Banda Response to theme- Coordination between DAPCUs

Yes, it is obviously needed for DAPCUs to work in coordination each other because every state, even district has a different work culture, format, environment, language, structure and so on etc.  If DAPCUs between inter district or state will share their work with other DAPCU whatever district or state, One DAPCU can learn with initiatives, way of work-performance, reporting  and many more thing.  In our District Banda, DAPCU team members share thoughts/ideas, working ways of different task e.g. reporting, through email sharing as well as by telephonic discussion.

• What are the issues on which DAPCUs support each other and how is this coordination achieved?

Issue are discussed with other DAPCUs e.g. reporting matter, preparing maps, social benefit scheme, district level meetings, monthly meetings issue are discussed. We share emails regarding particular subjects/issues, contact telephonic with other DAPCUs staff whenever needed. 

• What role do the SACS play in enhancing this co-ordination? 

Our UPSACS play pivotal role in enhancing this co-ordination, SACS share initiative, working format, technique, strategy of one DAPCU with other DAPCUs to learn and advise to do the same. Initiatives of DAPCU discussed with other DAPCUs at the time of review by SACS and promote to learn by these strategies. In this way UPSACS enhance co-ordination between DAPCUs. 

• Share a few examples in which you have taken the support of other DAPCUs and how it has helped you.

DAPCU BANDA takes support of other DAPCUs in U.P. as well as other than U.P. for many of issues as social benefit scheme, spatial map preparing, ART linkages strategies, IEC activities etc. DAPCU BANDA - IEC activities among rickshaw puller is a best example after learning from initiative of other DAPCUs.  Co-ordination with District Administration learned by Banda DAPCU by DAPCU Series shared by NACO. 

• Share a few examples of the results achieved by inter DAPCUs coordination.

We think that many of initiatives are learn by inter coordination among DAPCUs e.g. DAPCU Kit decentralization system by DAPCU Banda adopted by other DAPCUs in U.P. DAPCU Banda also learned many things by other DAPCUs as linking to HRGs with social welfare scheme and PLHIVs with social benefit scheme. 

Banda's Response to Theme- DAPCUs and F-ICTCs

What is the role of DAPCUs in establishing F-ICTCs? How do you help in

Locating suitable health facility to establish F-ICTCs.  

             It is obviously clear without support of SACS DAPCU cannot establish F-ICTCs in the district but being established in the district DAPCU has a responsibility that they observed the district scenario and point out the areas with high prevalence also away from district or sub district health facility. DAPCUs should make a survey of OPDs, ANC Case visits, Deliveries and Data etc. at Health facility which is without ICTCs and F-ICTC. DAPCU also observed about Cold Chain maintain at facility, availability of Consumables from NRHM and sufficient staffs. After finding favorable condition to establish F-ICTC, DAPCUs should co-ordinate with district official (e.g. C.M.O) for establishment of F-ICTC. After getting concern and recommendation from district level the issue should forward to SACS for establishment of F-ICTCs.

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

            Before or after establishment of F-ICTC DAPCUs should strengthen the human resource available at health facility. To strengthen human resource providing training and manuals/guidance to nominated L.T.s/S.M./Nurse or any other staff for HIV testing as per standard of SACS/SRL/NACO. DAPCU Field Staff or any one from DAPCU who visiting to F-ICTC should ensure about availability of proper registers/Formats as well as kits and consumables. DAPCU should support/help/provide hands on training to nominated staff at    F-ICTC to deal with a client, visited at F-ICTC for either testing or receive counseling related to HIV, T.B. and STI. DAPCU must ensure about Positive ANC care and support at F-ICTCs and full time availability of consumable used particularly Positive ANC care e.g. safe delivery kits, NVP etc. Staff at F-ICTCs must be trained about above either by SACS or by DAPCU level and all things should be reviewed back to back by DAPCU Level.

Strengthening of linkages between F-ICTC and Designated ICTCs

At stand-alone ICTCs staff appointed by SACS as well as trained also but we discussed about F-ICTCs, Staff is nominated by NRHM. So DAPCU has a responsibility to co-ordinate with working personal for linkage between Stand Alone ICTCs and F-ICTCs. Every F-ICTC tested the client with HIV testing Kit-1, if client found positive, F-ICTCs should refer the client for confirmation at nearest ICTCs. So DAPCU must initiate the easy process and better co-ordination between F-ICTC and nearest Designated ICTC. So that client tested easily for confirmation without any problems.

