A Great work done by a ICTC Ambad, Jalna District, Maharashtra

Good work done by an ICTC Ambad, Jalna district, Maharashtra

Prior to joining at ICTC, SDH Ambad, Jalna District in Maharashtra, Mr. Vijay D Bansode, worked as a counsellor at DIC in Jalna District. With his experience and daily interactions with PLHIV he learned that PLHIV were not able to avail social benefit scheme (SBS) due to various difficulties like, lengthy process, fear of disclosure of identity, illiteracy, lack of knowledge etc. To overcome this obstacle he decided to use his past experience as a DIC counsellor and help PLHIV in access to SBS.

The path was a difficult one as, after many attempts he was able to meet Rationing Officer (RO) and Tehsildar (Revenue officer) of Ambad block. Proper Advocacy was done, during which Counsellor explained the RO and Tehshildar on HIV program and asked them to support and help the PLHIV to avail SBS. Mr Bansode also approached various Heads’ of departments’ for providing SBS to PLHIV and during the same interaction sensitized them to give priority while sanctioning schemes to PLHIV in government offices. Mr Bansode had already prepared list of clients and kept the required documents ready for submission to the RO office for availing SBS (Sanjay Gandhi Niradhar Yojana).

After the first round of advocacy, it had become routine monthly activity for the counsellor to prepare a list and submit the proposal to RO office for availing Sanjay Gandhi Niradhar Yojana Scheme but the output for this was not forthcoming as expected.

After this successful process of advocacy he decided organise a meeting with RO at ICTC for PLHIVs, this approach was to provide benefit to the more PLHIV in a short time. He coordinated with RO and arranged meeting with PLHIVs for a single window approach for Sanjay Gandhi Nirahdar Yojana, scheme. Thus in a single meeting he was able to facilitate and got sanction for 18 applications on a single day. 

Now the Sanjay Gandhi Niradhar Yojana is now easily being availed by the PLHIV. This was the initial meeting, he also wishes to plan for another such meeting to ensure that all people identified with HIV in his ICTC are given at least Sanjay Gandhi Niradhar Yojana if they are eligible for it.

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

DAPCU, AURANGABAD observed World AIDS Day’ 13 focusing on theme Getting to Zero: Zero new HIV infections, Zero Stigma & Discrimination, Zero AIDS related deaths. 

Organised Rally from Dr. Babasaheb Ambedkar Chowk to Zilla Parishad Kanya Prashala Ground at Vaiapur. Rally was flag off by President of Municipal Council Smt. Shilpatai Pardeshi. Participants were NCC Cadets.

Orchestra & IEC Activities on 4^th Dec. 

Orchestra organized at Shiv Chatrapati College. IEC activities were done through this Orchestra. IEC stall arranged at that time and many student visit to this stall.

Candle March on 7^th Dec. Evening 

On the evening of 07/12/2013 the candle march organize by the DAPCU and the MGVS NGO regarding the WAD. On that occasion the Dr. D.N. Patil Civil Surgeon, Dr. Shelke DHO, DPO, DS  and NGO,CBO  Representative are attend the march

All were given the messages on “Getting to Zero: Zero New HIV Infections, Zero Discrimination, and Zero AIDS related Deaths”

Oath taken by all the participants by lighting the candle in the form of Red Ribbon Club.

Seminar on World AIDS Day

  

On World AIDS Day, organized a seminar at Dr Babasaheb Ambedkar  Collage Aurangabad on the Topic of “ Stigma & Discrimination with people who are living with HIV/AIDS” During the seminar important inputs and technical details were explained by Mr. Mangesh Gaikwad DPO (DAPCU) covered all issues related to the HIV/AIDS, VIZ- role of youth, regarding awareness of HIV/AIDS and specially focus on stigma and discrimination and right of People who are living with HIV/AIDS is concern and distribute IEC material among all. 

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

DAPCC Meeting regarding the WAD

After planning the WAD 2013 we call DAPCC meeting with the permission of Collector (Chair Person of DAPCC) on 26/11/2013 in this meeting near about all the member of the DAPCC including NGO and CBO representative are present. 

