DAPCU Solapur Response to DCC for HIV-TB

District Coordination Committee for TB – HIV ensures the implementation of TB – HIV collaboration activities in the District and review the performance of the same.

In Solapur district the HIV-TB DCC meeting held regularly under the chairmanship of DACO. All the ground level staff, DTO, CTO, DPM NRHM, DHO, DPO, DS, ART SMO invited for sharing their views and sort out the complications came while working. District experienced the various advantages of HIV-TB DCC meeting.

     1.    Advantages of DCC in HIV-TB Collaboration activity –

·         Data Sharing / Exchange

·         Line List HIV-TB Update

·         Experience Sharing

·         ICTC – RNTCP referral improvement & Vice-versa. 

·         Initiation of F-ICTC at DMC level.

·       Conducted hands on training of ICTC LT for ZN strain & sputum examination while scheduled the training of DMC – LT for HIV testing preferably SD screening Test.

·       To enhance the HIV testing of TB patients used the NRHM machinery. Provided to & fro charges to TB clients with one of his relative up to Rs. 400.

·         Notification of each TB patient could possible with proper format.

·         Implemented the TB screening of Close family members of TB patients as TB is a communicable disease.

·   Allied with School Health Activity (NRHM) Program. Medical Officer Look for Pediatrics TB Suspect’s and Co-ordinate with DMC and then these Children referred to the nearest DMC for TB Screening. If Pediatric TB cases diagnosed ( Mainly Lymphadonopaty ) family screening for TB conducted.

·   DAPCU has taken the line-list of LFU/MIS patients from ART and segregate it geographically to each NGO. The review of this activity conducted in each month.

      2.    DAPCU has analyzed the fact that there should be 100% coordination from both the national    program. In the first Quarter meeting the basic fact has identified by verifying the line-list from DMC and concern ICTC.

      3.    Also a DAPCU raised a serious concern about the entry in HIV-TB ART White Card, details about the TB treatment should enter correctly on white card.  After testing of TB patient, the HIV status should include in the TB register.

      4.    To Prevent Spread of TB in Care- Facility level DAPCU puts IEC material with the help of TB department. Provided mask to the ICTC staff.

     5.   DAPCU stressed the qualitative referral from OPD.  In Intensified TB care finding every facility should develop good repo with each OPD. Maximum referrals from OPD (Acute respiratory tract infection) Cough with expectation referred for TB Screening. There should be close watch Over Pediatric TB as well as sputum Negative and extra pulmonary TB suspicion should be screened. DAPCU instructed ART Facility for close watch on Borderline CD4 Pt. In due cause development of TB should be diagnosed promptly and further management should be done very promptly.

      6.    To avoid TB Death cases in Co-infection (TB Meningitis look carefully).

      7.    MDR TB Should be properly Managed.

      8.    The performance of the Solapur district can be analyzed in 2012 against 2011.

Sr. No.	Quarterly	Total ICTC Clients	ICTC to RNTCP	% of Referral	RNTCP to ICTC	HIV-TB Co- infected	DOTS Initiated
1	Jan11 to March-11	7919	851	10.74%	457	84	81
2	April 11 to June 11	9374	906	9.66%	437	66	64
3	July11to   Sept 11	9707	932	9.60%	346	55	54
4	Oct 11 to  Dec 11	11690	1048	8.96%	385	57	57
	Total	38690	3737	9.65%	1625	262	256

Sr. No.	Quarterly	Total ICTC Clients	ICTC to RNTCP	% of Referral.	RNTCP to ICTC	HIV-TB Co- infected	DOTS Initiated
1	Jan12 to     March-12	11810	1195	10.11%	367	61	60
2	April 12 to June 12	6865	858	12.49%	306	70	64
3	July 12 to     Sept 12	12868	1190	9.24%	411	63	59
4	Oct 12 to  Nov 12	6596	637	9.65%	192	28	28
	Total	38139	3880	10.17%	1276	222	211

Solapur, DAPCU's Response - June 2012 Theme - Social Benefit Schemes for PLHIV and HRG

Govt. Benefit Schemes Available in District Solapur (Maharashtra)

1. SGNY – Sanjay Gandhi Niradhar Yojana
2. BPL – Below Powerty Line Ration Card to FSW
3. Kesari Ration Card
4. Bal Sangopan Yojana
5. Shrawanbal Yojana

DAPCU and District Administration Support

DAPCU Solapur Formed DAPCC under Hon. Collector Chairmanship. During Quarterly Meetings some issues were discussed about Social Benefit Scheme. Hon. Collector and DAPCC Members DSO ( District Supply Officer ) Tahsildarshared they will provide priority to PLHIV.

DAPCU Conducted GIPA Workshop on 30/03/2012 Dist Level GIPA Committee is formed. In the workshop Hon Collector assured that hundred percent support will be provided to Social Benefit Schemes.

DLN / DIC and DAPCU conducted Sensatization Workshop on 08/06/2012 at DIC Office. All NGOs Working in district  participated and Hon Anand Antrolikar Chairman South Solapur Sanjay Gandhi Niradhar Yojana were Present. In this workshop it was advicsed that Linelisting of beneficiaries Schemewise should be prpeared and a follow up would be taken prior to the next DAPCC meeting.

Role of Facilities – DIC / DLN /LAC/ART/ICTC 

Every Facility is to ensure discussion about Social Benefit Schemes in monthly meeting of each component. DLN- At the enrollment time brief should brief PLHIV about schemes, categories , +ve Beneficiaries. Further they should make linelists, Collect documents from PLHIV and  follow up . ART – To ensure that  each PLHIV gets Civil Surgens Certificate stating then have an incurable disease. ICTC – At the time of Post-test Couselling should provide Information about schemes 

Sr. No.	Name of the Social Benefit Scheme (SBS)	No. of PLHIVs eligible for SBS	No. of PLHIV applied for SBS	No. of PLHIVs received the schemes
1	Sanjay Gandhi  Yojana	212	173	219
2	Bal Sangopan Yojana	270	42	29
3	Antyodaya Yojana	0	0	0
4	Shrawanbal  Yojna	35	0	0
5	Kesari  Ration Card	4	4	4
6	BPL Ration card	10	135	150
7	Insurance	28	0	0
8	Income Generation	38	23	26
9	Orphan Childrens	78	78	78
10	Travall Allowance	8	0	0
11	Nutrition support	157	95	99
12	If any Other than listed above please mentioned	0	0	0
13	Educational support for CLHA By Doner in society	0	0	11
	Total registration under Govt. schemes	840	550	616

Note :-Out of 78 Orphan Childrens 28 from Ummid NGO Kurduwadi not getting any funds and 50 Childrens from Palavi Pandharpur getting funds from Women and Child Welfare Dept.

Challenges are 

1. Documentary Proof Short Falls
2. PLHIV – To disclosure Status of Own in community
3. Positive speaker are not in sufficient numbers, Increase Positive Speakers can reach to majority PLHIV

Achievements - 32 Ration cards were provided to HRGs through a TI NGO and details of PLHIV availing schemes are provided below.