RRC INNOVATIVE YOUTH HEALTH COUNSELLING CELL-By DAPCU Dakshina Kannada-

         In Dakshina Kannada district Red Ribbon Clubs (RRC) Established under NSS units of 64 colleges. Out of which 32 are Pre university colleges and 32 are Degree colleges.  In our district there is active involvement of  RRC members in HIV awareness programmes at different levels. There are many innovative activities by these clubs not only  within the college campus but  also in the field like pamphlet distribution for  the vulnerable groups like auto  and Taxi drivers, and construction workers etc.

       One such innovative programme is Youth Health Counselling Cell (YHCC) In college campus.  During awareness talks for student community , most of the students  never ask some very personal questions in front of others because of shyness. But when  they made to write such questions, many of them ask many serious doubts which need to be answered. So YHCC  gives platform to such doubts by one to one counselling methods.

      It was so planned that a male counsellor will attend only boys and a female counsellor attend girls for this one to one counselling. A day selected by the college officials and DAPCO will be intimated about this,   inturn DAPCO deputes counsellor  to this college .  Also a  Psychiatrist  and a Psycho social worker from the department of Psychiatry  from a medical college  made to join their hands for this purpose. Information   about   this counselling  will be given to  students by RRC members prior  to the programme.  Initially it was planned to have such counselling day twice or thrice in a year in coordination with the RRC of that college.

Besant Women’s college of Mangalore was the first college to hold such programme in their institution . Mr. U. T. Khader  hon. Health & Family welfare minister of Karnataka launched this programme in this college on 3rd February 2014. He appreciated the activity and wanted to  similar programmes in all the colleges during the next academic years. He told  many youth are careless about  their health due to lack of knowledge hence indulge in many high risk activities and substance abuse.  He told YHCC is one such platform to address these issues and thus prevent not only HIV/AIDS but many other illness. 

On this occasion exhibition on hiv/aids also organized. 

In our district  such one to counselling sessions conducted already at 4 colleges. The response from the students was very good.   Medical related issues also linked up with the concerned doctors.  

Response of Dakshina Kannada district, Mangalore on World AIDS Day 2013

 

World AIDS Day - 2013

Observed by Dakshin Kannada District, Mangalore, Karnataka

 

       World AIDS Day 2013 was observed in Dakshina Kannada district, Mangalore on 01-12-2013 at Sri Ramakrishna College Mangalore. This programme was jointly organized by District AIDS prevention control unit (DAPCU), all the Red ribbon clubs (RRC) of Mangalore city limit colleges and NGOs.

     

             An awareness jatha about HIV /AIDS was held where more than 500 students from various colleges participated. This jatha was inaugurated by Dr. Ramakrishna Rao, District Health Officer. The jatha started from Balmatta circle to Ramakrishna College.

   

          The stage programme was inaugurated by Mr. U.T. Khader   hon. Health and Family welfare minister of Karnataka by lighting the lamps. He also launched the a month long folk awareness campaign on this occasion.

          An informative session on Youth and HIV and Psycho social aspects was taken by Dr.P. S. Bhat,  a famous psychiatrist and Professor of Psychiatry , K S Hegde Medical College. He answered many doubts and questions raised by students.

               A skit played by the RRC college members about the  youth’s role in preventing the HIV spread.  A folk show (jade kolata) was  played by the folk team from Karwar. College principal, NSS university coordinator, District medical officer are the other dignitaries present on the dias. 

     

            In the afternoon in association with Rotary club of Mangalore, a quiz competition was held for the public at Big Bazar Bharat Mall. Twenty five questions were asked about the basic knowledge of HIV/AIDS for the customers of Big Bazar and attractive gifts were distributed for the correct answers.

DAPCU Kodagu Response for-World AIDS Day-2013

WORLD AIDS DAY -2013, KODAGU, KARNATAKA

Date: 02-12-13
Place: Kaveri Kalakshethra (Town Hall), Madikeri
Jaatha  (Procession)Programme:                                                       

• Jatha programme started from Govt PU College, Madikeri at 9.30am
• Jatha ingurated by the District Judge M.V. Jadar and Mrs. Shobha Civil Judge  and Dr. V. Parvathy  were Chief Guest .
• During the Jatha Street play performed by Raga Ranjini Kalatanda, Mandya          
• 
• Students (RRC Members) of Govt P.U College, ANM Traning Centre and MET Nursing school, Madikeri, Members of ODP, NGO’s participate.
• Jatha programme concluded at town hall, Madikeri.