Press Conference regarding the WAD 2013 Programs and work of DAPCU

On the occasion of WAD 2013 DAPCU Amravati organize the press conference on 27/11/2013 in Civil Surgeon cabin in the press conference 20 reporter and photographer attend the PC with the member of NGO are attend. The impact of news coverage is 12 news papers in next three days.

Inauguration of Care and Support Center

On the occasion of WAD 2013 the Network launch the Care and Support Center in the district. The opening ceremony is held on the evening of 30^th Nov. 2013. On the ceremony Mr. Rahul Ranjan Mahiwal , Hon’ble Collector of Amravati are present. On that ceremony Dr. Raghunath Bhoye, Civil Surgeon Amravati, Mr. Ajay Sakhare DPO, DAPCU Amravati, Dr. Soni City TB Officer, Dr. Govind Kasat Social Worker, Dr. Prashant Kalpande and the member of NMP+ were present.

Open Talk on HIV/AIDS Stigma and Discrimination

Open Talk on HIV/AIDS Stigma and Discrimination at Kamgar Kalyan Mandal (Labor Welfare Board). On the 01/12/2013 the KKM organize the open talk on HIV/AIDS and Stigma Discrimination at lalit kala Bhavan on that occasion the 150 member of the board was attended the program with DPO, Program Officer KKM are present.

Mass Rally on 03/12/2013 on the occasion of WAD 2013

Mass Rally on 03/12/2013 on the occasion of WAD 2013 the mass rally organizes with the collaboration of District Election Officer and University. On that occasion Shr. Rahul Ranjan Mahiwal Hon’ble Collector, Shri. Ravindra Dhurjad District Election Officer,Dr. Raghunath Bhoye Civil Surgeon, Dr. Shrikant Patil Director of Student Welfare, Amravati University, Shri. Nachane Additional Collector,Shri. Pravin Thakare, Sub-Divisional Officer, Shri Anil Bhatkar Tahsildar, DPO, Nodal officer ART. SMO, DTO, CTO, RMO (Clinical, RMO (Outreach)) and DHO are attending the rally. Near about 1500 students are attend the rally with NGO of TI-(FSW), TI-Migrant, LWS, CSC, MSM (CBO) and PPTCT NGO are present with their Zaki. The Folk Team performs their show in route in prime location.

Candle March on 03/12/2013

On the evening of 03/12/2013 the candle march organize by the DAPCU and the all NGO regarding the WAD. On that occasion the Dr. Raghunath Bhoye Civil Surgeon, Dr. Vilas Jadhav Nodal Officer ART, DPO, Assistant Police Commissioner and NGO,CBO  Representative are attend the march with 200 students.

Sensitization Program for Nursing Student

On the occasion of WAD 2013 the DAPCU organize the Sensitization Program for Nursing Student. On that occasion the all tutor of nursing collage with principle and Matron of civil hospital is attending. The session taken by DPO.

CLHIV Cultural Program and 

Get together

Children Living with HIV are together in cultural event organizing by NMP+ and DAPCU in CSC office on 07/12/2013. The 50 CLHIV are attending the program. On that occasion the children’s perform the activity. In this program the Dr. Govind Kasat and their team distributed the support material to children also DPO also distributed the Chocolates and Pencil to all participants.

Orchestra and Pudkar Sanman (Award Ceremony)