Monitoring and evaluation of F-ICTCs

DAPCU should visit F-ICTCs regularly to monitor performance of work e.g. testing as per standard, Record keeping at F-ICTCs, coverage and care of total ANCs, Direct Delivery cases as well as T.B. Cases for HIV testing.  DAPCU also monitor safety kit and cold storage at facility and proper and time line reporting of facility. DAPCU should evaluate the work performance of center time to time and ensure about success ratio of facility.

Few achievements from Banda districts in this regard

There are 05 F-ICTCs in the Banda district out of five, Four F-ICTCs are running in 24x7 PHCs and 01 at CHC.  In January 2012 DAPCU succeeded in establishment of 02 New F ICTCs. During his usual visit of DMC Mahuwa and Atrra, Banda DAPCU observed OPDs, ANC Cases visit, Deliveries and Data etc. at health facility which was without ICTCs and F-ICTCs. DAPCU Banda found satisfactory and favorable conditions to establish F-ICTCs in both at CHC Atrra and PHC Mahuwa, facilities which are far from designated ICTCs. DAPCU concern the issue with DTO/DACO, and raised the topic in review meeting at SACS. In this way DAPCU Banda succeeded in establishment of 02 new F-ICTCs in district. Now DAPCU monitoring all F-ICTCs for better access of services e.g. HIV Testing of ANC cases, Direct Delivery Cases, T.B. Cases as well as suspected general OPD clients. 

Theme Response of Banda District on "Women & HIV"

District Banda located in Bundelkhand, borders along with Chitrakoot, Fatehpur, Mahoba, Hamirpur District as well as Panna and Chhatarpur Districts (M.P.).Many of villagers (Male) migrant to cities to earn livelihood. Due to lack of awareness of HIV/AIDS, they infected with HIV and transfer the virus to their spouses. In this way at Banda District “Women and HIV” is a big issue/subject to discuss. In the context of above points described in monthly theme Our Team want to share our analysis/response.

What are the ways in which your district ensures that women have access to HIV services?

• In Banda District before establishment of DAPCU there are only 5 ICTCs Centers and 3 FI-ICTCs were located in CHC and PHCs and delivery/ANC cases were tested there for HIV/AIDS.  After establishment of DAPCU Banda, getting analysis of delivery cases at Atrra and Mahuwa CHC/PHC  need to establish some new ICTCs there. DAPCU coordinate the issue with UPSACS and Now Two New FI-ICTC s established at above CHC and PHC.
• After establishing 02 new FI-ICTCs we have able to access HIV services to delivery cases/ANC to more population nearby villages situated at CHC and PHC. While before they refer to concerning CHC /PHC or at District Hospital Banda. They ignore to check with HIV status due to distance from their villages.
• Starting WBFPT testing is also a key tool to us for accessing HIV services to women through ASHA/ANM concerning with villages as well as delivery cases at night. DAPCU encourage for do the HIV testing by WBFPT by trained Nurses/ANM/LHVs at centers and co-ordinate the matter with CMO time to time.
• For NVP case handling L.T. and Counselor are trained at centers by field staff time to time. Now counselor appointed through NRHM at PHCs also encouraged to do the counseling and L.Ts. for testing, Nurses also trained for safe delivery practice.
• In the monthly ASHA /ANMs meeting under chair ship of MOIC at CHC/PHCs 01 DAPCU Member participated in this meetings and sensitized to participants for accessing information/services to Women in their respective villages. 

Have you made any special efforts to address their needs and vulnerability?

• After establishment of DAPCU Banda, getting analysis of delivery cases at Atrra and Mahuwa CHC/PHC need to establish some new ICTCs there. Therefore DAPCU coordinate the issue with UPSACS and CMO Banda to support FI-ICTCs with NRHM Budget and Now 02 New FI-ICTC s established at above CHC and PHC.
• After establishing 02 new FI-ICTCs we have been now able to access HIV testing services to delivery cases/ANCto more population nearby villages situated at CHC and PHC. While before they refer to concerning CHC /PHC or at District Hospital Banda. They ignore to check with HIV status due to distance from their villages.
• DAPCU Banda coordinating with District Level Health Administration for providing care and support to PLHIV ANC/Delivery Cases  at delivery points.