Stage Programme:

• Programme started at 11.00 am
• The programme chaired by Mrs. Mani Nanjappa – President Distyrict Education and Standing Committee – Jilla Panchayath, Kodagu
• The programme inaguarated by Mr. Usha Devamma – Vice president, Jilla Panchayath, Kodagu.
• Mrs. Shrividhya – CEO- Jilla Panchayath, Kodagu was the chief guest of the programme.

During the Programme :

• Experience shared by the president – Sarvodhaya Network for people living with HIV- AIDS.

Oath programme:

• Oath taken by all the participants by lighting the candle in the form of Red Ribbon Club. 
• On behalf of World AIDS Day-13 Radio programme on HIV/AIDS in Local channel has been done.

Media Programme :  by the District Supervisor

• Radio Programme conducted on HIV/AIDS, Women & HIV & Youth & HIV
• Live Programme (Phone in) on HIV-AIDS in the Local Channal

DAPCU Udupi Response to the Theme: World AIDS Day-2013

World AIDS Day programme 2013 was commemorated at Bhandarkar’s Arts and Science College Kundapura on December 3 at R.N.Shetty Hall. All the Degree and Pre University college students and lecturers, Health department representatives were present the programme as audience.

Welcome speech by District H&FW Officer Udupi

District Health and Family welfare Officer Dr.Ramachandra Bairy has welcomed all the Guest and Gatherings.

Dr.Ashok H District AIDS Control and Prevention officer said that Sustained efforts had brought down the number of persons living with HIV/AIDs . Though Udupi ditrict had moved to the yellow list, the Health and Family Welfare Department wanted to bring down the number of HIV/AIDS cases.

Further he said that it is the youth in the age group of 15-24 who are increasingly becoming prone to the disease due to lack of knowledge on safe sex.He said to achieve the theme of the year “Getting to Zero”,it is essential to target the youth and to sensitize them over the implications of it.He said 35 million people across the world are infected with the virus. There are nearly 2.5million new infected people,out of nearly 40 percent are in the age group of 15-24.Further he said that 35 Red Ribbon Clubs are newly constituted in the pre university colleges and 19 Red ribbon clubs are already in The Degree Colleges. Youths are sensitized at their institutional level by the health professionals. Further he also informed about the LW scheme which is working at the District.

"World AIDS Day"Inaguration by Udupi ZP President Upendra Nayak

Oath Taking Ceremony by students through candle lightening

Inaugural Speech by ZP President Upendra Nayak

Honor to Link workers

Comprehensive District Hiv Prevention Programmes(Link workers Schemes) Incentive based Link workers are Honoured for their immense work at Rural areas and  identifying highest new HRG cases at the district.

1.Rajeshwari Shetty, 2.Ashok, 3.Geetha, 4.Meenakshi, 5.Latha Manipura

MruPENDRA Nayak , said that  all efforts would be made to bring  down the Stigma and Discrimination among the Hiv positives.They should be treated respectfully in the society. Udupi dist. Under green list from the yellow for HIV/AIDS cases. He was speaking after inaugurating a function to mark world AIDS Day, organized by the Karnataka State AIDS prevention Society. Department of health and Family welfare dist. Administration Zilla panchayath and other organization at the government Pre-University collage. Mr. Nayak said a lot of factor were responsible for Udupi District being in the red list. Most persons living with HIV/AIDS in the district were migrants . There was more testing for HIV/AIDS in Udupi dist. When compared to other dist.However due to the intensive efforts of the Health and Family Welfare and other departments,the dist.had now entered the Yellow list,which was a positive sign. It was necessary to raise awareness about HIV/AIDS especially among the youth .Any campaign would become successful only if students got involved in it. Students of pre-university and other collages should extend their cooperation to this campaign on HIV/AIDS Mr. Nayak Said.