On the occasion of WAD 2013 the DAPCU, NGO and CBO of district organize the Pudakar Sanman Program in this program we give honors to 10 Personalities for their outstanding support to HIV/AIDS program. The all ten personalities are from different field are those are not directly connected with HIV Programs. The Personalities are Dr. Pushpa Jungahre Somwanshi for doing the all complicated HIV reactive ANC management and Performing Pepsmere test, Dr. Shrikant Patil DSW of Amravati University for establishing the 139 Red Ribbon Clubs in University with the collaboration of DAPCU, Dr. Govind Kasat Outstanding support to PLHIV with take active participation in Mainstreaming, Dr. Trupti Jawade for give support to ART center as a physician, Dr. Anubhuti Patil for conducting the reactive ANC delivery, Mrs. Rajiya Sultana for their work with FSW&MSM, Dr. Dinesh Thakare for their support to PPP program, Adv. Pravaja Mahajan for support to PLHIV for their legal program and advice with low cost with confidentiality, Shri Kale Maharaj, he give message from the Pravachan (religious lectures), Dr. Pratibha Kale, for doing special work for CLHIV and start one day special OPD in private collage on specific day with free investigation and required testing. In this program the Shri. Rahul Ranjan Mahiwal Hon’ble Collector, DPO, DTO and other officer with all staff of district are present.  DAPCU felicited the Best ICTC staff Anjangaon Surji.

Kamgar Melava

TI-Migrant organizes the Kamgar Melava (Labor Meeting) at the migrant site. On this occasion the staff of India Bulls, Sofiya and their other out sourcing company’s staff with labor attends. The DAPCU also participated.

CME on PPTCT-MDR

On the occasion of WAD 2013 the IMA Amravati and DAPCU Amravati organize the Conitues Medical Education on PPTCT-MDR with the financial assistant of UNICEF and SACS on 22/12/2013 all practitioner are attend the CME. The speakers are Ms. Alaka Deshpande Madam, Dr. Tushar Rane (UNICEF), Dr. Asha Hegade, JD BSD from SACS are attend the CME.  All medico organization are take active participation to this CME.

Blood Donation Camp and Rally at Block and Village level.

The ICTC staff and F-ICTC level organize the rally with blood donation camp on their own level.

Folk Media Campaign

Folk Media Campaign in the month of Dec in all block level in 100 villages.

Blood Donors felicitation

On the occasion of WAD 2013 DAPCU and Blood Bank organize the felicitation of Blood Donors.

News Cutting (only selected few)

In the month of December the press and electronic media gives the support for IEC.

Ahmednagar DAPCU response to the WAD 2013 theme.

Ahmednagar DAPCU has celebrated WAD 2013.In this occassion all the district authorities were present. Hon. District judge, SP, DACO, all the hospital staff and youth from Red Ribbon Club were taken the oath on the eve of WAD 2013. The mega Rally has arranged by the DAPCU for giving message of "Getting to Zero" on this occasion.

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.

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

     Nanded District came under the high prevalence district in the Maharashtra. DAPCU always grab the opportunity for IEC and spread information about HIV/AIDS. On World Aids Day occasion with the help of District Administration Nanded DAPCU has celebrated WAD in a very different and innovative way. DAPCU has its Red Ribbon Club in all colleges of the District. DAPCU has given the message of HIV/AIDS awareness by forming a Big Human Chain (Ribbon) with the help of youths in Red Ribbon Club at shri. Guru Govind Singh Stadium.

      

In this grant ceremony Hon. District Collector Shri. Dhiraj Kumar were present. District Progrm Officer Dr. Surekha Lambe has given a message of "Getting to Zero" on this grant Occasion. With the help of all colleges DAPCU arranged the biggest rally in the district.

DAPCU Amravati 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? 

• DAPCU Amravati has CCC since beginning.
• CCC Amravati doing excellent Job and the almost all the clients with the funding and monitoring agency are very happy so the after closing CCC the major problem are found in the gap of eligible on ART.
• The client came after pre art he/she should stay there for OI management and the palliated treatment and in this period the CD4 done and client put on ART.

What measures have been taken by DAPCU to replace the services given by CCC?

• DAPCU doing advocacy with the District Civil Surgeon and Dean of Private medical collage to please give the services of IPD those are in OI Management or Bed ridden clients.
• Also discuss with CSC to if the clients are suffer from some IPD problem communicate to DAPCU and DACO. 

How did DAPCUs integrate the In Patient & Out Patient services in the existing Govt. Health    facilities?

• All OPD clients are first entered in to the ART center we have the DSRC (STI/RTI) in the same floor of the ART so the maximum OI and Skin problem are solve in the one place. In other OPD clients they are refer to the general OPD in civil hospital and in medical college.
• In IPD client the case paper and IPD registration form are available with ART center the SMO or MO can direct admit the client.

