DAPCU NorthDelhi (Delhi) Response to the Theme : Views on DAPCU's role in Non-DAPCU Districts

DAPCU North is extending support to two non DAPCU districts i.e. South West and West Delhi districts, to facilitate NACP activities. In Delhi there are four DAPCU districts  ‘B’ category, out of 11 districts. 

How can the DAPCUs extend their support to non-DAPCU districts to manage/coordinate the NACP activities in the non-DAPCU district?

DAPCU North team is providing support to the facilities in both DAPCU and non-DAPCU districts. Following are some of the activities where DAPCU is supporting non DAPCU district.

Components	Strategy opted
Conducting Monthly Review Meeting of non-DAPCU districts every month	DAPCU North is conducting Monthly review meeting for reviewing the performance of ICTC /PPTCT/DSRC & ART centers of non-DAPCU districts
Participation in monthly review meetings with the NACP facilitates (HIV-TB coordination meeting)	DAPCU North is participating in the monthly review meetings organized by Chest Clinics in non DAPCU districts in which ICTC Center counselor is also a member
Support is given through monitoring and Supportive Supervisory Field Visits	DAPCU North is doing Supportive Supervisory field visits for monitoring and providing support as required by the Counselor.
Ensuring strengthening the referral and linkage between the NACP facilitates ICTC – RNTCP and among HIV /AIDS facilities	DAPCU North is emphasizing on strengthening the referral and linkage between the NACP facilitates i.e. ICTC-RNTCP and between HIV/AIDS facilities by validating the data and maintaining line listing data.
Organizing Sensitization Program  / training program and Health camps	DAPCU North is doing sensitization programs / trainings in non DAPCU districts and recently trained Asha workers of South West and West Districts and coordinated health camps in South West districts with support of DSACS

DAPCU North has played an active and important role to support the non DAPCU districts. DAPCU was established in our district in 2009 and since then DAPCU was looking after one additional ‘C’ category district i.e. South West district. In June 2014, DSACS has requesting to support the West district too. Support has been provided to facilities in the non- DAPCU districts since then, Poor performing centers in non-DAPCU district are visited on periodic basis.  

Requirement of finance for the visit to the non DAPCU District is met from DAPCU travel fund.

DAPCU North (Delhi) Response to the Theme : DAPCU Led Single Window Model

Describe efforts taken or Planned by DAPCU to increase the number of people availing Social  Benefit Schemes in your district in FY 2016-17.

The DAPCU office acts as the single window for social protection for the infected and affected communities. At district level, the DAPCU Officer will take a lead to ensure that People living with HIV (PLHIV), Children Affected by AIDS (CABA) and Most At Risk Population (MARPs) are fully assisted in providing information on various entitlements and schemes, in filling the application through various Help Desks. DAPCU officer plays important roles in submitting the filled in application to various departments, follow-up and its implementation.

The feature of this model is to increase demand for social protection among (PLHIV), CABA and MARPs through Help Desks. In the DAPCU-led model, the various service centres under the NACP at the district like TI NGO, LWS, ICTC, ART, Link ART, etc. will act as Help Desks to facilitate information about the social protection schemes. The DAPCU office will act as apex body in the district to facilitate social entitlements and social protection.

As per the direction from DSACS, DAPCU Staff was deputed at ART Centers in Delhi to facilitate the ADHAR Card Camp at ART Centers. Our DAPCU Team member was deputed at DDU ART Center to facilitate the same. Here he enrolled 165 PLHIV and linked them with ADHAR Card facility.

We have done sensitization of facilities of North, West and south-west district regarding DAPCU Led Single Window Model on Social Protection during monthly review meetings. DAPCU Team North provided the information on various Social benefit schemes available in the district to facility staff and also suggested them to display the information of schemes in Counselling room. The facilities have displayed information of schemes in counselling room and generating demand during counselling.

During visit to facility it was ensured and checked by DAPCU team that information regarding social benefit schemes is displayed in the center or not.

To address problems faced by PLHIVs in accessing social benefit schemes and ensure that a greater number of PLHIVs are able to avail the schemes, DAPCU North has held meetings with Social Welfare Officer of North District. In the last District AIDS Prevent and Control Committee Meeting (DAPCC) chaired by the District Magistrate, the problems faced by PLHIVs, CABA and MARPs in availing social benefit schemes were raised by DAPCU North. The District Magistrate has assured that a separate officer will be deputed to process applications received from PLHIVs on priority basis.

Since the roll out of DLSWM, 555 applications were received through the Help Desks, of which 555 have received scheme benefits.

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. 

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. 

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.

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

Locating a suitable health facility to establish  F-ICTCs

DAPCUs prepare and update the Spatial Maps of the District in which they show a map which highlight the areas where there is no ICTC is established but there are DGDs, M&CW centers, Maternity Homes etc. which are monitored by Integrated District Health Society. 