Prize Distribution:

Slogan writing and Quiz competitions were conducted on the eve of the programme for the college students and the Prize was distributed to the Prize winners by AC and Standing committee President.

A chief guest of the Programme Mr.Yogishwar assistant commissioner,kundapura had said that all the services should be easily accessible for the HIV positives and further he promised that all the efforts would be done to reach the needy by the department.

Unicef Provided IEC STALLS were displayed at the College Premises by the Link workers and students.

Vote of Thanks by Satyanaraya NSS Officer

DAPCU UDUPI Response : DAPCU-Stigma & Discrimination

Stigma is a common human reaction to disease. Throughout history many diseases have carried considerable stigma, including leprosy, tuberculosis, cancer, mental illness, and many sexually transmitted diseases. HIV/AIDS is only the latest disease to be stigmatized. But HIV related stigma is attitude based. Changing attitudes are not that easy. Eliminating stigma completely remains at this stage only a dream, but an overview of the interventions does suggest that something can be done through a variety of interventions, such as focused information dissemination, counseling, coping skills acquisition and direct contact with someone that is living with HIV or AIDS. But in our District through a fair amount of interventions in every nook and corner, proven that the stigma is getting reduced.

Roles and Responsibilities of DAPCU:

  Ø  To protect right of those who are infected and provide access to available care support and treatment.
Ø  To access to condom, treatment of STI /RTI infection, Motivating for HIV testing
Ø  To make available the scope for social security coverage to for HIV positives.
Ø  Issues of contraventions 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.
Ø  Co-ordination among HIV/AIDS facilities of the district to provide better services to HIV-AIDS positive clients
Ø  Sensitization Programme
Ø  Create awareness among students/youths through RRC regarding HIV/AIDS
Some of the interventions are:

• People living with HIV/AIDS need to be educated on their basic human rights;
• These rights will enable them to enforce it through the legal process;
• In order to mitigate the effects of discrimination and stigma, institutions should implement their HIV/AIDS policies based on sound information and taking into account the rights of everybody; and
• HIV negative people need to be educated too, in order to create an environment free of fear of HIV biased social attitudes and no stereotypes towards HIV.
• Attitude and behavior change interventions is highly needed in sensitizations.

Access to Services:

•  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.
•  All the stand alone and ppp’s are providing services
•  Link worker scheme is also has predominantly serving the group.
• Bus pass felicity has been provided to all the positives by not disclosing their status.
•   OVC scheme is also linked to the children’s.
•   Availing medical care at hospitals.
• Health Care settings:

All the staffs of hospitals are sensitized.ASHA and Field staffs are making sure that each case of the area are being accessed to the services.

District Administration and its departments:

•    On Quarterly basis A meeting with DC and other DLN and NGO’s, ART is conducted where many issues related to HIV is discussed and sorted out.
•         A Sensitization programme has been conducted to police force
•      A Sensitization programme has been conducted to all the Lawyers and Judges.
•     Inter departmental sensitizations done with Women and child, Education, Health Dept.
•      All the teachers of the High schools are being sensitized.
•    A committee is formed under DC to coordinate and facilitate Social entitlements schemes to the Positives

Community Setting:

  Ø  All the SHG, GP Members and community people are regularly sensitized through DAPCU team, counselors and LW’s and Health staffs and TI, DLN’s.

                      WAP Sensitization at Fish canning Factory

The ever-presence of stigma and its persistence even in areas where HIV prevalence is high makes it an extraordinarily important yet difficult attitude to eradicate.. Given the fact that AIDS stigma caused enormous barriers to public health programs–from the denial and silence, to problems associated with disclosure, health seeking behavior, and to the communal violence

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

1.        Prevention & Early Detection:

In Karnataka is Kodagu District is a rural region with most of the economy based on agriculture, plantations and forestry. Coffee processing is a major economic contributor. Most of the people are engaged in coffee plantation work, which is the backbone of this economy. The major industries are Coffee Curing industries, Spices, Honey and Wax products. In recent years, tourism has begun to play a role in the economy, which has let to mushrooming of hotels and hence has attracted significant number of migrants from across the state and country.As Kodagu  is largely a coffee growing district, it attracts large number of estate workers from across the state and sometime from other states. 