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

• The DAPCU Amravati are doing advocacy with all the Govt. health facilities and private medical collage for give services to the PLHIV.
• The DAPCU Amravati are giving facility to all the PLHIV who needs the facilities like FNAC which are not available in the Govt. facilities are free in the private medical college.
• The DAPCU Amravati is also give facility to CLHIV in special day with the pediatrics availability in medical college in every Thursday.
• The DAPCU Amravati also gives facility of Pepsmere testing in woman hospital for PLHIV women and HRG without any charge.

DAPCU Amravathy Response -DAPCU: Stigma & Discrimination

Stigma refers to unfavourable attitudes and beliefs directed toward someone or something Discrimination is the treatment of an individual or group with partiality or prejudice Stigmatization reflects an attitudeDiscrimination is an act or behaviour

Stigma into four loosely defined groups: physical, social, verbal and institutional.

1)      Social stigma

Isolated from community

Voyeurism: any interest may be morbid curiosity or mockery rather than genuine concern

Loss of social role/identity: social `death`, loss of standing and respect            

2)      Physical stigma

Isolated, shunned, abandoned

Separate living space, eating utensils

Violence         

3)      Verbal stigma

Gossip, taunting, scolding

Labeling: in Africa: "moving skeleton," "walking corpse," and "keys to the mortuary." In Vietnam: "social evils," and "scum of society."     

4)      Institutionalized stigma

Barred from jobs, scholarships, visas

Denial of health services

Police harassment (e.g. of sex workers, HIV-positive activists in China, outreach workers in India) 

•         HIV-related stigma is increasingly recognized as the single greatest challenge to slowing the spread of HIV/AIDS

1)      Freedom from discrimination is a fundamental human right

2)      Discrimination on the basis of HIV/AIDS status, actual or presumed, is prohibited by existing human rights standards

3)      Discrimination against persons living with HIV/AIDS (PLWHA), or those thought to be infected, is a clear human rights violation

The basic initiation of District authority is to 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 DAPCU.

Creating awareness in all the related services which are closely related to the PLHIV like Health Services from Government as well as the Private services.

DAPCU received the complaint about the Stigma and Discrimination first of all we discuss with the together and after that the take next stapes.

In the initiation of DAPCU start in Amravati the case of Stigma and Discrimination of School Children from our district at the same time the same event happened in Latur (M.S.). But in Amravati the event closed within 4 days with the solution of (Villagers welcome all the CLHIV with flowers in School)

Events  on Anjangeon Bari Village in Amravati district
 

Introduction:- 

            Amravati district is situated in middle of vidarbha and adjoining to MP border. Anjangaon Bari is the village which is 15 K.M. away from Amravati city .The population of Anjangaon Bari is 15000 where PHC is working from last 5-6 years and recently converted into 24*7 PHC, 4 General practitioners including homeopath and RMP are working there. Most of the patients and maximum ANC has approach to Amravati for health problem.   

            Jeevean Vikas Sanstha is a NGO which is situated at Paratwada of Amravati district and its Navjeevan Care Center is at Nimbhora which is near to Amravati and orphan center for CLHA is run by the NGO.  That center has 21 CLHA for care and education. Eight CLHA boys are linked to Z.P. Marathi primary boy’s school; four CLHA girls are linked to Marathi girl’s school in Anjangaon Bari in this year, remaining is linked to Janata High school in Anjangeon Bari from last two year. The status of the children has disclosed to school teacher for precautionary major, in case the child get injury or get sick in school then school authority would have to contact to care center so the center will take care as early as possible. 