 DAPCU can identify the areas where the client load is high but there is no ICTC Centers with the help of Spatial Mappings of the district. The DAPCUs can also identify the areas by reviewing the Line list/Data provided by various HIV/AIDS facilities in the District. Then by coordinating with SACS, Chief District Medical Officer (CDMO) and Nodal Officer NRHM of the District we can identify the locations of suitable health facility where there is no ICTC setup but the DGDs, M&CW centers, Maternity Homes etc are established which are monitored by NRHM to establish F-ICTC center.

Capacity building of the F-ICTC (i. e. training of staff, providing registers/ formats, providing guidance, supervision etc.)

For supervision of F-ICTC, the DAPCUs can make supportive supervisory visit plan of F-ICTCs along with the other HIV/AIDS facilities on monthly basis. 

During Supportive Supervisory visit at F-ICTC, DAPCU can ensure the availability of consumables and non-consumable and training requirement of staff. If there is any requirement of consumables and non-consumable or training at F-ICTC, DAPCU can coordinate with DSACS to fulfill the requirement for smooth functioning of F-ICTC. 

Strengthening of linkages between F-ICTC and Designated ICTCs.

By providing a list of ICTC centers with contact details of ICTC Counselor and Lab technician to F-ICTC. This will help them to identify the ICTC centers which are near to F-ICTC center and also which are convenient for clients according to their residential address.

By conducting linkages workshop of different HIV/AIDS facilities including F-ICTCs of the district on quarterly basis.

Monitoring and evaluation of F-ICTCs

• By including F-ICTCs in monthly visit plan of various HIV/AIDS facilities on monthly basis.
• By review of data and monthly reports.
• DAPCU should evaluate the work performance of center time to time and ensure about success ratio of facility.
• By conducting review meetings of HIV/AIDS facilities including F-ICTCs on monthly and quarterly basis in the district & SACS.

Share a few achievements from your districts in this regard

There are two F-ICTC centers in North district. Out of two one is running in Delhi Govt. Dispensary, Mukundpur and other in Sushruta Trauma Center, Metcalf House, near Civil Lines.  

DAPCU has made efforts with the help of DSACS and send a letter to MOI/Cs of ICTC Centre about established F-ICTCs and to entertain the samples and clients referred from F-ICTCs to ICTCs. 

DAPCU has also made efforts for training of F-ICTC staff by coordinating with DSACS. 

North Delhi's Response to Theme- Supportive Supervision

What according to you is supervision?

A way of ensuring staff competence, effectiveness and efficiency through observation, discussion, support and guidance.

Supervision is concerned with encouraging the members of a work unit to contribute positively toward accomplishing the organizations goal and objectives.

Supervision methods:

A)  Indirect           

• by analyzing records & reports and (Quantitative) providing feedback

B)  Direct 

• by observing the performance of health (Qualitative) worker / medical
• officers while on job doing clinical assessment, counseling etc.                                       
• by observing / verifying, IEC material displayed, Drug position,
• by discussion with service providers & beneficiaries.
• by validating cases

Activities of Supervision:

• Preparing checklist for supervision
• Preparing route chart for visits
• Analyzing data collected
• Specifying training needs assessed 
• Problem solving / decision making

How do you plan and implement your visits for supportive supervision?

• First of all we have to make a tentative visit plan of all HIV/AIDS related facilities at the beginning of every month and take approval from DACO and share the plan with SACS.
• As per the plan, we do supportive supervision visits at various HIV/AIDS facilities.
• Before going on visit, we review the data and performance of the center for previous quarter from where we are going to make visit.
• After the review of the data and performance we come to know that what are the gaps and what we have to do and discuss at the centre.
• Then we visit the related HIV/AIDS facility with previous quarter data and a check list format in which data related indicators were filled by us before going on visit.
• We verify the data filled in Check list format from records, registers and monthly reports of the Center to ensure accuracy.\
• The observations and issues were discussed by DAPCU staff with Medical Officer In-charge of the facility and DACO.
• Preparing of visit report and sharing the same with SACS/NACO.

What should DAPCUs keep in mind while undertaking supervision? 

The following things should keep in mind while undertaking supervision:

• Review of data of the facility for previous quarter before going on visit.
• Conduct field visit according to check list format provided by NACO in which data related indicators should already filled by us before going on visit.
• Verify the data of check list format from records and registers of the facility.
• Identification of the gap between Positive detected and Pre ART registration, Cross referral made by the facility and discussion of the same with facility staff and MOI/C of the facility.
• Verification of Stock availability and stock requirements of the facility.
• Verification of Equipments status of the facility.
• Observing the improvement in performance of the facility as per the observations and suggestions of last visit conducted by DAPCU staff.
• 
  

List a few Dos and Don’ts.