• In the present situation, there are lots of Migrant population in the District. Most of them come as labourers to work in plantation and construction sites. from Orissa, West Bengal, Assam, U.P, Chathisgad, Rajasthan, Delhi, Andhra Pradesh, Tamil Nadu, Kerala  & Bellary, Chamarajnagar & other  parts of Karnataka.
• Most of them come to work, leaving their family in their own native, where there may be a chance of High Risk Behavior.
• HIV positive cases are found in the ICTC Centre’s & most of them are illiterates & lack Health education including HIV-AIDS & STI.
• In order to prevent further infection & also to provide care, treatment & services to the infected, the need of HIV-AIDS awareness along with the services were felt in the Kodagu District.
• Asha KiranaTI-NGO is working for migrant workers at the construction sites & in the Plantation Sector.
• In this regard  In co-ordination with DAPCU, Asha Kiran TI-NGO & Concerned heads of the site,  Special Health Check-up camps were held with awareness on HIV-AIDS, STI , Dental Check-up & General Health were held in different Estates  & Migrant Sites. So that we can create awareness on HIV-AIDS among the migrant workers and also we reduce the risk of transmission. Those who are found positive can be identified at the earliest to provide proper treatment, care & support.

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

• Those found Positive are linked to the ART Centre at the earliest with proper counselling by the ICTC & ART Counsellor.
• Continuous follow-up is done through the outreach workers of TI-NGO, when the leave the District on work they will be transferred out to the nearest ART Centre. 

3.        PPTCT services:

• As per the PPTCT Guideline all the Registered ANC’s are referred for HIV Counselling & Testing services. And the Positive Clients are  linked to the ART at the earliest & will be given necessary PPTCT services
• In Kodagu sometimes we get clients from out of Districts (either Parents House or Husband’s House or the native of those Districts) like Mysore, Dakshina Kannada, Mandya etc. Such cases will be informed to the concerned District, for follow-up for delivery, treatment & MB Pair follow-up.
• Some time we get cases from other District for Delivery & further follow-up , such cases will be provide proper care, treatment & Support. 

4.        Challenges in Providing HIV/AIDS services to the Migrant Clients:

• It is difficult to link them to ART, especially if their stay in the Place is for a short period
• Language barrier if the client is from North Eastern States where they will not knowing any other language other than their mother tongue.
• Poor Adherence & Follow-up for treatment & more chances of MIS & LFU of out of state Clients. 
• Difficulty in tracing the clients from out of state as they are migrants they will not going back to their native instead they will go to different site on work.

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

Prevention:

In the Udupi district usually the high number of migrant cases are from Other Dist,Other States. The District has got various number of Industries which attracts other district and state populations to get migrated to the District. A good amount of Kooli is also great opening to the people. When any migrant found positive, that would be counseled,linelisted and referred to ART centre for the further treatment(CD4,Pre ART, Initiation of ART). Suppose a case from other state comes positive, counseling would be done and according to his convenience, he/She will be transferred to their native places for the further treatment.

Early Detection:

Migrants will be identified in Road constructions, Construction areas, Fisheries area and some residential areas.HIV awareness areas and STI/RTI info will be given.

Once a migrant found positive,ORW’s will take them to counselors where counselor will give necessary counseling regarding positive living. A number of health camps will be arranged in the sites and industries. Where all the migrants will get referred and tested.

For prevention and early detection IEC activity like Full Site Sensitization Programme, Mega Health Camps, Poster, Sessions on HIV Awareness, Street play, Congregation will be arranged.

A positive client will be taken to the ART centre through ORW’s and at ART center the patient is counseled for drug adherence, side effects of the ART medicine are explained to the patient, family counseling is given to the patient so that he should not face any discrimination within his family. Sometimes patient will be referred to DLN’s to get the services and follow up will be done.

Follow-up of MIS and LFU:

With the help of stake holder labor contractor and from other sources information’s will be collected. On other hand 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.

