Monday, 27 March 2017

DAPCU Surat (Gujarat) Response to the Theme : Strategies for reducing Pre - ART LFUs at district

DAPCU Surat has been successful in reducing the number of pre-ART LFU cases by strengthening the tracking system through improved coordination among facilities, regular monitoring, supportive supervision and monthly review meetings. All patients registered for pre-ART undergo a CD4 test every six months. The ART centre Lab Technician maintains a ‘’due list’’ of patients who are due for CD4 testing. This list is prepared from the CD4 laboratory register. If any patient does not visit the ART centre to undergo CD4 test within one week of their due date, they are followed up by phone call to ensure CD4 test is done on the next visit. ICTC centre staff also motivate and support clients during post-test counseling session for ART registration.

Last Five Years Pre - ART LFU cases status of Surat District.
*As per ART Centers data source

Wednesday, 8 February 2017

DAPCU North Tripura (Tripura) Response to the Theme : Strategies for reducing ART-LFU at district


Action point taken to reduce the LFU & Pending CD4 count:
  • DAPCU has worked in close coordination with Tripura SACS, health department officials and NACP facility staff to put in place a strategy to collect blood for CD4 count testing at the Facility Integrated ART (FI-ART) centre itself. This strategy has reduced LFU cases as clients can reach the FI-ART easily instead of going to the Agartala Government Medical College (AGMC) located at a distance of 190 kms.
  • A sensitization workshop was organized for people living with HIV to discuss the importance of pre-ART registration, CD4 testing, ART adherence and reducing LFU cases.
DAPCU has initiated steps in coordination with facilities for tracing LFU cases through better outreach and improved counselling of people living with HIV. ANC mothers are  being tracked with the help of community members, ASHA and Multi Purpose Worker.

Mobilization and sensitization on CD4 testing for People Living with HIV at Dharmanagar, North Tripura

Blood sample collection by FI-ART centre at Dharmanagar, North Tripura

DAPCU Sri Ganga Nagar (Rajasthan) Response to the Theme : Strategies for reducing ART-LFU at district


For effective tracking of LFUs, the line list of LFUs is shared with the concerned NACP facility staff and discussed in monthly review meetings organized by DAPCU. Facility staff are advised to follow-up with LFU clients telephonically first and then plan home visit if necessary. LFU clients are asked to share the underlying reasons for discontinuing ART and counselled about the importance of taking ART without missing a dose. The harmful effects of abruptly stopping the medication is explained to clients and their anxiety and misconceptions are addressed.

DAPCU is taking steps in coordination with ANM and ASHA to deal with stigma and discrimination faced by clients on ART, which may prevent them from coming to the ART centre for collecting medicines. Family counselling is done to create a supportive environment at home for the ART client.

Thursday, 29 December 2016

DAPCU Kurnool (Andhra Pradesh) Response to the Theme : Strategies for reducing ART-LFU at district


DAPCU, Kurnool is one of the A category districts in Andhra Pradesh.  We have been implementing and practicing the following process to link PLHAs to ART center as well as reducing the LFUs in our district with the support of the entire district team.
  • DAPCU Kurnool facilitates and conducts meetings with ART Centre and Care and Support Centre (CSC) on fixed dates every month to focus on LFU and MIS cases with the involvement of Network, NGOs and LWS staff.
  • We have been conducting LFU Special Drive every year to re-start the LFU, MIS cases, collecting evidence based information on death cases and linking PLHAs with care and support services.
  • Mobile Messages (pre-alert) are sent for ART due date, focused on ANC cases with the support of PPP
  • Seven Link ART centers have been established at route corner areas in the district.
  • Providing free bus pass to PLHIVs and 50% concession to the Attender twice a month with the support of APSRTC. Conducted sensitization for APSRTC bus conductors and depot staff on HIV/AIDS and free bus passes to PLHIVs and avoiding stigma and discrimination.
  • DAPCU Kurnool is facilitating access to social security benefit schemes for PLHIVs through DAPCU Led Single Window Model with the support of line departments as well as District Collector.
Sensitization meeting facilitated by DAPCU Kurnool for ART centre and ICTC Counsellors and Mahila Mandali representatives. Participants were sensitized on tracking and reducing LFU cases and importance of taking ART medications without missing any doses.

DAPCU Imphal East (Manipur) Response to the Theme : Strategies for reducing ART-LFU at district


DAPCU Imphal East is playing a vital role in tracking LFU clients in coordination with ART Centre, District Level Network (DLN), Care and Support Centre (CSC) and related NGOs in the district.
The following strategies have been executed by DAPCU Imphal East in reducing LFU:-
  1. Monthly review meetings are conducted with NACP facilities with a special agenda to discuss and resolve the issue of LFU.
  2. Two staff from CSC have been deployed to ICTC, JNMS (main ICTC where a number of HIV positive cases have been detected) to link clients with the ART Centre.
  3. DAPCU maintains the report of LFU cases in coordination with ART centre, CSC and DLN. Coordinated efforts are being made to track all lost clients.
  4. Service providers are advised to counsel care givers to ensure adherence to treatment by the clients on ART.