12^th August 2009:- 

            On the occasion of Youth day DAPCU and Civil Hospital organized the rally in the morning, RTM SAP MANDAL; Amravati is running a PPTCT project with the help of MSACS also organized the Youth Melava at Mozari D.Ed. Collage. On 12^th August 2009 when we had completed the rally and were on way (My self and Dr.Raghunathraoji Wadekar RTMSAP Mandal) to address the youth melawa. The PPTCT ex peers who is now working with CHAHA project has given the message at 12.30 PM that in Anjangeon Bari all parents of Z.P.primary school going children is gathered together to protest against school authority that their children will not attend the school if the CLHA are in school, because our children said us that in our school there are AIDS infected children so possibility of infection to us. 

            We (Ajay Sakhare and Dr.Raghunath Wadekar) finished the Youth melawa and proceed for the Navajeevan Care Center. After getting visit to Care Center’s Program Manager Anthony we got all information which has given above, then we both gone to that village to contact the Sarpanch of that village but she was out of station so unable to meet. After visiting some villagers we came back to Amravati. All details share with the Dr. C. L. Sonkusare Sir Civil Surgeon Amravati. 

13^th August 2009:- 

13th August, I shared and briefing to the  Shri Ramesh Deokar Sir (IAS) Project Director MSACS Mumbai, Dr.Basant Bagadi Sir, Addl. Project Director MSACS, Dr. Tayade madam, Joint Director MSACS,  after given  permission by PD Sir, attend the Meeting conduct by  Block Development Officer at Panchayat Samiti office with the education authority, School Head Mistress and the reprehensive of NGO. After meeting all member decided to Visit the Village. School and health authority with all NGO working on HIV/AIDS has visited to Anjangeon Bari and take meeting with school teacher and some parents who were present in the village. There were lot of confusion and myths and misconception of villagers about HIV/AIDS. After getting answer of their question they were satisfied and come on conclusion that on 15^th August evening all villagers with parents will come together and the NGO authority, health and education authority will sensitize to villagers. Hope that sensitization meets converts in positive attitude. 

14^th August 2009:- 

            Dr.Shri Basant Bagadi Sir Addl. Project Director MSACS visited Amravati on 14^th August 09 in relation to discrimination of CLHA in to Z.P. Boys School & Z.P. Girls School Anjangaon Bari Dist. Amrvati.   We visited on way to Community Care Center and orphan hostel at Nimbhora 7 Kms. from Amravati. There we discussed with Project Coordinator and Medical Officer about the problem of Anjangaon Bari School.

There after we visited the school at Anjangaon Bari discussed the issue along with Head Mistress and Teachers and then after conducted group meeting to sensitize then regarding HIV dynamics. We also discussed the issue with Sarpanch Smt. Kamaltai Tayade and Upsarpanch Shri Tingane and about 15 to 20 villagers and got positive response from there side.

 Then we visited the Janata High School in which 8 infected students have already been studying when there was no issue of discrimination. APD congratulate the Principle and the staff of the school for good harmony where by other students were taking keen interest in well being of HIV positive students.

 Lastly we visited Anjangaon PHC and gave necessary directions to laboratory technician for immediately for starting of F.I. ICTC which is 24*7 PHC where the LT is trained in HIV testing. Then we came back to Amravati and meet Block Development Officer, District Health Officer and District Civil Surgeon regarding the issue of Anjangaon Bari. During the meeting with DHO and PPTCT NGO secretary Dr.Raghunath Wadekar we discussed abut the ICTCs in 24*7 PHC of Amravati District. Dr Bagadi sir tried to meet Chief Executive Officer Shri Omprakash Bakuriya. After Dr. Bagadi’s departure I again went to CEO and had given the brief to CEO regarding the issue of Anjangaon Bari.

As per the instruction of Dr. Bagadi APD I meet following officers. The meeting all 4 NGO working in Amravati along with CS, DHO, BDO, & BEO was held on 15/8/09. 

