North Delhi DAPCU – Response to Question of the Month February 2012 - Facilitating Pre ART Registration

This post was in response to the February 2012 theme

This table of problems and solutions of their district was shared by the North Delhi DAPCU.

ICTCs Problems found & Solutions made
1. Most of HIV positive clients are from outside of the district and outside state.  They became migrant or LFU due to this reason. 2. Poor counselling of Positive client at ART Center.	1. Counsellors were told to give special attention towards counselling of HIV positive clients and make possible that they should be linked to ART as soon as possible. It was emphasized to do Home visits to follow positive clients. For Verification of Address of positive clients. 2. Advised Counsellor (ICTC/PPTCT) to go with the ANC positive client to ART center for providing better services at ART Center and co-ordinating with Counsellor of ART Center.  3. To improve counselling skills.
TI NGOs Problems found & Solutions made
1. It was found in some TI NGOs that they do not have data of total line list of HIV positive people. Counsellor was unable to tell about CD4, ART Regn. No. or anything about positive people found / tested by NGO) Even though Counsellor was not aware about Pre ART Regn. and ART Regn.		Clarified the difference between pre- ART regn. & ART Regn. And told about CD4 count. Counsellor was briefed that they should make separate register for HIV positive where all details of HIV positive clients should be made e.g. ID, AGE & permanent Address with current hot spot address, Peer Educator name, ORW Name, timings of contact, HIV Test Done – ICTC Name with Date,  Pre-ART Regn. No., CD4 Count (<350 > 350), ART Regn. No., Remarks besides how many times contacted by Peer Educator. Clarity on ‘shared confidentiality’ will be useful.