAPCUs can enhance their performances through co-ordination among them. They can learn from experiences of other DAPCUs. They can decide that what sort of approach they should adopt in their work, by learning from the successes of other DAPCUs. Similarly, bad experiences of any DAPCU can intimate other DAPCUs to what & how they should not do their work. Consequently, speed and efficiency of DAPCU’s work are improved.

• Co-ordination among DAPCUs in Delhi:

Four DAPCUs are working in Delhi. All of them are working with good co-ordination among them. Experiences are shared through 

Regular formal and informal communications at all levels in DAPCUs. DAPCU review meeting is one example of the formal communication among DAPCUs. Exposure visits to another DAPCUs as & when needed are being done.

• Issues on which DAPCUs are supporting each other:

Maintenance of records & data, format for presentation of performance at DSACS & NACO, monitoring & supervision of HIV-AIDS related facilities, relocation of staff, test kits, equipment s etc. (as & when required), preparation of different line lists, tracking & follow-up of LFUs and any other issue that need help from other DAPCUs.

• Role that is being played by DSACS for enhancement of co-ordination among DAPCUs:

Co-ordination among DAPCUs are fully supported and enhanced by Delhi State AIDS Control Society (DSACS) in Delhi. Any exceptional work done by any DAPCU is appreciated and shared with other DAPCUs by DAPCU Nodal Officer, DSACS. Co-ordination among all four DAPCUs in Delhi is also strengthened by Regular Review Meetings at DSACS. 

• Examples of taking support from other DAPCUs:

Support from other DAPCUs has been taken in making presentation to show performance of the DAPCU in the review meetings. Gaps in different line list are being filled with the help of other DAPCUs. 

• Examples of achievements by inter DAPCU co-ordination: 

Various line lists of HIV Positive Clients have been prepared and are being updated without any gap. Standard formats are followed by all four DAPCUs for presentations of performances in the meetings at DSACS and NACO. 

  
  

Central Delhi's Response to Theme- DAPCUs and F-ICTCs

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

An analysis of client load at the health facilities such that PHCs, CHCs, FRUs, Charitable Hospitals, Private Hospitals, Sub District Hospitals etc. in the districts can be performed by DAPCUs to list out the suitable facilities where ICTCs can be established. Data regarding client load may be gathered by DAPCU with the help of NRHM establishment in the district. Not only the client load but categories of clients should also be considered in the process of finding a suitable health facility. Facilities having comparatively more ANCs, HRGs, Migrants should be given preference.   If it will find feasible economically to open an ICTC in the health facility than a stand- alone ICTC may be established otherwise an F-ICTC may be established in the health facility. 

   

Role of DAPCU in the capacity building of the F-ICTCs:

Needs for capacity building of F-ICTCs can be assessed by DAPCU staff during supportive supervisory visits of the F-ICTCs and assessments may be shared with the SACS and NACO. DAPCUs can assist the SACS and NACO in arrangement and providing Induction and Refresher trainings to F-ICTC staff. It can also helps in the delivery of logistics to the F-ICTCs. Queries (if, any) of the F-ICTC staff can be answered by DAPCU Staff (if possible), at the time of supervisory visits itself. Necessary corrective actions (if required) may also be taken during the supervisory visits. On Job Training may be facilitated by DAPCU, for the staff of newly established F-ICTC at the designated ICTC with co-ordination of the Nodal/ Medical Officers of the designated ICTC. Programmatic Updates and other necessary information received at DAPCU from different sources may be conveyed to the F-ICTCs.

Role of DAPCU in the strengthening and linkages between F-ICTCs and designated ICTCs:

Linkages between F-ICTC and designated ICTCs in the district can be defined and established by DAPCUs. It can be further strengthened by the process of rapport building between the Officers/ officials of F-ICTC and designated ICTC by including them in regular meetings at district and state level organized by SACS and DAPCUs. 

Role of DAPCU in the Monitoring & Evaluation of F-ICTCs:

Monitoring and Evaluation of F-ICTCs can be done by DAPCU through regular supervisory visits, analysis of monthly reports of F-ICTCs and review of their performances during regular meetings at the state and district levels. Feedbacks should be provided by the DAPCU to the F-ICTCs regularly on their respective performances. Corrective actions (if required) should be taken on time by DAPCUs concern to functioning of the F-ICTCs.

Achievements of our district:

• Five F-ICTCs have been established since December 2012 in the Districts looked after by our DAPCU. 
• Required logistics such that Registers, Referral slips etc., are provided to the F-ICTCs by DAPCU-Central.
• All established F-ICTCs are continuously being monitored and supervised by DAPCU Team Members through supervisory visits. Staffs of F-ICTCs are oriented regarding maintenance and updation of registers and other documentations during the supervisory visits. 
• Monthly reports of all established F-ICTCs in the district are being submitted in DAPCU-Central Delhi regularly.
• Staffs from F-ICTCs are being invited in the regular review meetings at State and District Levels. They also regularly participating in the aforesaid meetings.
• Programmatic updates are being conveyed to the F-ICTCs regularly by DAPCU-Central.
• Data of Client Loads in the different health facilities has been gathered, compiled and submitted to the DSACS by DAPCU-Central regarding find out the possibility for establishment of new F-ICTCs in the district.