15^th August 2009

On the planning of 13^th August meting the sensitization programmed organized by all the NGO working on HIV/AIDS at Z.P. School Anjangaon Bari. At the time of programmed near about 1000 and more villagers are attend the programmed. Firstly the songs “Hatse Hat Milao” and other songs will play on screen. After that the Mr. Ajay Kulathe Jivan Vikas Sanstha delivered the presentation in Marathi language on LCD. Then Dr. Raghunath Wadekar RTMSAP Mandal Mozari interacts with the villagers and touch to the issue. Mr. Vijay Dange NAP+ (positive speaker) also interacts with villagers. In the session of question and Answer Dr. Shri C.L. Sonkusare Sir, Dr.Shri K.S. Rathod sir, Shri Nikas District Education officer, Dr. Babita Vargia MO Community Care Center, Shri R.M.Bhuyar BDO, Dr. Raghunath Wadekar RTMSAP, Smt Kamaltai Tayade Sarpanh, Dr. Hutake MO PHC Anjangaon Bari, Shri Vilas Tayade NAP+ Aadhar and I answer to villagers’ question.

Conclusion of meeting: - The response is positive and the main thing is that the woman’s and majority of youth in side of CLHA. But few villager against the CLHA and they could not understand so close the meeting. After discussion with CS, DHO, EO, BDO, NGO representative, Sarpanch trap those people and one to one counseling to them.  And next strategy decided after meeting with Collector madam and CEO Sir. In that time we take decision the all CLHA students attend the school from 17^th August 2009.

  

Success story of Mainstreaming with General Population.

—  The DAPCU Amravati introduces the DLN to well known social worker of Amravati District Dr. Govind Kasat. Dr. Govind Kasat attends the get-together, peer convention and other events of DLN and discusses with the PLHIV assessments of their needs. Dr. Govind Kasat discuss with me about needs of PLHIV. Then he decided to collect the donation from different donor (Specialty of Dr. Kasat if he donate 5000 Rs. to  any needy person he collect this amount from 50 person not from single donor, Another specialty is he generate the funds from Raddi (news paper) collect from home to home and generate the funds).

—  Then we discuss with Mrs. Tayade president of DLN and discuss about their need she said they need sewing machines and 1 Bicycle for CLHIV.  Dr. Kasat collects the donation from donor and date fix by DPO, DLN president and Dr. Govind Kasat, also fix the guest of the programme.

—  The DLN take whole responsibility to organize the programmed. The near about all the guest are attend the programme.

—  The all donor attend the programme.

—  Programme start on time.

—  At the tea time the all delegates take the food made by the DLN member without any hesitation.

It is our main motto to mainstreaming of the white color people of the society to mix with the PLHIV.

Response from Kolhapur DAPCU: DAPCU and Stigma & Discrimination.

HIV is an infection which many people have fears, prejudices or negative attitudes about HIV. Stigma can result in people with HIV being insulted, rejected, gossiped about and excluded from social activities.
      Kolhapur DAPCU is very aggressive and sensitive to sort out and prevent stigma and discrimination issues related to the HIV. Following are the two issues which DAPCU  is able to resolve with the help of district resources.

1. Incidence of Stigma & Discrimination related to HIV/AIDS at Kolhapur District.

A lady PLHIV, Age 30 years, was discriminated by villagers in small town at Kolhapur district. She has two children out of that daughter suffering with HIV. Lady was tested as HIV positive in Civil Hospital, Kolhapur & She has Pre ART registration also. Lady was working as an Aanganwadi Helper at LONGHE village, Taluka – Gaganbawada, District Kolhapur. But she had harassed for HIV disease from localized, since last 6 months. The villagers of LONGHE prohibited her from work as an Aanganwadi helper in the school. They also prohibited her daughter in school, due to her HIV status.
 On 6th Oct, 2009, she has reported to NKP+, Kolhapur regarding this. 