Dos:

• Do field visit according to the Check List format.
• Praise what is done well and encourage.
• Verification of data from records and registers.
• Identification of Gaps in Positive detected and Pre-ART Regd., Cross referrals etc.
• Do physical verification of consumables and non consumables and fixed assets of the facility during the visit.
• Guiding the facility staff for better documentation, record keeping and reporting.
• Give feedback and suggestions for improvement in a respectful way.
• Write the suggestions in the visitor register of the facility.
• Preparing a visit report and share the same with SACS/NACO.

Don’ts:

• Don’t visit the facility without any review of data and necessary preparation of visit.
• Don’t discourage and demotivate the facility staff.

DAPCU North Delhi Response to the Theme of Women & HIV

The ways in which our North Delhi District ensures that women have access to HIV services are as follows:-

• In our district there are 10 ICTC/ PPTCT Centers ( 1 PPTCT Center in Hindu Rao Hospital, 1 ICTC Center in Aruna Asaf Ali Hospital & 1 ICTC Center in  Kamna Nehru Maternity Home) where all HIV/ AIDS facilities are provided especially to women. Other ICTC Centers in North District are also providing HIV/ AIDS facilities to women.
• Facility of Emergency Labour Room Testing is also available in Hindu Rao Hospital, Aruna Asaf Ali Hospital and Kamla Nehru Maternity Home.
• Janhit Socieity for Social Welfare, Samarth -1 & Samarth2 TI-NGOs are working for awareness, prevention and control of HIV in FSWs in the district.

The special efforts those have been made to address their needs and vulnerability are as follows:

• DAPCU Team has actively participated in the Mega Health Camp organised by Mission Concergence under the Cahirmanship of Deputy Commissioner, North District on 31.03.2013 at Sarvodaya Kanya Bal Vidyalaya No. 2, Adarsh Nagar, Delhi. DAPCU arranged the ICTC staff and Nukkad Natak Team in Mega Health Camp.
• North DAPCU was involved in installation of PPTCT software in Hindu Rao Hospital, Aruna Asaf Ali Hospital, Kamla Nehru Maternity Home & ICTC Burari. The PPTCT software will be useful to trace ANC positive and follow-up their babies till 18 months after delivery.
• DAPCU had organized full site ICTC Sensitization Program in Hindu Rao Hospital, Aruna Asaf Ali Hospital and ICTC Kamla Nehru Maternity Home,  where all the staff i.e. Medical Officers, Staff Nurses and other supportive staff participated in the Program. The objectives of program were- Awareness on NACP, Improve Utilization of Resources and Strengthening Linkages & Referrals.

Observation of Women’s Day in Delhi State AIDS Control Society on 08^th March 2013:

•  International Women’s Day 2013 was observed jointly by all DAPCUs with DSACS at DSACS. On the occasion of the day the Obstetricians and Gynecologists from 46 ICTC/ PPTCTCs in Delhi have been sensitized regarding the new PMTCT Strategy of NACO which is going to be launched in Delhi with the goal of virtual elimination of pediatric HIV transmission through perinatal route.

DAPCU North Delhi Response to Role of DAPCUs to Support TI

 What strategies have you used in your district for coverage of HRGs Registration?

  Strategies used for coverage of HRGs Registration in our district are follows:

1.      Through need assessment of the area which is done by TIs.

2.      Through Area profiling.

3.      Outreach coverage of unreached area.

4.      Need to re-plan for area wise hotspot.

5.      Through conducting review meetings with TIs and Peer educator.

6.      Time to time proper verification and given support to the TIs.

Strategies to improve ICTC service to the HRG’s (twice a year)

1. Through check quarterly dues and overdue and given target to the TIs for completion of due/overdue in weekly and monthly basis.
2. Need to check line listing of peer of each hot spot & area.
3. Through given awareness session to peers and target group during conducting hot spot meeting which are conducted by TIs
4. Verification of ICTC Centre on weekly basis to check the progress of ICTC and TIs and from other resources.
5. Given time line to ICTC Centre to achieve a given target.

Pre ART Registration and Testing for CD4 Count of HRGs found HIV Positive

1.      To ensure month wise report of TIs for HRGs who are found HIV Positive and referred to ART 

       centre and need to cross verification of reports given by TIs.

2.   If no referral of HIV positive is found then we check the reasons behind this issue and gave support 

      to related concern.

Measures to improve the STI service to the HRG’s and ensure RMCs

1.      To ensure that the frequency of positive HRGs in our district & what is the reason behind this.

2.      To ensure Proper condom distribution or not.

3.      To ensure Proper condom promotion or not.

4.      To ensure Proper aware about STI or not, then we gave proper awareness on STIs through the TIs partners and other Govt. services through proper linkages and networking.

