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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