You can also share with the us how women's day was observed in your district.

There is no plan shared with UPSACS to observe Women’s day in f/y 2012-13. But we organized the HIV-T.B. awareness camps at Government Degree College Banda sponsored by District T.B. Office in the context of school activity programs. DAPCU Banda participated in this program and aware to Girls regarding HIV/AIDS as well as T.B. and describe the role of Women/Girls in control and preventing spread of HIV/AIDS.

  

Banda DAPCUs response to the Theme of the month - Mainstreaming

DAPCU Banda on Mainstreaming from DAPCUSPEAK

Banda DAPCU, U.P On Blood Donation

Significance of Voluntary blood donation -

Safe blood saves lives - but, for too many patients around the world whose survival depends on blood transfusion, blood transfusion is either not available or not safe. Every second of every day, people around the world - of all ages and from all walks of life - need blood transfusions to survive. Safe blood is blood that does not contain any viruses, parasites, drugs, alcohol, chemical substances, or other extraneous factors that might cause harm, danger or disease to the recipient.

Voluntary Blood Donors are considered as the safest source of blood as they have low prevalence of TTIs (Transfusion Transmissible Infections) like HIV, Hepatitis B, Hepatitis C, Malaria and Syphilis while the family/replacement donors carry higher prevalence of TTIs.

In spite of the rapid and remarkable advancements in medical science today, no factory can manufacture blood. It is only in human beings that human blood is made and circulated. Hence, donation - rather voluntary donation is the only way of accumulating blood at safe storage to meet emergency requirements for saving lives.

This is the greatest gift one can do for the mankind. Voluntary Blood Donors are saviors of mankind. If someone really loves oneself and other fellow beings, the only way to express it is to donate blood voluntarily. Donating blood means giving life to someone and it is believed that voluntary blood donors command the highest respect for their sacrifice.

DAPCUs can play a Pivot Role to Promote Voluntary Blood Donation-
Dapcu can promote voluntary blood donation through the main components of the Donor Recruitment Program are (i) to create awareness among students/youths regarding blood donation, (ii) to sensitize principals and teachers of colleges/educational institutes/local clubs/NGOs regarding voluntary blood donation, (iii) to motivate the students/youths for blood donation, (iv) to form a network of peer motivators from various colleges/educational institutes/local clubs/NGOs, (v) to try and evaluate the effectiveness of various strategies for donor motivation. We can train some good area wise voluntary motivators to motivate regarding Unawareness/ignorance of the general public about voluntary blood donation and to some extent their fear and misconceptions regarding blood donation. Again the Blood Transfusion Services in the By motivating the young people and other potential donors to donate blood voluntarily on regular basis we will be achieving

• a safe and sustainable supply of blood and blood products

• HIV & other TTI free young population This message has to be conveyed to a large number of people so that voluntary blood donation could become a mass movement. People must understand the importance of voluntary blood donation and come forward voluntarily to donate blood. 

The main focus areas of VBD,Program may be

• Healthy individuals to become regular voluntary blood donors
• Existing voluntary blood donors to continue to donate regularly
• Converting family replacement donors to voluntary blood donors by strengthening the blood donor education.

How did you observe this day at the district level? What was unique about your programme?

Blood Donation Camps at different places

IEC Distribution

• Banner Displayed at District Level.
• Banner Displayed at Block Level
• Pamphlets Distribution – At every CHC/PHCs/Schools/Colleges/, and at Blood Donation Spot.
• Pamphlets Distribution – At every CHC/PHCs/Schools/Colleges/, and at Blood Donation Spot.
• Sanghosthi and awareness program done at V.B.D. Camps with different Colleges/Departments/NGOs/Schools etc. 