Efforts taken by the district machinery.
• This incidence was brought to notice to MLA Mr. Chandradeep Narake, Tahsildar, Sarpanch. etc.
• So health check up campaigned & awareness campaign has been organized by the MLS. ICTC was conducted an awareness campaign in LONGHE village & counseled the villagers.
• The supervisors of the CDPO was addressed and given guidance in the Gramsabha in June, 2010.
• Smt. Vijaya Jadhav, Tahasildar of Gaganbawada tahasil had also taken initiative to aware the villagers about the HIV stigma & discrimination in “Tantamukt” sabha.
• Frequently DAPCU & Partner NGO was taken follow up of same incidence.  That time, the sufferer Sangita confessed that she has no any discrimination in the village. 
• The DAPCU was again planned a Gram Sabha in Longhe village in presence of Tahsildar, CDPO, BDO & district Machinery. The Gram Sabha was conducted on 13th July, 2010. 
• The discussion between villagers & district machinery was very successive. 
• The DAPCU was illuminating the all misconception of villagers about HIV/AIDS. Mostly the questions of villagers were relevant to stigma & discrimination.
• The villagers were ready to provide all right of PLHIV in their village.
• Now she is regularly goes on her duty. Her daughter also studding in same school.

2. Resolution related to Stigma & Discrimination

 The Kodoli village is situated in north east of Kolhapur district. The population of Kodoli village is around 20000. 
 The DAPCU along with partner NGO & Students of Social Work organized various activities in Kodoli village.
 DAPCU is always trying to include HIV/AIDS subject on the agenda of every Gram Sabha.
 Kodoli  Gram panchayat called a Gram Sabha on 26th January, 2011 & passed a resolution that there will not be stigma & discrimination of the PLHA in their village.
                      This is a great success received to Kolhapur DAPCU. 

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.

DAPCU and Stigma & discrimination-Dist. BHANDARA

Role and Responsibility of DAPCU

• To prevent transmission of HIV infection among workers and their families.
• To protect right of those who are infected and provide access to available care support and treatment.
• To protect workers from stigma and discrimination related to HIV/ AIDS by assuring them equity and dignity at the work place.
• To ensure safe migration and mobility with access to information services on HIV /AIDS.
• To provide education and training at all levels in workplace ,set up interventions for behavior change through peer educators/ by initiating programs at workplace like the training of Human resource department , welfare department and corporate social responsibility.
• To set up intervention for unorganized and informal sector workers and migrant workers based on risk assessment.
• To access to condom, treatment of STI /RTI infection, Motivating for HIV testing.
• To make available the scope for social security coverage to include HIV in employee and family assistance programs and health insurance. 

Measures initiated to facilitate reduction of stigma and Discrimination in

    ·         Access to Services-

At district level GIPA (Greater involvement of People living with HIV/AIDS) Committee has been established, under chairmanship of district collector in which officers of all the line departments are involved so that any issue of stigma and discrimination can be managed effectively. The information about the GIPA committee aims and objectives are disseminated through News paper Inter -currently so that the PLHIV can have easy access to avail the remedial intervention.

    ·         Health Care Settings-

We have ten stand alone ICTCs and Thirty three Facility based ICTCs along with four PPP ICTCs where one counselor and one lab technician are provided who work for counseling to the attaining clients in order to reduce the stigma and discrimination issues. The IEC material is also made available to the ICTCs.

    ·         District administration and its departments-

As the GIPA committee has been established at district level under chairmanship of district collector in which officers of all the line departments are involved so that any issue of stigma and discrimination can be managed effectively. The information about the GIPA committee aims and objectives are disseminated through News paper Inter -currently so that the PLHIV can have easy access to avail the remedial intervention.

    ·         Community setting-

In the community setting the DLN (District Level Network of Positive People) has been established as a sarthi Kalyankari Sanstha Bhandara , the representative are working for the welfare of PLHIV in relation to linking them to Social benefit scheme so that they can improve their social and economic status and can get rid of stigma and discrimination. Whenever there is any issue of stigma and discrimination among any PLHIV in the district they approach to the network and representative of the network take that issue to the GIPA committee through DAPCU.

·         Issue of Stigma and Discrimination addressed in the District-  

    One old lady was working on  daily wedges and when the sarpanch of the village came to know the positive status of that lady ,he forced that lady to stay outside the village ,as the lady was connected to DLN network , the DLN representative and TB representative approached DAPCU office ,DAPCU staff had meeting and went to the village and had conducted sensitization session with the serpanch and other community members .As a result of this the sarpanch and community members convinced to allow the lady to stay in the village and take the responsibility to take care of her .