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| Title: |
Scaling up Care, Support & Treatment Services for PLHIV |
| Goal: |
To improve the survival and quality of life of People Living with HIV (PLHIV) |
| Overall Objective: |
Strengthen care & support services and improve drug adherence |
| Approach: |
CSCs to serve as a comprehensive unit for treatment support, positive living and
Strengthening the enabling environment for PLHIV
|
Challenges for CST in India:
- Unmet care & support needs
- Inadequate utilization of existing schemes and structures
- Lack of M&E systems to measure care & support
- Same PLHIV reached by multiple ORWs
Vihaan CSC
Link between health care service delivery & community
- Information on care & support
- Access to health referrals
- Education & referrals to social welfare schemes
- Easily accessible
- Safe space for all PLHIV (including women, children, FSWs, MSM, transgenders, hijras and IDUs)
- Centrally located within 2kms of ART centre
- Designed with provision for recreation and relaxation
| S.No. |
What to Do |
How to Do |
| 1. |
Early linkages to care support & treatment services |
- Treatment education for PLHIV provided at CSC
- Services such as nutrition education, healthy lifestyles, and psychosocial support provided to increase overall treatment success
- In addition to one-on-one counselling, support group meetings to support community mobilisation of PLHIV to address specific challenges
- Caregivers and family members to be given guidance on home-based care through CSC
|
| 2. |
Improved treatment adherence and education |
- Special attention for HRGs (FSWs, MSM, transgenders, hijras and IDUs) to support access and adherence
- Service providers trained and provided with periodic feedback on service quality, to ensure responsive services for all PLHIV, including children, women and HRGs
- Regular coordination between ART centres and CSCs and strategic partner involvement
|
| 3. |
Increased early testing and expanded positive prevention activities |
- Early testing and diagnosis encouraged through counselling and peer support
- Education and support for SRH
- Positive prevention and prevention of secondary infections to be part of staff training to educate PLHIV on safer sex and healthy lifestyles
- Coordination with Early Infant Diagnosis grant to ensure support to young mothers and families, especially with children living with HIV
|
| 4. |
Improved social protection and wellbeing of PLHIV |
- Linkages to social entitlements and social welfare schemes for PLHIV
- Inter- department meetings to ensure sensitisation and involvement of other line departments in coordination with CDO for accessing social entitlement schemes
- Local resource mobilisation by CSCs to ensure that children living with HIV are provided education, nutrition and health support
|
| 5. |
Strengthened community systems and reduced stigma & discrimination` |
- Work closely with ARTC/DAPCU/ICTC/DTO to organise regular inter-departmental meetings to address stigma as a barrier to treatment for PLHIV
- Build strong management capacity of CSCs who are running Vihaan programme
- Coordinate with DAPCU/DTO whenever stigma & discrimination related issues arise.
|
| 6. |
Linkage and Coordination with ARTC |
- Sharing Lost to follow-up (LFU) track-out list with ARTC monthly basis
- CSC monthly report share with ARTC monthly basis
- Deployment of ORW at ARTC for follow-up on rotation basis
- CSC (PC/Counsellor) participation in ART coordination meeting on monthly basis and action taken report sharing with ART/DAPCU/SR/UPSACS
|
| 7. |
Other action |
- CSC will display signboard at ARTC which would be clearly mention address of CSC with services provided by CSC
- Support Group meeting organized for PLHIV groups on agreed thematic area by NACO and SACS
- LFU tacking support system establish with ICTC/PPTCT/DLN/ARTC
- Having Identity Card and dresses for CSCs ORW
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