Response on Coordination between DAPCUs -DAPCU Davangere

DAPCUs really need to coordinate with each other for the smooth implementation of the programme.  DAPCU Davangere coordinated with neighboring DAPCUs: Chitradurga, Shivamogga, Haveri, Bellary, Gadag and far off districts like Kodagu, Mysore, Chikkamangalur, and Bangalore Urban for the issues related to HIV test kits, drugs, IEC, printed forms, reporting, monitoring & trainings.  DAPCU team got full hand support during HIV kits scarcity, chitradurga non-DAPCU unit has issued test kits and shown their concern to run the programme to provide service to people in dire need.  They also extended their support by providing printed formats, they are our first preferential choice for issues related to HIV test kits. DAPCU Haveri and Shivamogga have shown similar concern.

Our team takes inputs to clarify queries on understanding the e-mails some time.  Reporting and monitoring, which is helpful to work effectively through the coordination with DAPCUs: Chikkamangalur and Kodagu.

In creating mass awareness and sensitization on HIV/AIDS messages, we discuss with neighboring DAPCUs: Bellary, Shivamogga, Gadag and Chikkamangalore who provide additional information which is helpful to implement IEC programme in the district.

Coming to trainings DAPCUs: Davngere is considered as regional place and has to coordinate with 5-6 districts. DAPCU: Bellary, Chitradurga, Haveri, Shivamogga, & Koppal, they mail their participants’ list, depute and ensure trainees take-Part in trainings

DAPCUs:Shivamogga & Tumkur have provided inputs and clarified our doubts, queries and shared  opinion on issues concerned with finance.

Far off districts like Bangalore urban too coordinated very well during the shortage of NVP(S), through SACS intervention the shortage was met in short span of time.

With regard to out of district positive cases, Pre-ART, On-ART dues & LFUs of Chitradurga, Haveri & Bellary, there is gap in receiving feedback and this gap need to be bridged. 

SACS play very important role in enhancing  the coordination between DAPCUs.  SACS can readjust/relocate kits, printed formats, IEC materials, drugs in time of shortage/excess in DAPCUs.  SACS need to ensure on priority about out of district cases’ feedback to be exchanged between DAPCUs & to share exceptional achievements and successful implementation of the programme of one district with all other districts, so that it will form a strong base to build and strengthen coordination between DAPCUs, which in turn helps to indentify gaps and to achieve goals of the programme successfully in all districts.

           Our team heartily thanks all the DAPCUs who helped during our need & expecting the same in forth coming days.

DAPCU Koppal Response: Coordination Among DAPCUs

 Issues on which DAPCUs support each other:

 a)KITS Collection b)Linkages to ART
a)    Kits Collection: DAPCU Koppal communicate with DAPCO and DS (Gulbarga & Bellary) over telephone and through emails. We collect the kits from Gulbarga and Bellary when they collect it.
We communicate with DACO & DS of Bagalkot and send the excess kits of near expiry to Bagalkot district.
b)    Linkage with ART:
An ANC positive case from Davanagere district got delivered in GH Kushtagi of Koppal district and we communicated this information to DACO and DS of Davanagere district.

Coordination with other DAPCUs
    One ANC positive case detected in our Koppal district but she was resident of Sindhanuru of Raichur district. She went to Sindhanur & Lingasur ART centers of Raichur district but they were not responded properly. Then we called to DACO Raichur & linked to Lingasur ART center.

Another ANC positive case detected in Hanumasagar ICTC of Koppal district but she was the resident of Bagalkot district. This case went for delivery to Ilkal CHC of Bagalkot district and not responded over there. Then we called and communicate to DAPCO and DS Bagalkot, and then this case shifted to DH Bagalkot and ANC delivered over there.

GADAG Response to the Theme: Coordination Among DAPCU.

Need for DAPCU Coordination: 

There is need for coordination among DAPCU’s is very essential for the Implementation of programme in the District.

DAPCU need support for the fallowing issues:
1)    Follow up of LFU/MIS, Pre ART and On ART Cases.
2)    Follow up of ANC cases, Follow up of PLHA treatment, Care and support.
3)    Exchange of Ideas for the successes of Programme
4)    Kit’s Storage and re allocation issues
5)    During preparation of AAP, AWP, DMR Report in sharing experience and knowledge. 