5.      To ensure Proper follow-up of positive STI patients.

6.      To ensure regular checkup for STI on regular intervals.

Distribution of condoms, needle & syringes to all HRGs

Condom Distribution, Needle & syringes: 

Whenever any shortage of condoms is noticed in any TI NGO, DAPCU coordinated with other TI NGOs or ICTC Centres for availability of condoms where required. DAPCU also co-ordinated with DSACS for smooth supply of needles and syringes to TI NGO. DAPCU team is also involved in verification of needle and syringes supply to IDUs with Program Officers of TSU.

Does DAPCU support TIs in accessing the district administration? Are there any good practices related to getting social benefit schemes for PLHIV.

 

Accessing District Administration for Social Schemes: 

During the monthly DAPCU Review meeting all the TI issues were addressed at DAPCU level and DAPCU has also provided the information of social welfare benefit schemes available in our district to all TI NGOs in the district. 

DAPCU North Delhi Response to DCC for HIV-TB

Advantages of DCC for HIV-TB:

District Co-ordination Committee for TB-HIV will ensure the implementation of TB-HIV collaborative activities in the District and review the performance of the same. The committee is formed –

To establish mechanisms for collaboration between TB and HIV programs.

To decrease the burden of tuberculosis amongst PLHA 

To decrease the burden of HIV amongst TB patients   

Activity focused during DCC meeting: 

In the meeting of DCC all the issues which could not be solved at DAPCU level can be raised before the committee for the solution.

In the meeting of DCC new strategies could be developed for reduce the gaps in cross-referrals between ICTC, ART and Chest Clinic. 

Following measures have been taken in our district to prevent the spread of TB infection in facilities caring of HIV-AIDS:

DAPCU North encouraged the counselor of ICTC and ART Center to counsel HIV-AIDS clients properly for TB infection during counseling session. 10 point of TB Chart is also provided in all the ICTC / PPTCT Centers.

ICTC / PPTCT counselors are sensitized by DAPCU staff time to time during supportive supervisory field visit at the centers.

Following measures have been taken in our district to prevent the spread of HIV infection in facilities providing RNTCP Services:

Concern Staff of RNTCP have been sensitized for safe injection practices during district level meetings, workshops etc.

They are also sensitized for actions that should be taken (including PEP) during occupational exposure through workshops and meetings.

Role of ICTCs and CST Services in intensified TB case findings: 

ICTC Counselors are advised to refer all negative symptomatic TB clients to RNTCP and positive clients to ART Center.

There is a Performa of HIV-TB line listing available at all ICTC / PPTCT center in which all data of ICTC Center / ART Center and DOT Center is filled. During the field visit District ICTC Supervisor ensures that all the HIV-TB co-infected clients are registered / reached at ART Center / DMC /DOT Center and getting treatment. 

Staff Nurse and counselor of ART center are advised to ensure that HIV-TB co-infected clients referred to DMC/ Dot Center should reach at DMC/Dot Center and their treatment is in process.

Following are the strategies that our DAPCU has opted for 100% Treatment, Care & Support of HIV-TB Co-infection case:

ICTC Counselor and ART Counselor are advised to maintain the line list of HIV-TB co-infected clients.

A comprehensive line list is maintained at ICTC Centers in which one part for ICTC, 2nd for ART and the 3rd for RNTCP Unit are available to fill. A separate line list is also maintained in ART Center in which cross-referral between ART and RNTCP is recorded.

North Delhi's response to the Theme of the Month Mainstreaming

Importance of Mainstreaming:

Mainstreaming HIV/AIDS enables management of sectors and institutions to address the causes and

effects of HIV/ AIDS in an effective and sustained manner, both through their usual work and within their

workplace.

Mainstreaming addresses both the direct and indirect aspects of HIV/ AIDS within the context of the

normal functions of an organisation, sector, institution or community. It is essentially a process whereby

a sector analyses how HIV/ AIDS can impact it now and in the future, and considers how sectoral

policies, decisions and actions might influence the longer-term development of the epidemic and the

sector.

Source:-http://www.ilo.org/wcmsp5/groups/public/---ed_protect/---protrav/-- ilo_aids/documents/legaldocument/wcms_140595.pdf

 Strategies:

1. Well planned linkage and co-ordination with other departments/organizations.

2. Support from the respective Departments for the PLHA-by providing different social benefit Schemes.

3. Awareness Programme through Mass Media.

4. Active Participation in DAPCC Meeting & further support.

 Role of DAPCU:

1. DAPCU to take overall responsibility of mainstreaming activities in the district.

2. DAPCU to identify key departments/organizations in which mainstreaming activities to be conducted.

3. If DAPCU is able to identify the places/groups where HIV prevalence is high, then the HIV/AIDS prevention activities will be conducted with the support/co-ordination of concerned identified departments.