Unique about our V.B.D. Programe

To Promote Blood donation, we organized Press conference with media to remove misconception about blood donation in people. CMO/DTO/CMS/Blood Bank In charge/MOs of District Hospital participated in this conference and deliver facts through media about blood donation. An appeals issue for blood donation in above V.B.D. camps. DPM Dapcu Co-ordinate with UPSAC for arrange a unit blood at Lucknow for a needy from Banda. This inspired to that person regarding Blood donation and assure to assist in blood donation programs organized in future.

Few challenges we faced getting voluntary donors and we overcome it-

• It was too difficult to get voluntary blood donation from remote areas of District-Banda especially in Bundelkhand region but DAPCU perform this task with their best efforts. Here we are pointing some challenges we faced getting voluntary donors.
• Due to misconception related blood donation even younger also fear to donate blood. To remove the widespread misconception we organized seminars collaboration with Doctors at school/colleges’ RRCs level attempt to remove misconceptions.
• We promote blood donation and encourage blood donor but when needy person need blood they don’t get. So the donor discouraged toward blood donation. Dapcu encouraged to blood donor and describe them about procedure of getting blood.
• In remote areas it is too difficult to get blood donation due misconception of regarding blood donation Dapcu organized sanghosthi and awareness camp to promote blood donation.
• DPM DAPCU visited with different unions/organization/religious/Socials institutions to promote blood donation like, trade union, Red cross, Sant Nirankari Mission, Gayatri Pariwaar etc.
• We promote to make a voluntary group of students regarding blood donation and aware at remote areas.

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

DAPCU Support

• Sensitising district level officials on the programme and clearing roadblocks through interactions with the line departments
• DAPCU participates in various district level meetings , forums and campaigns and through these tries to sensitise stake holders on the concerns of PLHIV
• Collates information and reports to NACO and SACS

District Administrations Role

Providing space and addressing concerns bought by DAPCU and DIC regarding PLHIV and Social benefit Schemes.

DLN's Role

• Listing PLHIV and encouraging them to avail schemes
• Sensitising block level SHGs
• Collection of application and relevant documents and submission to relevant departments
• Supporting needy PLHIV in getting travel allowance through the UPNPP
• Advocacy meetings with line departments
• Follow up till the benefit is received by the applicants 

Role of LACs and ICTCs

Refer PLHIV interested  in social benefit schemes to DAPCU and DLN

Challenges

• Limited schemes for OBCs and some religious minorities
• Only BPL can benefit from Schemes
• There are no special provisions or preferences given to PLHIV.
• Some officials in the administration do not extend sensitivity or priority
• Some applications need to be made at the district level , which for some PLHIV means a travel of 90-100 kms. This too serves as a deterrent

Sr. No.	Name of Scheme	Number of beneficiaries	Remark
1	Bimari Anudan (Health Scheme)	26	06 in Process
2	Parivarik Labh Yojna (Social Security Scheme)	18	01 in Process
2	Widow Pension (Pension Scheme)	02
3	Awas (House Scheme)	01
4	Job Card (Entrepreneurship Scheme)	05
5	Food Ration Card (Food Security and nutrition Scheme)	03
6	Scholarship to children of  PLHIV	01
7	Double Ration to Children of PLHIV (Food Security and nutrition Scheme)	11

Banda DAPCU's Response to May 2012 Theme - DAPCC Achievements

The DAPCC has contributed a lot to the HIV programme in the district. A few examples 

1. Whole Blood Finger Prick Test of  ANC  Cases  started  through  ANM’S  in  delivery  rooms of  all  facilities.
2. They have helped in focusing on increased referrals and linkages with all  ICTC  .
3. Sensitization of  stakeholders such as Pradhan , Asha , ANMs, Teachers, & Youth  in  Rural  Areas.
4. HIV  Positive  Delivery  Fully  Covered  at CHC   Level.
5. Health Awareness Camp   in  Rural  Areas.
6. Open  Two  New FI- ICTC  Centre in CHC  Attara  & PHC Mauha.(Banda).
7. Linked  PLHA  with  Social Benefit  Benefit  Scheme as below 

Bimari  Anudan	32
Widow  Pension	02
Parivarik   Laabh  Youjna	19  (10 is on  Process)
Job Card	02
Avas	01
Rozgar	09
Stigma Description	03
B.P.L   CARD	03
Student Scholarship	01
Child  Nutrition	11(Double Nutrition Below 6 Years)