Co Ordination Activities with Neighboring DAPCUs :
We have taken Help from DAPCU Officer of Belgaum during IEC Programme like Red Ribbon Express, World AIDS Day and regarding arrangement of Campaign in the District
When the Kits stock out position (Kit-1) occurs in Bagalakot district They Collect kits from our District.
We have taken help from DAPCU Officer Koppal to bring the kits through their vehicle from Bangalore.
We have taken help ART Medical Officer KIMS Hubli as a resource Person while conducting training for medical officer of new PPTCT Guidelines implementation.
We Discuss that activities with Bagalakot and Dharawad DAPCU’s regarding district level Meetings and reporting methods, also preparation of DAPCU Monthly report with Kodagu DAPCU.
We send MIS/LFU line list to our neighboring district for the fallow up.

DAPCU Bangalore Rural Response to the Theme Co-ordination among DAPCU's

We need Inter District coordination to work with each other.

I.  Issues on  DAPCUs Support each other and Coordination achievement  

1. PLHIVs referrals to neighboring district or Nearest ART Center:   Getting  feedback of Pre-ART, ON ART, MISS/LFU and Death details to fallow up and re-enter to ART Center.

2. Positive ANCs Transfer out & Follow up: In case ANC Positives going to mother house for  delivery to other District and we have transfer out and intimation give to  RCH and DAPCU of the respective District to fallow up the ANC for the further PPTCT Services( Safe delivery, NVP Administration as per new guideline) 

3. TB Cases Transfer out to other District or TUs: Out of District TB Cases referred to his/her native place to initiate the DOTs and ART. To intimate to the DTO and DAPCU of the respective District and get the feedback of out come of the  TB treatment.

4. Share the innovative Ideas and Strategy : Any programmatic and preventive innovative ideas and strategy discussion & share each other in State level review meeting 

5. Training Coordination:  SACS conduct Induction, Refresher and other trainings trough Training institutions at the Mangalore, Darwad, Bangalore etc. The Respective District DAPCU arranges the training and accommodation then coordinate with other DAPCU to depute the training participants.

II. Role of SACS plays in enhancing this co-ordination 

1) SACS Created Official email ID to all DAPCUs in the state: All the information from NACO and others are sent to all DAPCUs

2) Given CUG Sim card to DPO, DS, and ART SMO & MO: Any issues clarification can easily sort out through phone calls.

3) State level DAPCUs Review meeting: DAPCUs give the feedback to their DAPCU & SACS give suggestion to strengthening the Program  

4) Reallocation of HIV Kits, STD Drugs & DBS Cards: SACS Directs to reallocate the excess of drugs or Kits to needed Centers of other District.

5) Quarterly Co-Ordination Meeting with neigh boring district ART center it is good. More to issues at the art center presently.

III. Support of other DAPCUs 

We have transferred out one ANC Positive Case to Shimoga, Megan Hospital to Safe Delivery and Baby fallow up. Now the Baby is on Fallow up.

1. We have received SD–Bioline kits from Tumkur district warehouse as directed by SACS.

2. We reallocated   Excess 30 DBS Cards to Yadgiri District and HIV Kit-1, 30 Kits to  Mangalore District. STD Drugs Kit-5 40 Kits to Shivamogga.

IV. Examples of the results achieved by their DAPCU Coordination.

1. Our district ANC positive went Shimoga District for delivery, she get NVP for MB pair DBS and provide CPT by Shimoga District. 

V. Give examples from your experience

1. Inter DAPCU coordination is were help full in achieving target without missing any case of ANC Positive follow up of DBS, WBS because ANC will be keep moving one place to another place. 

2. Miss LFU cases in a ART and deaths can be easily traced with the help of neighboring/other District.

3. Any innovate method adopted by any DAPCU will share their knowledge   so that other DAPCU can implement the same to the improve the program.

