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ICTC Team Training1
ICTC: Roles, Referrals and Linkages
ICTC Team Training2
ICTC Ecomap
ICTC Team Training3
Discussion Questions
• What kind of patients does your ICTC generally serve?• Do you know how far they come from and how they travel?• From which hospital units do your ICTC clients usually
come?• From which community organizations do your ICTC clients
mostly come from?• To which hospital units do you refer your clients?• To which community organizations do you refer your clients?• The ICTC may refer patients to other units. But how would
you know if they are reaching there?
ICTC Team Training4
Main Functions of an ICTC
Early detection of HIV. Provision of basic information on modes of
transmission and prevention of HIV/AIDS for promoting behavioral change and reducing vulnerability.
Linking people with other HIV prevention, care and treatment services.
ICTC Team Training5
Types of ICTCs
Stand-alone ICTCsFacility-integrated ICTCs
ICTC Team Training6
ICTC Team Training7
Overall goal of the NACP III is to halt and reverse the epidemic in India over five years:
1. Prevention of new infections in high risk groups and general population.
2. Providing greater care, support and treatment to larger numbers of PLHA.
3. Strengthening the infrastructure, systems and human resources in prevention, care, support and treatment programmes at the district, state and national level.
4. Strengthening the nationwide Strategic Information Management System.
ICTC Team Training8
Continuum between Care and Prevention
ICTC Team Training9
ICTC and its Linkages(from the NACP III)
TB - RNTCP
ICTC
PPTCT
ART
Early Management of OI
Access to Condoms
Access to Legal Services
Psycho-social support services
Link Workers
STI Services
Peer Support Group
Targeted Interventions
ICTC Team Training10
ART Centres
All clients diagnosed with HIV should be referred to the nearest ART centre for assessment for ART and treatment.
Services available at ART centers include: Identifying eligible PLWHAs who require ART. Free ARV drugs to eligible persons with HIV/AIDS. Counselling for adherence. Education on nutritional requirements, hygiene & other
measures. Referral services for specialised services or admission. Condoms distribution.
ICTC Team Training11
Link ART Centres
Services available at Link ART Centers include: ART drug distribution and treatment Monitoring patients on ART for OIs, side effects,
adherence and weight Referral services to ART centres for treatment of
OIs, side effects of drugs, ANC care, etc. Psychological support Adherence counselling Health education on prevention of infections
ICTC Team Training12
Community Care Centres (CCC)
A CCC provides services to PLWHAs such as In-patient care for 5 days for PLWHAs Out-patient facility for OIs and other illnesses related
to HIV/AIDS Counselling for adherence Referral services to ICTC, PPTCT, Pediatric HIV
services, ART Centre, medical facilities, DOTS centre and other required services
Home based care Condom distribution
ICTC Team Training13
Drop In Centres
Drop In Centres are run by Networks of PLWHA and provide these service:
Peer support to cope with the infection and consequences Treatment education and adherence support Psychosocial support Legal support Nutrition and livelihood support Linkages to social welfare programmes, health care services etc Advocating for the protection of rights of PLWHA Help in addressing stigma and discrimination Facilitate vocational or occupational rehabilitation Care and help in education of for children living with HIV/AIDS
ICTC Team Training14
STI/RTI Clinics
Patients coming to STI/RTI clinics must be referred to ICTC for HIV testing.
All ICTC clients with signs of any STI/RTI must be referred to designated STI/RTI clinics for diagnostics and treatment services.
Services at STI/RTI clinics include: Syndromic management of STIs Laboratory tests like VDRL STI counselling Provision of medication Partner counselling and treatment Patient follow up Syphillis screening services for all pregnant women at the RTI clinics
ICTC Team Training15
Discussion Questions
At present, with which health facilities and organisations does our ICTC not have STRONG linkages?
What can the ICTC team members do to build strong linkages?
ICTC Team Training16
Discussion Questions
Who are the people who should be coming to our centre for HIV counselling and testing?
How can we increase our patient load?
ICTC Team Training17
HIV spreads through 3 principal modes:– through sex between a man and a woman or
between two men (when one partner is infected);– through blood that is infected or through reusing
syringes and needles;– from an infected pregnant woman to her unborn
child. If a person is exposed to HIV through any
of these routes, they should get tested.
Routes of Transmission
2.24
2.57
2.726.78
85.69
Sexual
IDUs
Blood & Blood Products
Perinatal
Unidentified
ICTC Team Training18
Who Needs HIV Testing
Clients who walk in to the centre on their own
ICTC should also build up referrals of: Patients with symptoms which could be due to HIV infection. Patients with conditions that develop due to the same
vulnerabilities as HIV. Pregnant women who come to ANCs or who come to health
centres to deliver their babies.
It is not the mandate of the ICTC to test everybody in the general population. Populations who are more vulnerable to HIV or who practise high risk behaviour are in need of ICTC services.
ICTC Team Training19
ICTC Team Training20
ICTC Team Training21
Do I need HIV testing?
EXERCISE
ICTC Team Training22
EXERCISE– Does the person in the case need HIV
testing? – Explain why. – Is there anyone else in that situation who
also needs testing (e.g., a sexual partner)?