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

I am representing DAPCU Khordha of Odisha state where there are only seven DAPCU districts out of 30 Districts. Khordha is falling in Category B. However, the service expanding to nearest District concept has also been implemented at our state as the district has been assigned the neighboring Puri District. Yes, the DAPCU district can extend service to the nearest non DAPCU district for better support and facilitation in the NACP activities.

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

It is possible to manage and coordinate HIV activities in the non DAPCU district by collective efforts of DAPCU staff especially M&E, DA (Program) and DPM. The three staffs are required in different spheres. The technical group separately or jointly can provide support to the facilities in different activities. However, following are some of the activities where DAPCU can support non DAPCU district.

Components	Strategy	Remarks
Facilitating conduction of regular monthly review meetings with the NACP facilitates    (HIV-TB coordination meeting , DCC meeting)	Coordination with the district health Administration and concerned Nodal officer of NACP activities in the District and with DTO. Topics and components to be discussed in the meetings. Minutes is to be prepared and to be shared with the participants / facilities which will be again followed up.	Sharing of information and contacts can be done at the home DAPCU level through e-mail and over phone.
Hand holding support to be given through monitoring and Supervision visits	DPM and M&E will visit to the facilities for ensuring data validation, cross verification of data from source registers, ensuring correct and timely reporting. Also ensure 100% reporting through SIMS. SACS may give permission to view data in SIMS, of non DAPCU district facilities data, feedback and reset the SIMS.  There may be visit with the Program Assistant for necessary support on social protection linkages of PLHA	Viewing the facilities data in SIMS of non DAPCU District can be done by the M&E Asst at DAPCU. For this no need of separate budget. Coordinate and follow up with District Social Welfare Officer, Social security Officer over phone and through visits. Field visits travel cost can be booked at DAPCU.
Ensuring referral and linkages	Minimize gap between referral and linkages through establishing coordination between the facilities.	This can be done through field visits.
Organizing trainings and health camps	DAPCU can facilitate to conduct training programs, advocacy and letter correspondence can be done by the Program Assistant at DAPCU.	The role of DAPCU is to facilitate the process.
Replication of good practices of DAPCU	The good practices can be replicated in non DAPCU districts through discussions sharing of documents, etc.

DAPCU can play an active role to support the non DAPCU district. DAPCU was established in our district in 2008.Support has been provided to facilities in the district since then, now the facilities can function with minimal support. Poor performing centers in non-DAPCU district can be visited on periodic basis. 

Requirement of finance for the visit to the non DAPCU District which can be meet from DAPCU travel fund but certain guidelines are to be issued by SACS.

As this type of support is being conducted but no financial guidelines are being issued to DAPCU.

Liasioning and coordination can be done at DAPCU level, for that no funds are required.

DAPCU West Godavari (Andhra Pradesh) 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.

DAPCU led single window service aims to deliver specific benefits to the PLHA / CABA / MARPS communities in the district

The main Purpose for having a single window in NACO led Facilities in the District is to increase the efficiency through time and cost savings for beneficiaries in their dealings with government authorities for obtaining the relevant clearance. In a traditional pre-single-window environment, Beneficiaries had to visit and deal with multiple government agencies in multiple locations to obtain the necessary papers, forms, and clearances.

The beneficiaries of entitlement programs are normally individual citizens but in our case they are marginalized communities who find it difficult to apply for and avail Social Benefit Schemes, and the DAPCU Led Single Window Model is a one-point access for PLHIVs, CABA and MARPs for availing benefits from existing government social benefit schemes.

In West Godavari district, 39 out of 40 NACP facilities have been oriented on the single window model. DAPCU has set up Help Desks at 39 NACP facilities. A nodal officer has been designated at each Help Desk for providing information about social benefit schemes and assisting clients to avail the schemes.

The list of Social Benefit schemes had been listed below in the given table and which was routed through all the facilities in the district.

The following data shows Schemes and Entitlements are applied and sanctioned from April 2016 onward.

S.No	Particulars of Schemes	Applied	Sanctioned
1	Housing Loans	32	0
2	Toilets	76	14
3	Pension (Old Age, ART, Disabled, Widow)	24	0
4	Aam Admi Bima Yojana	6	6
5	PM Bima Suraksha Yojana	50	50
6	PM Jeevan Jyoti bima yojana	57	57
7	Sukanya Samriddhi Yojana	3	3
8	SC Corporation Loans	6	0
9	Nutrition	20	20
10	Legal Services	1	0
11	Education Support	54	0
	Total	329	150

S.No	Particulars of Entitlements	Applied	Sanctioned
1	Ration card	227	8
2	Aadhar Card	141	46
3	Voter's Identity Card	230	0
4	Ration card	7	1
5	Caste Certificate	14	10
6	Income certificate	9	6
7	Birth Certificate	4	4
8	Death certificate	6	6
	Total	638	81

The impact of Social Benefit Scheme was continuously Monitored by the Addl. District Medical and Health Officer (AIDS & Leprosy) Dr.P.Uma Devi MBBS, DPH and Reviewed by the District Medical and Health Officer every month in Medical and Health Review Meets.

Last but not the least the efforts of DAPCU led single widow model will not be successful if we fail to mentioned the Line Department Officers who put their continuous efforts in sanctioning these benefits to the needy and deprived and our sincere gratitude to all the district level officers for making this as a successful model in the district.