Chikmagalur Response to coordination among DAPCUs

All the work can not be completed by any one, we need cooperation & coordination to give the compete services. Our SACS has supported in that by providing the CUG mobile sims to all the District AIDS Control Officers & the District ICTC Supervisors in the state. We are also communicating through the e-mails. 

Every district has the issues in receiving the clients from the neighboring districts for delivery, ART, etc. during those times we need some  basic information like testing details, blood report, family history, earlier treatment history,etc.,all those times we have good support & coordination form the other DAPCUs.

Example 1. From our districts some of the HIV+ve ANCs are going to Shimoga district for their parental home for delivery. Recently one HIV+ve ANC was referred to Shimoga District Hospital in the night with the complaint of IUD. She went there without any reports & they were very poor. In the night we have contacted the DAPCU & explained the situation. They immediately contacted the Medical Superintendent of the hospital & admitted, get done scan & the surgery in time.

Example 2. We regularly follow up our babies born to HIV+ve mothers for all the required services. In our EID program also many babies were tested at the age of 6 weeks in other districts with the coordination of DAPCUs. 

Example 3. We used to share the PLHA linelists with the concerned DAPCUs from where they actually belong to & those DAPCUs also given feedback after tracing the person & giving the service.

Example 4. During few months back we have excess stock of HIV test kits which are of near expiry, with the coordination of Mysore DAPCU team we make use of all those within the expiry date. Five months back we were facing shortage of HIV test kits in our district, during that time we have received test kits from Shimoga district which helped us continuing the services at our ICTCs.

Example 5. During the training programs were organised, concerned DAPCUs taken the lead & helped us in deputing our staffs, reaching the venue, arranging the accommodation etc.In the month of July SIMS refresher training was organised in Udupi district for our Counsellors. They have coordinated with us & the training as successfully completed.

There are many examples from which we have learnt from other DAPCUs & implemented in our districts. Some of the DAPCUs creatively made some formats/pppts/profiles in Understanding/reviewing the program which are helped us also. In public service profession coordination play a
important role. 

So Work With Coordination.

Kodagu response on Coordination among DAPCUs

Is there a need for DAPCUs to work in coordination with each other? If so share how are DAPCUs in your state are doing this.

There is a need for Co-ordination among DAPCUs to share the information, Strategies towards the implementation of the programme.

DAPCUs support each other and how is this coordination achieved

• Follow-up of PLHA for Treatment, Care & Support
• Follow-up of ANC Clients for Treatment, Delivery, MB Pair follow-up etc.
• Follow-up of LFU & MIS
• For reallocation of consumables, KITS, Drugs etc.
• Exchange of ideas & strategies for the success of the programme.
• What role do the SACS play in enhancing this co-ordination?
• To organize inter District Meetings to share the issues
• To share the issues in the state level review meeting

Support of other DAPCU’s

• ANC Clients detected in our District has been delivered in Mysore (Parents House) District has been followed for treatment & MB pair follow-up
• ANC client detected at Dakshina Kannada has been followed in Kodagu for ART & DBS
• Migrant clients detected Positive in Kodagu are followed for treatment at Mysore & Chamrajnagara
• Clients detected positive in the District are on treatment in the neighboring Districts like Mysore, Dakshina Kanna, Hassan, Chamrajnagara, Mandya etc
• Shortage of KITS & NVP Drugs are relocated to Mysore & Dakshina Kannada
• Consumables like Syringes & test Tubes were given to Mysore District
• Out of District Cases are sent to the concerned DAPCU’s for follow-up. If the follow-up is done in our District same will be informed.

Gulbarga Response- Co-ordination among DAPCUs -

•    Co-ordination among DAPCUs is very essential for the smooth functioning of district Activities. Even we need to co-ordinate with the neighboring   state DAPCUs also.

•    DAPCU Gulbarga coordinating with the neighboring   DAPCUs to follow up of  District/state LFU/MIS  cases and we link out the PLHIVs to the CST services with the help of other DAPCUs.

•    In Gulbarga, when kit stock out position occurs then DAPCU collect the kits from the neighboring district. Most of the time when near expiry drugs and kits store at district, DAPCU relocate these kits to the other DAPCU those who has urgency of kits/consumables.